Descending necrotizing mediastinitis - a surgical view.

Q4 Medicine
J Šafránek
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引用次数: 0

Abstract

Introduction: Descending necrotizing mediastinitis (DNM) is a relatively uncommon but serious type of inflammation. Even today, the mortality is around 20%. An overview of DNM issues, recent literature and clinical practice of our department is presented. Anatomy and etiology: The cause is the descent of an originally oropharyngeal infection from the deep neck space into the mediastinum.

Therapy: Treatment takes place in an intensive care department, with a combination of antibiotics. Elimination of the neck source of inflammation is a prerequisite. The type of surgical drainage depends on the stage and extent of mediastinal involvement. Cervicomediastinal, mediastinothoracic, or cervicomediastinothoracic "Rendezvous" drainage are options.

Conclusion: The basis of DNM treatment is adequate surgical drainage, but interdisciplinary care (surgeon, anesthesiologist, ENT and dental surgeon) is a necessary condition.

下行坏死性纵隔炎-外科观察。
下行坏死性纵隔炎(DNM)是一种相对少见但严重的炎症类型。即使在今天,死亡率也在20%左右。本文就DNM的相关问题、最新文献和临床实践作一综述。解剖学和病因学:原因是原口咽感染从深颈间隙下降到纵隔。治疗:治疗在重症监护室进行,并结合使用抗生素。消除颈部炎症源是一个先决条件。手术引流的类型取决于纵隔受累的阶段和程度。可选择颈纵隔、纵隔胸或颈纵隔胸“交会”引流。结论:DNM治疗的基础是充分的手术引流,但外科、麻醉科、耳鼻喉科和齿科医师的综合护理是必要条件。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rozhledy v Chirurgii
Rozhledy v Chirurgii Medicine-Medicine (all)
CiteScore
0.50
自引率
0.00%
发文量
67
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