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发布者:鑫达医学翻译 发布时间:2013-03-07 8:50:52 阅读:

原文:
患者,男,45岁;因“右股骨下段枪伤致骨髓炎窦道形成19年并反复复发”入院,患者19年前因霰弹枪近距离射击右大腿下段,在外院行牵引、石膏固定等保守治疗,后逐渐出现右膝关节周围肿胀,并形成窦道破溃流脓,19年间多次在外地多家医院行病灶清除术及抗炎治疗,窦道仍经久不愈。查体:右股骨下端明显肿胀,内侧红肿,皮温较高,压痛明显,按之有波动感,外侧可见一直径约0.6cm窦道口,伴脓性液体流出,右膝屈曲活动受限,屈30°,伸0°。X片及CT可见右股骨下段多发高密度异物存在并骨质炎性表现。

译文:
A 45-year-old man was admitted to our department due to sinus tract lasting for 19 years caused by gunshot injury of right distal femur. For the physical examination, significant swelling together with high skin temperature and was observed in the right distal femur. A sinus ostium with a diameter of 0.6cm was noted in the lateral side of the right femur, and a series of purulent exudates flowed from the sinus ostium. Flexion limitation was observed in the right knee with a flexion degree of 30 and a range of extension of 0 degree. X-ray and computed tomography (CT) indicated high density foreign bodies and the clinical manifestations of osteitis.


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