合并冠心病高龄患者股骨转子间骨折闭合复位内固定术的麻醉与围术期管理  

Anesthesia and perioperative management of a super-elderly patient with coronary heart disease undergoing femoral intertrochanteric fracture surgery

作　　者：夏苏云 严敏[1] 董樑[2] 薛张纲 王天龙[4] 肖鹏[5] 雷迁[6] 李龙云[7] 邵建林[8] Xia Suyun;Yan Min;Dong Liang;Xue Zhanggang;Wang Tianlong;Xiao Peng;Lei Qian;Li Longyun;Shao Jianlin(Department of Anesthesiology,The Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Cardiology,The Second Affiliated Hospital Zhejiang University School of Medicine,Hangzhou 310009,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Orthopedics,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Anesthesiology,Sichuan Provincial People′s Hospital,Chengdu 610072,China;Department of Anesthesiology,China-Japan Union Hospital of Jilin University,Changchun 130033,China;Department of Anesthesiology,First Affiliated Hospital of Kunming Medical University,Kunming 650031,China)

机构地区：[1]浙江大学医学院附属第二医院麻醉科,杭州310009 [2]浙江大学医学院附属第二医院心内科,杭州310009 [3]复旦大学附属中山医院麻醉科,上海200032 [4]首都医科大学宣武医院麻醉手术科,北京100053 [5]郑州大学第一附属医院骨科,郑州450052 [6]四川省人民医院麻醉科,成都610072 [7]吉林大学中日联谊医院麻醉科,长春130033 [8]昆明医科大学第一附属医院麻醉科,昆明650031

出　　处：《中华麻醉学杂志》2022年第10期1256-1259,共4页Chinese Journal of Anesthesiology

摘　　要：一、病例介绍1.病史摘要(1)一般情况:患者女性,年龄80岁,身高160 cm,体重60 kg。因"外伤致左髋疼痛、活动受限2 d"入院。患者2 d前不慎外伤致左髋疼痛,活动受限,疼痛呈锐痛,程度较剧,被动活动后加重,制动后疼痛减轻,伴左髋肿胀压痛,无肢体麻木,无恶心呕吐,无头痛头晕等其他不适。遂来本院就诊,查骨盆平片:左股骨转子间骨折。

关 键 词：股骨转子间骨折 病史摘要 骨盆平片 被动活动 髋疼痛 高龄患者 锐痛 活动受限 

分 类 号：R614[医药卫生—麻醉学]