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新生儿骨髓炎。与受累部位相关的影像学表现及预后

Neonatal osteomyelitis. Radiographic findings and prognosis in relation to site of involvement.

作者信息

Ekengren K, Bergdahl S, Eriksson M

出版信息

Acta Radiol Diagn (Stockh). 1982;23(3B):305-11.

PMID:7148491
Abstract

Forty patients with hematogenous osteomyelitis in the neonatal period were followed up for one to 11 years. Early symptoms and radiographic abnormalities are described and the importance of early diagnosis and early treatment is emphasized. Course and sequelae are discussed in relation to different sites of involvement. Ten children had severe sequelae, 2 after vertebral infection and 8 after involvement of the lower extremities and pelvis; 6 had moderate sequelae and 24 were well at follow-up. Retarded growth may cause gradually increasing symptoms, this makes it advisable to follow the patients for a long time.

摘要

对40例新生儿血源性骨髓炎患者进行了1至11年的随访。描述了早期症状和影像学异常,并强调了早期诊断和早期治疗的重要性。根据不同的受累部位讨论了病程和后遗症。10名儿童有严重后遗症,2例为椎体感染后,8例为下肢和骨盆受累后;6例有中度后遗症,24例在随访时情况良好。生长发育迟缓可能导致症状逐渐加重,因此对患者进行长期随访是可取的。

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