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[肩关节感染的治疗策略]

[Treatment strategies in infections of the shoulder joint].

作者信息

Habermeyer P, Brunner U, Wiedemann E

机构信息

Chirurgische Klinik und Poliklinik, Klinikum Innenstadt, Universität München.

出版信息

Fortschr Med. 1993 Dec 10;111(34):537-40.

PMID:8307540
Abstract

Shoulder joint infections are severe pathological conditions. Since the success of therapy is decisively dependent on early treatment, if joint infection is suspected, the patient should be hospitalized immediately. Characteristic suspicious features are extremely severe shoulder pain, adoption of a pain-relieving posture, and severe malaise. The diagnosis and differential diagnosis are discussed. In addition to selective parenteral administration of antibiotics, treatment comprises various methods of draining the shoulder joint in combination with temporary immobilization.

摘要

肩关节感染是严重的病理状况。由于治疗的成功决定性地取决于早期治疗,因此如果怀疑有关节感染,应立即将患者收住院。典型的可疑特征为极其严重的肩部疼痛、采取缓解疼痛的姿势以及严重不适。本文讨论了诊断和鉴别诊断。除选择性地胃肠外给予抗生素外,治疗还包括多种引流肩关节的方法并结合临时固定。

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