16例老年股骨粗隆间骨折院内死亡原因分析

目的分析老年股骨粗隆间骨折住院患者死亡原因。为降低老年股骨粗隆间骨折死亡率和提高治愈率提供依据。方法回顾性分析医院2004年1月至2013年12月所有60岁以上的股骨粗隆间骨折的住院患者，制作死亡病例调查表，将所得数据进行分析处理。结果死亡者主要是80岁以上的高龄患者，死亡原因主要是肺部感染继发呼吸衰竭．其次是心脑血管疾病和低蛋白及水电解质紊乱的患者。结论高龄和肺部感染继发呼吸衰竭等内科疾病是老年股骨粗隆间骨折患者的主要死亡原因．骨折创伤及卧床使内科疾病加重甚至导致死亡。因此，积极处理内科疾病是降低死亡率．提高治愈率的关键。

Objective To analyze the cause of in-patients who were intertrochanteric fractures of femur in elder death.Provide a basis for reducing the mortality rate and improving the cure rate of the elderly femoral intertrochanteric fractures.Methods A retrospective analysis of intertrochanteric fracture in-patients over 60 years in our hospital from January 2004 to December 2013, then making deaths questionnaire and the resulting data for analytic processing.Results The main cause of death is respiratory failure secondary to pulmonary infection,followed by cardiovascular and cerebrovascular diseases,low protein and water and electrolyte disorders in patients who died more than 80 years.Conclusion The elderly and respiratory failure secondary to pulmonary infection and other medical diseases are the leading cause of death in elderly patients with fractures intertrochanteric fracture trauma and bedridden making medical illness aggravated or even death.Therefore,the active treatment medical illness is of the key to reduce mortality and improve the cure rate.