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[西德小儿髋关节脱位的住院治疗发病率及起始情况]

[Incidence and start of inpatient treatment of pediatric hip dislocations in West Germany].

作者信息

Katthagen B D, Mittelmeier H, Becker D

机构信息

Orthopädische Universitäts- und Poliklinik, Homburg/Saar.

出版信息

Z Orthop Ihre Grenzgeb. 1988 Sep-Oct;126(5):475-83. doi: 10.1055/s-2008-1044470.

Abstract

A national report of hospitalized children with cdh (up to the 6th year of age) (treated in 1983) is presented. 196 (63.1%) of all university hospitals and orthopaedic departments took part in this statistic. The number of all collected children was 1172,888 of them had a hip dislocation. Hospital treatment of children with a dislocated hip started on the average in the age of 9 months, that means much to late. Only 4.1% of the children showed neurological symptoms. The patents are reported in detail. The presented data lead to the conclusion, that the actually performed legal examination of children is insufficient for early detection of cdh. A general orthopaedic clinical and ultrasound examination in the first week of life should be introduced.

摘要

本文呈现了一份关于1983年治疗的6岁及以下患有先天性髋关节发育不良(CDH)住院儿童的全国性报告。所有大学医院和骨科部门中有196家(63.1%)参与了此项统计。收集到的儿童总数为1172名,其中888名患有髋关节脱位。患有髋关节脱位儿童的住院治疗平均始于9个月大时,这意味着太晚了。只有4.1%的儿童出现神经症状。对这些病例进行了详细报告。所呈现的数据得出结论,即目前对儿童进行的法定检查不足以早期发现先天性髋关节发育不良。应在出生后第一周进行全面的骨科临床和超声检查。

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