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胸骨裂开:复杂病例采用“延迟一期缝合”。

Sternal dehiscence: "delayed primary closure" for complicated cases.

作者信息

Taira A, Yara I, Yamashita M, Akita H

出版信息

Jpn J Surg. 1981 Mar;11(2):124-6. doi: 10.1007/BF02468882.

DOI:10.1007/BF02468882
PMID:7300057
Abstract

"Delayed primary closure" of the wound in cases of sternal dehiscence is reported. This technique includes a thorough debridement, continuous antibiotic lavage, and air tight force suction of the debrided space, using a portable wound suction unit. Healing process of the complicated sternal dehiscence is thus facilitated. A discussion is made of reasons for failure and missed chances in "early primary closure" of the sternal dehiscence.

摘要

据报道,对于胸骨裂开病例采用伤口“二期延迟缝合”。该技术包括彻底清创、持续抗生素灌洗以及使用便携式伤口吸引装置对清创后的创面进行密闭强力吸引。从而促进了复杂胸骨裂开的愈合过程。文中还讨论了胸骨裂开“一期早期缝合”失败及错失时机的原因。

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1
Sternal dehiscence: "delayed primary closure" for complicated cases.胸骨裂开:复杂病例采用“延迟一期缝合”。
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本文引用的文献

1
Continuous antibiotic irrigation in the treatment of infection.持续抗生素冲洗治疗感染
Arch Surg. 1963 Mar;86:384-7. doi: 10.1001/archsurg.1963.01310090034006.
2
Anterior mediastinitis as a complication of median sternotomy incisions: diagnostic and surgical considerations.正中胸骨切开术后切口并发前纵隔炎:诊断与手术要点
Surgery. 1970 Jun;67(6):929-34.
3
Mediastinitis following open-heart surgery. Review of two years' experience.心脏直视手术后的纵隔炎。两年经验回顾。
Arch Surg. 1973 Nov;107(5):772-8. doi: 10.1001/archsurg.1973.01350230124022.
4
Treatment of median sternotomy infection by mediastinal irrigation with an antibiotic solution.采用抗生素溶液纵隔冲洗治疗正中胸骨切开术后感染。
Ann Surg. 1969 Jun;169(6):914-20. doi: 10.1097/00000658-196906000-00011.
5
Sternal and costochondral infections following open-heart surgery. A review of 2,594 cases.心脏直视手术后的胸骨和肋软骨感染。2594例病例回顾。
J Thorac Cardiovasc Surg. 1976 Nov;72(5):714-26.