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[人工关节置换术后伴有脓毒症病程的晚期感染]

[Late infections after artificial joint replacement with a septic course].

作者信息

Buchholz K

出版信息

Chirurg. 1979 Sep;50(9):573-5.

PMID:535469
Abstract

Acute staphylococcal sepsis is a rare complication following artificial joint replacement. Daignostic problems are due to the systemic toxic effects of staphylococci. Loosening of the prosthesis is generally observed later. For therapy of staphylococcal sepsis the prosthesis has to be changed early, using a tested antibotic mixed with the bone cement, Palacos. Prophylaxis is most important. It includes the elimination of infectious foci, the strong indication for all therapeutic measurements and the general use of the antibiotic, Gentamycin, with the bone cement, Palacos.

摘要

急性葡萄球菌败血症是人工关节置换术后罕见的并发症。诊断问题是由葡萄球菌的全身毒性作用所致。假体松动通常在后期才会出现。对于葡萄球菌败血症的治疗,必须尽早更换假体,使用与骨水泥Palacos混合的经过测试的抗生素。预防最为重要。这包括消除感染病灶,所有治疗措施的有力指征以及抗生素庆大霉素与骨水泥Palacos的常规使用。

相似文献

1
[Late infections after artificial joint replacement with a septic course].[人工关节置换术后伴有脓毒症病程的晚期感染]
Chirurg. 1979 Sep;50(9):573-5.
2
Reconstruction of the infected total hip and knee arthroplasty with gentamicin-impregnated Palacos bone cement.使用庆大霉素负载的帕拉科斯骨水泥重建感染性全髋关节和膝关节置换术。
Instr Course Lect. 1993;42:293-302.
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Conus hip prosthesis.圆锥髋关节假体。
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Hematogenous infection of total joint implants: a report of multiple joint infections in three patients.
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Group B streptococcal prosthetic joint infections.B组链球菌人工关节感染
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An update on artificial joint replacement.
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Late hematogenous infection in total joint replacement: studies of gentamicin and bone cement in the rabbit.全关节置换术后的晚期血源性感染:兔体内庆大霉素与骨水泥的研究
Clin Orthop Relat Res. 1981 Mar-Apr(155):244-8.
9
[Periprosthetic fractures after total replacement of knee joint (author's transl)].膝关节全置换术后假体周围骨折(作者译)
Orthopade. 1982 May;11(3):109-17.
10
Guiding empirical antibiotic therapy in orthopaedics: The microbiology of prosthetic joint infection managed by debridement, irrigation and prosthesis retention.指导骨科经验性抗生素治疗:清创、冲洗和保留假体治疗的人工关节感染的微生物学
J Infect. 2007 Jul;55(1):1-7. doi: 10.1016/j.jinf.2007.01.007. Epub 2007 Mar 6.

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