Minardi Joseph, Denne Nick, Miller Miryam, Larrabee Hollynn, Lander Owen
West Virginia University Department of Emergency Medicine, Morgantown, WV, USA.
W V Med J. 2013 Sep-Oct;109(5):22-4.
We report two cases of acute hip arthritis where arthrocentesis was able to be performed rapidly, at the bedside by the emergency physician using ultrasound guidance, expediting diagnosis and patient care. In the first case, the patient, who was 23 weeks pregnant, was diagnosed with septic hip arthritis, taken for operative washout of the joint and did very well postoperatively with no pregnancy or other complications. In the second case, the patient was determined to have a noninfectious etiology and also did well. Skilled ultrasound guidance allows hip arthrocentesis to be performed by the treating clinician, decreasing the time to diagnosis and definitive care.
我们报告了两例急性髋关节炎病例，在超声引导下，急诊医生能够在床边迅速进行关节穿刺术，加快了诊断和患者护理。在第一例病例中，一名怀孕23周的患者被诊断为化脓性髋关节炎，接受了关节手术冲洗，术后恢复良好，未出现妊娠或其他并发症。在第二例病例中，患者被确定为非感染性病因，恢复情况也良好。熟练的超声引导使治疗医生能够进行髋关节穿刺术，减少了诊断和确定性治疗的时间。
