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[术后胸骨纵隔炎的病原治疗]

[Pathogenetic treatment of postoperative sternomediastinitis].

作者信息

Vinokurov I A, Belov Yu V, Tagabilev D G

机构信息

Petrovsky Russian Research Center of Surgery, Moscow, Russia.

Sechenov First Moscow State Medical University, Moscow, Russia.

出版信息

Khirurgiia (Mosk). 2023(6):103-107. doi: 10.17116/hirurgia2023061103.

Abstract

Sternotomy is the most common surgical approach for cardiac surgery. Incidence of postoperative sternal diastasis and wound suppuration ranges from 0.11 to 10%. We present a variant of one-stage surgical treatment of patients with these postoperative complications. Surgical tactics and features of postoperative period are described in detail. Pathogenetic approach to the treatment is substantiated. This approach can be used in patients with aseptic diastasis of the sternum and sternomediastinitis.

摘要

胸骨切开术是心脏手术最常用的手术入路。术后胸骨分离和伤口化脓的发生率在0.11%至10%之间。我们介绍了一种针对这些术后并发症患者的一期手术治疗方法。详细描述了手术策略和术后阶段的特点。论证了该治疗方法的发病机制。这种方法可用于胸骨无菌性分离和胸骨纵隔炎患者。

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