--化脓性骨髓炎PPT课件

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
Cause
Staphylococcus aureus Salmonella Pneumonia coccus Large intestine bacilli
Pathology
A: Abscess fromed B: Sequestration C: New bone forming D: Becomes chronic
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.
汕头大学医学院第二附属医院骨科 陈孔冠Fra Baidu bibliotek主任医师
Sepitic Osteomyelitis
Infection approach
A: Blood circulation B: Wound of open fracture C: Extend D: Directly
Acute Hemalogenous Osteomyelitis
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