Aguiar E T, Langer B, Albers M T, Fratezi A C, Basseto F L
Departamento de Cirurgia, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1993 Jan-Feb;48(1):8-12.
Thirty patients were operated for arterial reconstruction with synthetic grafts. They presented one of the following complications: 1) prosthesis exposed by a cutaneous fistula; 2) prosthesis in communication with a hollow viscus; 3) prosthesis involved by pus; 4) positive culture of a fragment of the prosthesis or of the surrounding secretion. The clinical manifestations were cutaneous fistula in 21 patients (70%), external bleeding in 14 (47%), exposition of the prosthesis in five (17%), anastomotic aneurysm in five (17%), and enteric fistula in four (13%). The infection became evident during the first postoperative year in half of the patients. The most important agents of infection were staphyilococci and Gram negative bacteria.
30例患者接受了人工血管动脉重建手术。他们出现了以下并发症之一：1）人工血管通过皮肤瘘管暴露；2）人工血管与中空脏器相通；3）人工血管被脓液累及；4）人工血管碎片或周围分泌物培养阳性。临床表现为皮肤瘘管21例（70%）、外出血14例（47%）、人工血管暴露5例（17%）、吻合口动脉瘤5例（17%）、肠瘘4例（13%）。半数患者在术后第一年感染变得明显。最重要的感染病原体是葡萄球菌和革兰氏阴性菌。
