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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25789/YMJ.2023.81.31</article-id><article-id custom-type="elpub" pub-id-type="custom">ymj-258</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СЛУЧАЙ ИЗ ПРАКТИКИ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CLINICAL CASE</subject></subj-group></article-categories><title-group><article-title>Клинический случай успешного применения вакуумной терапии в лечении послеоперационного стерномедиастинита</article-title><trans-title-group xml:lang="en"><trans-title>A clinical case of successful application of vacuum therapy in the treatment of postoperative sternomediastinitis</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шевченко</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Shevchenko</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Шевченко Александр Александрович – к.м.н., доцент, торакальный хирург</p></bio><bio xml:lang="en"><p>Shevchenko Alexander Alexandrovich – PhD, Associate Professor of Far Eastern State Medical University, thoracic surgeon</p></bio><email xlink:type="simple">aleshev2@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кашкаров</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kashkarov</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кашкаров Евгений Александрович – зав. отделением, врач</p></bio><bio xml:lang="en"><p>Kashkarov Evgeny Alexandrovich – head of the department, doctor</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жила</surname><given-names>Н. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhila</surname><given-names>N. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Жила Николай Григорьевич – д.м.н., проф.</p></bio><bio xml:lang="en"><p>Zhila Nikolai Grigorievich – MD, prof.</p></bio><email xlink:type="simple">nzhila@list.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ДВГМУ; КГБУЗ ККБ №1 МЗ Хабаровского края<country>Россия</country></aff><aff xml:lang="en">Regional Clinical Hospital No. 1 of the Ministry of Health of the Khabarovsk Territory<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru">КГБУЗ ККБ №1 МЗ Хабаровского края<country>Россия</country></aff><aff xml:lang="en">Regional clinical hospital No. 1 of the Ministry of Health of the Khabarovsk Territory<country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru">СПбГПМУ<country>Россия</country></aff><aff xml:lang="en">Saint-Petersburg State Pediatric Medical University<country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>06</day><month>02</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>126</fpage><lpage>128</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шевченко А.А., Кашкаров Е.А., Жила Н.Г., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Шевченко А.А., Кашкаров Е.А., Жила Н.Г.</copyright-holder><copyright-holder xml:lang="en">Shevchenko A.A., Kashkarov E.A., Zhila N.G.</copyright-holder><license license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ymj.elpub.ru/jour/article/view/258">https://ymj.elpub.ru/jour/article/view/258</self-uri><abstract><p>Описано клиническое наблюдение послеоперационного стерномедиастинита. Освещена методика применения вакуумной терапии в лечении гнойных ран. При условии тяжелой сопутствующей патологии авторами описана возможность применения вакуумной терапии без выполнения завершающей реконструктивной операции.</p></abstract><trans-abstract xml:lang="en"><p>The article presents observation of a clinical case of postoperative sternomediastinitis. The technique of using vacuum therapy in the treatment of purulent wounds is highlighted. The authors described the possibility of using vacuum therapy without performing the final reconstructive operation in a patient with severe concomitant pathology.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>стерномедиастинит</kwd><kwd>вакуумная терапия</kwd><kwd>торакальная хирургия</kwd><kwd>кардиохирургия</kwd></kwd-group><kwd-group xml:lang="en"><kwd>sternomediastinitis</kwd><kwd>vacuum therapy</kwd><kwd>thoracic surgery</kwd><kwd>cardiac surgery</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Вёрткин А.Л. Тромбоэмболия легочной артерии: эпидемия, о которой все молчат/ Вёрткин А.Л., Грицанчук А.М.// Архивъ внутренней медицины. 2014. №1. С. 33-39.</mixed-citation><mixed-citation xml:lang="en">Vertkin A.L. 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