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严重胸部切口裂开:影像学考量

Major thoracic dehiscence: radiographic considerations.

作者信息

Ziter F M

出版信息

Radiology. 1977 Mar;122(3):587-90. doi: 10.1148/122.3.587.

DOI:10.1148/122.3.587
PMID:841094
Abstract

Postoperative major thoracic dehiscence is an uncommon but potentially fatal complication which is sometimes difficult to detect clinically. Radiography may provide the initial clue to this abnormality. The wire sutures of sternotomy incisions may break, rotate, or become displaced. Disruption of posterolateral incisions is manifested by an increase in the distance between adjacent ribs. Air-fluid collections may be visible in the soft tissues of the chest wall.

摘要

术后严重胸壁裂开是一种罕见但可能致命的并发症,有时临床上难以检测到。放射学检查可能为这种异常情况提供初步线索。胸骨切开术切口的钢丝缝线可能会断裂、旋转或移位。后外侧切口的裂开表现为相邻肋骨之间的距离增加。胸壁软组织中可能可见气液积聚。

相似文献

1
Major thoracic dehiscence: radiographic considerations.严重胸部切口裂开:影像学考量
Radiology. 1977 Mar;122(3):587-90. doi: 10.1148/122.3.587.
2
The midsternal stripe: a sign of dehiscence following median sternotomy.胸骨中线条纹:正中开胸术后切口裂开的征象。
Radiology. 1976 Dec;121(3 Pt. 1):521-4. doi: 10.1148/121.3.521.
3
Wandering wires: frequency of sternal wire abnormalities in patients with sternal dehiscence.游走钢丝:胸骨裂开患者胸骨钢丝异常的发生率
AJR Am J Roentgenol. 1999 Sep;173(3):777-80. doi: 10.2214/ajr.173.3.10470922.
4
Disruption of chest wall closure following thoracotomy.开胸术后胸壁闭合的破坏。
J Thorac Cardiovasc Surg. 1966 Jul;52(1):47-53.
5
Sternal dehiscence. Early detection by radiography.
J Thorac Cardiovasc Surg. 1994 Oct;108(4):616-9.
6
The midsternal stripe and its relationship to postoperative sternal dehiscence.胸骨中线及其与术后胸骨裂开的关系。
Radiology. 1976 Dec;121(3 Pt. 1):525. doi: 10.1148/121.3.525.
7
The broken wire suture.
Am Surg. 1979 Jan;45(1):38-41.
8
[Roentgenologic observation of the course following sternotomy].[胸骨切开术后病程的X线观察]
Rontgenblatter. 1984 Aug;37(8):281-4.
9
Thoracic alterations after cardiac surgery.心脏手术后的胸部改变
AJR Am J Roentgenol. 1983 Mar;140(3):475-81. doi: 10.2214/ajr.140.3.475.
10
A closer look at the midsternal stripe sign.仔细观察胸骨中线征。
AJR Am J Roentgenol. 2002 Apr;178(4):945-8. doi: 10.2214/ajr.178.4.1780945.

引用本文的文献

1
The early radiologic findings in the adult chest after cardiopulmonary bypass surgery.体外循环心脏手术后成人胸部的早期影像学表现。
Cardiovasc Radiol. 1978 Oct 31;1(4):205-15. doi: 10.1007/BF02552045.