查詢結果分析
來源資料
相關文獻
- Retrospective Analysis of Surgical Treatment for Infected Sternotomy Wound Post Open-Heart Surgery: A 10 Year Experience
- 比較開心手術中補體活化因子C5a及過氧化氫濃度變化及相關性
- 開心手術後物理治療早期介入之費用和效果分析
- Surgical Management of Sternal Osteo-Chondritis After Median Sternotomy
- 小洞開心手術
- Pulmonary Hemorrhage as a Complication of Extracorporeal Membrane Oxygenation Support for Post-cardiotomy Heart Failure--A Case Report
- 開心手術前的護理衛教
- Coronary Artery Bypass Grafting on the Beating Heart Using the Octopus Method--A Case Report
- 開心手術後併發縱膈腔炎的預防及處理
- Collagen as Drug Carrier for Deep Sternal Wound Infection after Open Heart Surgery
頁籤選單縮合
題 名 | Retrospective Analysis of Surgical Treatment for Infected Sternotomy Wound Post Open-Heart Surgery: A 10 Year Experience=開心手術後引發胸口感染的外科療法:10年回顧 |
---|---|
作 者 | 潘信誠; 邱浩遠; 李經維; 謝式洲; 楊友任; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 33:6 民89.11-12 |
頁 次 | 頁281-286 |
分類號 | 416.15 |
關鍵詞 | 開心手術; 胸口感染; 肌肉皮瓣; Sternal wound infection; Muscle flap; Recurrent infection; |
語 文 | 英文(English) |
中文摘要 | 從民國78年7月到87年6月,成大醫院總共有1491個病人施行開心手術,其中的人術後發生胸口感染,發生率約為2.9%,由傷口所培養出的感染原大部份是金黃色葡萄球菌種。24個病人接受傷口清創手術後以直接縫台的方法來處理傷口,19個病人則需要肌肉皮瓣來覆蓋,這其中包括8個病人使用胸大肌,4個使用腹直肌,1個使用大網膜, 6個使 用胸大肌加上腹直肌,術後再次發生感染的機率43個病人當中有12個,約佔28%,4個人在追蹤過程中死亡,其中2個認定死因是傷口感染引發敗血症。第一型的傷口清創完直接縫合即可,第二型和第三型的傷口則需使用肌肉皮瓣覆蓋。利用卡方檢定來檢測每個因子與復發率之間的關係,結果僅復發的時間有統計學上的意義,而年齡,性別,心臟疾病的種類,開心手術的方法,傷口嚴重程度,有無使用內乳動脈與復發率之間並無統計學上的意義。 |
英文摘要 | From July 1989 to June 1998, 43 sternal wound infections developed in 1491 openheart surgery patients at National Cheng-Kung University Hospital. The incidence was 2.9 %. The most frequently isolated pathogen was staphylococcus coagulase (-). The primary closure method was used for 24 patients and flap surgery for 19, which included a pectoralis major muscle flapin 8 cases, a rectus abdominis muscle flap in 4, an omental flap in 1, and a combination of pectoralis muscle and rectus abdominis muscle flap in 6. The total recurrence rate was 28% (12/43). The mortality rate was 9.3% (4/43) with wound sepsis in two of these patients. Type 1 sternal wound infection can be treated with primany closure, while type 2 and 3 wounds can be treated with flap coverage. Univariate analysis with a chi-square test indicated that there was a significant difference between recurrence and onset of infection (p < 0.05), but no significant difference between recurrence and other factors (age, sex, type of open-heart surgery, surgical method, classification of wound, and use of internal mammary artery). |
本系統中英文摘要資訊取自各篇刊載內容。