|本期目录/Table of Contents|

[1]夏俊杰,金晓均,龚 清,等.68例老年髋部骨折术后并发症的防治[J].医学研究与战创伤救治(原医学研究生学报),2008,10(01):10-12.
 XIA Jun-jie,JIN Xiao-jun,GONG Qing,et al.The prevention and management of postoperative complications of 68 cases with hip fracture in elders[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2008,10(01):10-12.
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68例老年髋部骨折术后并发症的防治()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第10卷
期数:
2008年01期
页码:
10-12
栏目:
出版日期:
2008-01-20

文章信息/Info

Title:
The prevention and management of postoperative complications of 68 cases with hip fracture in elders
文章编号:
1672-271X(2008)01-0010-03
作者:
夏俊杰金晓均龚 清郑隆宝
解放军第117医院,浙江杭州 310004
Author(s):
XIA Jun-jieJIN Xiao-junGONG QingZHENG Long-bao
The 117th Hospital of PLA,Hangzhou 310004,Zhejiang,China
关键词:
老年髋部骨折并发症防治
Keywords:
Aged Hip fracture Complication Prevention and management
分类号:
R683.42
DOI:
-
文献标志码:
A
摘要:
目的 探讨老年髋部骨折术后并发症的防治。方法 对我科2004年1月~2007年1月68例65岁以上老年髋部骨折切开复位内固定术患者 术后1周持续监护,就其出现的并发症及治疗进行回顾性分析。结果 66例治愈出院,2例死亡,其中1例死亡原因为肺部感染,另1例为顽固性心律失常。病死率为2.9%。结论 老年 髋部骨折患者术前充分准备及术后并发症的防治是提高手术成功率的关键。
Abstract:
Objective To evaluate the prevention and management of postoperative complications of hip fracture in elders.Methods All 68 cases over 65 years old with hip fracture received operative treatment from January 2004 to January 2007.The condition of careful general monitoring and treatment were last for one week after operation.Results 66 cases were cured,and 2 cases(2.9%)died after operation(death of respiratory tract infection and refractory arrhythmia).Conclusion The preparation of through preoperation and postoperative complications of hip fracture in elders are important to improve the successful rate of operation.

参考文献/References:

[1]Titiun Y,Eshkol Z,Horesh Z,et al.Operative mortality in sur- gery for hip fractures [J].Harefuah, 2000,139(1-2):18-22.
[2]Detsky AS, McLaughlin JR, Baker JP, et al. What is subje- ctive global assessment of nutritional status [J]? J Parenter Enteral Nutr, 1987, 11(1):8-13.
[3]Hochberg MC,Chang RW, Dwosh I,et al.The American Col- lege of Rheumatology 1991 revised criteria for the classification of global functional status in rheumatoid arthritis [J]. Arthritis Rheum, 1992,35(5):498 -502.
[4]Lawrence VA,Hilsenbeck SG,Noveck H,et al. Medical comp- lications and outcomes after hip fracture repair [J].Arch Intern Med,2002,162(18):2053-2057.
[5]陈华德,余 薇,赖 文,等.大面积烧伤病人胃肠内外营养支持治疗的临床研究[J].中国现代医学杂志,2000,10(11):11-13.
[6]Eneroth M,Olsson UB,Thorngren KG. Nutritional supplem- entation decreases hip fracture-related complications [J]. Clin Orthop Relat Res, 2006,451:212-217.
[7]Pedersen PU. Nutritional care: the effectiveness of actively involving older patients [J]. J Clin Nurs, 2005,14(2):247-255.
[8]Fisher L, Fisher A, Pavli P, et al. Perioperative acute upper gastrointestinal haemorrhage in older patients with hip fracture: incidence, risk factors and prevention [J].Aliment Pharmacol Ther, 2007,25(3):297-308.
[9]Bitsch MS, Foss NB, Kristensen BB, et al. Acute cognitive dysfunction after hip fracture: frequency and risk factors in an optimized, multimodal, rehabilitation program[J].Acta Anaesthesiol Scand,2006,50(4):428-436.
[10]任艳萍,蔡焯基,马 辛,等.老年性谵妄临床特征及相关因素分析[J].中国神经精神疾病杂志,2000,26(5):268.

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备注/Memo

备注/Memo:
浙江省科技攻关计划项目(2006C33011)
更新日期/Last Update: 2013-11-22