在 3 个月大的婴儿中，超大心脏移植术后使用 75mmHg 持续负压对网片和异体真皮移植物覆盖的胸骨切开术伤口的效果和安全性。
The effect and safety after extended use of continuous negative pressure of 75 mmHg over mesh and allodermis graft on open sternal wound from oversized heart transplant in a 3-month-old infant.
机构信息
Department of Plastic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
出版信息
Int Wound J. 2010 Oct;7(5):379-84. doi: 10.1111/j.1742-481X.2010.00702.x.
Abstract
Negative pressure therapy (NPT) has been reported to be effective in treating infants with open chest wounds. This report further supports its effectiveness by treating a 3-month-old infant with a 12 × 7 cm sized opening in its chest after an oversized heart transplantation. After applying a mesh and allodermis over the defect, 75-mmHg continuous negative pressure was set and used for an extended period of 104 days. The haemodynamic status was evaluated during this period. The wound was closed with secondary intention and it healed well after NPT. There was no haemodynamic instability during the treatment course. The extended use of a continuous negative pressure of 75 mmHg over the mesh and alloderm graft was a reliable and safe option to close the massive defect in the chest of a 3-month-old infant.
摘要
负压治疗（NPT）已被报道可有效治疗开放性胸部创伤的婴儿。本报告进一步通过治疗一名 3 个月大的婴儿，该婴儿在超大心脏移植后胸部有 12×7 厘米大小的开口，证明了其疗效。在缺陷处覆盖网片和同种异体真皮后，设定 75mmHg 的持续负压并使用 104 天的延长时间。在此期间评估了血液动力学状态。该伤口通过二期愈合关闭，NPT 后愈合良好。在治疗过程中没有出现血液动力学不稳定。在网片和同种异体真皮移植物上使用 75mmHg 的持续负压延长时间是关闭 3 个月大婴儿胸部巨大缺陷的可靠且安全的选择。
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