脑外伤后继发异位骨化1例及相关文献复习.docVIP

精品论文 参考文献 脑外伤后继发异位骨化1例及相关文献复习 （1陕西中医药大学第一临床医学院中西医结合系，陕西咸阳 712000；2陕西中医药大学一附院神经外科，陕西咸阳 712000） 摘要：目的报告1例脑外伤后继发异位骨化的临床特点及治疗，并复习回顾相关文献,以提高对此病例的诊治水平。方法回顾分析此例脑外伤后继发异位骨化患者的诊疗过程，并结合相关文献对其临床表现、影像学、病理学特点及诊治进行探讨。结果此例患者入院行头颅CT检查，初诊为重型颅脑损伤，弥漫性轴索损伤。给予神经营养，改善循环，醒脑开窍促醒治疗，局部骨化区中药浸浴，局部按摩理疗，恢复顺利，现病情平稳。结论中西医结合是治疗脑外伤后继发异位骨化的有效方法。 关键词：异位骨化；诊断；中西医结合治疗；文献复习。 Abstract: Objective report 1 case of secondary heterotypic ossification after traumatic brain injury in the clinical characteristics and treatment, and review the relevant literature, in order to improve the diagnosis and treatment of the case. Methods retrospective analysis this case, the secondary heterotypic ossification after traumatic brain injury in patients with diagnosis and treatment process, and combined with related literature on its clinical manifestations, imaging and pathological features and treatment were discussed. The results of This example patient admission line head CT examination, first diagnosis of severe head injury, diffuse axonal injury. Give nerve nutrition, improve circulation, up brain begin to understand and promote wake treatment, local ossification area Chinese medicine bath, local massage therapist, restore smooth, stable condition now. Conclusion is the traditional Chinese medicine and western medicine effective method of secondary heterotypic ossification after traumatic brain injury. Key words: heterotypic ossification; Diagnosis; Combine traditional Chinese and western medicine treatment;The literature review [中图分类号]R274 [文献标识码] A 文章编号： 异位骨化( Heterotopic Ossification，HO)是指在正常情况下没有骨组织的软组织内形成的新生骨，也可称为关节周围骨化或关节周围新骨形成，以关节周围钙化和骨化为特点。神经源性异位骨化临床比较少见，笔者近日遇到脑外伤后继发股??后异位骨化1例, 现报道如下: 1 病例资料 李某，男, 17 岁, 学生，于2014 年12 月07 日因“车祸伤致意识不清2小时余”入院。入院MRI显示：多发脑挫裂伤，弥漫性轴索损伤，动眼神经损伤，鼻骨、额骨、蝶骨及右侧上颌骨多发骨折。给予对症保守治，曾行气管切开, 未发现有其他部位骨折现象。患者持续昏迷4月余，全身消瘦，无脂肪蓄积，四肢屈肌张力明显增高，呈屈膝屈髋屈肘握拳状，可被动伸展，双下肢肌肉挛缩、关节僵硬。于3月初查体发现左侧股骨后方出现质硬包块，无红、肿现象，髋关节部位可活动，查抗“O”( - ) 、血沉不高、类风湿因子( - ), 未出现发热等症状。CT 显示:左侧股骨上端内侧皮