一名膝盖感染的 12 岁男孩

Joy Verbakel, Nynke van der Gaast, R. Jaarsma
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摘要

2013年5月,一名12岁男孩因摔倒在一个陶瓷花盆上导致左膝深度撕裂而到急诊科就诊。伤口长 10 厘米,呈 "L "形,被泥土严重污染,完全暴露出股骨外侧髁。他还被发现髌骨肌腱撕裂(图 1)。患者神志清楚,感觉舒适,血压 115/50 mm Hg,脉搏 68 次/分,呼吸频率 18 次/分。血液检查显示以下数值轻微异常:白细胞计数为 11.9 × 10 9 /L(正常值:4-11 × 10 9 /L),血红蛋白为 142 g/L(正常值:135-175 g/L),红细胞计数为 11.9 × 10 9 /L(正常值:4-11 × 10 9 /L)。
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A 12-Year-old Boy With a Knee Infection
A 12-year-old boy, with no significant past medical history and no known drug allergies, presented to the emergency department with a deep laceration of his left knee after a fall on a ceramic plant pot in May 2013. A 10-cm long, L-shaped laceration heavily contaminated with soil and completely exposing the lateral femoral condyle was noted. He also was found to have a patella tendon avulsion (Fig. 1). The patient was oriented and comfortable with a blood pressure of 115/50 mm Hg, pulse of 68 beats/min and respiratory rate of 18 breaths/min. Blood tests showed the following mildly abnormal values: white cell count of 11.9 × 10 9 /L (normal: 4–11 × 10 9 /L), hemoglobin of 142 g/L (normal: 135–175 g/L), red cell
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