化脓性骨髓炎B英.pptxVIP

化脓性骨髓炎B英第1页/共16页 第2页/共16页 Sepitic OsteomyelitisInfection approach A: Blood circulation B: Wound of open fracture C: Extend D: Directly第3页/共16页 Acute Hemalogenous OsteomyelitisCause Staphylococcus aureus Salmonella Pneumonia coccus Large intestine bacilli第4页/共16页 第5页/共16页 第6页/共16页 Pathology A: Abscess fromed B: Sequestration C: New bone forming D: Becomes chronic第7页/共16页 第8页/共16页 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第9页/共16页 第10页/共16页 第11页/共16页 第12页/共16页 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.第13页/共16页 DiagnosisDistinguished from pyogenic arthritisA: The point of greatest tenderness is the bone rather than the jointB: A good range of joint movement is retainedC: Although the joint may be distended with fluid it does not contain pus. 第14页/共16页 Treatment Efficient treatment must be began at the earliest possible moment. General treatment: artibiotic therapy. Local treatment : operation. Osteomyelitis complication open fracture. 第15页/共16页 感谢观看！第16页/共16页