Diagnostics and surgical treatment of the posttraumatic septic mediastinitis
Danielian, S.N.; Abakumov, M.M.; Pogodina, A.N.; Sharifullin, F.A.; Barmina, T.G.; Kvardakova, O.V.; Chernen'kaia, T.V.
Khirurgiia 12: 47-54
2011
ISSN/ISBN: 0023-1207 PMID: 22433525 Document Number: 656103
Treatment results of 38 cases of septic mediastinitis for the last 17 years were analyzed. The frequency of mediastinitis as a complication of the penetrating wound was 0.28%, and of the closed thoracic trauma - 0.1%. Reasons and risk factors of the mediastinitis development have been revealed. The enlargement of the mediastinum on the X-ray allowed the primary diagnostics of suspicion on the mediastinitis in 39.5% of cases. The spiral computed tomography provided information for the further treatment options. The mediastinum drainage was an effective method of treatment, providing the improvement in 69.6% patients after penetrating wound and in 73.3% after the closed thoracic trauma.