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目的分析脑血栓后遗症老年人股骨粗隆间骨折的围手术期治疗效果。方法 32例脑血栓后遗症老年人股骨粗隆间骨折患者,其中2例在入院不久后再发大面积脑梗死,出现意识障碍,转入内科进行治疗。其余30例均接受微创股骨近端防旋髓内钉(PFNA)治疗。手术后给予围手术期治疗,观察效果。结果 30例患者进行3~6个月的随访,1例患者在手术3个月后突发心肌梗死导致死亡,2例患者在手术4个月后再发脑梗死导致死亡,其余27例患者的骨折得到愈合,3个月后完全康复。结论对于脑血栓后遗症老年人股骨粗隆间骨折患者,要对围手术期的治疗予以重视,及早进行治疗,术后早期让患者离床,能够减少并发症、降低死亡率。
Objective To analyze the effect of perioperative treatment of femoral intertrochanteric fracture in elderly patients with cerebral thrombosis sequelae. Methods Thirty-two patients with senile patients with cerebral thrombosis and sequelae of intertrochanteric fracture of intertrochanteric fractures were involved. Two of them received large-area cerebral infarction shortly after admission and had unconsciousness and transferred to medical department for treatment. The remaining 30 patients underwent minimally invasive proximal femoral nailing (PFNA) treatment. Perioperative treatment given after surgery to observe the effect. Results Thirty patients were followed up for 3 to 6 months. One patient died of sudden myocardial infarction 3 months after operation. Two patients died of cerebral infarction after 4 months of operation. The remaining 27 patients The fracture is healed and fully recovered after 3 months. Conclusion For elderly patients with cerebral thrombosis sequelae of femur intertrochanteric fractures, attention should be paid to the perioperative treatment, early treatment, early after the patient out of bed, can reduce complications and reduce mortality.