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1病例报告患者女,62岁。因摔伤致右髋部疼痛、肿胀、活动受限3h后入院就诊。患者既往有高血压病史5年,未规律服药,无心、脑、肾等疾病。查体:体温36.6℃,心率(HR)79/min,血压(BP)130/80mmHg,呼吸(R)17次/min,心肺无明显异常。心电图(ECG)大致正常;下肢X线片检查显示,右股骨颈骨折,诊断为右股骨颈骨折。拟在腰硬联合麻醉下行右股骨颈骨折闭合复位内固定,腰硬联合麻醉成功后,患者取平卧位,固定于牵引床上,在手术医师进行透视过程中,患者突然咳嗽,HR 123/min,
A case report patient female, 62 years old. Due to falls caused by right hip pain, swelling, limited mobility 3h after admission. Patients with a history of 5 years of history of hypertension, irregular medication, no heart, brain, kidney and other diseases. Examination: body temperature 36.6 ℃, heart rate (HR) 79 / min, blood pressure (BP) 130 / 80mmHg, breathing (R) 17 beats / min, no significant cardiopulmonary abnormalities. Electrocardiogram (ECG) roughly normal; lower extremity X-ray examination showed that the right femoral neck fracture, the diagnosis of the right femoral neck fracture. The right femoral neck fracture under intestine and waist anesthesia is to be closed and reset and internal fixation is performed. After the combined spinal and epidural anesthesia is successful, the patient is supine and fixed on the traction bed. During the fluoroscopic procedure, the patient coughs suddenly. HR 123 / min ,