心脏直视术后胸骨裂开的处理  

Treatment of sternal dehiscence after open heart surgery

作　　者：李波[1] 方敏华[1] 韩宏光[1] 王镇龙[1] 吴洪江[1] 张春振[1] 

机构地区：[1]沈阳军区总医院心血管外科,辽宁省沈阳市110083

出　　处：《中国心血管病研究》2013年第5期369-372,共4页Chinese Journal of Cardiovascular Research

摘　　要：目的探讨心脏直视术后胸骨裂开的原因、诊断和治疗。方法回顾分析2007年5月至2012年6月我院心脏直视术后并发胸骨裂开的26例病例，探讨其病因、早期诊断及治疗。结果26例患者均在全麻下二次开胸行胸骨固定术，同时积极治疗伴发病，加强支持治疗，患者全部治愈，伤口愈合平均时间（15．09±4．41）d。结论伤口局部的症状、体征，术后异常引流液和x线胸片检查对心脏直视手术后胸骨裂开的诊断和治疗有着重要意义；及早发现与正确的术中和术后处理是治疗胸骨裂开的关键。Objective To study the causes, early symptoms, diagnosis, treatment of sternal dehiscence af- ter open heart surgery. Methods A total of 26 cases of open heart surgery, which were performed between May, 2007 and June, 2012 in our hospital, were retrospectively studied. Results All 26 cases suffered sternal dehis- cence after open heart surgery accepted re-suturing, and discharged with complete wound closure. The average wound healing time was （15.09±4.41）days. Conclusion Pain, red and swollen or/and increased errhysis in the incision may be common early symptom of sternal dehiscence. The symptoms and signs of the wound, systemic man- ifestation, imaging of the chest are very important for the diagnosis. The keys of sternal rupture treatment are early discovery and correctly treatment during and after open heart surgery.

关 键 词：心脏直视术后 胸骨裂开 治疗 

分 类 号：R654.2[医药卫生—外科学]