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[采用带蒂大网膜瓣成功治疗耐甲氧西林金黄色葡萄球菌所致胸骨骨髓炎及纵隔感染]

[Successful treatment by using a pedicled omental flap for sternal osteomyelitis and mediastinal infection caused by MRSA].

作者信息

Morimoto T, Horimoto H, Kakimoto S

机构信息

Department of Thoracic Surgery, Minami-Osaka General Hospital, Japan.

出版信息

Kyobu Geka. 1993 Oct;46(11):956-9.

PMID:8230912
Abstract

A 56-year-old male case, who was complicated with sternal osteomyelitis and mediastinitis after aortic valve replacement, was reported. Its infection was caused by MRSA (methicillin resistant Staphylococcus aureus). He was treated with sterilization of wound using povidone iodine, Minomycin solution and its injection for 10 days. And thereafter we decided to apply the plastic surgical technique to this case. After debridement of the infected granulation and sternum thoroughly, a pedicled omental flap was transposed successfully.

摘要

报道了1例56岁男性患者,在主动脉瓣置换术后并发胸骨骨髓炎和纵隔炎。其感染由耐甲氧西林金黄色葡萄球菌(MRSA)引起。采用聚维酮碘、米诺环素溶液及其注射液对伤口进行消毒处理10天。此后,我们决定对该病例采用整形外科技术。在彻底清除感染的肉芽组织和胸骨后,成功转移了带蒂大网膜瓣。

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