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1.
病人,男,24岁。左肘关节疼痛,不能伸直,活动受限。半年前左肘部曾摔伤,肿痛、活动受限。(X线检查无骨折,故未治疗)。体格检查:患者一般状况较好,体温36.7℃,脉搏81次/min,呼吸19次/min,血压14/9 kPa(1 kPa=7.5mmHg),左肘关节强直,向内侧微弯,活动受限,  相似文献   

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异位骨化——附进行性骨化性肌炎3例报告原银栋杨岭群孙虎成1于海军2(第一临床学院骨科,沈阳110001)关键词异位骨化;骨化性肌炎;进行性骨化性肌炎异位骨化是指非骨骼组织的骨化,即在正常情况下不钙化的组织内产生新骨形成。这种新骨与正常骨属于同一性质。...  相似文献   

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患者,男,29岁,因右臀部肿块2月余入院,患者2月前囚跌倒撞击右臀部,局部疼痛,3d 后右臀部出现一肿块,服复方新诺明等治疗无效,以后肿块渐大,伴疼痛加剧。查体:见右臀深部有一3cm×4cm 硬性肿块,活动,局部穿刺无脓血,无红肿。X 线摄片示软组织肿块伴骨化,横纹肌肉瘤待  相似文献   

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1病例资料 患者,男性,23岁,某部士官,2010年10月30日来我队就诊,主诉左肘关节疼痛,不能完全伸直,活动受限,在半年前有过外伤史。体格检查:患者一般状况较好,体温37℃,脉搏71/min,呼吸20/min,血压105/67 mm Hg,左肘关节僵硬强直,向里侧微弯,活动受限,皮温不高,肱尺关节屈伸活动度ROM为40°~100°(以伸直为0°计),前臂旋后受限,轻度桡偏。  相似文献   

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患者男 ,5 3岁。因右膝外侧包块 30年增大伴疼痛 1年余入院。患者 30年前即发现右膝外侧包块 ,约小拇指头大小 ,无特殊不适感。近一年来发现包块增大 ,并出现疼痛 ,活动时疼痛加重。既往否认有明确外伤史。体检 :神清 ,心肺(- ) ,右膝外侧可见一 4cm× 3cm× 1cm包块 ,质硬、光滑、固定 ,似与腓骨小头相连 ,压痛 (± )。右膝正侧位片提示右腓骨上头上方 (不与腓骨小头相连 ) ,相当于外侧副韧带处可见一直径 2 cm大小高密度影 ,边缘光滑 ,内呈卵壳囊肿样 ,入院后术前准备 ,行手术切除。术中见包块约 3cm× 2 cm× 1cm大小 ,与外侧副韧带、股…  相似文献   

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患者男性 ,32岁。坠落伤后双下肢功能障碍 6小时。既往无外伤史。查体 :神志清 ,胸腰段后凸畸形 ,胸 1 2、腰 1椎体棘突压痛较明显。双下肢对称性感觉、运动、反射功能消失 ,肌力 0级。胸腰段椎体正侧位片示 :胸 1 2椎体重度压缩性骨折 ,呈前窄后宽楔形改变。临床诊断为 :胸 1 2椎体重度压缩性骨折并双下肢截瘫。截瘫后 2 8天 ,患者右髋、右膝关节周围软组织肿胀 ,关节被动活动轻微受限 ,局部皮温正常 ,浅静脉无怒张。右髋、右膝关节周围软组织区可触及不规则质硬之肿块。右髋关节正位片示 :右髋关节髂前下棘至股骨粗隆间软组织区絮状钙化 ,…  相似文献   

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骨化性肌炎是一种发生在肌肉或其他软组织中的非肿瘤性病变[1],病理组织以纤维组织增生为特征,可导致严重的运动功能障碍.一般分为进行性骨化性肌炎(myositisossificans progressive,MOP)及外伤性骨化性肌炎(myositis ossificans traumatic,MOT)两种.MOP又称为进行性骨化纤维发育不良(fibrodysplasia ossificans progressiva),是一种常染色体显性遗传病,该病在患者全身多处肌肉、筋膜及韧带内进行性地异位骨化[2-3].  相似文献   

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进行性骨化性肌炎(Myositis Ossifi-cans Progressiva)是一种罕见遗传性疾病。作者见1例报告如下。患儿,女,3岁。颈项部肿块进行性增大影响颈项活动一年。于一年前项部疼痛肿胀,继之局部出现2~3个小结节,质硬,逐渐增大且向左肩胛内侧延伸,影响颈项活动。家族中无类似疾患。患儿足月顺产,第3胎第3产。无其它特殊病史。体检:一般  相似文献   

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Ondine's curse, also known as idiopathic congenitalcentra1 alveolar hyPoventilation syndrome, is a rare andscvere form of central sleep apnea syndrome caused byimpairment of automatic rcspiration control durings[eep. A case of Ondine's curse was reported in this pa-per.CLINICAL FIN'DINGSA 33-year-old female was admitted because ofdizziness and progressively worscl1ing gait disturbancestbr 2 years, and of repetitive ictal nausea and vomit for lyear. Physical examination revealcd that the…  相似文献   

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胸壁骨化性纤维瘤1例Ossifyingfibromainchestwall:acasereport¥刘根生,陈莹,宋翠萍患者,女.11岁.以左季肋部渐增性肿物1月余人院.曾在当地按软组织感染治疗无效。检查:一般情况良好,左季肋部胸壁有一直径scm肿物...  相似文献   

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A case of myositis ossificans in a 28 year old male is reported. He had been found to have ossification of the right sternocleidomastoid muscle at birth. Subsequently both thighs, abdominal muscles of the right side and facial muscles on both sides were similarly affected. X-ray findings, biopsied specimens and biochemical changes were in accord with those reported in the literature, though involvement of facial muscles and the heart had not been previously reported. The presence of several congenital malformations gives support to the important role of heredity in the pathogenesis of this disease. EHDB brought some relief in this case, and may be of prophylactic value in the prevention of ossification due to postoperative trauma of a planned temporo-mandibular operation.  相似文献   

16.
病例资料 患者男,45岁,因多年头疼而行CT检查,头CT片显示脑实质无异常改变,但发现桥脑部基底动脉明显增粗(图1);之后行MRI检查并血管成像明确基底动脉中段管壁椭圆形扩张且突向管壁一侧,呈宽基底与基底动脉相连(图2),确诊为基底动脉瘤。确诊后患者到北京天坛医院进行了介入手术治疗(图3)。  相似文献   

17.
全身进行性骨化性肌炎是一种进行性结缔组织疾病,发病率极低.临床极罕见。现报告典型病例1例。  相似文献   

18.
We present a case regarding the anomalous branching in the third part of the axillary artery on the left side in a 35-year-old male Nepalese cadaver. In the third part the axillary artery divided into superficial brachial and deep brachial arteries. The superficial brachial artery continued in the arm without giving any branches and ended in the cubital fossa dividing into radial and ulnar arteries. The deep brachial artery gave rise to subscapular, profunda brachii, articular branch to the shoulder joint, anterior circumflex humeral artery and posterior circumflex humeral artery. This variation is very rare and incidence is around 0.12-3.2% in the available literature. The normal and abnormal anatomy of the axillary region is having practical importance for the vascular radiologist and surgeon and it should be known for accurate diagnostic interpretation. Key words: Axillary artery, brachial artery.  相似文献   

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<正>病例资料婴儿骨皮质增生症(infantile cortical hyperostosis)为一种不明原因侵犯骨骼及肌肉筋膜的疾病,多数病例在出生后9-10周内发病,生后5个月后发病者非常少见。男女发病比率无明显差异。此病的  相似文献   

20.
男,5o岁。无诱因左侧腰部酸胀,左侧臂部及大腿后外侧胀痛8月多,近半月来加重,20o7年9月17日来我院就诊。患者无特殊病史。专科检查:脊柱外形正常,双侧腰肌紧张,无明确压痛点,左侧直腿抬高试验45℃阳性,加强试验阳性,病理反射未引出。  相似文献   

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