中国医科大学学报2016，Vol.45Issue(7)：635-640,6.DOI:10.12007/j.issn.0258-4646.2016.07.013
心脏外科术后不同类型深部胸骨切口感染的临床表现及病原学特点
Clinical Manifestations and Pathogenic Characteristics of Different Types of Deep Sternal Wound Infection in after Cardiac Surgery
马加贵 1安建雄 1王文璋 2李喜元1
作者信息
- 1. 中国医科大学航空总医院麻醉与重症医学科，北京 100012
- 2. 中国医科大学航空总医院心胸外科，北京 100012
- 折叠
摘要
Abstract
Objective To investigate the clinical features and pathogenic characteristics of different types of deep sternal wound infection in dif⁃ferent types after cardiac surgery. Methods A retrospective study was performed. From January 2012 to December 2014,84 patients with sec⁃ondary DSWI after cardiac surgery underwent the pectoralis major muscle flap transposition in our department were recruited for the study. Re⁃sults The average age of 84 patients with DSWI was 54.6 ± 14.8 years old,of which typeⅡDSWI patients were the most common(49/84, 58.3%). Both typeⅠand typeⅡDSWI patients showed typical clinical manifestations and early chest X⁃ray or Computerized tomography(CT) showed mediastinal widening(P<0.01). Some patients with typeⅢDSWI showed only local symptoms of surgery. The organisms most common⁃ly isolated in patients with DSWI were gram gram⁃negative bacilli(GNB,54.8%). Although there was no significant difference between the 3 types of DSWI patients(P>0.05),but the pathogenic results of the 3 types of those DSWI patients showed such a trend:typeⅠDSWI patients with GNB is was more common,and typeⅡDSWI patients was more prone to complicated infection. Conclusion Different types of DSWI may dis⁃play different features,the prevention and treatment of DSWI should be closely combined with the clinical manifestations and local pathogenic char⁃acteristics.关键词
心脏外科手术/深部胸骨切口感染/临床分型/临床表现/病原学特点Key words
cardiac surgery/deep sternal wound infection/clinical classification/clinical features/pathogenic characteristics分类
医药卫生引用本文复制引用
马加贵,安建雄,王文璋,李喜元..心脏外科术后不同类型深部胸骨切口感染的临床表现及病原学特点[J].中国医科大学学报,2016,45(7):635-640,6.
