Hiramatsu Y, Sakakibara Y, Koshima I, Akishima S, Hirabayashi K, Mitsui T, Hori M
Department of Surgery, University of Tsukuba Hospital.
Kyobu Geka. 1992 May;45(5):432-4.
A 8-year-old boy developed mediastinitis after direct closure of atrial septal defect. Methicillin-resistant Staphylococcus aureus (MRSA) was detected from the wound. Intermittent wound irrigation with povidone-iodine solution and vancomycin solution was protracted for two months. After the remission of MRSA infection, implantation of pectoralis major muscle flap was performed. Without recurrence of infection the wound was healed completely. Although pectoralis major muscle flap is an effective method of choice for mediastinitis, an appropriate timing of enforcing this method should be investigated hereafter.
一名8岁男孩在直接闭合房间隔缺损后发生纵隔炎。伤口处检测到耐甲氧西林金黄色葡萄球菌（MRSA）。用聚维酮碘溶液和万古霉素溶液间歇性冲洗伤口持续了两个月。MRSA感染缓解后，进行了胸大肌瓣植入术。伤口在无感染复发的情况下完全愈合。虽然胸大肌瓣是治疗纵隔炎的一种有效选择方法，但今后应研究实施该方法的合适时机。
