客观参数在儿童化脓性髋关节炎诊断中的敏感性  

Sensitivity of the Objective Paramaters in the Diagnosis of Pediatric Septic Arthritis of Hips

作　　者：刘忠堂[1] 温宏[1] 

机构地区：[1]浙江省温州医学院第二附属医院,325027

出　　处：《实用骨科杂志》2003年第3期218-219,共2页Journal of Practical Orthopaedics

摘　　要：目的 :探讨客观参数在儿童化脓性髋关节炎诊断中的敏感性。方法 :通过回顾性分析 2 6例 6岁以下儿童 ,检测体温、白细胞计数和血沉在儿童化脓性髋关节炎诊断中的敏感性。结果 :平均体温 38.4℃ ,其中 6 5 %体温超过38℃。平均白细胞计数是 13.5× 10 9/L ,73%白细胞计数大于 0 .9× 10 9/L。平均血沉是 5 1mm/h ,95 %大于 2 0mm/h。虽然 35 %患者体温正常 ,2 7%白细胞计数正常 ,但仅 5 %血沉正常。新生儿无发热 (平均体温 36 .7℃ ) ,白细胞计数无增高 (平均 0 .93× 10 9/L) ,但血沉增高 (平均 4 5mm/h)。结论 :三项指标中 ,血沉是Objective:To Study the sensitivity of objective parameters in the diagnosis of pediatric septic arthritis of hips.Methods:To examine the sensitivity of temperature,leuocyte count and erythrocyte sedimentation rate in the diagnosis of pediatric septic arthritis of the hip by retrospective case analysis of 26 children.Results:The average presenting temperature was,with 65 % of the patients having had a temperature higher than 38℃.The average leukocyte count was 13500 per ml,with 73 % of patients having a leukocyte count more than 9000 per ml.The averatge erythrocyte sedimentation rate(21 case) was 51 mm at the first hour,with 95 % of the patients presenting with an erythrocyte sedimentation rate greater than 20 mm per hour.Conclustion:Of these 3 values,erythrocyte sedimentation rate is the most sensitive indicator of septic arthritis of the hip in children 0 to 6 years of age.

关 键 词：客观参数 儿童 化脓性关节炎 诊断 敏感性 体温 白细胞计数 检测 

分 类 号：R726.843[医药卫生—儿科]