摘要
目的提高心血管手术后胸骨哆开的早期诊断与治疗水平。方法回顾性分析我院2003年3月至2008年12月实施心血管手术病例中发生胸骨哆开的11例患者的临床资料，分析其诊断和治疗过程。结果11例胸骨哆开病例明确诊断后，立即积极手术治疗，术中重新加固缝合胸骨，术后胸带加压包扎，保证引流通畅，积极治疗伴发病及加强营养。10例痊愈出院，1例因术后发生多器官功能衰竭死亡。结论胸骨哆开是心血管手术后危及患者生命的严重并发症，早期出现剧烈的胸痛、刺激咳嗽、伤口渗液、胸骨摩擦感或浮动感等表现有助于确诊。术前正确地评估胸骨哆开的高危因素，早期积极处理是提高治愈率的关键。
Objective To summarize the experience in early diagnosis and treatment of postoperative sternal dehiscence with cardiovascular diseases. Methods We had retrospectively reviewed the records of 11 patients with sternal dehiscence from March 2003 to December 2008. Results One patient died from complicated multiple organ dysfunction syndrome, and 10 patients were cured. Conclusion The sternal dehiscence is a very severe life - threatening complication. The early clinical manifestation may be intense chest pain, cough, increasing effusion on the wound, the felling of sternal frictionor or floatation. Evaluation of the high - risk factors for sternal dehiscence and early active management are the key to increase the healing rate.
出处
《临床外科杂志》
2009年第8期544-545,共2页
Journal of Clinical Surgery
关键词
胸骨哆开
诊断
治疗
sternal dehiscence
diagnosis
treatment
