Deep sternal wound infection(DSWI)is one of the potential and catastrophic complications after cardiac surgery.Despite the use of smaller incisions,routine application of prophylactic antibiotic and optimized blood glucose management,the incidence rate of DSWI still fluctuates between 1%and 5%.The early symptoms and signs of DSWI are not often obvious,making it too late for the clinicians to intervene in the process.Once left untreated,DSWI carries a very high mortality rate.Therefore,early prevention,diagnosis,and appropriate management of DSWI are crucial in preventing its progression to life-threatening outcomes.Considering the clinical severity and treatment complexity of DSWI,this article focuses on preventive experiences in each stage of DSWI,and reconstructive strategies after DSWI happens,raising attention among the medical community regarding DSWI.
关键词
胸骨切开术/外科伤口感染/纵隔炎/手术后并发症/胸骨深部伤口感染/预防和治疗/创面修复
Key words
Sternotomy/Surgical wound infection/Mediastinitis/Postoperative complications/Deep sternal wound infection/Prevention and treatment/Wound repair