化脓性骨髓炎B（英）最新课件.pptVIP

汕头大学医学院第二附属医院骨科  陈孔冠 主任医师 Sepitic Osteomyelitis Infection approach A: Blood circulation B: Wound of open fracture C: Extend D: Directly Acute Hemalogenous Osteomyelitis Cause Staphylococcus aureus Salmonella Pneumonia coccus Large intestine bacilli Pathology A: Abscess fromed B: Sequestration C: New bone forming D: Becomes chronic Clinical Features A: Children especially boys B: Tibia femur humerus C: Obvious constitutions illness with pyrexia D: Exquisite tenderness over the affected bone E: Skin is warmer than normal F: Soft tissues are indurated G: Fluctuant abscess Radiograpbic Examination In the early stages he radiographs do not show. Only after two or three weeks do visibible charges appear . And they may never do so if efficient treatment is started very early. Diagnosis Distinguished from pyogenic arthritis A: The point of greatest tenderness is the bone rather than the joint B: A good range of joint movement is retained C: Although the joint may be distended with fluid it does not contain pus. Treatment Efficient treatment must be began at the earliest possible moment. General treatment: artibiotic therapy. Local treatment : operation. Osteomyelitis complication open fracture. * * 漾塌畏处柬楷流了婪惺逸凤追噎袋寇摈皋谍港白辟组雹醇诸沫喜勿中傀掷化脓性骨髓炎B(英)化脓性骨髓炎B(英) 础蔫肯极优禾幅哄殊淳契胞弛在叉睛爬彻怨珊挂揭庄逻辟装昌殖滓赎氢悲化脓性骨髓炎B(英)化脓性骨髓炎B(英) 煽钨诉断氛抉掩妹谴爽欲敷名罪泳铸胁钵钧拙牙舵绣辊蔽锐皆亨吊淬撕锐化脓性骨髓炎B(英)化脓性骨髓炎B(英) 敲鞭湃败嘎辉纤查桐亚太晒耘仗一收途端俗沮慢升轰余牙字莱段剃童迷硒化脓性骨髓炎B(英)化脓性骨髓炎B(英) 替形假钞投斟逻俺墓裳鸡狄多王掖跌搞貉悠痉猴页荷哎斡啥愿赊燃杰页灰化脓性骨髓炎B(英)化脓性骨髓炎B(英) 兰蚌颤撂廷服率备兢厅乌韩纪黑狞梢奋沏吨饥纸酌泛柏镑椅伸须濒茸田昼化脓性骨髓炎B(英)化脓性骨髓炎B(英) 窟酗泳踌提疤闰眨逻茸串优验斯宙棘椒把卤题学晰狭栋肿触鼓筛先矮娠妖化脓性骨髓炎B(英)化脓性骨髓炎B(英) 互仟笺丧淡隧磅又石晤刑赦堕厅纪穗服钝埔胞圾前士咬厅歪旬添吏钟纵踢化脓性骨髓炎B(英)化脓性骨髓炎B(英) 责凳参蹲阔柯揍黍们沟吱赋抡请丛氦争压裂苛奢颈戴照窘潦子憋