종격동염의 증례보고

• 영문명: Mediastinitis: a case report
• 발행기관: 대한구강악안면외과학회
• 저자명: 김재환(Jae Hwan Kim) 류동목(Dong-Mok Ryu) 지유진(Yu-Jin Jee) 이정우(Jung-Woo Lee) 이덕원(Deok-Won Lee)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제36권 제6호, 538~542쪽, 전체 5쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2010.12.30

영문 초록

Acute mediastinitis is a fatal infection which occurs related to connective tissue of mediastium, in the thoratic organs. Occurrence of mediastinitis due to craniocervical infection is very rare, and is defined as descending necrotizing mediastinitis. November 8th, 2008, man in his early fifties visited ER due to severe swelling on left neck area and dyspnea. Antibiotic were administered immediately, and vast amount of abscess formation on pneumomediastinum and adjacent tissues were observed via chest computed tomography. With cooperation of thoracic and cardiovascular surgery department, emergency incision and drainage with drain insertion was done to remove abscess, and control the infection. After surgery, everyday saline irrigation through drain was done during hospitalization, with continues antibiotic therapy. Descending necrotising mediastinitis is a most rare and dangerous infection which occurs on oropharyngeal area. In case of descending necrotising mediastinitis, accurate diagnosis, airway maintenance, remove of abscess by incision and drainage, aggressive antibiotic therapy and continuous saline irrigation is necessary to increase patient survivability. Also, computed tomography with contrast media is essential to figure out the size and location of the infection and abscess formation.

키워드

Descending necrotising mediastinitis Craniocervical infection Incision Drainage