急性感染性纵隔炎的诊断和治疗（25例报告）

１９８０年１月～１９９１年１２月我们治疗２５例急性感染性纵隔炎，包括食管、气管穿孔后１１例，食管手术后８例，胸骨劈开心脏手术后５例，胸部外伤感染蔓延者１例。诊断要注重食管外伤和手术史。Ｘ线胸片和食管造影对诊断和治疗有重要意义。本组治愈率６０％，成功的关键是去除原发病因和进行有效的纵隔引流。

Diagnosis and Treatment of Acute Infective Mediastinitis(A Report of 25 Cases)

From Jan.1980 to Dec.1991,25 patients were treated for acute infective mediastinitis.The causes of the disease included esophageal or tracheal perforation (11/25),after esophageal surgery(8/25),and contamination of median sternotomy(5/25)for heart operation was secondary to chest wound infection 1/25).Diagnosis should be focused on the history of esophageal wound or/and type of thoracic operation.esophagography are important measures to establish chest X-ray and the diagnosis.Esophagoscopy is a method not only for examination but also for treatment.The cure rate of this group is 60%.The key to treatment is eliminating the cause of the disease and effective mediastinal drainage.