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pi zhi pang ruan gu rou liu 1 li
Author(s): 
Pages: 379
Year: Issue:  3
Journal: Qianwei Journal of Medicine & Pharmacy

Abstract: 患者女,23岁。半年前无明显诱因出现右小腿下端肿胀,偶有疼痛;于当地医院诊为“右胫骨骨折”,行石膏固定。近3个月前小腿肿胀加重,范围扩大,出现持续性疼痛,夜间加重。入院查体:右小腿下1/4及右踝上部肿胀明显,皮温高。右足背动脉搏动较为侧弱,肿胀处压痛明显,其内可触及广泛质硬包块,界限不清。患肢活动受限。查血常规正常,碱性磷酸酶111U/L。X线检查见右胫骨下段外侧骨皮质破坏,边缘毛糙;骨髓腔内多发虫噬状透光区,可见花边状及针状骨膜反应和骨膜三角形成;胫骨内侧皮质外方可见层状骨膜反应。腓骨远端变细,局部可见层状骨膜反应。局部软组织肿胀明显,远端跗骨、跖骨骨质疏松。CT可见右胫骨外侧骨皮质破坏,边
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