https://scholars.lib.ntu.edu.tw/handle/123456789/192418
標題: | 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 |
作者: | 林佐武 朱樹勳 洪啟仁 顏江龍 LIN, TSUO-WU CHU, SHU-HSUN HUNG, CHI-REN YEN, CHIANG-LONG |
關鍵字: | 胸骨骨髓炎;肋軟骨炎;開心手術;肌瓣;心血管疾病;手術;STERNAL OSTEOMYSLITIS;RIB CHONDRITIS;OPEN HEART SURGERY MUSCLE FLAP;CARDIOVASCULAR DISEASE | 公開日期: | 1991 | 期: | n.3 | 起(迄)頁: | 694-700 | 來源出版物: | 中華民國外科醫學會雜誌,v.24 | 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 of 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 involvment. 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.#C2291002 |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/92833 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。