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下行性坏死性纵隔炎的诊断与治疗 被引量:6

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摘要 目的探讨下行性坏死性纵隔炎(DNM)的诊断和治疗方法。方法回顾性分析1988年1月至2009年12月青岛大学医学院附属医院收治11例DNM患者的临床资料,其中男8例,女3例;年龄25~71(55±3)岁。早期收治的患者外科治疗采用颈部清创、引流,或经颈部纵隔引流;后期收治的患者采用颈、胸部同期清创、引流及术后冲洗。结果行单纯颈部清创、引流及经颈部纵隔引流的7例患者中死亡4例,均死于严重纵隔感染导致多器官功能衰竭,3例生存患者均为感染尚未侵犯下纵隔和胸腔;行颈、胸部清创、引流和冲洗的4例患者全部治愈。随访7例,随访时间3个月,患者恢复良好。结论 DNM病情凶险,一旦发病迅速进展为脓毒血症,甚至死亡。重视口咽部和颈部感染患者的胸部症状、体征变化,及时行胸部CT检查是尽早诊断DNM的关键。尽早进行颈、胸部彻底清创、充分引流及有效冲洗是治疗DNM成功的关键。
出处 《中国胸心血管外科临床杂志》 CAS 2012年第5期569-571,共3页 Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
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参考文献12

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同被引文献32

  • 1徐赛男,雷贤凤,王照亮,冯羽,张瑜.气管切开术并发症探讨[J].中华耳鼻咽喉头颈外科杂志,2005,40(9):709-710. 被引量:32
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