脊柱结核（8年制）ppt课件.pptVIP

脊柱结核Spine Tuberculosis(TB); Skeletal remains from a Neolithic Settlement in the Eastern Mediterranean show prehistoric humans (7000 BC) had TB, and tubercular decay has been found in the spines of mummies from 3000–2400 BC;;Estimated TB incidence, prevalence and mortality, 2009 ;Tuberculosis (TB, for Tubercle Bacilli) is contagious and airborne. It is a disease of poverty affecting mostly young adults in their most productive years. The vast majority of TB deaths are in the developing world1.7 million people died from TB (including 380 000 women) in 2009, including 380 000 people with HIV, equal to 4700 deaths a dayThe TB death rate has fallen by 35% since 1990, and the number of deaths is also decliningTB is among the three greatest causes of death among women aged 15-44There were 9.4 million new TB cases (including 3.3 million women) in 2009, including 1.1 million cases among people with HIV ;Mycobacterium Tuberculosis ;Robert Koch found TB bacilli in 1882 The day, March 24, he declared his findings in Berlin, is celebrated as World Tuberculosis Day from 1995; Bacillum Calmette-Guérin, or BCG, for short（1921）;Antibiotic chemotherapy: the cornerstone;Song of the Burial of Flowers ------ I hold a burial when you die today, But there’s no telling when I pass away. 尔今死去侬收葬，未卜侬身何日丧？ Others laugh at me that have buried thee, Who will be the one that shall bury me? 侬今葬花人笑痴，他年葬侬知是谁？ The end of spring makes flowers fall one by one, It’s also the time when beauty meets its doom. 试看春残花渐落，便是红颜老死时。 Once beauty is carried to its very tomb, Both beauty and flowers perish known to none. 一朝春尽红颜老，花落人亡两不知！ ;Spinal Tuberculosis ;;Angular kyphosis Paralysis 9-year-old child treated successfully in 1998;Paravertebral abscess;Sinus formation caused by lumbar tuberculosis ;Diagnosis of Spine TB;;X-ray;CT-scan;MRI-scan;MRI-scan;MRI-scan;Psoas abscess ;椎间盘型 椎体型 椎弓型 全椎骨型 跳跃型 多骨结核型 椎管内型;Differential D