Abstract:

Lower limb osteomyelitis is a common infectious disease in children's orthopedics. The common bacterium is Staphylococcus aureus, which is also easy to cause deep vein thrombosis in the lower limbs. Osteomyelitis is similar to deep vein thrombosis, including lower limb swelling, local skin redness, etc., which are not easy to be distinguished. Early blood D-dimer detection, lower limb magnetic resonance examination, and vascular B-ultrasound are the main means of diagnosis. The treatment of osteomyelitis includes anti-infective therapy of sensitive antibiotics and drilling drainage of suppurated bone marrow; the treatment of deep vein thrombosis mainly includes low molecular weight heparin anticoagulation, urokinase thrombolysis, and other treatments. This paper reports a child with right lower limb tibial osteomyelitis complicated with deep vein thrombosis admitted to Xi'an Children's Hospital in 2022, and analyzes her clinical manifestations and diagnosis and treatment process.

Key words:

Children, Deep vein thrombosis, Osteomyelitis

摘要：

下肢骨髓炎是儿童骨科常见的感染性疾病，常见细菌为金黄色葡萄球菌，该细菌也容易引起下肢深静脉血栓。骨髓炎与深静脉血栓临床表现相似，包括下肢肿胀、局部皮肤发红等，两者不容易鉴别。早期的血D-二聚体检测、下肢磁共振检查及血管B超是诊断的主要手段。骨髓炎的治疗包括敏感抗生素的抗感染治疗及化脓骨髓的钻孔引流术；深静脉血栓的治疗主要有低分子肝素抗凝、尿激酶溶栓等。本文报道了2022年西安市儿童医院收治的1例儿童右下肢胫骨骨髓炎合并深静脉血栓，现就其临床表现及诊治过程进行分析。

关键词:

儿童, 深静脉血栓, 骨髓炎