Sasaki Sumire, Chan Wing Sang, Ng Tony Kwun-Tung, Sham Penelope
From the Pain Management Unit, Department of Anaesthesia and Intensive Care, Tuen Mun Hospital, Tuen Mun, Hong Kong.
A A Pract. 2018 Aug 1;11(3):60-62. doi: 10.1213/XAA.0000000000000732.
Severe pain after a hip fracture commonly delays hospital discharge and poses significant nursing problems in patients who are not surgical candidates. We present ultrasound-guided pericapsular hip alcohol neurolysis of the articular branches of the femoral and obturator nerves as a novel approach in the treatment of severe pain after hip fracture. This technique provided excellent pain relief in a 94-year-old patient with intertrochanteric hip fracture until her death 2 months later.
髋部骨折后的剧痛通常会延迟患者出院，并且给那些不适合手术的患者带来重大护理问题。我们提出对股神经和闭孔神经的关节支进行超声引导下髋关节囊周酒精神经溶解术，作为治疗髋部骨折后剧痛的一种新方法。该技术为一名94岁转子间髋部骨折患者提供了极佳的疼痛缓解，直至她两个月后去世。
