延误诊治减压性骨坏死案例分析

发布时间：2018-06-17 23:03

  本文选题：延误诊治 + 急性减压病　； 参考：《中国职业医学》2015年02期

【摘要】：目的分析1例延误诊治的减压性骨坏死病例。方法结合患者的职业史、急性减压病病史和影像学检查资料,根据GBZ 24—2006《职业性减压病诊断标准》进行诊断。结果患者有明确的潜水作业史,有1979年从事潜水作业后减压不当导致急性减压病病史,主诉有双髋关节疼痛和左下肢行走困难,体格检查可见双髋关节活动受限和左下肢行走不利,双下肢和髋关节X射线摄片和CT检查可见特征性的股骨头和髋关节损害的影像学表现,经综合分析,没有证据否定其从事潜水作业(特别是有减压不当史)与其骨和关节损害之间的必然联系,诊断为职业性减压病(Ⅲ期减压性骨坏死)。结论诊断的延误不利于疾病的及时治疗,不利于控制病情进展和减少伤残发生。
[Abstract]:Objective to analyze a patient with delayed diagnosis and treatment of decompression osteonecrosis. Methods according to the occupational history, the history of acute decompression sickness and the imaging examination data, the diagnosis criteria of occupational decompression disease were diagnosed according to GBZ 24-2006. Results the patients had a clear history of diving and had a history of acute decompression sickness caused by improper decompression after diving in 1979. The patients complained of bilateral hip joint pain and difficulty in walking on the left lower extremity. The physical examination showed that the motion of the double hip joint was limited and the walking of the left lower extremity was not good. The X-ray and CT examination of the lower limbs and the hip joints showed the characteristic imaging features of the femoral head and hip joint damage. There is no evidence to negate the inevitable relationship between his diving work (especially the history of improper decompression) and his bone and joint damage. It is diagnosed as occupational decompression disease (stage 鈪，

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