论文部分内容阅读
孟氏骨折是小儿常见的一种复合损伤。由于病孩多数来自基层,一般临床医师对其缺乏充分认识,所以错诊和漏诊病例时有发生,我们1981年以来收治的16例小儿陈旧性孟氏骨折,皆曾在多个基层医院错诊或漏诊,现报告讨论如下。 1 临床资料 1.1 一般资料 男13例,女3例。左侧10例,右侧6例。年龄最小2岁,最大15岁。伤后就诊时间:3～8周8例,9～12周6例,16周和20周各1例。按Bado氏四型分类法:Ⅰ型(伸直型)2例,其中1例并发骨间背侧神经麻痹;Ⅱ型(屈曲型)1例;Ⅲ型(内收型)13例,其中9例并发骨间背侧神经麻痹;无Ⅳ型(特殊型)病例。
Monteggia fracture is a common compound injury in children. As the majority of sick children come from the grass roots, most clinicians lack adequate knowledge of them, so cases of misdiagnosis and missed diagnosis have occurred from time to time. Of the 16 cases of old Monteggia fractures admitted to our hospital since 1981, they were misdiagnosed in many primary hospitals Or missed diagnosis, the report is discussed below. 1 Clinical data 1.1 General Information 13 males and 3 females. Left in 10 cases, right in 6 cases. Youngest 2 years old, up to 15 years old. Post-injury treatment time: 3 to 8 weeks in 8 cases, 9 to 12 weeks in 6 cases, 16 weeks and 20 weeks in 1 case. According to Bado’s four-type classification: Ⅰ type (straight type) in 2 cases, of which 1 case complicated with interosseous dorsal nerve palsy; type Ⅱ (flexion type) in 1 case; type Ⅲ (adduction type) in 13 cases, of which 9 Cases of interosseous dorsal nerve palsy; no type Ⅳ (special type) cases.