Case Report: A review of two children with deep sternal wound infections after precordial surgery treated with a simple negative pressure closed drainage technique.

IF 2.1 3区 医学 Q2 PEDIATRICS Frontiers in Pediatrics Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI:10.3389/fped.2024.1491944
Yao Jiang, Shan He
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Abstract

Deep sternal wound infection (DSWI) is a rare but potentially devastating complication of median sternotomy performed in cardiac surgery. This report summarizes the nursing management of two pediatric cases with a DSWI treated using Do It Yourself (DIY) negative pressure suction (DIY-NPS) after surgery. The technique maintains a continuous suction pressure of 75 mmHg and intermittently flushes small volumes of fluid to stimulate granulation tissue formation and control systemic infection. After the formation of fresh granulation tissue, both patients achieved successful wound healing and were discharged in good condition.

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病例报告:回顾两例儿童胸骨深创面感染在心前手术后采用简单负压封闭引流技术治疗。
胸骨深部伤口感染(DSWI)是心脏手术中胸骨正中切开术的一种罕见但具有潜在破坏性的并发症。本报告总结了两例儿童DSWI术后采用DIY负压吸引(DIY- nps)治疗的护理管理。该技术保持75毫米汞柱的连续吸压,间歇地冲洗小体积液体,以刺激肉芽组织的形成,控制全身感染。在新鲜肉芽组织形成后,两例患者伤口均成功愈合,出院情况良好。
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来源期刊
Frontiers in Pediatrics
Frontiers in Pediatrics Medicine-Pediatrics, Perinatology and Child Health
CiteScore
3.60
自引率
7.70%
发文量
2132
审稿时长
14 weeks
期刊介绍: Frontiers in Pediatrics (Impact Factor 2.33) publishes rigorously peer-reviewed research broadly across the field, from basic to clinical research that meets ongoing challenges in pediatric patient care and child health. Field Chief Editors Arjan Te Pas at Leiden University and Michael L. Moritz at the Children''s Hospital of Pittsburgh are supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Pediatrics also features Research Topics, Frontiers special theme-focused issues managed by Guest Associate Editors, addressing important areas in pediatrics. In this fashion, Frontiers serves as an outlet to publish the broadest aspects of pediatrics in both basic and clinical research, including high-quality reviews, case reports, editorials and commentaries related to all aspects of pediatrics.
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