摘要
对16例心内直视手术后早期胸骨及纵隔感染的患者，采用局部清除异物，分段冲洗引流，胸骨后正硅胶管，每日用生理盐水快速冲洗2次，然后局部点滴氯霉素、庆大霉素、甲硝哇，一般冲洗4d，感染控制，肉芽新鲜。对有胸骨裂开者，使用自制购骨固定器，效果良好。政认为：①合理安置冲洗管是治疗感染的关键。②对胸骨裂开者，应用自制胸骨固定器，既能固定胸骨，防止裂开加重，又能维持呼吸循环功能稳定。
Sixteen cases of open heart operations companied with early sternal and mediastinalinfections were treated with removal of local foreignbodies, sectionalized drainage, rrigation with normal saline and antibiotics solutions instillation, which proceeded tillinfection subsided and fresh granulation tissueformed. The self--made sternum fixors were also apsults. We consider that proper location of drainageis the key to the prevention and management of infection and it is advisable to employ sternum fixorsfor sternum split to fix the sternum and stabilize therespiration and circulation.
出处
《西安医科大学学报》
CSCD
1998年第4期620-621,631,共3页
Journal of Xi'an Medical University(Chinese)
关键词
心内直视术
手术后
胸骨感染
纵隔感染
open heart surgery
sternal and mediastinal infection
sternum fixor
