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随着抗生素的发展,骨与关节感染虽逐年减少,但致病菌的耐药,开放性骨折后的感染,人工关节置换的增多及随之而来的偶发的深部感染,仍是一个突出的问题。本文就骨与关节的进展综述如下。【内因和外因】内因即所谓的血行性感染,常由咽喉,呼吸系,泌尿系侵入经血行引起骨组织感染。外因又可分为损伤性和医源性两种。前者为开放性骨折伤口污染所致,后者为内固定或人工关节置换等手术引起,即医源性感染。樱井收治的204例感染中,血行感染106例,外因性98例,各约一半。而外因性中,外伤41例,医源性57例(占28％)。【致病菌的变化】 1929年最早的抗生素青霉素问
With the development of antibiotics, bone and joint infections have decreased year by year, but the resistance of pathogenic bacteria, infection after open fractures, increase of artificial joints and consequent deep infection are still prominent problem. This article reviews bone and joint progress as follows. 【Internal and External】 internal causes of the so-called hematogenous infection, often by the throat, respiratory system, urinary tract invasion of blood caused by bone tissue infection. External causes can be divided into two types of injury and iatrogenic. The former is caused by open fracture wound contamination, which is caused by internal fixation or artificial joint replacement surgery, iatrogenic infection. Sakurai admitted 204 cases of infection, blood infection in 106 cases, 98 cases of extrinsic, each about half. The external causes, trauma in 41 cases, iatrogenic 57 cases (28%). Pathogens change 1929 The earliest antibiotic penicillin asked