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[Diagnosis and treatment of pyo-mediastinitis].

V N Naumenko, P S Demchenko, O Iu Moriak, S S Bushtruk, S S Posudevskiĭ, V I Baliuta, V N Krivtsov

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Abstract

The results of treatment of 53 patients with purulent mediastinitis were studied. The expediency to use the X-ray examination of the esophagus, mediastinum and esophago-fibroscopy was noted. In spreading of the inflammatory process to the TII1--TIV level, the cervical mediastinotomy was performed, below the TIV level--thoracotomy with wide opening of the mediastinum and its drainage, and that of a pleural cavity. Fourteen (26.4%) patients died from purulent complications.

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What this paper is about

The results of treatment of 53 patients with purulent mediastinitis were studied. The expediency to use the X-ray examination of the esophagus, mediastinum and esophago-fibroscopy was noted. In spreading of the inflammatory process to the TII1--TIV level, the cervical mediastinotomy was performed, below the TIV level--thoracotomy with wide opening of the mediastinum and its drainage, and that of a pleural cavity. Fourteen (26.4%) patients died from purulent complications.

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Available abstract

The results of treatment of 53 patients with purulent mediastinitis were studied. The expediency to use the X-ray examination of the esophagus, mediastinum and esophago-fibroscopy was noted. In spreading of the inflammatory process to the TII1--TIV level, the cervical mediastinotomy was performed, below the TIV level--thoracotomy with wide opening of the mediastinum and its drainage, and that of a pleural cavity. Fourteen (26.4%) patients died from purulent complications.

Key concepts: Medicine, Mediastinitis, Thoracotomy, Mediastinum, Esophagus, Surgery, Radiology

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