Division of Cardiac Surgery, Department of Surgery, University of Virginia, Charlottesville, Virginia, USA.
J Card Surg. 2022 Nov;37(11):3703-3704. doi: 10.1111/jocs.16845. Epub 2022 Aug 18.
Some would argue that kids aren't just little adults, but what about their sternums? We are reviewing a manuscript by Horriat, McCandless, and colleagues in the Journal of Cardiac Surgery describing their experience with managing sternal wound infections (SWI) after congenital heart surgery. They report encouraging results in 14 patients who required plastic surgery consultation to manage their sternal wounds. The nature of congenital cardiac abnormalities and the necessary steps to repair them leads to physiologic derangements predisposing patients to SWI. Rates of SWI vary and have been reported at 1.53% in this population. There is little guidance on how the management of the congenital cardiac surgery patient should differ from the adult patient.
有人认为儿童不仅仅是小大人，但是他们的胸骨呢？我们正在审查 Horriat、McCandless 和同事在《心脏外科学杂志》上发表的一篇手稿，该文描述了他们在先天性心脏病手术后处理胸骨伤口感染 (SWI) 的经验。他们报告了 14 名需要整形手术咨询来处理胸骨伤口的患者的令人鼓舞的结果。先天性心脏异常的性质以及修复它们所需的步骤导致生理紊乱，使患者易患 SWI。SWI 的发生率不同，在该人群中报告为 1.53%。关于如何管理先天性心脏病手术患者与成人患者的差异，几乎没有指导。
