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心脏手术后纵隔感染的诊断与治疗
引用本文:周建国,但文富,赵六六,陈若为,游昕,马游,徐恩五,吴敏.心脏手术后纵隔感染的诊断与治疗[J].东南大学学报(医学版),2006,25(4):293-295.
作者姓名:周建国  但文富  赵六六  陈若为  游昕  马游  徐恩五  吴敏
作者单位:解放军第454医院,胸心外科,江苏,南京,210002
摘    要:目的:探讨心脏手术后纵隔感染的诊断方法及治疗措施。方法:对解放军第454医院1987年12月至2004年6月914例心脏直视手术病例中发生术后纵隔感染的8例患者的临床资料进行分析。结果:本组病人心脏手术后纵隔感染的发生率为0.88%,无术后早期死亡。结论:尽早确诊,及时采用纵隔清创、术后灌洗、全身抗感染治疗及营养支持,是治疗心脏手术后纵隔感染的有效方法。

关 键 词:心脏手术  术后并发症  纵隔感染
文章编号:1671-6264(2006)04-0293-03
修稿时间:2005年8月19日

Diagnosis and treatment of infection of mediastinum after open-heart operation
ZHOU Jian-guo,DAN Wen-fu,ZHAO Liu-liu,CHEN Ruo-wei,YOU Xin,MA You,XU En-wu,WU Min.Diagnosis and treatment of infection of mediastinum after open-heart operation[J].Journal of Southeast Univ: Medical Sci Ed,2006,25(4):293-295.
Authors:ZHOU Jian-guo  DAN Wen-fu  ZHAO Liu-liu  CHEN Ruo-wei  YOU Xin  MA You  XU En-wu  WU Min
Abstract:Objective To study the diagnosis and treatment of infection of mediastinum after open-heart operation.Methods 8 patients with infection of mediastinum were retrospectively analyzed among 914 cases after open-heart operation from Dec,1987 to Jun,2004.Result The rate of infection of mediastinum after open-heart operation was 0.88 percent,no mortality in early postoperative period was seen in the group.Conclusion It is important to early diagnose and to take effective measures sach as mediastinum debridement,retrosternal irrigation,general antibiotics and nutrition support.
Keywords:open-heart operation  postoperative complication  infection of mediastinum
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