Howell H S, Prinz R A, Pickleman J R
Surg Gynecol Obstet. 1976 Sep;143(3):353-9.
Three patients with anaerobic mediastinitis associated with retropharyngeal abscess have been encountered recently. Dental infections accounted for two instances, and the third instance resulted from rupture of the thoracic esophagus from blunt trauma. Each was marked by extreme difficulty in achieving complete abscess drainage due to the initially unrecognized virulence of the causative anaerobic bacteria. Complications were frequent and included empyema, pericarditis and aspiration pneumonia. The combination of vigorous diagnostic efforts, prompt operation and reoperation when necessary plus specific antibiotic effective against anaerobes led to a successful outcome for each patient.
最近遇到了3例与咽后脓肿相关的厌氧性纵隔炎患者。其中2例由牙源性感染引起，第3例是由于钝性创伤导致胸段食管破裂所致。由于最初未认识到致病性厌氧菌的毒力，每例患者在实现脓肿完全引流方面都极为困难。并发症很常见，包括脓胸、心包炎和吸入性肺炎。积极的诊断措施、及时的手术以及必要时的再次手术，再加上针对厌氧菌有效的特效抗生素，使每位患者都获得了成功的治疗结果。
