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[胸骨裂开伴脓性纵隔炎的治疗——一例报告]

[Management of purulent mediastinitis with sternal dehiscence - a case report].

作者信息

Domaradzki Wojciech, Woś Stanisław, Szafranek Adam, Mrozek Roman, Jasiński Marek

机构信息

II Klinika Kardiochirurgii Slaskiej Akademii Medycznej, Katowice, Poland.

出版信息

Kardiol Pol. 2003 Apr;58(4):299-301.

Abstract

The authors report the case of 70-year-old female who underwent urgent CABG for unstable angina. The post-operative course was complicated by Staphylococcal mediastinitis, which was treated with chest irrigation system and antibiotics. Because of extensive tissue destruction caused by the infection, the steel sternal wires were not placed. Interestingly, one year after surgery the sternal wound was completely healed and there were no paradoxical respiratory movements.

摘要

作者报告了一例70岁女性因不稳定型心绞痛接受紧急冠状动脉旁路移植术(CABG)的病例。术后过程因葡萄球菌性纵隔炎而复杂化,采用胸部冲洗系统和抗生素进行治疗。由于感染导致广泛的组织破坏,未放置钢丝胸骨缝线。有趣的是,术后一年胸骨伤口完全愈合,且没有反常呼吸运动。

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