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笔者于2010年5月收治1例血友病性骨关节病,报告如下。1病例报告患儿,男,9岁,4年前家长发现小孩有自发或轻微外伤即见渗血不止的征象。近几个月来病情加重,遂来本院就诊。查体:皮肤多处瘀斑,双膝关节肿胀明显,下肢肌肉萎缩且不对称。实验室检查:CT、KPTT值明显延长,凝血活酶生成与纠正试验提示凝血因子Ⅷ缺乏。膝关节X线片示:关节面欠光整,关节构成骨骨小梁结构模糊,关节间隙变窄,股骨现血肿,负重关
The author in May 2010 admitted to a case of hemophilic osteoarthrosis, the report is as follows. 1 case report in children, male, 9 years old, 4 years ago, parents found that children have spontaneous or minor trauma that see bleeding more than signs. In recent months the condition worsened, then came to our hospital. Physical examination: multiple skin ecchymosis, clear swelling of both knees, lower extremity muscle atrophy and asymmetry. Laboratory tests: CT, KPTT value was significantly prolonged, thromboplastin formation and correction tests prompted lack of coagulation factor Ⅷ. Knee X-ray showed: the articular surface less light whole, the structure of the joint trabecular bone structure fuzzy, narrowing of the joint space, femoral hematoma, weight-bearing