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METHOD selection of treatment of acute osteomyelitis IN NEWBORNS

机译：新生儿急性骨髓炎的治疗方法选择

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FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to children surgery and is intended for selection of approach to treatment of acute hematogenic osteomyelitis in newborns. Clinical and X-ray examination is carried out. Additionally ultrasonic examination of epiphyses of bones of affected and healthy extremities is performed. Ultrasonic scanning of epimetaphyseal zone of bone is performed by moving sensor around extremity axis. If presence of nidus of hyperechogenicity and heterogeneity of epiphysis structure is registered, pharmacotherapy is administered. If deformation of joint surface and change of epiphyseal cartilage, presence of effusion in joint and soft tissue edema are detected, joint puncture is administered. In case of joint capsule thickening, increase of echogenicity of intra-articular contents; if in addition to changed form of epiphyseal cartilage and deformation of joint surface presence of pus in joint cavity or beyond epiphysis limits is detected, combined surgical treatment, including joint puncture and drainage of soft tissues, is performed.;EFFECT: selection of approach to treatment of acute hematogenic osteomyelitis in newborns basing on comparative changes of epiphyses of bones of affected and healthy extremities, detected by means of ultrasonic examination.;2 ex, 1 tbl
机译：技术领域本发明涉及医学，即涉及儿童手术，并且旨在选择治疗新生儿急性血源性骨髓炎的方法。进行临床和X射线检查。另外，对患肢和健康四肢的骨epi进行超声检查。通过围绕四肢轴移动传感器来对骨骼的met骨干区进行超声扫描。如果发现存在高回生性和骨physi结构异质性的病菌，则应进行药物治疗。如果检测到关节表面变形和骨of软骨变化，关节积液和软组织水肿，则进行关节穿刺。如果关节囊增厚，则关节内内容物的回声增加;如果除了发现of骨软骨的形态改变和关节表面变形，关节腔内存在脓液或超出骨physi极限外，还应进行联合手术治疗，包括关节穿刺和软组织引流。;效果：选择治疗方法超声检查发现患处和健康肢体骨epi的比较变化，对新生儿急性血源性骨髓炎的治疗。[2 ex，1 tbl

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