Chinese Medical Sciences Journal ›› 2019, Vol. 34 ›› Issue (4): 289-291.doi: 10.24920/003517

• 病例报告 • 上一篇    下一篇

一位98岁高龄男性接受假体周围骨折手术的麻醉思路

陈思,裴丽坚()   

  1. 中国医学科学院北京协和医院麻醉科,北京 100730 中国
  • 收稿日期:2018-09-19 接受日期:2018-12-21 出版日期:2019-12-31 发布日期:2019-11-12
  • 通讯作者: 裴丽坚 E-mail:hazelbeijing@vip.163.com

Anesthetic Considerations in a 98-year-old Man with Periprosthetic Femoral Shaft Fracture

Chen Si,Pei Lijian()   

  1. Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2018-09-19 Accepted:2018-12-21 Published:2019-12-31 Online:2019-11-12
  • Contact: Pei Lijian E-mail:hazelbeijing@vip.163.com

摘要:

一位98岁老年男性患者曾接受过半髋关节置换术,发生了右股骨干假体周围骨折,并在入院3天后出现急性冠脉事件。患者手术中我们实施了股神经及股外侧皮神经阻滞联合全身麻醉。术后患者康复顺利。本病例报告中我们探讨了此类复杂情况下麻醉方法选择的主要思路。

关键词: 麻醉, 高龄, 假体周围骨折

Abstract:

A 98-year-old male patient with history of hemiarthroplasty suffered periprosthetic fracture of right femoral shaft and developed acute coronary event in three days after hospitalization. Femoral nerve and lateral femoral cutaneous nerve blocks combined with general anesthesia were implemented for the internal fixation surgery. The recovery was uneventful after discharge. In this case report, we discussed the main considerations of anesthesia specifically for this complicated case.

Key words: anesthesia, advanced age, periprosthetic fracture

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