NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ ÁP XE CỔ LAN TRUNG THẤT TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ NĂM 2023-2025

Abstract

Background: Cervical abscess extending to the mediastinum is an acute infectious condition characterized by the formation of pus in the fascial spaces of the neck, which rapidly extends into the mediastinum. If not promptly and properly managed, it can lead to necrosis of the connective tissue around the mediastinum, extending into vital structures within the thoracic cavity, resulting in complications such as septic shock, multiple organ failure, and rapid death. Objectives: To describe the clinical, paraclinical characteristics, and treatment outcomes of cervical abscess extending to the mediastinum at Can Tho Central General Hospital. Materials and methods: Crosssectional study on 31 patients diagnosed with cervical abscess extending to the mediastinum at Can Tho Central General Hospital. Results: Among the 31 patients studied, males constituted the majority (67.7%), with the most common age group being 40–60 years (45.2%). The most frequent reason for hospital admission was neck swelling (54.9%). On cervical-thoracic computed tomography (CT) scans, fluid and gas collections were observed in more than 90% of cervical regions and over 74% of mediastinal regions. A total of 77.4% of patients had a hospital stay of 7– 14 days, with an average hospitalization duration of 10.5 ± 3.5 days. Postoperative outcomes indicated that 74.2% of cases had no complications, and 96.8% of patients remained in stable health without requiring readmission within three months after discharge. Conclusions: More than 74% of cases had no postoperative complications and required an inpatient treatment duration of 7–14 days. Three months after discharge, 96.8% of patients remained clinically stable and did not require hospital readmission.