体外循环心脏手术后发生胸骨深部切口感染21例治疗体会

Experience of 21 Cases with Deep Sternal Incision Infection after Cardiopulmonary Bypass Cardiac Surgery

目的总结体外循环心脏手术后发生胸骨深部切口感染患者的治疗体会。方法回顾性分析2010年3月-2016年3月21例在大连医科大学附属第一医院行经胸骨正中切口心脏手术后发生胸骨深部切口感染患者的临床资料。结果有糖尿病、高血压等合并症者易发生术后切口感染，且行二次开胸手术者也易发生术后切口感染。21例患者除3例死亡外，其余均治愈出院。结论行心脏手术发生深部胸骨感染者的病情一般较复杂，并存在多种感染高危因素。对于这类存在高危因素的患者，在术前要有充分的认识，做到早预防、早发现、早治疗，以减少或避免感染的发生。

Objective To summarize the therapy experience of deep sternal incision infection after cardiopulmonary bypass cardiac surgery. Methods The clinical data of 21 patients with deep sternal incision infection underwent mid-sternal incision surgery were collected from the First Affiliated Hospital of Dalian Medical University from March, 2010 to March, 2016, and retrospectively analyzed. Results The patients with diabetes, hypertension and other complications are prone to postoperative incision infection, and the patients undergoing secondary thoracotomy are also prone to postoperative incision infection, Except for 3 deaths, other patients were cured and discharged. Conclusion The condition of patients with deep stemal infection after cardiopulmonary bypass cardiac surgery is generally complicated, and there are many risk factors for infection. For those patients with high risk, we should pay attention to early prevention, early detection, and early treatment in order to reduce or avoid the occurrence of infection.