Deep sternal wound infection(DSWI)is a rare but seriously damaging complication after median sternotomy.The quality of life and psychological health of patients may be affected due to long management period and unsatisfactory prognosis of DSWI.The improvement of this situation requires multidisciplinary cooperation.Cardiac surgeons should identify risk factors in a timely manner before surgery,take effective preventive measures,and treat incisional infections when detected after surgery to avoid the progression of infection to the sternum and mediastinum.With a definite diagnosis of DSWI,plastic surgeons are required to choose appropriate management protocols to control the infection and achieve sternal reconstruction in a timely manner.At present,prevention of DSWI has not received sufficient attention.DSWI treatment is mostly dependent on doctors'own experience and understanding,and consensus is lacking.This article provide a review of the progress in the prevention and treatment of DSWI.
关键词
深部胸骨切口感染/正中胸骨切开术/心脏手术/预防/治疗
Key words
Deep sternal wound infection/Median sternotomy/Cardiac surgery/Prevention/Treatment
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