化脓性骨髓炎B(英)VIP免费

汕头大学医学院第二附属医院骨科陈孔冠主任医师SepiticOsteomyelitisInfectionapproachA:BloodcirculationB:WoundofopenfractureC:ExtendD:DirectlyAcuteHemalogenousOsteomyelitisCauseStaphylococcusaureusSalmonellaPneumoniacoccusLargeintestinebacilliPathologyA:AbscessfromedB:SequestrationC:NewboneformingD:BecomeschronicClinicalFeaturesA:ChildrenespeciallyboysB:TibiafemurhumerusC:ObviousconstitutionsillnesswithpyrexiaD:ExquisitetendernessovertheaffectedboneE:SkiniswarmerthannormalF:SofttissuesareinduratedG:FluctuantabscessRadiograpbicExaminationIntheearlystagesheradiographsdonotshow.Onlyaftertwoorthreeweeksdovisibiblechargesappear.Andtheymayneverdosoifefficienttreatmentisstartedveryearly.DiagnosisDistinguishedfrompyogenicarthritisA:ThepointofgreatesttendernessistheboneratherthanthejointB:AgoodrangeofjointmovementisretainedC:Althoughthejointmaybedistendedwithfluiditdoesnotcontainpus.TreatmentEfficienttreatmentmustbebeganattheearliestpossiblemoment.Generaltreatment:artibiotictherapy.Localtreatment:operation.Osteomyelitiscomplicationopenfracture.