纵隔炎严重破坏后仅用网膜瓣关闭前胸壁的罕见病例：病例报告
A rare case of anterior chest closure only with omental flap after devastating mediastinitis: case report.
作者信息
Fiorani Vinicio, Memishaj Sabjan, Nocchi Andrea, Tappainer Ernesto, Pederzolli Nicola, Manfredi Jacopo, Zogno Mario
机构信息
Cardiac Surgery Department, Hospital Carlo Poma, Mantova, Italy.
出版信息
J Card Surg. 2008 Sep-Oct;23(5):586-9. doi: 10.1111/j.1540-8191.2008.00575.x.
We describe a case of 73-year-old patient who has been operated in emergency on triple coronary artery bypass graft (CABG), which was complicated with respiratory insufficiency and devastating mediastinitis. The anterior mediastinum was closed with an omental flap that was allowed to epithelize spontaneously. The patient was discharged after 110 days. Despite the large number of cases with mediastinitis described in the literature, the chest closure with only an omental flap without closure of subcutaneous tissue and skin is rare.
我们描述了一例73岁的患者，该患者因三支冠状动脉搭桥术（CABG）接受了急诊手术，术后并发呼吸功能不全和严重纵隔炎。前纵隔用大网膜瓣封闭，任其自行上皮化。患者在110天后出院。尽管文献中描述了大量纵隔炎病例，但仅用大网膜瓣封闭胸部而不缝合皮下组织和皮肤的情况很少见。
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