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一名急腹症患者并发急性骨髓炎伴深静脉血栓形成：诊断难题。

Acute osteomyelitis associated with Deep vein thrombosis in a patient of acute abdomen: A diagnostic dilemma.

作者信息

Jain Vineet, Singh Vikram, Mishra Amit

机构信息

Assistant Professor, Orthopaedics, Sports Injury Centre, Safdarjang Hospital, N. Delhi 110029, India.

Assistant Professor, Surgery, School of Medical Science and Research, Sharda University, 32-34, Knowledge Park III, Gr. Noida, UP, India.

出版信息

J Clin Orthop Trauma. 2012 Dec;3(2):112-4. doi: 10.1016/j.jcot.2012.09.006. Epub 2012 Sep 18.

DOI:10.1016/j.jcot.2012.09.006
PMID:26403449
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3872808/
Abstract

Deep vein thrombosis associated with acute osteomyelitis is a rare presentation. Such a presentation can lead to delay in diagnosis especially due to overlapping clinical presentation and usually has a poor prognosis. Only a high level of clinical suspicion can help in diagnosis. We present such case which patient presented with acute abdomen with swelling in lower limb.

摘要

与急性骨髓炎相关的深静脉血栓形成是一种罕见的表现。这种表现可能导致诊断延迟，尤其是由于临床表现重叠，且通常预后较差。只有高度的临床怀疑才能有助于诊断。我们呈现这样一个病例，该患者表现为急腹症并伴有下肢肿胀。

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本文引用的文献

1
Deep venous thrombosis associated with acute hematogenous osteomyelitis in children.儿童急性血源性骨髓炎并发深静脉血栓形成。
Orthop Traumatol Surg Res. 2010 Dec;96(8):890-3. doi: 10.1016/j.otsr.2010.05.006. Epub 2010 Sep 15.
2
Deep vein thrombosis associated with osteomyelitis.与骨髓炎相关的深静脉血栓形成
Indian Pediatr. 2008 May;45(5):418-9.
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Deep venous thrombosis associated with osteomyelitis in children.儿童骨髓炎相关的深静脉血栓形成
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Deep vein thrombosis with Staphylococcus aureus septicemia.金黄色葡萄球菌败血症伴深静脉血栓形成。
Indian Pediatr. 2007 Jan;44(1):43-5.
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Venous thrombosis and thromboembolism in children with osteomyelitis.
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6
Venous thrombosis associated with staphylococcal osteomyelitis in children.儿童金黄色葡萄球菌骨髓炎相关的静脉血栓形成
Pediatrics. 2006 May;117(5):1673-9. doi: 10.1542/peds.2005-2009.
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Septic pulmonary emboli presenting with deep venous thrombosis secondary to acute osteomyelitis.
Pediatr Int. 2004 Oct;46(5):621-3. doi: 10.1111/j.1442-200x.2004.01952.x.
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Factor VIII, D-Dimer, and thromboembolism in children.儿童的凝血因子VIII、D-二聚体与血栓栓塞
N Engl J Med. 2004 Sep 9;351(11):1051-3. doi: 10.1056/NEJMp048150.
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Deep vein thrombosis associated with pediatric musculoskeletal sepsis.与儿童肌肉骨骼系统脓毒症相关的深静脉血栓形成
J Pediatr Orthop. 2002 May-Jun;22(3):329-32.
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The pivotal role of deep vein thrombophlebitis in the development of acute disseminated staphylococcal disease in children.深静脉血栓性静脉炎在儿童急性播散性葡萄球菌病发展中的关键作用。
Pediatrics. 2000 Dec;106(6):E87. doi: 10.1542/peds.106.6.e87.