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

doi:10.24920/003517

Your Location：

Home >

Browse articles >

一位98岁高龄男性接受假体周围骨折手术的麻醉思路

中国医学科学杂志（英文版） 2019年34卷第4期页码：289-291

Case Report | Updated：2024-04-10

- 一位98岁高龄男性接受假体周围骨折手术的麻醉思路
- Affiliations：
  
  Department of Anesthesiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
- Author bio：
  
  *, E-mail: hazelbeijing@vip.163.com
- Funds：
- DOI：10.24920/003517
  中图分类号：
- 收稿日期：2018-09-19，
  
  录用日期：2018-12-21，
  
  网络出版日期：2019-11-12，
  
  纸质出版日期：2019-11-12
- Accepted：
Scan QR Code
陈思, 裴丽坚. 一位98岁高龄男性接受假体周围骨折手术的麻醉思路[J]. 中国医学科学杂志（英文版）, 2019,34(4):289-291.

Chen Si, Pei Lijian. Anesthetic Considerations in a 98-year-old Man with Periprosthetic Femoral Shaft Fracture[J]. Chinese medical sciences journal, 2019, 34(4): 289-291.
陈思, 裴丽坚. 一位98岁高龄男性接受假体周围骨折手术的麻醉思路[J]. 中国医学科学杂志（英文版）, 2019,34(4):289-291. DOI： 10.24920/003517.

Chen Si, Pei Lijian. Anesthetic Considerations in a 98-year-old Man with Periprosthetic Femoral Shaft Fracture[J]. Chinese medical sciences journal, 2019, 34(4): 289-291. DOI： 10.24920/003517.

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。

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.

关键词

Keywords

references

El-Zayat BF , Ruchholtz S , Efe T , et al . NCB-plating in the treatment of geriatric and periprosthetic femoral fractures . Orthop Traumatol Surg Res 2012 ; 98 ( 7 ): 765 - 72 . doi: 10.1016/j.otsr.2012.05.014 1001-9294-34-4-289/j.otsr.2012.05.014 .

Lindahl H . Epidemiology of periprosthetic femur fracture around a total hip arthroplasty . Injury 2007 ; 38 ( 6 ): 651 - 4 . doi: 10.1016/j.injury.2007.02.048 1001-9294-34-4-289/j.injury.2007.02.048 .

Ricci WM . Periprosthetic femur fractures . J Orthop Trauma 2015 ; 29 ( 3 ): 130 - 7 . doi: 10.1097/BOT.0000000000000282 1001-9294-34-4-289/BOT.0000000000000282 .

Luger TJ , Kammerlander C , Luger MF , et al . Mode of anesthesia, mortality and outcome in geriatric patients . Z Gerontol Geriatr 2014 ; 47 ( 2 ): 110 - 24 . doi: 10.1007/s00391-014-0611-3 1001-9294-34-4-289/s00391-014-0611-3 .

Li Z , Long H , Huang F , et al . Impact of epidural versus general anesthesia on major lumbar surgery in elderly patients . Clin Spine Surg 2019 ; 32 ( 1 ): E7 - E12 . doi: 10.1097/BSD.0000000000000708 1001-9294-34-4-289/BSD.0000000000000708 .

Carrión S , Costa A , Ortega O , et al. Complications of oropharyngeal dysphagia: malnutrition and aspiration pneumonia. In: Ekberg O (Editor) . Dysphagia. Switherland: Springer, Cham ; 2019 . p. 823 - 57 .

Tada A , Miura H . Prevention of aspiration pneumonia (AP) with oral care . Archiv gerontol Geriatrics 2012 ; 55 ( 1 ): 16 - 21 . doi: 10.1016/j.archger.2011.06.029 1001-9294-34-4-289/j.archger.2011.06.029 .

Aw D , Sahota O . Orthogeriatrics moving forward . Age Ageing 2014 ; 43 ( 3 ): 301 - 5 . doi: 10.1093/ageing/afu011 1001-9294-34-4-289/ageing/afu011 .

Rashid RH , Shah AA , Shakoor A , et al . Hip fracture surgery: does type of anesthesia matter . BioMed Res Int 2013 ; 2013 : 252356 . doi: 10.1155/2013/252356 1001-9294-34-4-289/2013/252356 .

浏览量

288

Downloads

CSCD

文章被引用时，请邮件提醒。

Submit

关联资源

Anesthesia Management at Fuwai Hospital:Practice, Evidence and Outcomes

Evaluation of Burnout Among Anesthesiologists Working in Tibet, China: Altitude and Attitude