[注意预防和治疗胸骨切开术后胸骨深部伤口感染]。

H Guan, Y Chen
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引用次数: 0

摘要

胸骨深部伤口感染(DSWI)是心脏手术后潜在的灾难性并发症之一。尽管采用了较小的切口、常规应用预防性抗生素和优化血糖管理,DSWI 的发生率仍在 1%-5%之间波动。DSWI 的早期症状和体征往往并不明显,临床医生来不及干预这一过程。一旦不及时治疗,DSWI 的死亡率非常高。因此,DSWI 的早期预防、诊断和适当治疗对于防止其发展为危及生命的结果至关重要。考虑到 DSWI 的临床严重性和治疗的复杂性,本文重点介绍了 DSWI 各个阶段的预防经验以及 DSWI 发生后的重建策略,以提高医学界对 DSWI 的关注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Pay attention to the prevention and treatment of deep sternal wound infection after sternotomy].

Deep sternal wound infection (DSWI) is one of the potential and catastrophic complications after cardiac surgery. Despite the use of smaller incisions, routine application of prophylactic antibiotic and optimized blood glucose management, the incidence rate of DSWI still fluctuates between 1% and 5%. The early symptoms and signs of DSWI are not often obvious, making it too late for the clinicians to intervene in the process. Once left untreated, DSWI carries a very high mortality rate. Therefore, early prevention, diagnosis, and appropriate management of DSWI are crucial in preventing its progression to life-threatening outcomes. Considering the clinical severity and treatment complexity of DSWI, this article focuses on preventive experiences in each stage of DSWI, and reconstructive strategies after DSWI happens, raising attention among the medical community regarding DSWI.

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