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小儿烧伤后并发关节周围软组织异位钙化及骨化临床少见,现将我院收治的2例报告如下。 病例报告 例1 男,3岁。因开水烫伤27小时于1978年6月23日入院。烫伤总面积40％为Ⅱ度、累及头面、躯干、双下肢、右上肢和会阴。入院后静脉补液,按输液常规给予电解质、胶体和水分,创面清创后涂我院自制中药膏。伤后3天高热,精神弱、反应差、时有小抖动。血培养金葡菌生长。创面改用磺胺嘧啶银糊剂,全身应用三联抗生素及中药清热解毒汤剂。伤后9天创面出现坏死斑,腹胀。血培养为绿脓杆菌。增加换药次数及支持疗法。经治疗病情见好转,伤后3周创面基本愈合。伤后17天发现左髋化脓性关节炎伴脱位,即行关节腔穿刺,关节腔内注入抗生素及左下
Peripheral soft tissue around the joint after pediatric calculi and ossification clinical rare, now admitted to our hospital 2 cases are as follows. Case report 1 male, 3 years old. 27 hours due to boiling water on June 23, 1978 admission. 40% of the total area of scald Ⅱ degree, involving the head, torso, lower extremities, right upper extremity and perineum. After admission, intravenous rehydration, according to conventional infusion of electrolyte, colloid and water, debridement after wounding my courtyard homemade Chinese medicine cream. 3 days after the fever high fever, weak spirit, poor response, sometimes jitter. Staphylococcus aureus blood culture growth. The wound to silver sulfadiazine paste, the systemic application of triple antibiotics and traditional Chinese medicine detoxification decoction. Nine days after injury wound necrosis, bloating. Blood culture for Pseudomonas aeruginosa. Increase dressing frequency and supportive therapy. The condition improved after treatment, wound healing basically 3 weeks. 17 days after injury found that left hip suppurative arthritis with dislocation, that is, joint cavity puncture, intra-articular injection of antibiotics and lower left