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青少年儿童的脓毒性血栓性静脉炎合并急性骨髓炎：两例报告及文献复习

Septic thrombophlebitis with acute osteomyelitis in adolescent children: a report of two cases and review of the literature.

作者信息

LePage Amy A, Hess Erik P, Schears Raquel M

机构信息

Department of Emergency Medicine, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

Int J Emerg Med. 2008 Jun;1(2):155-9. doi: 10.1007/s12245-008-0006-6. Epub 2008 Apr 10.

DOI:10.1007/s12245-008-0006-6
PMID:19384672
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2657235/
Abstract

The triad of acute osteomyelitis, deep venous thrombophlebitis, and septic pulmonary embolism is a rare, but life-threatening syndrome in children that requires prompt recognition and treatment. We report two cases of acute osteomyelitis complicated by septic thrombophlebitis and pulmonary emboli. Both patients required operative drainage to remove the septic focus. Recognition of any one component of the triad should prompt a search for the other associated disorders. Aggressive management with early antibiotic administration, anticoagulation, and surgical debridement can be life saving.

摘要

急性骨髓炎、深部静脉血栓性静脉炎和脓毒性肺栓塞三联征在儿童中是一种罕见但危及生命的综合征，需要及时识别和治疗。我们报告了两例急性骨髓炎并发脓毒性血栓性静脉炎和肺栓塞的病例。两名患者均需要手术引流以清除感染灶。认识到三联征的任何一个组成部分都应促使寻找其他相关疾病。早期给予抗生素、抗凝治疗和手术清创的积极处理可挽救生命。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/eb85d4677eb8/12245_2008_6_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/22ce8993399e/12245_2008_6_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/1f04737020f0/12245_2008_6_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/0d1dc4be3723/12245_2008_6_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/eb85d4677eb8/12245_2008_6_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/22ce8993399e/12245_2008_6_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/da45dcf48260/12245_2008_6_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/c4df1ea8024f/12245_2008_6_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/1f04737020f0/12245_2008_6_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/0d1dc4be3723/12245_2008_6_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fb6/2657235/eb85d4677eb8/12245_2008_6_Fig6_HTML.jpg

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