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胸骨切开术中断的处理

Management of disrupted sternotomy.

作者信息

Roy A C, Penhall J R, Cameron E W

出版信息

Thorax. 1981 Sep;36(9):676-8. doi: 10.1136/thx.36.9.676.

DOI:10.1136/thx.36.9.676
PMID:7314043
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC471698/
Abstract

Seventeen out of 929 consecutive patients (1.8%) who underwent open-heart surgery during the last three years developed dehiscence of the sternotomy. Infection was the most common cause of dehiscence and occurred more often after reopening of the incision to control bleeding or relieve tamponade. We describe a one stage closure which was used in all 17 cases. A successful result was obtained in 16 cases, discharge from hospital occurring between 21 and 51 days after closure.

摘要

在过去三年接受心脏直视手术的929例连续患者中,有17例(1.8%)发生了胸骨切开处裂开。感染是裂开最常见的原因,在重新切开切口以控制出血或解除心脏压塞后更常发生。我们描述了一种用于所有17例患者的一期缝合方法。16例获得了成功结果,缝合后21至51天出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c2/471698/54fce2878c27/thorax00189-0037-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c2/471698/fd1e2f72963c/thorax00189-0036-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c2/471698/2d89810745ee/thorax00189-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c2/471698/54fce2878c27/thorax00189-0037-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c2/471698/fd1e2f72963c/thorax00189-0036-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c2/471698/2d89810745ee/thorax00189-0037-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7c2/471698/54fce2878c27/thorax00189-0037-b.jpg

相似文献

1
Management of disrupted sternotomy.胸骨切开术中断的处理
Thorax. 1981 Sep;36(9):676-8. doi: 10.1136/thx.36.9.676.
2
Superficial wound dehiscence after median sternotomy: surgical treatment versus secondary wound healing.正中开胸术后表浅伤口裂开:手术治疗与二期伤口愈合
Ann Thorac Surg. 2004 Feb;77(2):672-5. doi: 10.1016/S0003-4975(03)01594-7.
3
[Management of sternal dehiscence following median sternotomy: modified Robicsek technique for sternal dehiscence].[正中开胸术后胸骨裂开的处理:改良Robicsek胸骨裂开修复技术]
Kyobu Geka. 1997 Nov;50(12):1009-12.
4
Definitive closure of the infected median sternotomy wound: a treatment algorithm utilizing vacuum-assisted closure followed by rigid plate fixation.感染性正中胸骨切开术伤口的确定性闭合:一种采用负压封闭引流后行钢板内固定的治疗方案。
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Repair of the dehisced median sternotomy incision.正中胸骨切开术切口裂开的修复。
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Sternal dehiscence after clamshell incision in lung transplantation treated with the STRAsbourg Thoracic Osteosyntheses System (STRATOS).肺移植后采用 STRAsbourg 胸骨科合系统(STRATOS)治疗的蛤壳式切口胸骨裂开。
Ann Thorac Surg. 2014 Feb;97(2):e55-7. doi: 10.1016/j.athoracsur.2013.10.111.

本文引用的文献

1
Mustard operation for transposition of the great vessels. Technical considerations.大动脉转位的Mustard手术。技术要点。
J Thorac Cardiovasc Surg. 1969 Aug;58(2):296-300.
2
Nylon-band chest closure.尼龙带胸廓闭合术。
Arch Surg. 1968 Jan;96(1):36-9. doi: 10.1001/archsurg.1968.01330190038009.
3
Reclosure of sternotomy disruption produced by hiccups.呃逆导致的胸骨切开术切口裂开的再次闭合。
Chest. 1974 Aug;66(2):189-90. doi: 10.1378/chest.66.2.189.
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.
6
Median sternotomy wound disruption: A surgical technique of repair.正中胸骨切开伤口裂开:一种修复的手术技术。
J R Coll Surg Edinb. 1977 Mar;22(2):156-7.
7
The prevention and treatment of sternum separation following open-heart surgery.心脏直视手术后胸骨分离的防治
J Thorac Cardiovasc Surg. 1977 Feb;73(2):267-8.