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青少年感染性骶髂关节炎1例
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作者 郑惠瑜 张金山 《中华关节外科杂志(电子版)》 CAS CSCD 2024年第1期147-150,共4页
患者女,14岁,因"右侧臀部疼痛10 d,加重5 d"入住广州医科大学附属第三医院关节外科。患者10 d前长跑后出现右侧臀部疼痛,为持续性隐痛,无向他处放射,行走及弯腰时疼痛明显,休息后疼痛可缓解,对侧无明显疼痛,无下肢麻木、发凉... 患者女,14岁,因"右侧臀部疼痛10 d,加重5 d"入住广州医科大学附属第三医院关节外科。患者10 d前长跑后出现右侧臀部疼痛,为持续性隐痛,无向他处放射,行走及弯腰时疼痛明显,休息后疼痛可缓解,对侧无明显疼痛,无下肢麻木、发凉、肿胀;无盗汗、发热畏寒、头晕头痛、腰痛等不适。5 d前,患者自觉右侧臀部疼痛加重,并出现右侧臀部皮疹,伴行走困难及双下肢乏力,在外院就诊,查尿液分析提示尿白细胞阳性,外院予止痛、消肿、抗感染等治疗后,疼痛稍缓解,使用抗生素后尿白细胞由阳转阴,但仍存在行走困难伴双下肢乏力。入院当天早晨患者出现低热(体温37.9℃),伴畏寒,无伴鼻塞流涕、咳嗽咳痰。在广州医科大学附属第三医院门诊查生化分析显示:肌红蛋白<21 ng/ml(25~28 ng/ml),白蛋白33.6 g/L(42~56),淀粉酶30 U/L(35~135),肌酸激酶同工酶、肌酸激酶、乳酸脱氢酶均正常。入院时体温37℃、脉搏101次/min、呼吸20次/min;血压107/73 mmHg。发育正常,痛苦面容,神志清楚,右侧骶髂关节局部压痛,右髋活动明显痛性受限,髋关节屈伸活动度患者疼痛无法完成,右下肢其余关节、肌力、感觉功能等均正常,骨盆挤压试验(+)。 展开更多
关键词 持续性隐痛 尿白细胞 痛苦面容 局部压痛 下肢麻木 鼻塞流涕 骶髂关节 挤压试验
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Hyaluronic acid-methacrylic anhydride/polyhexamethylene biguanide hybrid hydrogel with antibacterial and proangiogenic functions for diabetic wound repair 被引量:1
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作者 Yike Li huiyu zheng +3 位作者 Yaxian Liang Ming Xuan Guiting Liu Huixu Xie 《Chinese Chemical Letters》 SCIE CAS CSCD 2022年第12期5030-5034,共5页
Diabetic wounds lead to a decrease in quality of life and an increase in mortality.Current treatment strategies include preventing bacterial adhesion while improving microcirculation.As a new type of wound dressing th... Diabetic wounds lead to a decrease in quality of life and an increase in mortality.Current treatment strategies include preventing bacterial adhesion while improving microcirculation.As a new type of wound dressing that imitates natural skin,hydrogel has gradually emerged with its excellent properties.However,existing hydrogels rarely achieve satisfactory results in promoting wound repair and antibacterial simultaneously.In this case,we prepared methacrylic anhydride chemically modified hyaluronic acid as a hydrogel matrix,added polyhexamethylene biguanide as an antibacterial component,and loaded sodium alginate/salidroside composite microspheres which could sustainably release salidroside and thus promote angiogenesis.Hybrid hydrogel(HAMA/PHMB-Ms)was synthesized via photocrosslinking,and its chemical structure,particle size distribution and microstructure were characterized.The satisfactory antibacterial properties of the HAMA/PHMB(15%)-Ms hydrogel were studied in vitro,and its antibacterial rates against E.coli and S.aureus were 97.85%and 98.56%,respectively.In addition,after demonstrating its good biocompatibility,we verified that the HAMA/PHMB-Ms hydrogel has increased granulation tissue formation,more collagen deposition,more subcutaneous capillary formation,and better wound healing than blank control,HAMA and HAMA/PHMB hydrogel on the back wound model of diabetic mice.The results confirmed that HAMA/PHMB-Ms hydrogel was a promising material for the treatment of the diabetic wounds. 展开更多
关键词 HYDROGEL Diabetic wounds ANTIBACTERIAL ANGIOGENESIS
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