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[1986 - 1990年期间华沙铁路医院创伤骨科病房收治的股骨近端骨折患者的流行病学及治疗结果]

[Epidemiology of proximal femur fracture and results of therapy in patients treated at the Orthopedic-Trauma Ward of the Railway Hospital in Warsaw in the years 1986-1990].

作者信息

Niedziółka J, Hoszowski K, Gawron J, Lachowicz W, Wachowiak A, Lorenc R S

机构信息

Oddziału Ortopedyczno-Urazowego, Warszawie.

出版信息

Pol Tyg Lek. 1993 Nov;48 Suppl 3:61-4.

PMID:8309843
Abstract

A retrospective analysis included 441 hospitalized patients with fractures of the proximal femoral bone, treated at the orthopedic-traumatology ward in 1986-1990. Such patients constituted 9.12% of all patients treated during those years. There were 313 women aged between 26 and 99 years (mean 77.4 years) and 128 men aged between 30 and 95 years (mean 68.3 years). Fractures were more frequent in women than in men (rate 2.4:1). Four hundred four patients (91.6%) were treated surgically. Mortality rate in this group was about 10% whereas in patients treated conservatively--approximately 66%. Locomotive functions were restored in the majority of patients under 80 years of age. Mean hospitalization time was 22 days. Mean cost per patient in zlotys treated surgically was 4.97 million in 1990, and 8.3 million in 1992.

摘要

一项回顾性分析纳入了1986年至1990年期间在骨科创伤病房接受治疗的441例股骨近端骨折住院患者。这些患者占这些年所有接受治疗患者的9.12%。其中有313名女性,年龄在26岁至99岁之间(平均77.4岁),128名男性,年龄在30岁至95岁之间(平均68.3岁)。骨折在女性中比在男性中更常见(比例为2.4:1)。404例患者(91.6%)接受了手术治疗。该组的死亡率约为10%,而保守治疗患者的死亡率约为66%。大多数80岁以下患者的运动功能得以恢复。平均住院时间为22天。1990年手术治疗的患者人均费用为497万兹罗提,1992年为830万兹罗提。

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