title: [Diagnostics and surgical treatment of the posttraumatic septic mediastinitis].
abstract: Treatment results of 38 cases of septic mediastinitis for the last 17 years were analyzed. The frequency of mediastinitis as a complication of the penetrating wound was 0.28%, and of the closed thoracic trauma - 0.1%. Reasons and risk factors of the mediastinitis development have been revealed. The enlargement of the mediastinum on the X-ray allowed the primary diagnostics of suspicion on the mediastinitis in 39.5% of cases. The spiral computed tomography provided information for the further treatment options. The mediastinum drainage was an effective method of treatment, providing the improvement in 69.6% patients after penetrating wound and in 73.3% after the closed thoracic trauma.
authors.forename: Sh N
authors.initials: ShN
authors.lastname: Danielian
authors.forename: M M
authors.initials: MM
authors.lastname: Abakumov
authors.forename: A N
authors.initials: AN
authors.lastname: Pogodina
authors.forename: F A
authors.initials: FA
authors.lastname: Sharifullin
authors.forename: T G
authors.initials: TG
authors.lastname: Barmina
authors.forename: O V
authors.initials: OV
authors.lastname: Kvardakova
authors.forename: T V
authors.initials: TV
authors.lastname: Chernen'kaia
mesh_terms: D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008480:Mediastinitis / Q000209:etiology / Q000382:microbiology / Q000503:physiopathology / Q000628:therapy*; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D012307:Risk Factors; D013492:Suppuration / Q000382:microbiology / Q000628:therapy*; D015996:Survival Rate; D013898:Thoracic Injuries / Q000150:complications / Q000401:mortality / Q000503:physiopathology; D019616:Thoracic Surgical Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000382:microbiology / Q000503:physiopathology; D014950:Wounds, Penetrating / Q000382:microbiology / Q000503:physiopathology
chemical_list: D000900:Anti-Bacterial Agents