真空辅助闭合疗法是深胸部伤口感染后右心室破裂的主要原因吗?
Ahmed A M Abbas1, Iain McPherson1, Joel Dunning1
1James Cook University Hospital, Middlesbrough, UK.
Journal of wound care
|August 12, 2023
概括
深胸部伤口感染可能导致致命的右心室破裂,即使真空辅助关闭 (VAC) 疗法. 本综述探讨了这种罕见的心脏破裂并发症的风险因素和治疗方法.
科学领域:
- 心胸外科手术 心胸外科手术
- 传染病管理 传染病管理
- 伤口护理 伤口护理
背景情况:
- 深胸部伤口感染 (DSWI) 是一个严重的术后并发症.
- 右心室破裂是DSWI的罕见但往往致命的后果.
- 真空辅助关闭 (VAC) 治疗在DSWI中的作用及其与右心室破裂的关联尚未得到充分证实.
研究的目的:
- 系统地审查DSWI后右心室破裂的文献.
- 调查真空辅助关闭 (VAC) 治疗对这种并发症的潜在贡献.
- 在DSWI的背景下讨论右心室破裂的风险因素,机制和管理策略.
主要方法:
- 使用关键词进行系统的文献搜索:"真空辅助关闭"",VAC"",负压伤口治疗"",深胸部伤口感染"",DSWI"",右心室破裂"",心脏破裂".
- 审查1953年至2022年间发表的文章.
- 从最初的30篇文章的检索中,包含了15篇符合预定义的资格标准的文章.
主要成果:
- 在分析的50例病例中,18例 (36%) 报告了致命的右心室破裂.
- 这项研究突出了对与VAC相关的右心室破裂机制的新观点.
- 分析包括讨论手术前和手术内管理方面的考虑.
结论:
- 右心室破裂是DSWI的关键和潜在的致命并发症,随着或没有VAC治疗而发生.
- 需要进一步的研究,以澄清VAC治疗在这种心脏破裂的发病过程中的确切作用.
- 综合管理策略,包括手术前和手术期间的措施,对于解决这种并发症至关重要.
关键词:
这是一个NPWTT.这是VAC的VAC.发生心脏破裂.深胸部伤口感染的感染.负压伤口治疗疗法负压伤口治疗右心室破裂的发生.真空辅助关闭的关闭方式伤口的伤口是伤口.伤口护理 伤口护理伤口上使用伤口带.伤口愈合 伤口愈合更多相关视频
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