摘要
目的探讨冠脉搭桥术后胸部伤口感染患者行清除坏死胸骨组织及行游离胸大肌翻转治疗术的临床效果。方法选自2016年1月至2018年4月冠脉搭桥术后60例患者的临床资料,采取去除胸骨固定、钢丝,彻底清创、去除坏死胸骨,游离双侧或单侧胸大肌,双侧胸大肌向内交叉翻转填充缺损区,或单侧胸大肌肌瓣转移填充缺损区,胸大肌肌瓣下及皮下分别放置负压引流管,胸带妥善固定。结果60例患者中57例伤口愈合良好康复出院,1例住院期间死亡,术后随访3个月,2例3个月后伤口再次渗液。57例随访无感染,无反常呼吸运动、胸廓外形无异常,双侧上肢活动正常,无其他并发症。结论胸大肌肌瓣翻转术是治疗冠脉冠脉搭桥术后胸部伤口感染安全有效治疗的方法。
Objective To investigate the clinical effect of removing necrotic sternum and tissue dissociation of thoracic pectorals after the coronary angioplasty.Methods Selected from January 2016 to April 2018,the clinical data of 60 patients with coronary artery bypass surgery,to remove bone fixation,wire thorough debridement,removal of necrotic bone,free bilateral pectoralis major,turned inward cross filling defect,the pectoralis major muscle flap and subcutaneous respectively placed under negative pressure drainage tube,properly fixed chest belt.Results 57 cases of wound healing were discharged in 60 cases,1 was hospitalized,and 3 months after follow-up,2 case was reseeated after 3 months.The 57 cases were followed by no infection,no abnormal breathing,normal thoracic appearance,no apparent restriction of upper limb activity and other complications.Conclusion The double lateral thoracic muscle flap is an effective method of safe treatment。
作者
秦晓香
马凤霞
李明明
曹兴旺
QIN Xiaoxiang;MA Fengxia;LI Mingming;CAO Xingwang(the Seventh Medical Center of PLA General Hospital,Beijing 100700,China;Beijing Electric Power Hospital,Beijing 100073,China)
出处
《国际检验医学杂志》
CAS
2019年第A01期186-188,共3页
International Journal of Laboratory Medicine
关键词
冠脉搭桥
切口感染
治疗
coronary bypass
incisional infection
treatment
