Perron Andrew D, Brady William J, Miller Mark D
Department of Emergency Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA.
Am J Emerg Med. 2003 Jan;21(1):61-7. doi: 10.1053/ajem.2003.50013.
Osteomyelitis can present to the emergency department as an acute, subacute, or chronic orthopedic concern. The presentation can range from subtle, as with acute hematogenous osteomyelitis in the pediatric patient population, to obvious, as with the diabetic patient who presents with a foot ulcer overlying exposed bone. Accurate early diagnosis and prompt treatment, whether with antibiotics, debridement, or both, are important in helping determine the ultimate outcome in this potential orthopedic pitfall. We review here the clinical presentation, diagnostic techniques, and management options for osteomyelitis that are applicable to the emergency practitioner.
骨髓炎可作为急性、亚急性或慢性骨科问题出现在急诊科。其表现范围很广，从细微的症状，如儿科患者群体中的急性血源性骨髓炎，到明显的症状，如患有足部溃疡且溃疡面覆盖裸露骨头的糖尿病患者。无论采用抗生素、清创术或两者结合进行准确的早期诊断和及时治疗，对于确定这个潜在骨科难题的最终结果都很重要。我们在此回顾适用于急诊医生的骨髓炎的临床表现、诊断技术和治疗选择。
