大骨节病儿童新发病例的诊断与转归研究  

Study on the Diagnosis and the Natural Development of New Cases in Children with KaShin Beck Disease

作　　者：郭雄[1] 杨继维[1] 丁德修[1] 

机构地区：[1]西安医科大学地方性骨病研究所,西安医科大学附属一院急诊科

出　　处：《地方病通报》1995年第1期64-66,共3页Endemic Diseases Bulletin

摘　　要：本文报道了５０例大骨节病儿童新发病例的诊断与转归研究。结果表明发病年龄在７～９岁组有２４例（４８．００％），明显高于１～３岁组的１５例（３０．００％）与４～６岁组的１１例（２２．００％）。新发病例的发病部位以掌指骨干骺端部位为主，５０例中有４７例，占９４．００％；远期追踪观察４７例干骺端部位新发病例有３９例完全恢复正常，最终演变为Ⅰ°或Ⅱ°大骨节病人者２例，占４．２６％。骨端部位新发者２例，其中１例演变为大骨节病人。作者认为在本病病因研究中选择新发病例作为研究对象是最佳选择，并提出了４条诊断大骨节病新发病例的要点。The study on the diagnosis and the natural develop ment in 50 new cases of children withKashin-Beck disease(KBD) was reported in this paper. Results showed that the incidence number of thegroup aged from 7-9 was 24 cases(48.00%),and remarkally higher than that of 15 cases(30. 00%)from 1-3 years old as well as 11 cases(22. 00%)from 4-6 years old.The metaphysis of metacarpalphalanges wasm,ainly damaged part of the new cases, 47 cases out of 50 new cases (94%)were observed with metaphysisdamage on X-ray films.By the following-up investigation,39 cases were recovered to be normal and 2 cases,4.26% of 47 new cases naturally developed the first degree or the second degree of KBD with the metaphysisdamage.Meanwhile,in 50 new cases,there were 2 cases with the distal end of bone of metacarpalphalangesimpaired and one of them naturally developed to be the patient with KBD. Authors considered that the newcases should be selected as the research object for the etiological study of KBD, 4 criteria of diagnosing newcases of KBD wre also put forward in this paper.

关 键 词：大骨节病 病例分析 诊断 儿童 

分 类 号：R726.841[医药卫生—儿科]