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KMID : 0364019950280040360
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Korean Journal of Thoracic and Cardiovascular Surgery
1995 Volume.28 No. 4 p.360 ~ p.364
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Management of Mediastinitis after Open Heart Surgery
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최세영
권영무/박진상/박창권/이광숙/유영선
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Abstract
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Between January 1984 and January 1994, 13 patients developed mediastinitis after cardiac operations. There were 7 women and 6 men with a mean age of 24.2 years (range 0.7~61). Initial operation included 7 valve replacements and 6 congenital
cardiac
repairs. The duration between initial operation and diagnosis was 13.5 days (range 4~57). Organisms cultured from debridement material included S. aureus (n=9), S. epidermidis (n=3) and Enterobacter (n=1). Fever was the most frequent complaint
and
purulent drainage was noticed in 9 patients (69%).
Seven patients were treated with radical debridement followed by closed irrigation. In other 6 patients, the wounds were managed by debridement, open granulation and delayed wound closure. Two hospital deaths (15.4%) following open granulation
method,
resulted from sepsis.
The 11 survivors were followed-up for 1~120 months, averaging 42 months and had healed wounds. One late death occurred due to massive hemorrhage.
(Korean J Thorac Cardiovasc Surg 1995;28:360-4)
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