摘要
(1)一般情况:患者女性,年龄87岁,身高157 cm,体质量50 kg。因"左髋部疼痛、活动受限6 h"入院。患者6 h前在家中上卫生间时不慎跌倒,致左髋部疼痛、活动受限,无意识丧失,就诊于我院急诊。行X线检查后诊断为左股骨颈骨折,转入骨科拟行手术治疗。完善术前检查,心肌酶:hsTnI 305.2 pg/ml,BNP 454 pg/ml;心电图:窦性心动过速,心率104次/min,ST-T改变;心脏超声:节段性室壁运动异常、左心功能(收缩及舒张)减低,EF 46%、FS 23%、SV 45 ml。
作者
郭永梅
张玮玮
刁玉刚
李民
梅伟
苏力
尹春琳
郭连瑞
冯明利
薛张纲
王锷
王天龙
Guo Yongmei;Zhang Weiwei;Diao Yugang;Li Min;Mei Wei;Su Li;Yin Chunlin;Guo Lianrui;Feng Mingli;Xue Zhanggang;Wang E;Wang Tiaolong(Department of Anesthesia Surgery,Shanxi Provincial People′s Hospital,Taiyuan 030012,China;Department of Anesthesiology,Northern Theater Command General Hospital,Shenyang 110611,China;Department of Anesthesiology,Peking University Third Hospital,Beijing 100191,China;Department of Anesthesiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Department of Hematology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Vascular Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Orthopedics,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Anesthesiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Department of Anesthesia Surgery,Xiangya Hospital,Central South University,Changsha 410012,China;Department of Anesthesiology and Operating Theater,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《中华麻醉学杂志》
CAS
CSCD
北大核心
2023年第12期1523-1527,共5页
Chinese Journal of Anesthesiology
基金
山西省医师协会医师临床研究科研项(YSXH-RF2022MZ001)。
