本文選題：延誤診治 + 急性減壓病　； 參考：《中國(guó)職業(yè)醫(yī)學(xué)》2015年02期

【摘要】：目的分析1例延誤診治的減壓性骨壞死病例。方法結(jié)合患者的職業(yè)史、急性減壓病病史和影像學(xué)檢查資料,根據(jù)GBZ 24—2006《職業(yè)性減壓病診斷標(biāo)準(zhǔn)》進(jìn)行診斷。結(jié)果患者有明確的潛水作業(yè)史,有1979年從事潛水作業(yè)后減壓不當(dāng)導(dǎo)致急性減壓病病史,主訴有雙髖關(guān)節(jié)疼痛和左下肢行走困難,體格檢查可見雙髖關(guān)節(jié)活動(dòng)受限和左下肢行走不利,雙下肢和髖關(guān)節(jié)X射線攝片和CT檢查可見特征性的股骨頭和髖關(guān)節(jié)損害的影像學(xué)表現(xiàn),經(jīng)綜合分析,沒(méi)有證據(jù)否定其從事潛水作業(yè)(特別是有減壓不當(dāng)史)與其骨和關(guān)節(jié)損害之間的必然聯(lián)系,診斷為職業(yè)性減壓病(Ⅲ期減壓性骨壞死)。結(jié)論診斷的延誤不利于疾病的及時(shí)治療,不利于控制病情進(jìn)展和減少傷殘發(fā)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，

本文編號(hào)：2032834