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急性化脓性骨髓炎诊疗技术(Diagnosis and treatment of acute pyogenic osteomyelitis)
急性化脓性骨髓炎诊疗技术(Diagnosis and treatment of acute pyogenic osteomyelitis)
Diagnosis and treatment of acute pyogenic osteomyelitis
Chinese Journal of traditional Chinese medicine, March 31, 2011
Acute purulent osteomyelitis is an acute suppurative inflammation of bone tissue (bone marrow, bone and periosteum) caused by Staphylococcus aureus or hemolytic streptococci.
The disease is more common in children under 10 years of age. It occurs in the metaphysis of the long bones of the limbs, especially in the upper part of the tibia and the lower end of the femur, and the humerus and radius also occur. Due to the widespread use of antibiotics, the cure rate is greatly improved, but there are also some patients with diagnosis and treatment is not timely or due to antibiotic resistance and become chronic osteomyelitis, sinus formation, prolonged does not heal, and even cause serious disability.
Acute suppurative osteomyelitis early have serious symptoms of infection, if not timely correct treatment, can be life-threatening, or become chronic osteomyelitis, sinus formation, prolonged healing. The key to successful treatment is early infection control and fenestration decompression and drainage to prevent extensive destruction of bone and formation of dead bone. At the same time, the emphasis on both local and global, both internal and external treatment, combined treatment of traditional Chinese medicine and Western medicine combined with the principle of.
Conventional therapy
1. support symptomatic treatment
Pay attention to rest, strengthen nutrition and improve body resistance. Due to high fever, excessive consumption of the body in patients with systemic weakness, should be given energy supplement, can be a small amount of blood transfusion, a lot of vitamin C intravenous drip, high protein diet, while correct water, salt, electrolyte and acid-base disorders.
Affected limbs should be braked, the purpose of braking is to prevent infection spread, is conducive to the absorptio
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