Jiang Yao, He Shan
Department of PICU (or Pediatric Research Institute), Children's Hospital of Chongqing Medical University, Chongqing, China.
Ministry of Education Key Laboratory of Child Development and Disorders, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China.
Front Pediatr. 2024 Dec 11;12:1491944. doi: 10.3389/fped.2024.1491944. eCollection 2024.
Deep sternal wound infection (DSWI) is a rare but potentially devastating complication of median sternotomy performed in cardiac surgery. This report summarizes the nursing management of two pediatric cases with a DSWI treated using Do It Yourself (DIY) negative pressure suction (DIY-NPS) after surgery. The technique maintains a continuous suction pressure of 75 mmHg and intermittently flushes small volumes of fluid to stimulate granulation tissue formation and control systemic infection. After the formation of fresh granulation tissue, both patients achieved successful wound healing and were discharged in good condition.
深部胸骨伤口感染(DSWI)是心脏手术正中开胸术后一种罕见但可能具有毁灭性的并发症。本报告总结了两例小儿深部胸骨伤口感染患者术后采用自制负压吸引(DIY-NPS)治疗的护理管理经验。该技术维持75 mmHg的持续吸引压力,并间歇性冲洗少量液体以刺激肉芽组织形成并控制全身感染。在新鲜肉芽组织形成后,两名患者均实现伤口顺利愈合并康复出院。