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小儿化脓性髂骨骨髓炎24例分析

Pyogenic Osteomyelitis of Ilium in Children: An Analysis of 24 Cases
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摘要 目的:为了提高小儿化脓性髂骨骨髓炎早期诊治水平。方法:总结近20年收治的24例该病患儿的临床资料及随访情况。结果:出院时症状消失、功能恢复者14例;功能恢复、局部伤口经换药3月内愈合者4例;2年以上窦道遗留再次手术治愈者5例;1例未愈。结论:髂骨骨髓炎X线改变出现晚,早期诊断主要靠仔细的物理学检查。如诊断确立,应用大剂量抗生素治疗是本病的重要原则。 Objective: To achieve better standard of early diagnosis and treatment of pyogenic osteomyelitis of ilium in children. Methods: Twentyfour chilrdren with iliac osteomyelitis treated over the last 20 years were recviewed. Results: Fourteen children recovered fully without any residual symptoms. Four regained the function but required wound dressing for up to 3 months. Five required further operation due to persistent sinuses while 1 patient did not show any improvement. Conclusions: Radiological findings appeared late in the process of disease and early diagnosis depends on careful physical examination. In diagnosed cases, intensive intravenous antibiotics are the treatment of choice. Operative treatment is reserved for the more severe cases.
出处 《中华小儿外科杂志》 CSCD 1998年第4期229-230,共2页 Chinese Journal of Pediatric Surgery
关键词 髂骨 骨髓炎 儿童 化脓性 病例分析 Ilium Osteomyelitis Child
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参考文献5

  • 1张洪,中华骨科杂志,1995年,15卷,98页
  • 2吴阶平,黄家驷外科学(第4版),1988年,2046页
  • 3赵桐茂,人类血型遗传学,1987年,51页
  • 4杨克勤,骨科手册,1983年,426页
  • 5赵炬才,骨与关节感染外科学

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