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《Henan Journal of Surgery》 2001-01
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Pfevention of sternal dehiscence after cabg(5cases report)

Zhang Ke , Wang Fenglin , Liu Peng ,et al. Department of Cardiovascular Surgery, Henan Province Changge People's Hospital, Changge(461500), Henan  
Objective:To explore the diagnosis,treatment and prevention of sternal dehiscence combined with sternal wound infection after coronary artery bypass grafting(CABG) . Methods: Reoperative sternal fixation was used for those without sternal wound infection, completely wound cleaning, effective drainage and well fixation were used for those with sternal wound infection.Results:The effective rase was 100% in our study.The average healing time was 10 days (7 - 14days) ,1 case exception.The average taking off drainage tube was 7.4 days (2 - 20days) .Conclusion:The local wound symptom, systemic signs, and chest X-ray play a important role in diagnosis and treatment. Early detection and diagnosis, reoperative sternal fixation ; completrly cleaning the wound, effective drainage, well fixation for those with sternal wound infection are key piont for successful treatment. It can significantly reduce the inhospital time. Pay attention to prevention can decrease the incideuce of sternal dehiscence.
【CateGory Index】: R654.2
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【References】
Chinese Journal Full-text Database 1 Hits
1 KUANG Bin, CHEN Yunying, DENG Guosan, et al. Department of Plastic Surgery, Guangdong Provincial Peopel's Hospital, Guangzhou Guangdong, 510080, P.R.China;RECONSTRUCTION OF INFECTED MEDIAN STERNOTOMY WOUND DEHISCENCE AFTER CORONARY ARTERY REVASCULARIZATION[J];Chinese Journal of Reparative and Reconstructive Surgery;2006-07
【Citations】
Chinese Journal Full-text Database 1 Hits
1 Fu-reng Xu;Din-yi Xing;Xi-chu Jiang;et al.(Department of Cardiothoracic Surgery,Wuxi Fourth People's Hospital.Wuxi 214062);Diagnosis and Treatment of Acute Infective Mediastinitis(A Report of 25 Cases)[J];CHINESE JOURNAL OF THORACIC AND CARDIOVAESCULAR SURGERY;1994-02
【Co-citations】
Chinese Journal Full-text Database 5 Hits
1 ZHOU Jian-guo,DAN Wen-fu,ZHAO Liu-liu,CHEN Ruo-wei,YOU Xin,MA You,XU En-wu,WU Min(Department of Cardiothoracic Surgery,the 454 Hospital of PLA,Nanjing 210002,China);Diagnosis and treatment of infection of mediastinum after open-heart operation[J];Journal of Southeast University(Medical Science Edition);2006-04
2 LI Zhongcheng Department of Cardiothoracic Surgery, Qinghai Medical College Hospital 810001;Minimally Invasive Approach for Heart Valve Replacement: Report of 23 Cases[J];Tianjing Medical Journal;2001-11
3 YU Lei,GU Tian-xiang,JIANG Chun-li,ZHAO Ye,WANG Chun,FANG Qin (Department of Cardiac Surgery,The First Affiliated Hospital,China Medical University,Shenyang 110001,China);Application of bioglue during coronary artery bypass grafting in patients with osteoporosis[J];Journal of China Medical University;2007-01
4 FANG Gang, LI Xiaodong, SU Jinlin, et al. Dept. of Chest Surgery, Affiliated Hospital of Ningxia Medical College, Yinchuan 750004;Acute Mediastinitis: Approach of Therapeutic Method[J];CHINESE JOURNAL OF TRAUMATOLOGY;1999-S1
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【Co-references】
Chinese Journal Full-text Database 4 Hits
1 Wang Hongtao; Hou Dongxiang; Gao Hong et al(Department of Cardiac Surgery, Shaanxi Clinical Medical College);CONSERVATIVE MANAGEMENT OF STERNAL AND MEDIASTINAL INFECTIONS FOLLOWING OPEN HEART SURGERY[J];JOURNAL OF XI'AN MEDICAL UNIVERSITY(CHINESE);1998-04
2 CHEN Fan, CONG Wei, GAN Chong zhi, et al (Department of Cardiothoracic Surgery, Sichuan Provincial People's Hospital, Chengdu 610000, China);Coronary artery bypass grafting in 24 patients[J];Practical Journal of Clinical Medicne;2004-04
3 YIN Sheng-li, ZHANG Xi, SUN Pei-wu, WANG Zhi-ping, YAO Jian-ping(Department of Cardiothoracic Surgery, First Affiliated Hospital, Sun Yat-sen University of Medical Sciences, Guangzhou 510080, China);Diagnosis and Treatment of Sternal Rupture on 12 Cases After Extracorporeal Circulation[J];Academic Journal of Sun Yat-sen University of Medical Sciences;2001-04
4 WANG Shibo, HOU Chunlin, ZHANG Wei, et al. Department of Orthopaedics, 101 th Hospital of PLA, Wuxi Jiangsu,214044, P. R. China;TISSUE FLAP TRANSFERRING FOR WOUND REPAIR OF THE CLAVICLE[J];Chinese Journal of Reparative and Reconstructive Surgery;2005-07
【Secondary References】
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1 ZHU Jingmin,HAO Tianzhi,HE Lixin,et al.Department of Burns and Plastic Surgery,Beijing Army General Hospital,Beijing,100026,P.R.China;TREATMENT OF REFRACTORY STERNOTOMY WOUND[J];Chinese Journal of Reparative and Reconstructive Surgery;2007-12
【Secondary Citations】
Chinese Journal Full-text Database 1 Hits
1 Fu-reng Xu;Din-yi Xing;Xi-chu Jiang;et al.(Department of Cardiothoracic Surgery,Wuxi Fourth People's Hospital.Wuxi 214062);Diagnosis and Treatment of Acute Infective Mediastinitis(A Report of 25 Cases)[J];CHINESE JOURNAL OF THORACIC AND CARDIOVAESCULAR SURGERY;1994-02
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