Left anterior tibial treatment of subcutaneous abscess in 1 case.docVIP

 PAGE \* MERGEFORMAT 7 Left anterior tibial treatment of subcutaneous abscess in 1 case Of: Yu Hao, Wang Yan, Yang Jiuliang, Li Qing fruit, Huang Weimin [Keywords:] left anterior tibial subcutaneous abscess Lower leg bone is easy to be the former site of trauma, mild traumatic subcutaneous hematoma, due to the relatively poor blood circulation here, easy to secondary infection, the formation of subcutaneous cellulitis, if the inflammation of limitations, can form abscesses, improper treatment easy to form delayed healing of ulcers. Recent hospital admissions anterior tibial contusion complicated skin and soft tissue abscess in 1 case, the treatment results are satisfactory, are as follows. 1 Clinical data 1.1 General information on patients, male, aged 19. Left lower leg before the middle 1 / 3 to hit a hard object on the skin after a small amount of congestion, after the congestion occurs at around progressive redness, swelling, heat, pain, injury and 7 days after treatment . examination: T 36.7 , blood: WBC 10.3 109 / L, the left lower leg prior to the 1 / 3 saw a swelling of about 7cm 7cm size of the region, the middle size of 2cm 2cm mass uplift, boundaries are not very clear, obvious tenderness, fluid wave feeling is not obvious. Zha X-tibial disease after excluding anti-infective treatment recommendations, but not in patients treated due to personal reasons. 14 days after injury, the patient sicker again, treatment, examination: T 37.2 , blood: WBC 12.4 109 / L, the original red and swollen area was increased to 10cm 10cm, intermediate mass swelling increased, the range increases to about 3cm 3cm, boundaries are still clear, increased tenderness, a slight sense of fluid wave. 1.2 Cephradine treatment given 3g, intravenous infusion, 2 times / day anti-infective and heat treatment, while Zhu Huanzhe bed rest, Taigaohuanzhi. Aggravated symptoms the next day, pain is difficult to bear. Inspection X-ray film, remove the tibia bone marro