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超声在儿科急性疼痛性髋关节急诊科评估中的作用。

The role of ultrasound in the emergency department evaluation of the acutely painful pediatric hip.

作者信息

Plumb Jennifer, Mallin Michael, Bolte Robert G

机构信息

Assistant Professor of Pediatrics and Director of Emergency Ultrasound (Plumb), Professor of Pediatrics (Bolte), *Division of Pediatric Emergency Medicine; Assistant Professor of Surgery and Director Emergency Ultrasound (Mallin), †Division of Emergency Medicine, University of Utah School of Medicine, Salt Lake City, UT.

出版信息

Pediatr Emerg Care. 2015 Jan;31(1):54-8; quiz 59-61. doi: 10.1097/PEC.0000000000000332.

DOI:10.1097/PEC.0000000000000332
PMID:25560622
Abstract

Children presenting with hip pain or a limp are a diagnostic challenge for the clinician. The differential diagnosis is extensive, and the workup can be broad. This review focuses on differentiating between transient synovitis and septic arthritis of the hip. The role of bedside ultrasound in the clinical evaluation of these patients is addressed, including the technique and appropriate indications for bedside ultrasound of the hip in the emergency department.

摘要

出现髋关节疼痛或跛行的儿童对临床医生来说是一个诊断难题。鉴别诊断范围广泛,检查过程可能涉及面广。本综述着重于区分髋关节一过性滑膜炎和化脓性关节炎。文中还探讨了床旁超声在这些患者临床评估中的作用,包括急诊科髋关节床旁超声检查的技术及适用指征。

相似文献

1
The role of ultrasound in the emergency department evaluation of the acutely painful pediatric hip.超声在儿科急性疼痛性髋关节急诊科评估中的作用。
Pediatr Emerg Care. 2015 Jan;31(1):54-8; quiz 59-61. doi: 10.1097/PEC.0000000000000332.
2
The role of ultrasound in differentiating septic arthritis from transient synovitis of the hip in children.超声在鉴别儿童化脓性关节炎与髋关节一过性滑膜炎中的作用。
J Pediatr Orthop B. 2006 Nov;15(6):418-22. doi: 10.1097/01.bpb.0000228388.32184.7f.
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Bedside ultrasonography to identify hip effusions in pediatric patients.床边超声检查用于识别小儿髋关节积液。
Ann Emerg Med. 2010 Mar;55(3):284-9. doi: 10.1016/j.annemergmed.2009.06.527. Epub 2009 Aug 20.
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The painful hip: evaluation of criteria for clinical decision-making.疼痛性髋关节:临床决策标准的评估
Eur J Pediatr. 1999 Nov;158(11):923-8. doi: 10.1007/s004310051243.
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[Differentiation between transient synovitis and septic arthritis of the hip with clinical and ultrasound criteria].[应用临床及超声标准鉴别髋关节暂时性滑膜炎与化脓性关节炎]
An Pediatr (Barc). 2010 Oct;73(4):189-93. doi: 10.1016/j.anpedi.2010.05.007.
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Emergency department diagnosis of pediatric hip effusion and guided arthrocentesis using point-of-care ultrasound.急诊科对小儿髋关节积液的诊断及使用床旁超声引导下的关节穿刺术。
J Emerg Med. 2008 Nov;35(4):393-9. doi: 10.1016/j.jemermed.2007.10.054. Epub 2008 Apr 10.
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[Septic coxitis in childhood. Differential ultrasound diagnoses].[儿童感染性髋关节炎。超声鉴别诊断]
Orthopade. 1997 Oct;26(10):830-7. doi: 10.1007/s001320050162.
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Septic hip arthritis: diagnosis and arthrocentesis using bedside ultrasound.化脓性髋关节炎:使用床边超声进行诊断和关节穿刺术。
J Emerg Med. 2012 Aug;43(2):316-8. doi: 10.1016/j.jemermed.2011.09.029. Epub 2012 Jan 30.
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The value of hip aspiration in pediatric transient synovitis.髋关节穿刺术在小儿暂时性滑膜炎中的价值。
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Infectious arthritis of the hip.髋关节感染性关节炎
Am Fam Physician. 1984 Feb;29(2):131.

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