縦隔膿ようの治療成績

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  • Treatment of mediastinal abscess.

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Although it is rare to see mediastinal abscess today, because of the variety of effective chemotherapic agents available, mediastinal abscess is known to be mostly fatal when it occurs. Recently, we have treated seven patients with mediastinal abscess, five due to odontgenic or cervical infections and the other two following trauma. The success of the treatment depends on an accurate as well as prompt diagnosis of this condition. Chest CT-scan is the most useful method for early diagnosis as well as the exact distribution of mediastinal abscess. Continuous negative pressure drainage of the mediastinum should immediately be implemented as soon as the diagnosis is made. Postoperative course was uneventful, and all our patients were cured and discharged after one to four months of hospitalization.

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