对于患有深部胸骨伤口感染的患者，使用HeartShield装置可缩短负压伤口治疗的持续时间。
The Duration of Negative Pressure Wound Therapy Can Be Reduced Using the HeartShield Device in Patients With Deep Sternal Wound Infection.
作者信息
Ingemansson Richard, Malmsjö Malin, Lindstedt Sandra
机构信息
Department of Cardiothoracic Surgery, Lund University and Skåne University Hospital, Lund, Sweden.
Department of Ophthalmology, Lund University and Skåne University Hospital, Lund, Sweden.
出版信息
Eplasty. 2014 Apr 3;14:e16. eCollection 2014.
BACKGROUND
Heart rupture resulting in lethal bleeding is a devastating complication associated with negative pressure wound therapy (NPWT) in patients with deep sternal wound infection (DSWI). We have previously reported that the use of a protective HeartShield device in combination with NPWT decreases the risk of damage to the heart. This article presents a retrospective analysis of NPWT duration with and without the HeartShield device.
SUBJECTS AND PATIENTS
The study included 6 patients treated with the HeartShield device in combination with NPWT and 6 patients treated with conventional NPWT during the same time period. The duration of active treatment time was measured.
RESULTS
The median duration of NPWT was 8 days (range: 6-14 days) in the HeartShield device NPWT group and 14 days in the conventional group (range: 10-18 days). The difference was statistically significant (P < .05).
CONCLUSIONS
It appears that the treatment of patients with DSWI with the HeartShield device reduces the duration of NPWT.
背景
心脏破裂导致致命性出血是深部胸骨伤口感染（DSWI）患者负压伤口治疗（NPWT）相关的一种毁灭性并发症。我们之前报道过，使用保护性心脏护盾装置联合NPWT可降低心脏受损风险。本文对使用和未使用心脏护盾装置时NPWT的持续时间进行了回顾性分析。
研究对象与患者
该研究纳入了6例同时使用心脏护盾装置联合NPWT治疗的患者以及同期6例接受传统NPWT治疗的患者。测量了积极治疗时间的持续时间。
结果
心脏护盾装置NPWT组NPWT的中位持续时间为8天（范围：6 - 14天），传统组为14天（范围：10 - 18天）。差异具有统计学意义（P < 0.05）。
结论
看来，使用心脏护盾装置治疗DSWI患者可缩短NPWT的持续时间。
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