Garstin W I, Brown J G, Taylor T C, Howe J P
Ulster Med J. 1987 Apr;56(1):39-44.
One hundred and one patients underwent surgical correction of fractures of the proximal femur under spinal anaesthesia. There were 14 deaths in the first three months following surgery. Advancing age, poor pre-anaesthetic status, reduced pre-operative mobility and deteriorating mental function were reliable prognostic indicators of fatal outcome. Spinal anaesthesia for this type of surgery may well be the technique of choice because it avoids the use of drugs which depress the respiratory, cardiac and central nervous system. It also reduces the need for potent post-operative analgesics with similar depressant effects, and may afford some protection against thromboembolic complications. The very low early mortality in this series testifies to the safety of the anaesthetic technique.
101例患者在脊髓麻醉下接受了股骨近端骨折的手术矫正。术后前三个月有14例死亡。年龄增长、麻醉前状态不佳、术前活动能力下降和精神功能恶化是致命结局的可靠预后指标。对于这类手术，脊髓麻醉很可能是首选技术，因为它避免使用会抑制呼吸、心脏和中枢神经系统的药物。它还减少了对具有类似抑制作用的强效术后镇痛药的需求，并且可能对血栓栓塞并发症提供一定的保护。本系列中极低的早期死亡率证明了麻醉技术的安全性。
