Optimization of diagnosis and treatment of the patients with secondary acute mediastinitis of different etiology
Author Affiliations1Novosibirsk State Medical University of Minzdrav of Russia, 630091, Novosibirsk, Krasnyi av., 52; Novosibirsk State Regional Clinical Hospital, 630087, Novosibirsk, Nemirovich-Danchenko str., 130
2Novosibirsk State Medical University of Minzdrav of Russia, 630091, Novosibirsk, Krasnyi av., 52; Novosibirsk State Regional Clinical Hospital, 630087, Novosibirsk, Nemirovich-Danchenko str., 130, Research Institute of Circulation Pathology n.a. Acad. EN
3Novosibirsk State Medical University, 630091, Novosibirsk, Krasny av., 52
Abstract
The results of treatment of 40 patients with secondary acute mediastinitis have been described. The neck cellulitis of odontogenic origin heads the list of reasons for its development (62.5 %). The combined extra pleural drainage methods were preferred in case of inflammatory process. Satisfactory results were obtained in 29 patients (72.5 %). Lethal outcome was in 11 patients (27.5 %) mostly because of sepsis and mediastinitis progression.
Key words
References1. Barmina T.G., Sharifullin F.A., Abakoumov M.M. Computed tomographic diagnosis in the treatment of acute mediastinitis // Meditsinskaya vizualizatsiya. 2005. (3). 42–50. (in Russian)
2. Bobrov V.M., Lysenko V.A., Shushkov P.V., Bydanov V.A. Damage to the esophagus caused by foreign bodies or instruments // Vestnik otolaryngologii. 2005. (2). 55–57. (in Russian)
3. Zorkin AA Mediastinitis: etiology, pathogenesis, clinical features, diagnosis and treatment // Infektsii v khirurgii. http://www.abolmed.ru/img/mediastinitis.pdf. (in Russian)
4. Zyatkov I.N., Chertishchev O.A. Endosurgery opportunities in the treatment of patients with mediastinitis // Proc. V Russian Scientific Forum "Surgery in 2004". Moscow, 2004. 60–61. (in Russian)
5. Kozlov V.A. Odontogenic mediastinitis // Stomatologiya. 2006. (3). 30–34. (in Russian)
6. Topalov K.P. Questions to improve medical care for acute mediastinitis // Zdravookhranenie Dal'nego Vostoka. 2006. (6). 71–74. (in Russian)
7. Duda M., Gryga A., Dlouhy M. et al. Lecba perforacni mediastinitidy // Rozhl. Chir. 1996. 75. (1). 31–33.
8. Estrera A.S., Landay M.J., Grisham J.M. et al. Descending necrotizing mediastinitis // Surg. Gynecol. Obstet. 1983. 157. (6). 545–552.
9. Kinzer S., Pfeiffer J., Becker S., Ridder G.J. Severe deep neck space infections and mediastinitis of odontogenic origin: clinical relevance and implications for diagnosis and treatment // Acta Otolaryngol. 2009. 129. 62–70.
10. Papalia E., Rena O., Oliaro A. et al. Descending necrotizing mediastinitis: surgical management // Eur. J. Cardiothorac. Surg. 2001. 20. (4). 739–742.
11. Richardson J.D., Carrillo E. Thoracic infection after trauma // Chest Surg. Clin. 1997. 7. (2). 401–427.
About Authors (Correspondence):
Chikinev Yu.V. – doctor of medical sciences, professor, head of department of hospital and children’s surgery, e-mail: chikinev@inbox.ru
Drobyazgin E.A. – doctor of medical sciences, associate professor of department of hospital and children’s surgery, e-mail: evgenyidrob@inbox.ru
Kolesnikova T.S. – surgeon, postgraduate student of department of hospital and children’s surgery
Full Text
