[颈椎再剥离术导致的下行性坏死性纵隔炎伴锁骨下静脉损伤:病例报告]。

Q4 Medicine Kyobu geka. The Japanese journal of thoracic surgery Pub Date : 2024-02-01
Yusuke Ogoshi, Atsushi Matsuoka, Masahiko Takeo
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引用次数: 0

摘要

一名 58 岁的男子在牙科治疗后因发烧和颈部肿胀入住我院。他被诊断为颈部脓肿并接受了颈部脓肿引流术,但一周后他出现了下行性坏死性纵隔炎并被转到我科。他接受了纵隔和胸膜引流术,但颈部脓肿复发,颈部脓肿再次清创导致右锁骨下静脉出血。在进行 L 型胸骨切开术和胸锁乳突肌剥离术后,使用 TacoSeal 成功止血。
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[Descending Necrotizing Mediastinitis with Subclavian Vein Injury due to Cervical Re-debridement: Report of a Case].

A 58-year-old man was admitted to our hospital with fever and neck swelling after dental treatment. He was diagnosed with a cervical abscess and underwent cervical abscess drainage, but 1 week later he developed descending necrotizing mediastinitis and was referred to our department. He underwent mediastinal and pleural drainage, but neck abscess was recured, Re-debridment of the neck abscess resulted in bleeding from right subclavian vein. The bleeding was successfully stopped with TacoSeal after L-shaped sternotomyand dissection of sternocleidomostoid muscle.

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