小儿急性血源性骨髓炎为常见病。但有相当多的病例转为慢性,不仅治疗时间冗长,病儿痛苦多,经济耗损大,而且肢体功能差,甚至造成灾难性后果。其主要原因是对本病在早期诊断和治疗上的延误。鉴于此,特收集我院近30年来收治的14岁以下长管状骨血源性骨髓炎108例,着重分析其中误诊原因,探讨早期诊断和治疗的措施。 Pediatric acute hematogenous osteomyelitis is a common disease. However, a considerable number of cases have become chronic. Not only the treatment time is long, the sick children suffer a lot, the economic loss is large, but also the limbs have poor functions and even have disastrous consequences. The main reason is the delay in the early diagnosis and treatment of the disease. In view of this, we collected 108 cases of long-bone osteogenic osteomyelitis under 14 years old admitted to our hospital for nearly 30 years, focusing on the analysis of the causes of misdiagnosis and the measures of early diagnosis and treatment.