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髋部骨折手术老年虚弱患者的关键注意事项。

Key Considerations for Frail Patients Undergoing Hip Fracture Surgery.

作者信息

Dumitriu Ana-Maria, Ene Rǎzvan, Mirea Liliana

机构信息

Faculty of Medicine, "Carol-Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Anaesthesiology and Intensive Care Clinic, Clinical Emergency Hospital Bucharest, 105402 Bucharest, Romania.

出版信息

Clin Pract. 2024 Oct 23;14(6):2256-2266. doi: 10.3390/clinpract14060177.

DOI:10.3390/clinpract14060177
PMID:39449385
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11503422/
Abstract

Improving preoperative care for elderly patients with hip fractures is crucial for achieving the best outcomes. A multidisciplinary team that can improve overall care quality by addressing patient's medical conditions, analgesia, timely surgery, and early postoperative mobilization is required. This narrative review provides insights regarding the extent of preoperative optimization needed for hip fracture surgery.

摘要

改善老年髋部骨折患者的术前护理对于取得最佳治疗效果至关重要。需要一个多学科团队，通过解决患者的医疗状况、镇痛、及时手术和早期术后活动来提高整体护理质量。这篇叙述性综述提供了有关髋部骨折手术所需术前优化程度的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5907/11503422/9d978c8eceba/clinpract-14-00177-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5907/11503422/79f83b626482/clinpract-14-00177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5907/11503422/9d978c8eceba/clinpract-14-00177-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5907/11503422/79f83b626482/clinpract-14-00177-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5907/11503422/9d978c8eceba/clinpract-14-00177-g002.jpg

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本文引用的文献

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2
Severe Hyponatremia Correction, Mortality, and Central Pontine Myelinolysis.严重低钠血症的纠正、死亡率和脑桥中央髓鞘溶解症。
NEJM Evid. 2023 Oct;2(10):EVIDoa2300107. doi: 10.1056/EVIDoa2300107. Epub 2023 Sep 26.
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Epidemiology of Hip Fractures Due to Falls.跌倒导致髋部骨折的流行病学。
Medicina (Kaunas). 2023 Aug 24;59(9):1528. doi: 10.3390/medicina59091528.
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Bone Cement Implantation Syndrome: A Rare Disaster Following Cemented Hip Arthroplasties-Clinical Considerations Supported by Case Studies.骨水泥植入综合征：骨水泥型髋关节置换术后罕见的严重并发症——基于病例研究的临床思考
J Pers Med. 2023 Sep 15;13(9):1381. doi: 10.3390/jpm13091381.
5
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Lancet Haematol. 2023 Sep;10(9):e747-e755. doi: 10.1016/S2352-3026(23)00163-1. Epub 2023 Jul 28.
6
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