Guan H, Chen Y
Department of Burns and Cutaneous Surgery, Burn Center of PLA, the First Affiliated Hospital of Air Force Medical University, Xi'an 710032, China.
Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2024 Feb 20;40(2):125-130. doi: 10.3760/cma.j.cn501225-20231212-00235.
Deep sternal wound infection (DSWI) is one of the potential and catastrophic complications after cardiac surgery. Despite the use of smaller incisions, routine application of prophylactic antibiotic and optimized blood glucose management, the incidence rate of DSWI still fluctuates between 1% and 5%. The early symptoms and signs of DSWI are not often obvious, making it too late for the clinicians to intervene in the process. Once left untreated, DSWI carries a very high mortality rate. Therefore, early prevention, diagnosis, and appropriate management of DSWI are crucial in preventing its progression to life-threatening outcomes. Considering the clinical severity and treatment complexity of DSWI, this article focuses on preventive experiences in each stage of DSWI, and reconstructive strategies after DSWI happens, raising attention among the medical community regarding DSWI.
深部胸骨伤口感染（DSWI）是心脏手术后潜在的灾难性并发症之一。尽管采用了更小的切口、常规应用预防性抗生素以及优化血糖管理，但DSWI的发生率仍在1%至5%之间波动。DSWI的早期症状和体征往往不明显，这使得临床医生在病程中进行干预时为时已晚。一旦不进行治疗，DSWI的死亡率非常高。因此，DSWI的早期预防、诊断和适当管理对于防止其发展为危及生命的后果至关重要。考虑到DSWI的临床严重性和治疗复杂性，本文重点关注DSWI各阶段的预防经验以及DSWI发生后的重建策略，以引起医学界对DSWI的关注。
