2008年6月29日星期日
Acute and chronic blood-borne osteomyelitis
Septic osteomyelitis refers to all components of the bone caused by bacterial infection of inflammation. Trauma, blood, bone iatrogenic infection can be formed osteomyelitis. In recent years, from open fractures or bone and joint surgery caused by direct infection also increased significantly, acute osteomyelitis the most common blood-borne, and the most serious. Since the 1940s, antibiotics have been successfully used in clinical treatment, patients with acute blood-borne osteomyelitis the mortality rate of 20-30 percent by the rapid drop to 3 percent. However, as bacterial resistance to antibiotics enhanced, or because of delays in diagnosis, treatment, misconduct, the mortality rate has gradually rebounded, many patients to relapse or chronic osteomyelitis, nor deformity, tonic, disability, serious impact on health and functional . In recent years reported merger sepsis, septicemia, was 12.5%, the mortality rate rose to 8-11 per cent (75 per cent of newborns); merger pathological fracture to 4-7.8 percent, to chronic osteomyelitis are more than 60 percent, Buyu long-term cancer are 0.3-0.5 percent, is fully functioning and healthy less than 50 percent. Most of chronic suppurative osteomyelitis due to acute hematogenous osteomyelitis delayed diagnosis or inappropriate treatment to the development. This chronic suppurative osteomyelitis are typical of acute blood-borne osteomyelitis to evolve into chronic suppurative osteomyelitis history, Sigu, death and sinus cavity formation, and a typical X-ray changes. Chronic Suppurative a high incidence of osteomyelitis, long course, often repeated acute and difficult to cure and easy to create invalidity, serious harm to the patient's physical and mental health, orthopedic clinical work with particular attention to common diseases.
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