骨科老年髋部骨折围手术期内科处理体会  

作　　者：邓遵生 叶作明 雷廷文 陈春[1] 

机构地区：[1]贵州遵义市骨科医院,563000

出　　处：《中国社区医师（医学专业）》2012年第11期219-219,221,共2页

摘　　要：目的:探讨骨科老年髋部骨折(主要指股骨颈骨折和股骨粗隆间骨折)患者围手术期内科治疗方法。方法:回顾性分析62例老年髋部骨折(主要指股骨颈骨折和股骨粗隆间骨折)患者的围手术期资料,根据患者手术后并发症、主诉、关节功能及X线片等评价内科治疗效果。结果:全部患者根据临床实际分别用人工股骨头置换、人工全髋关节置换和DHS加子钉粗隆间内固定手术3种方法,术前58例有内科合并症。其中以心血管系统疾患最为常见,术后除1例股骨颈骨折发生髋关节脱位,诱发心力衰竭加重死亡外,全部病例均未发生术口感染、下肢静脉血管栓塞、脑血管意外等、均顺利出院。结论:积极的围手术期评估和内科处理是老年髋部骨折手术治疗成功的关键或重要措施。Objective：Elderly orthopaedic hip fracture（mainly the femoral neck fracture and of intertrochanteric fractures）patients perioperative medical treatment method.Methods：Retrospective analysis of 62 elderly cases with hip fracture（mainly the femoral neck fracture and of intertrochanteric fractures）of patients with perioperative material,according to patients after surgery complications,complaints,joint function and X radiography evaluating medical treatment effect.Results：All patients according to clinical practice respectively for prosthesis replacement,and total hip replacement and DHS and the son was thick long fixation operation between three methods,preoperative 58 cases have a medical complications.One of the most common diseases in the cardiovascular system,in addition to a case of the femoral neck fracture dislocation of the hip happened,cause heart failure aggravating the death,all patients were not happen art mouth infection,lower limb vein embolization,cerebrovascular accident etc,all smooth discharge.Conclusion：Positive perioperative assessment and medical treatment is older with hip fracture surgical treatment for the key to success or important measures.

关 键 词：老年髋部骨折 骨科内固定 围手术期内科合并症 内科处理 

分 类 号：R683.3[医药卫生—骨科学]