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Date Published: 10/06/2024
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DOI: https://doi.org/10.51298/vmj.v539i2.9867
Issue
Vol. 539 No. 2 (2024)
Section
Các bài báo
How to Cite
Lâm, X. N., Nguyễn, N. T., & Vũ, H. V. (2024). RESULTS OF SURGICAL TREATMENT OF DESCENDING NECROTIZING MEDIASTINITIS AT CHO RAY HOSPITAL. Vietnam Medical Journal, 539(2). https://doi.org/10.51298/vmj.v539i2.9867

RESULTS OF SURGICAL TREATMENT OF DESCENDING NECROTIZING MEDIASTINITIS AT CHO RAY HOSPITAL

Xuân Nhật Lâm, Ngọc Trung Nguyễn, Hữu Vĩnh Vũ

Main Article Content

Abstract

Objective: evaluate the results of surgery to treat descending necrotizing mediastinitis at Cho Ray hospital. Subjects and methods: The study describes case series of descending necrotizing mediastinitis treated with surgery from January 2018 to December 2023. Results: 92 patients, mean of age was 51.6 ± 13.8 years; men account for 66.3%; There were 76.1% of patients have unknown cause. All patients (100%) had fluid collections and air in the neck and mediastinum. There were 69 patients (75.0%) who only needed open neck surgery; mean of incision care time was 10 days; mean of hospital stay was 11 days. There were 15 patients (16.3%) who died early. The most common complications were pneumonia and sepsis with rates of 6.5% and 5.4%, respectively. Conclusion: descending necrotizing mediastinitis is a serious disease, treatment is still challenging with high short-term complication and mortality rates.

Article Details

Keywords

neck abscess, mediastinal abscess.

References

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