Hauser J, Steinau H U, Ring A, Lehnhardt M, Tilkorn D J
Klinik für Plastische, Rekonstruktive und Ästhetische Chirurgie, Handchirurgie, Alfried Krupp Krankenhaus Essen-Steele, Hellweg 100, 45276, Essen, Deutschland,
Chirurg. 2014 Apr;85(4):357-65; quiz 366-7. doi: 10.1007/s00104-013-2678-6.
Deep sternal infections with sternal osteomyelitis are rare conditions with extensive consequences for the patient. The incidence of complications after median sternotomy is as high as 0.4-8 %. Wound and sternal dehiscence and a septic course with mediastinitis leading to septic shock is a feared complication with a high mortality next to the chronic course of the infection with the clinical correlation of presternal fistulas. An early diagnosis and surgical intervention is decisive to enhance the prognosis of the disease, leading to a significant increase in the survival rate of patients.
伴有胸骨骨髓炎的深部胸骨感染是罕见病症，会给患者带来严重后果。正中开胸术后并发症的发生率高达0.4 - 8%。伤口及胸骨裂开以及伴有纵隔炎导致感染性休克的脓毒症病程是令人恐惧的并发症，死亡率很高，仅次于伴有胸骨前瘘临床关联的慢性感染病程。早期诊断和手术干预对于改善疾病预后、显著提高患者生存率至关重要。
