使用带蒂大网膜瓣成功治疗肺切除术后胸骨骨髓炎。
Successful treatment of sternal osteomyelitis after pneumonectomy using a pedicled omental flap.
作者信息
Miwa K, Takamori S, Mitsuoka M, Hayashi A, Fukunaga M, Shirouzu K
机构信息
Department of Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan.
出版信息
Jpn J Thorac Cardiovasc Surg. 2001 Aug;49(8):522-4. doi: 10.1007/BF02919550.
We report here the case of a 64-year-old man with sternal osteomyelitis after pneumonectomy through a median sternotomy who was successfully treated using a pedicled omental flap. This is the first report in the literature to describe sternal osteomyelitis and mediastinitis after pneumonectomy. In this case, the visceral pleura of the remnant right lung was located just under the infected sternum. Careful management is recommended because empyema pleurae can be a fatal complication.
我们在此报告一例64岁男性患者，其在经正中胸骨切开术行肺切除术后发生胸骨骨髓炎，采用带蒂大网膜瓣成功治愈。这是文献中首例描述肺切除术后胸骨骨髓炎和纵隔炎的报告。在该病例中，残余右肺的脏胸膜恰位于受感染的胸骨下方。由于胸膜积脓可能是一种致命并发症，建议进行仔细处理。
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