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- W2373985043 abstract "Objective To evaluate different therapeutic methods in 38 cases with acute mediastinitis induced by various causes. Methods Immediate mediastinal pleura incision, extensive mediastinum debridement and thorough mediastinum drainage were done in these patients. In inflammation of anterior mediastinum, counter current irrigation method was used. For patients with mediastirnitis associated with pericardial effusion, thoracotomy and pericardial window drainage were taken. Results Of the 38 patients, 13 died(34.2%), the remaining 25 patients were cured. Conclusions Esophageal rupture, cervical and thoracic bullet wound and trauma and esophageal injury caused by esophagoscopy for foreign body extraction, all of these lead to superior-posterior mediastinitis accompanied with severe systemic manifestations and can't be easily controlled, and the mortality is high. Sternotomy open chest operations always lead to anterior mediastinitis, in which symptoms are often slight. Once, superior-posterior mediastinitis is diagnosed, immediate, vigorous and extensive debridement of the mediastinum should be done. In order to prevent and control extensive spread of infection in the mediastinum, all the edematous mediastinal pleura should be incised and drained thoroughly. This method is eminently superior to the simple one, close thoracic drainage irrigation is superior to the simple drainage. Early diagnosis and enough drainage are the chief means to treat mediastinitis." @default.
- W2373985043 created "2016-06-24" @default.
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- W2373985043 date "1999-01-01" @default.
- W2373985043 modified "2023-09-23" @default.
- W2373985043 title "Acute Mediastinitis: Approach of Therapeutic Method" @default.
- W2373985043 hasPublicationYear "1999" @default.
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