合并心脏瓣膜疾病和血小板减少高龄患者髋部手术的麻醉与围术期管理  

Anesthesia and perioperative management of elderly patients with heart valve disease and thrombocytopenia undergoing hip surgery

作　　者：刘昂 苏斌 张孟元[2] 刁玉刚 王强[4] 梅伟[5] 安友仲[6] 刘利民[7] 尹春琳[8] 薛张纲 王天龙[10] Liu Ang;Su Bin;Zhang Mengyuan;Diao Yugang;Wang Qiang;Mei Wei;An Youzhong;Liu Limin;Yin Chunlin;Xue Zhanggang;Wang Tianlong(Department of Anesthesiology,Heze Municipal Hospital,Shandong Province,Heze 274031,China;Department of Anesthesiology,Shandong Provincal Hospital,Jinan 250021,China;Department of Anesthesiology,General Hospital of Northern Theater Command,Shenyang 110016,China;Department of Anesthesiology,the First Affiliated Hospital of Xi′an Jiaotong University,Xi′an 710061,China;Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Critical Care Medicine,Peking University People′s Hospital,Beijing 100044,China;Department of Orthopedics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]山东省菏泽市立医院麻醉科,274031 [2]山东省立医院麻醉科,济南250021 [3]北部战区总医院麻醉科,沈阳110016 [4]西安交通大学第一附属医院麻醉科,710061 [5]华中科技大学同济医学院附属同济医院麻醉科,武汉430030 [6]北京大学人民医院重症医学科,100044 [7]首都医科大学宣武医院骨科,北京100053 [8]首都医科大学宣武医院心脏内科,北京100053 [9]复旦大学附属中山医院麻醉科,上海200032 [10]首都医科大学宣武医院麻醉科,北京100053

出　　处：《中华麻醉学杂志》2021年第5期519-522,共4页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者男性,年龄85岁,因“左傩部肿胀疼痛活动受限4 h”入院。患者4 h前摔伤,左髓部着地,当即感左髓部疼痛剧烈,逐渐肿胀,活动受限。摔伤过程无意识丧失及心脏不适感。髋部X线检查示左股骨粗隆间骨折,急诊收入院,拟行股骨粗隆间骨折闭合复位髓内钉内固定术。

关 键 词：股骨粗隆间骨折 心脏瓣膜疾病 病史摘要 髋部手术 高龄患者 活动受限 围术期管理 血小板减少 

分 类 号：R614[医药卫生—麻醉学]