幼年特发性关节炎合并股骨头骨骺缺血性坏死案例分享1例
A Case of Juvenile Idiopathic Arthritis with Epiphyseal Avascular Necrosis of the Femoral
扫 描 看 全 文
1.河南省洛阳正骨医院风湿病二科,洛阳 471000
2.Department of Rheumatology, Luoyang Bone setting hospital, Luoyang 471000
扫 描 看 全 文
王笑青,崔亚鸽.幼年特发性关节炎合并股骨头骨骺缺血性坏死案例分享1例[DB/OL].(2023-12-26)[2023-12-26].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46791909&Fpath=home&index=0&lang=zh
WANG Xiaoqing,CUI Yage.A Case of Juvenile Idiopathic Arthritis with Epiphyseal Avascular Necrosis of the Femoral[J].,
王笑青,崔亚鸽.幼年特发性关节炎合并股骨头骨骺缺血性坏死案例分享1例[DB/OL].(2023-12-26)[2023-12-26].https://cccl-tcm.cacm.org.cn/thesisDetails?columnId=46791909&Fpath=home&index=0&lang=zh DOI:
WANG Xiaoqing,CUI Yage.A Case of Juvenile Idiopathic Arthritis with Epiphyseal Avascular Necrosis of the Femoral[J]., DOI:.
病史摘要,2,马某,男性,7岁8月,以“左侧腹股沟疼痛3个月”为主诉,于 2017年5月24日初诊。病人从3个月前出现左侧腹股沟区疼痛,经多方治疗效果欠佳。现症见:左侧腹股沟疼痛,活动受限,跛行,下蹲困难。无晨僵。口干,纳食正常,睡眠较差(因关节疼痛),二便正常。舌红,苔少而干,脉弦细数。完善相关检查,西医诊断为幼年特发性关节炎合并股骨头骨骺缺血性坏死,中医诊断为痹病,肾阴亏虚证,予六味地黄丸汤加减治疗。经过6年的中医中药治疗,从一开始的股骨头骨骺缺血性坏死到股骨头基本恢复原来的形态。中医诊断 痹病(肾阴亏虚证)西医诊断 幼年特发性关节炎合并股骨头骨骺缺血性坏死干预措施 中药、非甾体抗炎药疗效转归 疾病得到控制,病人股骨头基本恢复原来形态
Summary of case history, Ma, male, 7 years old, 8 months, with"Left groin pain for 3 months" as the main complaint, on May 24,2017 first visit. The patient developed pain in the left inguinal region 3 months ago and was not effectively treated with multiple therapies. Symptoms: left groin pain, limited movement, claudication, squatting difficulties. No morning stiffness. Dry mouth, normal appetite, poor sleep (because of joint pain) , two normal stool. Tongue Red, moss less and dry, pulse string count. Perfect the relevant examination, Western medicine diagnosis for juvenile idiopathic arthritis and femoral head epiphysis ischemic necrosis, traditional Chinese medicine diagnosis for arthralgia disease, kidney-yin deficiency syndrome. According to the Huangdi Neijing, Yin governs its shape and Yang governs its use. Also Cloud: Kidney main bone marrow. Liuwei dihuang pill decoction to add or subtract treatment. After 6 years of traditional Chinese medicine treatment, from the beginning of the femoral head epiphysis ischemic necrosis to the femoral head basic recovery of the original shape, time has given us a satisfactory answer, firm our determination and confidence in the clinical application of traditional Chinese medicine.,TCM diagnosis, arthralgia disease (kidney-yin deficiency syndrome).,Western medicine diagnosis, juvenile idiopathic arthritis with epiphyseal avascular necrosis of the femoral head.,Therapeutic methods, Traditional Chinese Medicine, non-steroidal anti-inflammatory drugs,Clinical outcomes, The disease was controlled and the patient's femoral head returned to its original shape.
幼年特发性关节炎股骨头骨骺缺血性坏死中医药
idiopathic arthritisavascular necrosis of femoral head epiphysisChinese medicine
杨洋,袁新宇,闫淯淳,等.DCE-MRI在JIA受累髋关节股骨头骨髓水肿中的研究初探[J].医学影像学杂志,2019,29(12):2110-2114.
王唯伟,时克伟,杨自力,等.DCE-MRI与DWI对类风湿性关节炎活动性诊断价值的研究[J].医学影像学杂志,2017,27(9):1785-1789.
沈炎彬,叶项盛,赵婷,等.范永升教授治疗幼年特发性关节炎经验拾零[J].浙江中医药大学学报,2023,47(7):748-750+766.
宋·钱乙.小儿药证直诀[ M].北京:人民卫生出版社,2006:5,17.
贾亚泉,宋军营,曾华辉,等.六味地黄丸和通络救脑滴丸对2种痴呆模型小鼠脑组织Aβ降解的影响[J/OL].世界中医药,2023,18(14):1966-1973.
张爱群,蔡秀莺,谢亦娴.六味地黄丸治疗肝肾阴虚型原发性骨质疏松症临床疗效分析[J].黑龙江医药,2023,36(4):870-873.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构