外伤后手足痛风误诊为外伤性骨感染.pdfVIP

·5- f堕压迟姿迟迨垫!呈笙竺旦箜堑鲞箜竺塑垦!世型丛堡尘!g!!坐鱼塑熊!!!!巳!!!!!：垄!№：竺!量!也!塑坠竺垫!! ·误诊研究：血液及全身性疾病· 外伤后手足痛风误诊为外伤性骨感染 齐树青，王海，彭伟生，朱露林，苏志强，尤云峰，陈明源 [摘要] 目的探讨外伤后手足痛风误诊原因，以提高认识及诊断水平。方法对我院收治的外伤后手足痛风3例的 临床资料进行回顾分析。结果本组3例均为外伤后发现指(趾)末端肿痛，活动受限，病初均误诊为外伤性骨感染，后行手 术治疗，术中所见及术后病理诊断为痛风，均痊愈出院。结论对痛风及外伤性骨感染认识不足，未行实验室相关检查，是 造成误诊的主要原因。本病最终确诊仍须依据病理组织检查结果。 [关键词]外伤；痛风；误诊；骨感染 [中国图书资料分类号]R589．7 [文献标志码]A [文章编号]1002—3429(2012)09一0005—03 『D01]103969／j．jssn．1002．3429．2012．09．003 Post·traumaticGout asTraumaticInfbctionofBone PhalangeMisdiagnosed Hai，PENG L^l—hn，Su ofRadi— QIshu—qing，WANGWei—sheng，zHUZhi—qiang，Y0uYun—feng，CHENMing—yuan(Department of ology，the180“HospitalPLA，Quanzhou，Fujian362000，China) the causes to To of inorder awareness [Abstract]oboectiveinvestigatemisdiagnosispost—traumaticphalangegout improve 0f and MethodsCl；nicaldatathree with inour were ana- diagnos谴 patientspost—traum“cphalan驴gouth。sp渤1 retrospectively ResultsThe3 wjth and andlimitationof were as lyzed． patientspost—traumaticphalangeswellingpain activitymisdiagnosedhaving infection at the were traumatic ofbonefirstvjsit． and resultscon6兀ned Intraopera“ve6nding postoperatiVepath0109icalorganization as thethre8 recovered andwelte ConclusionThem8in causes gout，and f0110wing discha。ged． patientsfully thr8py misdiagnosis areduetothe of andtraumaticinfectionofboneand1ackof examination．The6nal gout laborator