Application of lateral neck incision to the mediastinal abscess following esophageal perforation caused by foreign bodies: a report of 6 cases
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摘要: 目的:探讨颈侧切开术治疗异物穿孔并纵隔脓肿患者的适应证及临床诊疗要点。方法:6例异物穿孔并纵隔脓肿患者均在入院后12 h内行颈侧切开术。结果:6例患者中,4例取出异物;1例入院前已在当地医院取出异物;1例未找到异物。除1例声嘶、术后1年恢复外,余均无并发症。结论:异物穿孔并纵隔脓肿是颈侧切开术的适应证。Abstract: Objective: To investigate the indication and key points in clinical diagnosis and treatment of lateral neck incision to the mediastinal abscess following esophageal perforation caused by foreign bodies.Method: Six cases with mediastinal abscess following esophageal perforation caused by foreign bodies were cured through lateral neck incision within 12 hours after the admission of hospital.Result: Four cases performed the removal of the foreign bodies during hospitalization;1 case did in a local hospital before the admission; and 1 case did not found the foreign body. One case with hoarseness recovered in 1 year postoperatively, and there were no complications occured in other patients. Conclusion: Mediastinal abscess following esophageal perforation caused by foreign bodies was the indication of lateral neck incision.
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