70 hip fractures in patients over the age of Perioperative.docVIP

 PAGE \* MERGEFORMAT 7 70 hip fractures in patients over the age of Perioperative Of: Liu Xinwei, Su Jiacan, pay Ratzinger, before Zhang, pipe Huapeng [Abstract] 144 cases of elderly patients with hip fractures were analyzed perioperative period. All the patients were successfully operated. Preoperative comprehensive, systematic and accurate assessment of elderly patients general condition, active and full preoperative preparation; after “ active, progressive, and enhance “functional exercise is the old style of hip fracture patients perioperative management focus. [Keywords:] hip fracture; perioperative period; old; fixation Clinical data 1 General Information of this group 144 cases, 65 cases of male and female 79 cases; age 70 to 86 years with an average age of 76. Which 69 cases of femoral neck fractures, according to Garden classification: 5 cases, , 16 cases, type 39 cases, 9 cases; 75 cases of intertrochanteric fractures by Evans type: , 3 cases, type 19 cases, type 43 cases, 5 cases, type in 5 cases. 58 cases complicated with hypertension, 37 cases of diabetes, coronary heart disease in 13 cases, 9 cases of Alzheimer’s disease, chronic obstructive pulmonary disease in 8 cases, 2 cases of hemiplegia caused by stroke, chronic renal insufficiency in 1 case, while there are 2 or more complications 19 cases. 2 treatment 2.1 people hospitalized after preoperative preparation translocation to give the fracture limb skin traction or tibial tubercle continuous traction (weight 1 / 10 ~ 1 / 7), fixed brake limbs, relieve pain; improve the general elderly patients admitted to hospital examination, after admission in patients with hypertension to control blood pressure in the basic principle within the normal range as little as possible to adjust their routine medication; diabetic patients to preoperative fasting blood glucose level lt;8.0mmol / L; cardiovascular disease through the heart function tests to understand the cardiac output,