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題 名 | Surgical Management of Sternal Osteo-Chondritis After Median Sternotomy=開心手術後併發胸骨骨髓炎及肋軟骨炎之外科療法 |
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作 者 | 林佐武; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 24:3 民80.05-06 |
頁 次 | 頁694-700 |
分類號 | 416.262 |
關鍵詞 | 開心手術後併發胸骨骨髓炎; 肋軟骨炎; 外科療法; |
語 文 | 英文(English) |
中文摘要 | 台大醫院從民國七六年十月到七八年一月共經歷了廿個開心手術後併發胸骨傷口發炎的病例。其中十四個病例併有胸骨骨髓炎及/或肋軟骨炎。十四個病例中有兩個沒有接受進一步的手術:一個不久後即告死亡,另一個在一年之後尚有胸骨骨髓炎的症狀。在十二個接受進一步手術的病例當中,依照病人傷口發炎的程度及發病的時間在傷口清創後分別給予連續性優碘溶液灌洗及利用大胸肌翻轉瓣治療傷口。其中十個病例傷口癒合良好,二個病例因清創時沒有將全部發病肋軟骨切除而復發,經第二次清創後痊癒。壓痛點標示法可以幫助我們界定肋軟骨炎的範圍,以減少復發的機會。澈底清創及清除死空間是治療的基本原則,如果清創後無法去除死空間時才使用肌瓣翻轉手術。否則仍以連續性優碘溶液灌洗為優先考慮。 |
英文摘要 | There were 20 cases of sternal infection after open-heart surgery from Dec. '87 through jan. '89 at National Taiwan University Hospital. 14 cases out of them developed chronic sternal osteochondritis. One of them died of profund sepsis and multiple organ-failures, and another one refused any further operation with a persisted discharging sinus. The other 12 were treated with aggressive debridement, continuous Betadine irrigation or pectoris major turn-over flap tampon according to the extent and chronicity of the infections. Ten cases have good results, the other two have recurrence due to the incomplete resection of the infected cartilage. Knocking tenderness is the most correct indicator of chondritis involvement. The complete debridement and erradication of dead space are the principles of treatment. The turn-over muscle flap tampon is only used in those cases with sternal dead space after debridement, otherwise a Betadine close irrigation is the better choice while the chest cage is still pliable. |
本系統中英文摘要資訊取自各篇刊載內容。