化脓性骨髓炎英文.pptVIP

汕头大学医学院第二附属医院骨科  陈孔冠 主任医师 Sepitic Osteomyelitis Infection approach A: Blood circulation B: Wound of open fracture C: Extend D: Directly Acute Hemalogenous Osteomyelitis Cause Staphylococcus aureus Salmonella Pneumonia coccus Large intestine bacilli Pathology A: Abscess fromed B: Sequestration C: New bone forming D: Becomes chronic Clinical Features A: Children especially boys B: Tibia femur humerus C: Obvious constitutions illness with pyrexia D: Exquisite tenderness over the affected bone E: Skin is warmer than normal F: Soft tissues are indurated G: Fluctuant abscess Radiograpbic Examination In the early stages he radiographs do not show. Only after two or three weeks do visibible charges appear . And they may never do so if efficient treatment is started very early. Diagnosis Distinguished from pyogenic arthritis A: The point of greatest tenderness is the bone rather than the joint B: A good range of joint movement is retained C: Although the joint may be distended with fluid it does not contain pus. Treatment Efficient treatment must be began at the earliest possible moment. General treatment: artibiotic therapy. Local treatment : operation. Osteomyelitis complication open fracture. * *