在双边肺移植后,复杂的胸壁修复胸部脱症的案例报告
Alba María Fernández1, Eloísa Ruiz1, Benito Cantador1
1Thoracic Surgery and Lung Transplantation Department, Reina Sofía University Hospital, Córdoba, Spain; Maimónides Biomedical Research Institute of Córdoba (IMIBIC), University of Córdoba, Spain.
Transplantation proceedings
|October 5, 2023
概括
胸切裂是双边连续肺移植后的一个严重并发症. 这一案例凸显了复杂的胸壁重建的必要性,包括肌皮片手术,以管理严重的伤口并发症.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术重建的手术重建.
- 移植手术是一种移植手术.
背景情况:
- 骨裂变是 clamshell 切口后的一个已知的并发症.
- 这种并发症可能导致患者显著的发病率.
研究的目的:
- 报告一个复杂的胸壁重建病例.
- 为了说明肺移植后的胸骨脱落的管理.
主要方法:
- 一名患有朗格汉斯细胞囊和COPD的患者接受了双边顺序肺移植.
- 最初用尼丁醇剪贴关闭胸,随后出现脱落,,以及伤口缩.
- 修复手术包括网状修复,固定,负压疗法,最后,拉蒂斯木斯背部肌皮.
主要成果:
- 患者经历了肺部移植后的骨衰变和伤口并发症.
- 需要进行多次手术,包括修复网格和重建片.
- 一个脚的背肌皮板提供了最终的伤口覆盖.
结论:
- 胸裂变是双边顺序肺移植患者的显著并发症.
- 胸壁的不稳定性需要手术修复.
- 复杂的重建,包括片手术,可能需要管理.
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