胸骨正中劈开切口感染因素分析及防治体会  

Risk factors and experience of prevention and treatment of intersternal incision

作　　者：王济峰[1] 石喜之[1] 关青[1] 谢春岩[1] 

机构地区：[1]中国人民解放军第四军医大学吉林军医学院附属医院,吉林吉林132011

出　　处：《吉林医学》2001年第1期25-26,共2页Jilin Medical Journal

摘　　要：目的 :探讨胸骨正中劈开切口感染的诱发因素及防治处理办法。方法 :对 5 9例符合标准的患者进行临床分析。结果表明 :其发生率在 0 .5 %～ 5 %之间 ,手术及转流时间过长 ,术后创面渗血过多 ,术后出现心肺并发症 ,行气管切开并较长时间使用机械通气 ,二次开胸 ,输库血 16 0 0 ml以上者是导致感染的重要因素。结论 :彻底清创 ,积极引流 ,纵隔冲洗 ,红外线照射 ,中药治疗是有效方法 ,同时提出各种预防措施。Objective This study was conducted to invesgate the risk factors and the methods of prevention and treatment for intersternal incision.Method 59 patients that corresponding to criteria were reviewed.Results It showed that the inciden rate was 0.5%～5%.The risk factors result in infection are long period of CPB time,postopereitive ineisional bleeding,cardial and pulmonary complications occured after operation,long duration of ventilation,twice operation,infused stored blood for more than 1 600ml.Conclusion Clean and withdraw the wovnd thoroughly,clean the mediatinum and the Chinese medicine treatment are the effeetive methods.Some preventive methods were also recommended.

关 键 词：胸骨切口 感染 防治 心内直视手术 

分 类 号：R619[医药卫生—外科学]