| 45例医护人员严重急性呼吸综合征患者早期股骨头缺血性坏死情况影像学调查 |
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| 引用本文： | 郭炳衡,王天宝,季康,杨选平.45例医护人员严重急性呼吸综合征患者早期股骨头缺血性坏死情况影像学调查[J].疾病控制杂志,2004,8(4):329-331. |
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| 作者姓名： | 郭炳衡 王天宝 季康 杨选平 |
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| 作者单位： | 武警北京总队医院内二科,北京,100027 |
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| 摘 要： | 目的 探讨严重急性呼吸综合征 (SARS)患者早期股骨头缺血性坏死情况及年龄、激素用量对早期股骨头缺血性坏死有无影响。方法 对所有恢复期医护人员患者做骨盆正位X线摄片、髋关节核磁共振成像 (MRI)检查、放射性核素骨扫描 (99mTc MDP)骨三相检查 ,部分做骨密度检查 ,比较不同年龄及不同激素用量患者股骨头缺血性坏死在MRI及骨扫描检查中有无差异。结果 4 5例患者中 2 0例 (4 4 .4 % )发现有不同程度股骨头缺血性坏死 ,患病率有随年龄增加而升高的趋势 ,但无统计学意义。不同激素用量患者间MRI及骨扫描检查阳性率的差异有显著性(P <0 .0 0 0 1)。结论 应注意皮质激素对SARS患者引起股骨头缺血性坏死的早期诊断及治疗。
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| 关 键 词： | 医护人员 早期股骨头缺血性坏死 影像学诊断 调查 SARS 传染性非典型肺炎 严重急性呼吸综合征 |
| 文章编号： | 1008-6013(2004)04-0329-03 |
| 修稿时间： | 2003年10月24 |
Image study of early avascular necrosis of femoral head in 45 medical staff patients with severe acute respiratory syndrome |
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| GUO Bing-heng,WANG Tian-bao,JI Kang,YANG Xuan-ping.Image study of early avascular necrosis of femoral head in 45 medical staff patients with severe acute respiratory syndrome[J].Chinese Journal of Disease Control and Prevention,2004,8(4):329-331. |
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| Authors: | GUO Bing-heng WANG Tian-bao JI Kang YANG Xuan-ping |
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| Institution: | GUO Bing-heng,WANG Tian-bao,JI Kang,YANG Xuan-ping. Beijing Corps hospital of Chinese People's Armed Police Force,Beijing 100027,China |
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| Abstract: | Objective To study the early avascular necrosis (AVN) of femoral head in medical staff patients with severe acute respiratory syndrome (SARS). Methods Conventional radiography, magnetic resonance imaging (MRI) and the three-phase radioactive nuclide bone scan (99mTc-MDP) were performed on all restoration period SARS patients. Bone mineral density (BMD) was measured in some patients. Results Different level AVN was found in 20 cases ( 44.4% ). Conclusions The earlier diagnosis and treatment of AVN in SARS patients who had taken glucocorticoid should be performed. |
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| Keywords: | pneumonia viral glucocorticoids MRI femur head necrosis |
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