Ott David A., Cooley Denton A., Norman John C., Sandiford Frank M.
Division of Surgery of the Texas Heart Institute of St. Luke's Episcopal and Texas Children's Hospitals, Houston, Texas.
Cardiovasc Dis. 1978 Mar;5(1):15-18.
Closure of the sternotomy incision was limited to the skin in four critically ill patients following cardiopulmonary bypass. One patient had sustained an intractable bleeding diathesis and the other three had ventricular distention which prevented approximation of the sternum. All patients survived after delayed closure and repair of the sternotomy. Delayed primary closure of the sternum is a useful maneuver after cardiac surgery when routine closure would jeopardize early recovery.
在四名接受体外循环的重症患者中,胸骨切开术切口的闭合仅限于皮肤。一名患者患有难以控制的出血素质,另外三名患者存在心室扩张,这使得胸骨无法对合。所有患者在延迟闭合和修复胸骨切开术后均存活。当常规闭合会危及早期恢复时,延迟一期闭合胸骨是心脏手术后一种有用的操作。