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肋间肌瓣重建术及纵隔脓肿一期胸骨闭合术

Intercostal muscle flap reconstruction and primary sternal closure for mediastinal abscess.

作者信息

Kiehn Mark W, Heckman W Wesley, Osaki Satoru, Kohmoto Takushi

机构信息

Division of Craniofacial, Microvascular, Hand & General Reconstructive Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.

出版信息

Ann Thorac Surg. 2008 Jul;86(1):304-6. doi: 10.1016/j.athoracsur.2008.01.062.

DOI:10.1016/j.athoracsur.2008.01.062
PMID:18573448
Abstract

Poststernotomy mediastinal abscess is a life-threatening complication after cardiac operations. A 21-year-old woman had a late presentation of mediastinal abscess 9 years after ascending aortic graft replacement. Three days after the initial débridement and vacuum-assisted closure treatment, successful reconstruction was performed using an intercostal muscle flap and primary sternal closure, without recurrent infection.

摘要

胸骨切开术后纵隔脓肿是心脏手术后危及生命的并发症。一名21岁女性在升主动脉移植置换术后9年出现迟发性纵隔脓肿。在初次清创和负压封闭引流治疗3天后,使用肋间肌瓣成功进行重建并一期关闭胸骨,未发生反复感染。

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