28例婴幼儿化脓性关节炎诊治体会

Diagnosis and Therapy of 28 Infants with Septic Arthritis

目的:提高对婴幼儿化脓性关节炎的认识。方法:回顾性分析笔者所在医院近2年收治的28例化脓性关节炎的临床表现、实验室及辅助检查和治疗经过。结果:临床主要表现为发热、畏寒和关节局部红、肿、热和压痛,以膝关节受累最常见,金黄色葡萄球菌是最常见的致病菌。结论:早期诊断和适当的治疗可改善预后。

Objective：To improve the recognition of septic arthritis in infants.Methods：The medical charts of 28 patients with the diagnosis of septic arthritis were retrospectively reviewed.Demographic data,clinical manifestations,treatment,and outcome were analyzed.Results：Fever,swelling,local pain and tenderness were prominent clinical manifestation.Knees were most frequently involved.Staphylococcus aureus were the most common pathogenic bacterium.Conclusion：Patients with early diagnosis and proper treatment have a better outcome.