化脓性纵隔炎,病变隐蔽,早期诊断困难,病情进展迅速,甚至可以致死。文献记载其死亡率高达26.7％～50％,因此为临床所关注。我院于1992年收治2例,报告如下。 病例报告 例1 女,51岁,患皮肌炎11年,一直服用地塞米松治疗,病情稳定。入院前1个月余药量为0.75mg,3/日。入院前半月,无诱因出现咽痛,低烧,伴进行性吞咽困难,自以为“感冒”,眼解热镇痛药无效,加先 Suppurative mediastinitis, hidden lesions, early diagnosis difficult, the rapid progress of the disease, and even can be fatal. The literature records the mortality rate as high as 26.7% ~ 50%, so for clinical attention. Our hospital in 1992 admitted to 2 cases, the report is as follows. Case report 1 female, 51 years old, dermatomyositis for 11 years, has been taking dexamethasone treatment, stable condition. More than 1 month before admission dose of 0.75mg, 3 / day. Half a month before admission, no incentive causes sore throat, low fever, with progressive dysphagia, self-righteous “cold”, eye antipyretic analgesics invalid, plus first