摘要
目的 回顾性总结颈性下行性纵隔脓肿的诊断与治疗经验。方法 分析 1985年 1月～ 1997年 12月收治的 15例颈性下行性纵隔脓肿的资料。结果 颈性下行性纵隔脓肿的原因有 :牙源性、急性扁桃体炎引起咽旁脓肿、胆脂瘤型中耳炎并发Mouret脓肿各 2例 ,咽异物擦伤 6例 ,食管穿孔 3例。咽或食管内纵隔引流 6例次 ,颈 纵隔引流 9例次 ,开胸引流 2例次 ,其中 1例广泛引流。治愈 12例 ,死亡 3例。结论 颈性下行性纵隔脓肿治疗的关键是早期诊断 ,及时有效引流及合理应用抗生素。
Objective To analyze the cause, diagnosis and treatment of descending cervical mediastinitis Methods Fifteen cases of descending cervical mediastinitis, which were treated from January 1985 to December 1997, were retrospectively reviewed There were 10 males and 5 females, ranging in age from 2 5 to 82 years Results The cause of descending cervical mediastinitis included odontogenic infection, suppurative tonsillitis, suppurative otitis media (cholesteatoma) complicating Mouret abscess, pharyngeal injury by foreign body and esophageal perforation Different ways of drainage were adopted Twelve cases were cured and three died Conclusion The key to successful management of descending cervical mediastinitis is early recognition, prompt and effective surgical drainage and appropriate antibiotics
出处
《中华耳鼻咽喉科杂志》
CSCD
2000年第2期141-143,I010,共4页
Chinese Journal of Otorhinolaryngology
关键词
纵隔脓肿
颈性下行性
诊断
治疗
Otorhinolaryngologic diseases
Mediastinal disease
Drainage
Abscess
