在进行冠状动脉旁路的内部乳腺动脉移植后的部伤口感染:元分析
Mingmei Li1, Zhenxing Yu2, Qiong Chen3
1Department of Nephrology, Erqiao Street Community Health Service Cente affiliated of the Fifth Hospital of Wuhan, Wuhan, China.
International wound journal
|August 19, 2023
概括
双边内部乳腺动脉移植在冠状动脉旁路手术后增加了胸部伤口感染的风险. 这种风险在糖尿病患者,老年人和特定的移植制剂中更高.
科学领域:
- 心血管外科心血管外科
- 传染病流行病学 传染病流行病学
背景情况:
- 部伤口感染 (SWI) 是冠状动脉旁路移植 (CABG) 后的一个严重并发症.
- 在单个内部乳腺动脉 (SIMA) 和双边内部乳腺动脉 (BIMA) 移植之间做出选择是关于SWI风险的争论.
结论:
- 双边内部乳腺动脉移植与CABG后的胸伤口感染风险显著增加有关.
- 这种高风险在特定患者群体 (糖尿病患者,老年人) 和某些手术技术 (脚踏,骨架) 中特别明显.
- 外科医生在考虑BIMA时应谨慎行事,承认潜在的伤口愈合并发症和手术专业知识的变化.
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