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.
出处
《中国心血管病研究》
CAS
2013年第5期369-372,共4页
Chinese Journal of Cardiovascular Research
关键词
心脏直视术后
胸骨裂开
治疗
Open heart surgery
Sternal dehiscence
Treatment
