PFNA treatment of intertrochanteric fractures of the safety of 46 cases of intraoperative care.doc

 PAGE \* MERGEFORMAT 15 PFNA treatment of intertrochanteric fractures of the safety of 46 cases of intraoperative care [Abstract] reviewed and summarized 46 cases of intertrochanteric fractures PFNA elderly patients in the nursing of surgical patients, from preoperative preparation and intraoperative management of two aspects of security were summarized and analyzed. That adequate preoperative preparation, intraoperative close monitoring, correct posture care, strict aseptic management of safety management, smooth operations, reducing the incidence of complications and ensure the operation safety. [Keywords:] intertrochanteric fractures; elderly patients; Care Intertrochanteric fracture, also known as intertrochanteric fracture, femoral neck from the base means to a small part of the rotor above the level of the fracture occurred, the injury is common in the elderly, accounting for 3.57% of body fractures [1]. Since the elder people with physical dysfunction and disease and more risk and difficulty of surgery significantly increased the close observation of nurses in surgery and with the more important. our hospital in June 2008 -2009 in June of 46 cases of intertrochanteric fractures in elderly patients PFNA closed reduction and internal fixation surgery went well and achieved satisfactory results after operation. now Intraoperative nursing care are described below. 1 Clinical data 1.1 General Information The group of 46 patients, 27 males and 19 females; age 65 to 96 years, mean 78.1 years old. The left side in 22 cases, the right side of 24 cases. The causes of injury: falls 40 patients, traffic accident in 4 cases, falling from height injuries, 2 cases were closed fractures. fractures according to AO classification, A1, 8 cases, A2 type 29 cases, A3 type in 9 cases. preoperative hypertension in 32 cases, 11 cases of diabetes, heart disease, 28 cases , 16 cases of stroke sequelae, chronic bronchitis, emphysema in 27 cases, 36 cases of osteopor