Mediastinitis treatment?

summary

Mediastinitis refers to bacterial infection in mediastinum, which can be divided into acute and chronic. Acute mediastinitis often forms abscess, and the condition is serious. X-ray showed that the shadow of mediastinum widened on both sides, and the upper mediastinum was obvious. Because inflammation involved the surrounding pleura, the contour of both sides was blurred. Lateral chest X-ray showed that the density of retrosternal bone increased and the contour of trachea and aortic arch was blurred. When abscess is formed, prominent abscess shadow can be seen on one or both sides of mediastinum, and trachea and esophagus are compressed and displaced. So what is the treatment of mediastinitis?

Mediastinitis treatment?

Acute mediastinitis: the disease is mainly for the primary disease and etiology of treatment. If possible, tracheoplasty should be performed for the patients with trachea rupture due to mediastinal trauma. If possible, esophageal repair, fasting, rehydration and gastrointestinal decompression should be performed. Mediastinal drainage is necessary. Culture of pus and selection of sensitive antibiotics are beneficial to treatment.

Chronic mediastinitis: mainly according to different causes and take different measures, such as using antibiotics to control inflammation, hormone to promote absorption, diuretics to reduce edema, low molecular dextran to promote venous collateral circulation and other methods of disease reduction treatment, waiting for the establishment of collateral circulation. When medical treatment is invalid, surgical operation can be used to establish collateral circulation. If mediastinal fibrosis is limited, surgical resection can be performed to relieve organ compression, and superior vena cava bypass grafting can be performed to reduce the obstruction of superior vena cava. In addition, the obstructed vein can be directly cut for thrombectomy, endarterectomy, or bypass and short circuit operation with artificial blood vessel, self vein and allogeneic blood vessel. It has been reported that the great saphenous vein patch was successfully used to repair the stenosis of superior vena cava through a longitudinal incision.

If the mediastinal fibrosis is limited, the lesion can be resected to relieve the compression of the organs, and the superior vena cava bypass grafting can be performed to reduce the obstruction of the superior vena cava. It can also directly cut the obstructed vein for thrombectomy, endarterectomy, or bypass and short circuit operation with artificial blood vessel, self vein and allogeneic blood vessel. In foreign countries, a longitudinal incision was made at the stenosis of superior vena cava and the great saphenous vein patch was used to repair it.

matters needing attention

Mediastinitis diet 1, fresh burdock root, 60 grams of burdock root, fried in water, drink several times a day. 2. Luffa Luffa 150 grams, cut into sections, mash, mince juice, 100 ml each time, take boiling water. 3. Wash and dry the amaranth (root, stem and leaf), scorch it, and grind it into fine powder. After gargling with cold boiled water, take a little of the amaranth powder and blow it into the affected area, 4 times a day. The cure is degree. 4. Pomegranate fresh pomegranate 1-2, take pulp, add boiling water to soak for half an hour, put in sterile gauze to wring juice, gargle with juice, several times a day. 5. Dougen Shegan Zhizi Decoction: 9 grams of Shandougen, Shegan and Zhizi, decocted in water, 1 dose daily. 6. Two green powder, black carp bile powder, indigo naturalis and other parts, a total of fine grinding, each with a little blowing throat, 2 times a day.