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1病例报告患者男,4岁,因车祸导致轻型颅脑损伤、肺挫伤及面部擦伤4h收住我院诊治。查体:意识清楚,问答切题,左侧外耳道可见陈旧性血迹,左面颊部可见暗红色点状皮下出血。头颅CT示:左侧颞骨骨折,波及左侧乳突,左侧颞部颅骨下少量积气。胸部X线正位片(包括双侧上肢)示:右下肺近肋膈角处见小片状密度增高影,多考虑肺挫伤;右肱骨中段、肱骨滑车及尺骨远端可见多个骨性突起或囊状透亮区(见封4图5),考虑小儿多发性遗传性骨软骨瘤。询问其家族病史,父亲曾患有多发性骨软骨瘤。再次摄双侧膝关节正位片
A case report Male, 4 years old, due to a car accident led to mild head injury, pulmonary contusion and facial abrasion 4h admitted to our hospital for diagnosis and treatment. Examination: Consciousness, question and answer questions, the left ear canal visible old bloodstains, left cheek dark red dot subcutaneous bleeding. Head CT showed: the left temporal bone fracture, affecting the left mastoid, left temporal lobe a small amount of gas under the skull. Chest X-ray films (including both upper extremities) showed: the right lower lung near the medial costal septum, see the small increase in density, more consideration of pulmonary contusion; the middle of the right humerus, the humeral pulley and distal ulna can see multiple bony Protuberant or cystic translucent area (see seal 4 Figure 5), consider multiple pediatric hereditary osteochondroma. Ask his family history, his father had multiple osteochondroma. Again shot bilateral knee anteroposterior film