Three Cases of Descending Necrotizing Mediastinitis
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- MIYAKE Tasuku
- Departments of Surgery
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- MURATA Atsuo
- Emergency Medicine, Kenwakai Otemachi Hospital
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- KUROGI Toshikazu
- Departments of Surgery
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- MATSUYAMA Jyunko
- Departments of Surgery
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- KOJYO Miyako
- Departments of Surgery
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- OKUGAWA Kaori
- Departments of Surgery
Bibliographic Information
- Other Title
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- 降下性壊死性縦隔炎の3例
- 症例 降下性壊死性縦隔炎の3例
- ショウレイ コウカセイ エシセイ ジュウカクエン ノ 3レイ
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Abstract
<p>We have experienced three cases of descending necrotizing mediastinitis (DNM) treated with emergency drainage and intensive care. Case 1 : A 45-year-old man with untreated diabetes mellitus was diagnosed with DNM caused by untreated dental caries. He underwent mediastinal drainage through the cervical and thoracic approach (video-assisted thoracic surgery, VATS). He died of multiple organ failure 3 days after the surgery.</p><p>Case 2 : A 36-year-old woman with post-cardiac arrest syndrome was diagnosed with DNM when tracheostomy was performed. She underwent mediastinal drainage through the cervical approach. She was transferred to other institution from our hospital on postoperative day 96 with stenosis of the trachea.</p><p>Case 3 : A 48-year-old man was diagnosed with DNM caused by untreated dental caries. He underwent mediastinal drainage three times through the cervical and thoracic (VATS) and subxiphoidal approach. He was discharged on dependent gait from our hospital on postoperative day 106.</p><p>With a recent accumulation of clinical cases of DNM, the therapeutic strategies have been clarifying. More efficient transthoracic drainage method for life-threatening DNM cases and a multi professional collaboration for an early return to work are important.</p>
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 81 (4), 668-674, 2020
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1391693801399090944
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- NII Article ID
- 130007932405
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030435918
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed