摘要
目的 分析沙门菌骨髓炎的影像学特点、临床表现及治疗 ,为早期发现并预防该病提供理论依据及治疗建议。方法 总结我科收治的 1例沙门菌骨髓炎的影像及临床资料和治疗经验、对比影像学中的表现与术中所见及病理改变 ,结合文献对其诊治进行总结。结果 该病多发生于创伤后有伤口外露时 ,血源性沙门菌骨髓炎多发生在合并有地中海贫血的病人 ,影像学上显示为多部位、多发性骨髓炎 ,及时手术、病灶清除冲洗引流、合理的抗生素使用是治疗的关键。结论 血源性沙门菌骨髓炎临床上极为罕见 ,多发生于因地中海贫血致多发骨梗塞基础上 ,早期诊断 ,早期预防 ,合理治疗至关重要。
Objective To analyze the imaging feature and clinical signs of the salmonella osteomyelitis to provide the theoretical basis for early diagnosis and prevention as well as therapy of this disease. Methods Analyzing one case of the patient hospitalized in our department suffering from salmonella osteomyelitis.Comparing the imaging feature and clinical data with viewing in the operation and pathologic lesion. Discussing the diagnosis and therapy of this disease by reviewing the literature about this disease. Results Salmonella osteomyelitis often occurred in the patients with opening wound.Hematosepsis salmonella osteomyelitis was often subsequent to sicklanemia.Imaging feature of salmonella osteomyelitis was multicentral. Sensitive antibiotics and prompt operation could cure this disease. Conclusions Hematosepsis salmonella osteomyelitis was rare in clinic,which often occurred in the patients with sickle cell disease and multiple bone infarct. Early diagnosis, prevention and therapy were very important. Operation,sensitive antibiotics and irrigating and drawing may be a good method to treat this disease.
出处
《中国医师杂志》
CAS
2004年第1期58-60,共3页
Journal of Chinese Physician
