老年股骨粗隆间骨折患者围手术期病死原因分析  

Analysis of Perioperative Death Causes in Aged Patients with Intertrochanteric Fracture

作　　者：张旭[1] 范永前[1] 林伟龙[1] 刘伟[1] 

机构地区：[1]复旦大学附属华东医院骨科,上海200040

出　　处：《中国临床医学》2014年第1期31-34,共4页Chinese Journal of Clinical Medicine

基　　金：上海市卫生局面上基金(编号:2009037)

摘　　要：目的:分析老年股骨粗隆间骨折患者围手术期病死的原因。方法:回顾分析343例股骨粗隆间骨折患者的临床资料,统计围手术期病死原因。结果:343例患者中,存活331例(存活组),围手术期病死12例(病死组),死因以肺部感染所致的心肺功能衰竭以及心脑血管系统疾病为主。病死组隐性失血量、美国麻醉医师协会(American Society of Anesthesiologists,ASA)评分、慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)发病率均高于存活组。其中,COPD患病率与病死有显著相关性(r=3.703,P=0.003)。结论:老年股骨粗隆间骨折患者围手术期死因多为肺部感染诱发的心肺功能衰竭以及心脑血管疾病,在围手术期内对这些疾病的积极防治有重要意义。Objective：To analyze the causes of perioperative death of aged patients with intertrochanteric fracture. Methods： The clinical datum of 343 patients with intertrochanteric fracture were retrospectively analyzed. Results： There were 331 patients in the survival group and 12 patients in the death group. The deaths were mostly caused by the cardiorespiratory failure which was induced by pneumonia, and cardiovascular or cerebrovascular diseases. The hidden blood loss, American Society of Anesthesiologists （ASA） score and the incidence of chronic obstructive pulmonary disease （COPD） in the survival group were significantly higher than those in the death group. The incidence of COPD had a significant correlation with death （r = 3. 703, P= 0. 003）. Conclusions： The death causes of aged patients with intertrochanteric fracture is mainly the cardiorespiratory failure induced by pneumonia, cardiovascular and cerebrovascular diseases, and it is important to controll them in perioperative period.

关 键 词：股骨粗隆间骨折 围手术期 病死原因 老年人 

分 类 号：R683.42[医药卫生—骨科学]