摘要
本實驗是近年來在本院證實為傳染性關節炎的21位病人之分析研究。在上述21例關節病變的患者中，14位是男性，7位是女性，年齡從15歲至84歲，而平均為48.1±20.2歲。21例皆接受過關節液抽取術。而5例接受過骨膜切片檢查。細菌培養及病理切片最後證實15例之關節感染是由細菌引起，6例是經由結核桿菌引起。細菌感染者，關節液內白血球之平均數為80,000細胞／立方毫米，而結核為20,000細胞／立方毫米。傳染性關節炎，常因早期症狀不明顯或不典型，而導致臨床醫生誤診為退化性關節炎，類風濕關節炎，或其它的風濕性疾病。然而延遲診斷及治療常使關節早期破壞，故臨床醫師在遭遇此類病變時，需保持高度的警覺性。
並列摘要
From June 1983 to June 1985, 21 cases of joint-related infectious disease were studies, including 14 males and 7 females. The ages ranged from 15 to 84 years with Mean ± SD=48.1 ± 20.2 years. Synovial fluid aspiration was performed in 21 patients and synovial biopsy was done in 5 cases. The culture and pathological reports disclosed 15 cases were bacterial and 6 cases were tuberculosis arthritis in origin. The average cell count of synovial fluid from the affected joints with bacterial infection was 80,000 cells/cumm, and 20,000 cells/cumm for those with TB infection. Atypical features or vague symptoms in the early stages of infectious arthritis sometimes mislead the clinician to diagnose osteo-arthritis, rheumatoid arthritis, or other rheumatic disease. Delayed diagnosis and management in infectious arthritis can cause early joint destruction. Therefore the clinician should be especially alert when encountering the symptoms of this disease.
延伸閱讀
- 翁文能（1998）。細菌性關節炎。當代醫學，(296)，469-471。https://doi.org/10.29941/MT.199806.0012
- Lin, R. M., Yang, C. Y., Liu, H. C., & Liu, T. K. (1987). 感染性關節炎. Journal of Orthopaedic Surgery Taiwan, 4(4), 216-222. https://www.airitilibrary.com/Article/Detail?DocID=10116923-198712-4-4-216-222-a
- 郭瑤芝（1987）。漫談關節炎。師友月刊，(243)，57-59。https://doi.org/10.6437/EM.198709.0033
- 曾光毅、曾嵩智（2010）。類風濕性關節炎。家庭醫學與基層醫療，25(1)，24-33。https://doi.org/10.6965/FMPMC.201001.0024
- 吳柏樟、黃閔農、謝松洲（2008）。類風濕性關節炎。當代醫學，(414)，292-296。https://doi.org/10.29941/MT.200804.0010