Yanagisawa H, Anzai T, Iijima T, Sakata Y, Ishikawa S, Obayashi T, Otaki A, Saito A, Suzuki M, Kamoshita Y
Second Department of Surgery, Gunma University School of Medicine.
Kyobu Geka. 1991 Nov;44(12):1048-51.
Mediastinitis following cardiac surgery occurs frequently in association with high mortality and morbidity. Patient was a 6-year-old boy suffering from Sotos syndrome with secundum type of ASD. He was operated upon to repair ASD. Following the surgery, he suffered from MRSA mediastinitis and osteomyelitis of the sternum. Routine method of closed irrigation after reopening of the sternal wound was ineffective. Patient recovered following aggressive debridement repeatedly, open drainage and topical irrigation with vancomycin. This appears to be a useful method to treat MRSA mediastinitis of the sternum.
心脏手术后发生的纵隔炎常伴有高死亡率和高发病率。患者为一名6岁男孩，患有Sotos综合征和继发孔型房间隔缺损（ASD）。他接受了ASD修复手术。术后，他患上了耐甲氧西林金黄色葡萄球菌（MRSA）纵隔炎和胸骨骨髓炎。胸骨伤口重新打开后进行的常规闭式冲洗方法无效。患者在反复积极清创、开放引流并用万古霉素局部冲洗后康复。这似乎是治疗胸骨MRSA纵隔炎的一种有效方法。
