Conservative treatment and surgical treatment of cervical cellulitis combineing mediastinal pleural abscess
10.13201/j.issn.1001-1781.2016.06.012
- Author:
Bin Zhe WANG
1
;
Hongliang ZHENG
1
;
Shicai CHEN
1
;
Xiaohua SHEN
1
;
Suqin ZHANG
1
;
Wu WEN
1
Author Information
1. Department of Otolaryngology, Changhai Hospital, Second Military Medical University,Shanghai,200433,China
- Publication Type:Journal Article
- Keywords:
cervical cellulitis;
mediastinal abscess;
pyothorax;
surgical treatment
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2016;30(6):468-470,473
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the diagnosis, treatment and curative effect of cervical cellulitis combineing mediastinal pleural abscess. Method:Clinical data of 37 patients with the cervical cellulitis and mediastinal pleural abscess were analyzed, all patients were confirmed using ultrasond, X-ray, CT, puncture and microbiology examination. The result will analysis the diagnosis, treatment and curative effect through the comparison of conservative treatment and surgical treatment. Result:Twenty-three cases of patients were underwent tracheotomy because of difficulty in breathing and successfully extubated after treatment. Nine cases of patients were given anti-infection treatment and recovered after conservative treatment. Twenty-one cases of neck multiple pus cavity were underwent cavity incision, full removal of necrotic tissue and pipe flushing; 7 cases of patients with neck and mediastinal abscess and within which 2 cases were with toxic shock were underwent adequate drainage of lavage and abscess incision through jugular joint path; the companion of pyothorax in 2 cases were underwent the chest closed drainage. All patients were giving sensitive antibiotic after drug sensitive test, anti-shock treatment and supportive treatment. All the patients were recovered and discharged. The average hospitalization days with conservative treatment of these patients were 15.7 days, and the average hospitalization days with surgical treatment of patients were 25.3 days. Conclusion:The condition of cervical cellulitis is complex, a few case can be cured with conservative treatment. The others progress rapidly when merging mediastinal pleural abscess can cause serious complications, surgical treatment is risky, fully abscess incision, lavage drainage and combine with sensitive antibiotics and supportive treatment are the keys to therapy.
