在儿童中状细胞疾病的骨科并发症
Anne-Laure Simon1, Lucrezia Montanari1, Cindy Mallet1
1Service de Chirurgie Orthopédique Pédiatrique, Hôpital Universitaire Robert-Debré,Assistance Publique-Hôpitaux de Paris (AP-HP), Université de Paris, 48 Boulevard Sérurier, 75019 Paris, France.
状细胞疾病经常导致儿童的骨科问题,包括骨梗塞和感染. 这些骨和关节并发症的早期治疗对于更好的长期结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 血液学 血液学 血液学
- 遗传学 遗传学 是一个
背景情况:
- 状细胞疾病 (SCD) 是一种普遍存在的全球遗传疾病.
- 它引起血管封闭现象,主要影响骨毛细血管.
- 骨科并发症显著影响患者的生活质量.
研究的目的:
- 审查患有状细胞疾病的儿童的骨科并发症.
- 突出诊断和管理骨关节感染的挑战.
- 强调专业护理和手术预防措施的重要性.
主要方法:
- 本综述综合了专家意见和现有文献 (证据水平:V).
- 它专注于常见的骨科问题,如骨髓缩和儿科SCD感染.
- 讨论了诊断方面的困难和治疗方面的考虑.
主要成果:
- 无菌性骨 necrosis 经常影响靠近的股骨和腰骨,如果没有早期干预,可能会恶化.
- 状细胞相关的骨和关节感染由于诊断延迟,预后较差.
- 常见的病原体包括沙门氏菌和金黄色葡萄球菌.
结论:
- 系统的无线电临床监测是必不可少的,因为手术和后果的高率.
- 患有SCD的儿童进行手术需要采取严格的预防措施,以防止血管封闭性危机.
- 管理应该发生在专业的中心与多学科的团队.
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