Bauwens K, Gellert K, Hanack U, Agnes A, Müller J M
Department of Surgery, University Hospital Charité, Humboldt University, Berlin, Germany.
Thorac Cardiovasc Surg. 1996 Dec;44(6):308-10. doi: 10.1055/s-2007-1012043.
Mediastinitis and septic shock following esophageal or bronchopleural fistula are rare but serious conditions with a high mortality rate. Six patients were treated with open window thoracostomy (OWT) after primary suture repair and closed tube drainage had failed to cure the patient's condition. In all cases the clinical condition improved immediately. Two patients died later because of unrelated diseases. OWT should be considered in critically ill patients with broncho- or esophagopleural fistula when primary therapy fails to control the septic focus.
食管或支气管胸膜瘘后发生的纵隔炎和感染性休克虽罕见但病情严重，死亡率高。6例患者在一期缝合修复及闭式引流未能治愈病情后，接受了开窗胸廓造口术（OWT）治疗。所有病例临床状况均立即改善。2例患者后来因无关疾病死亡。对于支气管或食管胸膜瘘的重症患者，当初始治疗无法控制感染灶时，应考虑采用OWT。
