慢性胸部非结合的手术切除揭示了败血症伪:一个病例报告
Robin Deville1, Justin Issard1, Anna Vayssette1
1Department of Thoracic and Vascular Surgery, Hôpital Tenon, Assistance Publique-Hôpitaux de Paris, Paris, France.
Journal of chest surgery
|September 11, 2023
概括
本案例研究详细介绍了创伤性胸部损伤后的非结合性疼痛的胸壁重建. 手术干预和Gore-Tex贴片成功缓解疼痛,促进肋骨愈合,确定Propionibacterium作为一个因素.
科学领域:
- 整形外科手术 整形外科手术
- 传染性疾病 传染性疾病
背景情况:
- 创伤后持续的非结合和胸部疼痛可显著损害生活质量.
- 以前的手术尝试和保守的止痛治疗可能无法解决慢性胸壁不稳定.
研究的目的:
- 描述一个胸壁切除的病例为痛苦的非联合5年后创伤性胸部.
- 调查Propionibacterium acnes在持续性胸壁不结合中的作用.
- 为了评估用高尔-德克斯贴片进行手术修复的疗效.
主要方法:
- 一名患有慢性,疼痛的胸壁非结合症的患者经历了重复的手术干预.
- 进行了第五,第六和第七肋骨的脊椎切除术,并使用Gore-Tex补丁进行了重建.
- 分析了骨样本以检测微生物存在,并评估了术后疼痛管理.
主要成果:
- 手术切除和Gore-Tex补丁重建有效缓解了手术后的疼痛.
- 从伪位的骨培养物中发现了Propionibacterium acnes.
- 手术后的计算机断层扫描证实了肋骨愈合,5个月后没有并发症迹象.
结论:
- 包括切除和Gore-Tex补丁重建在内的手术管理可以有效地治疗慢性胸壁不结合.
- 普罗皮奥尼细菌 (Propionibacterium acnes) 可能在非结合的病原发生中发挥作用,即使没有急性感染.
- 积极的疼痛管理和手术干预可以带来显著的患者改善.
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