The early symptoms of acute osteomyelitis
How to deal with Chronic osteomyelitis Wound ? Because of the improper treatment of acute osteomyelitis stage or not timely, left dead bone or rupture of the abscess formation of sinus, known as chronic osteomyelitis. An acute to Chronic osteomyelitis Is a continuous process, there is no absolute time limit. Chronic osteomyelitis The wound is not easy to heal, its reason is abscess make intramedullary pressure increased, embolism or infection of granulation pushed the periosteum, bone loss of blood supply and necrosis, while the formation of large amount of new bone is called Bone shell Periosteal necrosis, perforation, the new bone formation occurred after bone fistula hole gap that bone shell at one or more points to the skin, the outflow of pus sinus.
Clinical patients with foreign body bone stimulation, can cause long-term pus stink, when HERSHEY'S bad, prolonged does not heal.
Keep the wound smooth drainage of pus, die cavity lesion expansion of drainage, the dead bone and bone disease after complete separation, the operation to remove the dead bone, curettage Granulation tissue Obliteration of dead space, at the same time, systemic treatment. Some children increased because the lesion site blood circulation, the body is too long, the opposite by inflammatory damage can lead to limb shortening of epiphyseal plate or Pathological fracture After the malunion. Children suffering from osteomyelitis, parents should be patient with the doctor, regular reexamination and wound dressing, for a speedy recovery.
The incidence of two weeks
X-ray manifestations of acute osteomyelitis
Change, soft tissue: muscle gap blurred or disappeared; the boundary of subcutaneous tissue and muscle between the fuzzy; dense schlieren appear subcutaneous fat layer; soft tissue hyperemia, edema, involving the joint, which causes joint swelling the onset and after two weeks, bone change: Bone destruction Severe damage occurred, Pathological fracture Different forms; Periosteal reaction , Bone shell The formation of death; bone formation; a certain degree of bone hyperplasia.
Acute osteomyelitis treatment measures:
1 general support therapy including adequate rest and good care, attention to water and electrolyte balance, a small amount of multiple blood transfusions, prevent the occurrence of Bedsore And Oral Infection, offer digestible protein and vitamin rich diet, analgesic use, make patients get better rest.
The 2 drug treatment with adequate and timely and effective antimicrobial agents, starting with broad-spectrum antibiotics, often more than two joint application, then on the basis of bacterial culture and drug sensitivity test results and treatment effects were adjusted. Antibiotics should continue to use to normal body temperature, the symptoms subsided after 2 weeks. Most can be gradually controlled toxemia, minority can not operation treatment. If after the treatment Body temperature Do not retreat, or abscess formation, drug application and operation treatment with.
3 local treatment with proper splint or plaster activity restriction, raising the affected limb, in order to prevent deformity, reduce pain and prevent Pathological fracture . Such as the early drug treatment, symptoms subsided, can delay the operation, or no operation treatment. But as has been the formation of abscess, incision and drainage should be timely. If abscess is not obvious, severe symptoms, drugs in 24 ~ 48 hours, can't control, bone local tenderness, early incision and drainage of pus, in order to avoid self diffusion, causing widespread destruction of bone. In addition to soft tissue abscess incision operation, still need in the bone hole window, remove the part of bone marrow cavity, exposure to infection, in order to give full decompression and drainage. Early feasible closed instillation drainage, wound healing faster.
Acute suppurative osteomyelitis ( Bone abscess Abrupt onset), local pain, malaise, chills, chills, a sharp rise in body temperature as high as 39, 40oC, sweating and heat is not retreated, burnout, loss of appetite, and even nausea and vomiting, body throb of pain, not activities, a cyclic swelling, reddish skin fever, bone metaphyseal tenderness is the most obvious near, Muscle spasm , flexion, refused to passive activities and check, check, since the blood cell count up to 30000, ESR, resistance of blood culture. Red tongue , greenish yellow greasy, slippery pulse number.
The preventive measures of acute osteomyelitis:
(1) the prevention of common infectious diseases: boil, boil, boil, carbuncle and Upper respiratory tract infection It is the most common infectious disease, and most easily secondary infection and Hematogenous osteomyelitis The occurrence, thus preventing furuncle, sore, carbuncle and upper respiratory tract infection, is very important to prevent osteomyelitis, main measures of its prevention is:
Keep the indoor air circulation, pay attention to sanitation and hygiene, to keep the skin clean.
Adolescence should eat vegetable picking fruit, less oil moisturizing, to prevent the secretion of sebaceous glands of packing or gland duct obstruction.
Strengthen physical training, enhance physical fitness, prevention of colds.
Tonsillitis repeated the author, should be the prevention and treatment, when necessary, consider the operation excises.
(2) the prevention of traumatic infection: trauma and infection after infection include skeletal injury infection of tissue injury, common cause is caused by osteomyelitis, therefore, in daily life should also pay attention to positive prevention.