Leitman David, Ross Kenneth
Medical Education, A.T. Still University-Kirksville College of Osteopathic Medicine, 800 W. Jefferson Street, Kirksville, MO 63501, USA.
Cases J. 2009 Jun 24;2:7034. doi: 10.4076/1757-1626-2-7034.
The following case describes the presentation, diagnosis, and treatment of a 49 year-old patient with back pain in the thoracic spine and lower extremity edema. His initial presentation, coupled with a history of trauma, required an extensive work-up to determine the source of the back pain and edema. The patient was determined to have two thoracic vertebral compression fractures, bilateral lower extremity edema of unknown origin, and osteoporosis. After diagnosis, several specialists were consulted to determine the cause of the patient's osteoporosis. Treatment consisted of kyphoplasty, physical therapy, and medication to prevent the progression of osteoporosis.
以下病例描述了一名49岁胸椎疼痛伴下肢水肿患者的症状表现、诊断及治疗过程。其最初的症状表现，加上外伤史，需要进行全面检查以确定背痛和水肿的病因。该患者被诊断为两处胸椎椎体压缩性骨折、双侧不明原因的下肢水肿以及骨质疏松症。确诊后，咨询了多位专家以确定患者骨质疏松症的病因。治疗包括椎体后凸成形术、物理治疗以及预防骨质疏松症进展的药物治疗。
