病例报告：一名100岁新冠病毒检测呈阳性的髋部骨折患者在脊髓麻醉下接受半髋关节置换术。
Case Report: 100-year-old COVID-positive Hip Fracture Patient for Hemiarthroplasty Under Spinal Anesthesia.
作者信息
Beathe Jonathan C, Memtsoudis Stavros G
机构信息
Hospital for Special Surgery, New York, NY, USA.
Weill Cornell Medicine, New York, NY, USA.
出版信息
Gerontol Geriatr Med. 2020 Sep 19;6:2333721420956766. doi: 10.1177/2333721420956766. eCollection 2020 Jan-Dec.
Elderly patients undergoing hip fracture surgery represent a myriad of perioperative challenges and risks. The arrival of the global pandemic of novel coronavirus disease 2019 (COVID-19) adds an unprecedented challenge to the management of hip fracture patients. We describe the unique experience and favorable outcome of a 100-year-old COVID-positive hip fracture patient that underwent spinal anesthesia for hemiarthroplasty and subsequent hydroxychloroquine (HCQ) therapy. Multiple factors of varying known benefit may have contributed to our outcome, including preoperative medical consultation and assessment, early surgical intervention, regional anesthesia with little to no sedation, early mobilization and HCQ therapy.
接受髋部骨折手术的老年患者面临着众多围手术期挑战和风险。2019年新型冠状病毒病（COVID-19）全球大流行的到来给髋部骨折患者的管理带来了前所未有的挑战。我们描述了一位100岁的COVID阳性髋部骨折患者的独特经历和良好结局，该患者接受了半髋关节置换术的脊髓麻醉及随后的羟氯喹（HCQ）治疗。多种已知益处各异的因素可能促成了我们的结果，包括术前医学咨询与评估、早期手术干预、几乎不使用或不使用镇静剂的区域麻醉、早期活动及HCQ治疗。
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