Mediastinal infection after cardiac surgery diagnosis and treatment of.docVIP

 PAGE \* MERGEFORMAT 12 Mediastinal infection after cardiac surgery diagnosis and treatment of Author: Zhou Jianguo, but the text-rich, Zhao 66, Chen if it is, You-Xin, Ma Yu, XU En-5, Wu [Abstract] Objective: To evaluate the mediastinal infection after cardiac surgery, diagnostic methods and therapeutic measures. Methods: The People’s Liberation Army No. 454 Hospital, from December 1987 to June 2004 914 cases of open heart surgery in cases of postoperative mediastinal infection occurred in 8 patients with clinical data for analysis. Results: The patients with mediastinal infection after cardiac surgery, the incidence of 088%, no early postoperative deaths. Conclusion: Early diagnosis and timely use of mediastinal debridement and postoperative lavage, systemic anti-infective therapy and nutritional support, the treatment of mediastinal infection after cardiac surgery, an effective way. [Keywords:] Heart surgery; postoperative complications; mediastinal infection From December 1987 to June 2004, our hospital implemented a total of 914 cases of cardiopulmonary bypass surgery, postoperative mediastinal infection occurred in 8 cases, the incidence of 088%, all with mediastinal debridement and irrigation and drainage, postoperative lavage treatment , supported by an effective systemic anti-infective therapy and nutritional support necessary for the incision healed without surgery early death, are reported below. A clinical data 11 general information on eight cases of patients, 5 males and 3 females; aged 10 months to 57 years, with an average 2225-year-old. 5 cases of congenital heart disease (including 4 cases of ventricular septal defect), 3 cases of pulmonary hypertension, large patent ductus arteriosus with pulmonary hypertension in 1 case, Lutembacher syndrome in 1 case; three cases of rheumatic heart disease, of which two sharp valve and aortic valve combined valve disease in 1 case, mitral stenosis and regurgitation in 2 cases. 12 clinical manifestatio