Suzuki Hitoshi, Shomura Shin, Maeshiro Ryou, Inoue Kentaro, Yada Masaki, Kondo Chiaki
Department of Cardiovascular Surgery, Mie Prefectural General Medical Center, Yokkaichi, Japan.
Kyobu Geka. 2017 Oct;70(11):957-959.
A 78-year-old man underwent off-pump coronary artery bypass grafting in our hospital. Purulent discharge from a sternotomy wound appeared 8 days after the operation of sternal re-fixation for sternal fracture. Methicillin-resistant Staphylococcus aureus(MRSA) was identified by the culture of the wound exudate. He underwent a surgical revision with the removal of the sternal wires and necrotic tissues. After sufficient irrigation, vacuum-assisted closure therapy was adopted and finally the wound was naturally healed. Vacuum-assisted closure therapy was an effective treatment for MRSA mediastinitis after coronary artery bypass grafting.
一名78岁男性在我院接受了非体外循环冠状动脉搭桥术。在因胸骨骨折行胸骨重新固定手术后8天，胸骨切开伤口出现脓性分泌物。通过伤口渗出物培养鉴定出耐甲氧西林金黄色葡萄球菌（MRSA）。他接受了手术翻修，移除了胸骨钢丝和坏死组织。充分冲洗后，采用负压封闭引流治疗，伤口最终自然愈合。负压封闭引流治疗是冠状动脉搭桥术后MRSA纵隔炎的有效治疗方法。
