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Wysłany: Śro 0:18, 16 Mar 2011
Temat postu: A case of acute mediastinitis _3608
A case of acute mediastinitis
Lan Min. The Soviet Union should be balanced. Editor of Practical thoracic surgery study published in Science and Technology of Shandong, Li Guozhen Du 1996,
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,5573, editor of CT Clinical Diagnostics 2 Beijing: China Science and Technology Press, 1994,
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,315 (close your samples :2000 -07-17) half a case of limb epiphyseal dysplasia Xiong Bin, Yang Yao first, half-limb Devon epiphyseal dysplasia, also known as excessive growth of cartilage eccentric additional bone formation, the surface coverage of normal cartilage, very rare. I met one case reported as follows. Were male, 6 years old. Inside the bottom left thigh mass 1 year, progressive increase. Examination: the left distal medial thigh of a mass of about 3Oem × 4.5em hard,
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, hard, no exploration activity tenderness (+). x-ray examination: physical examination 1996 film on both sides of the knee and Wong fibula bone no abnormalities (Figure 1). A Court of the King film (Figure 2,3), Ba Yin distal epiphysis of left visible inside one outside, down the limitations of the growth of additional bone mass, irregular in shape, edges more clearly, that most of the medial epiphysis blending homes. Mass density of disaster are, showing trabecular irregular ossification. Epiphysis of the medial articular surface irregularity, no significant changes in joint space, lateral epiphysis was no exception. x-ray diagnosis; the left half of Yin limb distal epiphysis epiphyseal dysplasia. Operative findings: the inside of the left distal epiphysis Yin abnormal increase, scuttling see the bone inside the cartilage surface normal. Mass medial osteotomy line, keep the articular surface. Postoperative diagnosis: distal epiphysis of left half-Yin limb epiphyseal dysplasia pathological diagnosis: microscopy, a large number of cartilage tissue, Lei see abnormal cells. Diagnosis: Left Yin osteochondroma of distal epiphysis, epiphyseal dysplasia discuss the half-limb is a rare developmental disorder of ossification center of disease,
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, was due to overgrowth of cartilage resulting eccentric asymmetric ossification center increased mainly by infants and young children with unilateral limb 1 or more epiphyses and / or tarsal bone growth and endochondral ossification abnormalities, and to the surface from the epiphyseal cartilage of the growth of tumor-like mass of bone is characterized by J. clinical features: male incidence of female 3 times the age 2-14 years old ~ 2.5j ,2-8-year-old majority Occurred in the side of the body, knee, ankle common, articular side of the rigid mass. Those with mild or no pain, 2-3 times within the outer'd. autosomal dominant genetic disease. ... Some scholars believe that no family history of the disease [4,61, may be epiphyseal vascular distribution to some extent. epiphyseal blood supply arteries were located 2 thousand half of the epiphysis, while the other side of injury side can be completely unaffected. sustainable progress of the disease may appear early tumor growth caused by joint deformities. 6-7 years of age are often the maximum mass, and its ossification center of the financial units to each other, since lesions tend to be stable J . X-ray findings: The disease is usually through the X-ray can be diagnosed. overgrowth of the epiphysis were located on one side of a single limb, multiple limb, upper limb can also occur, even can occur simultaneously. the best hair in the general distal epiphysis , followed by the talus, can also be found in the shoulder, hip, elbow and wrist joints BU 61. If multiple epiphyseal involvement, often the same side of crossing and the epiphysis, but we can see one in the medial, the other in the lateral】. early x-ray changes, in the same epiphysis, tarsal or carpal soft tissue mass attached to JI were seen in flocculent or amorphous calcification in the store l1996 films showed positive stiffness in the knee I Xiamen cavity rhino | Wai 2,32000 bone abnormalities seen on bone August lateral radiographs of left knee is the left distal femur epiphysis see one out in fall to the bottom of the extra bone growth and swelling cities, border saddle clear. Well Regulations do not see a small manifestation of the ideal bone, epiphyseal part of the normal outer Shí Author: 430023 Wu Zhu. Huazhong University of Science and Technology, Union Hospital,
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, Tongji Medical College of Radiology, and the ossification, the adjacent 2 ossification centers often appear earlier than the contralateral, irregular increases. That is the first bone that contains different of the center of the cartilage formation, followed by these different ossification centers tend to disappear, while the mass showed irregular ossification of the trabecular meshwork. At this point mature lesions, formed from the surface to the lateral epiphyseal growth of bone mass expansion of the outer mass margin of more than clear that thousands of part or the entire blending station and adjacent epiphysis. contralateral larger than the entire epiphysis, and even become deformed, but also can affect the adjacent part of the cartilage growth ¨], also often accompanied by the relevant section of the ship or valgus deformity. Also in the long bone, adjacent metaphysis of long strips can be widened and dense shadow, the epiphysis can be increased J. late can be left permanently deformed, and often secondary to bone joint disease tJ.
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