Management of descending @entity39 XXXX .

@entity1 @entity295 @entity1697 @entity39 @entity794 @entity1764 @entity7101 @entity130
BACKGROUND: Descending @entity39 @entity1764 (DNM) is uncommon, and may be lethal if not treated adequately and promptly. Delayed diagnosis of the disease is sometimes encountered in clinical practice. METHODS: Eight consecutive @entity1 with acute DNM were identified between 1991 and 1995, including five @entity1 and three @entity1 . The mean age was 45.8 years (range, 22-71 years). The infectious sources consisted of six esophageal perforations, one cervical cutting @entity130 . The clinical presentations were evaluated. Diagnostic procedures including chest radiograph, sonogram and computerized tomography scans of the chest and neck were examined. Diagnosis and treatment, including culture results from drained fluids and debrided tissues, and antibiotic and supportive therapies were reviewed. RESULTS: Six @entity1 who underwent aggressive surgical treatment recovered well. Two @entity1 who received supportive treatment died of @entity295 alone. The cultured bacteria included: @entity7101 , @entity794 , Trichosporum and other mixed @entity1697 flora. CONCLUSIONS: Early diagnosis and adequate antibiotic and support therapies are essential to achieve good @entity1 outcomes in acute descending @entity1764 . Adequate drainage and debridement, appropriate antibiotic therapy, and sufficient nutritional and respiratory support are the main treatment elements.
