临床检查和成像资源在儿童和青少年背痛
Ana León-Domínguez1, Rocío Cansino-Román1, Jose M Martínez-Salas1
1Orthopediatrica, Seville, Spain.
Journal of children's orthopaedics
|December 5, 2023
概括
儿科背部疼痛可能具有挑战性,有机原因在年幼儿童中更为常见. 较大的孩子经常经历非特异性疼痛,需要彻底评估,以排除严重的疾病,如瘤.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科风湿病学 儿科风湿病学
- 儿科放射学 儿科放射学
背景情况:
- 背部疼痛是儿童和青少年常见的抱怨.
- 鉴定病因可能是具有挑战性的,特别是在老年人群中,疼痛往往是非特异性的.
- 必须考虑严重的有机诊断,包括瘤,发育和炎症状况.
研究的目的:
- 概述了一种方法来诊断儿科患者的背痛.
- 强调识别严重的潜在原因的重要性.
- 引导适当使用诊断成像和实验室研究.
主要方法:
- 深入了解患者病史 (病史).
- 系统的身体检查.
- 标准的脊柱放射 (前后后和侧面的视图).
主要成果:
- 年幼的孩子更有可能有可识别的有机背痛原因.
- 年龄较大的儿童和青少年经常出现非特异性背痛.
- 在怀疑严重诊断时,先进的成像 (MRI,CT,骨扫描) 和实验室研究至关重要.
结论:
- 结构化诊断方法对于儿科背痛至关重要.
- 早期识别严重疾病可以防止诊断延迟.
- 诊断成像和实验室测试应以临床怀疑为指导.
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