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游离皮瓣在胸腔内脓毒症治疗中的应用

Free flaps in the management of intrathoracic sepsis.

作者信息

Perkins D J, Lee K K, Pennington D G, Stern H S

机构信息

Department of Plastic and Reconstructive Surgery, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.

出版信息

Br J Plast Surg. 1995 Dec;48(8):546-50. doi: 10.1016/0007-1226(95)90042-x.

DOI:10.1016/0007-1226(95)90042-x
PMID:8548154
Abstract

Experience with 5 free flaps, 1 TRAM and 4 latissimus dorsi flaps, transferred intrathoracically for the management of chronic sepsis is described. Healing and elimination of sepsis was achieved in all cases despite the infection being resistant to all previous more traditional forms of treatment including thoracoplasty. The results were achieved with minimal morbidity and argue for the early consideration of free flaps in the management of chronic intrathoracic sepsis in appropriate circumstances. A review of the limited available literature concerning this topic is presented.

摘要

本文描述了5例游离皮瓣、1例横行腹直肌肌皮瓣和4例背阔肌肌皮瓣经胸腔内转移用于治疗慢性脓毒症的经验。尽管感染对包括胸廓成形术在内的所有先前更传统的治疗形式均耐药,但所有病例均实现了愈合和脓毒症的消除。结果是以最小的发病率取得的,这表明在适当情况下,应尽早考虑使用游离皮瓣治疗慢性胸腔内脓毒症。本文还对有关该主题的有限现有文献进行了综述。

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1
Free flaps in the management of intrathoracic sepsis.游离皮瓣在胸腔内脓毒症治疗中的应用
Br J Plast Surg. 1995 Dec;48(8):546-50. doi: 10.1016/0007-1226(95)90042-x.
2
[Vascularized pedicle muscular flaps used in the treatment of postpneumonectomy chronic empyema: two case reports].[带血管蒂肌瓣在肺切除术后慢性脓胸治疗中的应用:两例报告]
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Surgical treatment of chronic pulmonary aspergillosis using preventive latissimus dorsi muscle flaps.使用预防性背阔肌肌皮瓣治疗慢性肺曲霉病
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Intrathoracic free flaps.胸内游离皮瓣
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The role of intrathoracic free flaps for chronic empyema.胸腔内游离皮瓣在慢性脓胸治疗中的作用。
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[Intrathoracic transposition of the muscle flap of the trapezius and rhomboideus in treating empyema].
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引用本文的文献

1
Conjoint muscle free flap for obliteration of an upper thoracic empyema cavity.联合肌游离皮瓣用于闭合上胸段脓胸腔。
Can J Plast Surg. 2003 Winter;11(4):216-8. doi: 10.1177/229255030301100405.
2
Management of intrathoracic defects.胸腔内缺损的处理。
Semin Plast Surg. 2011 Feb;25(1):70-7. doi: 10.1055/s-0031-1275173.
3
[Thoracic wall defect reconstruction and dead space obliteration with an intra-/extrathoracic free flap].[采用胸内/胸外游离皮瓣进行胸壁缺损重建及消灭死腔]
Chirurg. 2009 Jul;80(7):641-4. doi: 10.1007/s00104-009-1695-y.