相关实验视频
Updated: Jan 15, 2026
04:24
A Mouse Distraction Osteogenesis Model
Published on: November 14, 2018
6.7K
血液到骨:导致骨质炎的表
Zarif Kazi1, Bettina Zou1, Marlon Rivera Boadla1
1Maimonides Medical Center, Brooklyn, New York, USA.
Case reports in medicine
|October 9, 2025
概括
使用阿皮克萨班治疗心房动会带来出血风险. 一名患者在鼻腔包装后发展出MRSA细菌病和骨质炎,突出了一个罕见的并发症.
科学领域:
- 药理学 药理学是指药理学的学科.
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
背景情况:
- 阿皮克萨班是一种直接的XA因子抑制剂,广泛用于预防心房动中风.
- 虽然与华法林相比,阿皮克萨班的出血风险较低,但它仍然会导致出血并发症,如表观症.
- 鼻腔膜往往是通过鼻腔封装来管理的,这是一种可能引入感染风险的程序.
研究的目的:
- 报告一例罕见的甲基西林耐药黄金葡萄球菌 (MRSA) 细菌病和随后的脊椎骨髓炎病例,该病例发生在接受阿皮克萨班治疗的患者鼻包装后.
- 为了强调鼻塞后远程感染的可能性,即使在接受抗凝药的患者中也是如此.
- 强调在慢性疼痛恶化的患者中考虑感染的重要性.
主要方法:
- 一个75岁的妇女接受了阿皮克萨班的病例报告.
- 经过鼻包装管理的表症的文档.
- 对MRSA细菌病和L2-L3脊椎骨髓炎的诊断.
主要成果:
- 患者在鼻腔包装用于表皮术后发展出MRSA细菌性病.
- MRSA 细菌病导致 L2-L3 脊椎骨质炎的发展.
- 患者经历了背部疼痛的恶化,这是骨髓炎的症状.
结论:
- 鼻子包装用于表术可能是远程骨髓炎的罕见来源,即使在服用阿皮克萨班的患者中也是如此.
- 医疗保健提供者应警鼻塞后的传染性并发症.
- 服用抗凝血药的患者慢性疼痛的变化需要对潜在原因进行彻底评估,包括感染.
相关概念视频
01:30Epistaxis
514
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
514
01:21Tracheostomy Decannulation
1.2K
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
1.2K
01:26Tonsillitis II: Management
400
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
400
01:25Endocarditis II: Clinical Features of Infective Endocarditis
414
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
414
01:29Blood and Nerve Supply to the Bones
13.5K
Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
13.5K