小儿胸骨切开术后纵隔炎的真空辅助闭合术：低负压是否足够？
Vacuum-assisted closure for pediatric post-sternotomy mediastinitis: are low negative pressures sufficient?
作者信息
Kadohama Takayuki, Akasaka Nobuyuki, Nagamine Akira, Nakanishi Keisuke, Kiyokawa Keiko, Goh Kazutomo, Sasajima Tadahiro
机构信息
Department of Surgery, Asahikawa Medical University, Asahikawa, Japan.
出版信息
Ann Thorac Surg. 2008 Mar;85(3):1094-6. doi: 10.1016/j.athoracsur.2007.09.004.
We present 3 cases of pediatric post-sternotomy mediastinitis treated by a vacuum-assisted closure (VAC). The patients 2 girls, aged 6 months and 10 months, and a 2-year-old boy. The onset of infection was at 9, 14, and 32 postoperative days. The culture examination detected coagulase-negative Staphylococci strains in 2 cases, and Staphylococcus aureus in 1 case. A VAC was performed at -50 mm Hg for 10, 12, and 7 days. The wounds were closed without vascularized soft tissue. A VAC under a low negative pressure is a useful and safe procedure for the management of pediatric post-sternotomy mediastinitis.
我们报告3例采用负压封闭引流（VAC）治疗的小儿胸骨切开术后纵隔炎病例。患者为2名女孩，年龄分别为6个月和10个月，以及1名2岁男孩。感染分别在术后9天、14天和32天出现。培养检查在2例中检测到凝固酶阴性葡萄球菌菌株，1例中检测到金黄色葡萄球菌。以-50 mmHg进行负压封闭引流10天、12天和7天。伤口在没有带血管软组织的情况下闭合。低负压下的负压封闭引流是治疗小儿胸骨切开术后纵隔炎的一种有用且安全的方法。
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