[部分正中胸骨切开术在气管造口患者心脏手术中的应用]

[Application of partial median sternotomy in cardiac surgery in patients with tracheostoma].

作者信息

Kaneda Toshio, Saga Toshihiko, Kitayama Hitoshi, Nakamoto Susumu, Kawasaki Hiroshi, Takaba Kiyoaki, Imura Masato, Fujii Kosuke, Nishino Takako, Yukami Shintaro

机构信息

Department of Cardiovascular Surgery, Kinki University, Osakasayama, Japan.

出版信息

Kyobu Geka. 2010 Sep;63(10):843-5; discussion 845-8.

PMID:20845690

Abstract

Median full-sternotomy carries a risk of sternal infection and lethal mediastinitis in cardiac surgery. We performed open-heart surgery through partial median sternotomy in 5 patients with tracheostomy. Coronary artery bypass grafting (CABG) was performed in 3 patients, aortic valve replacement in 1, and mitral valve replacement in 1. No operative deaths or complications related to wound infection occurred. Partial sternotomy represents a safe alternative in cardiac surgery in patients with tracheostoma.

摘要

在心脏手术中，正中全胸骨切开术存在胸骨感染和致死性纵隔炎的风险。我们对5例气管切开患者通过部分正中胸骨切开术实施了心脏直视手术。3例行冠状动脉旁路移植术（CABG），1例行主动脉瓣置换术，1例行二尖瓣置换术。未发生手术死亡或与伤口感染相关的并发症。部分胸骨切开术是气管造口患者心脏手术的一种安全替代方法。