高龄髋部骨折患者围手术期并发症的原因分析及护理

Perioperative complications from old patients with hip fractures

目的 :探讨预防高龄髋部骨折患者围手术期并发症的护理。方法 :对 1992年 5月至 2 0 0 2年 5月 12例高龄髋部骨折患者发生的围术期并发症进行分析 ,并提出相应的护理措施。结果 :要减少围手术期并发症的发生 ,必须 :( 1)对手术耐受性、风险性做出估计 ,适当选择手术时机 ;( 2 )积极控制并存病 ;( 3 )防止呼吸、泌尿系感染及褥疮 ;( 4)防止深静脉血栓 ;( 5 )防止人工股骨头脱位 ;( 6)维持营养、电解质及酸碱平衡 ;( 7)功能锻炼。结论 :做好围手术期的护理 。

Objective:To investigate nursing about perioperative complications from old patients with hip fracture and reduce complications incidence.Method:12 cases with perioperative complications had been analyzed,certain relative nursing measures had been put out.Result:Complications include:5 cases pulmonary infection 1 case urinary infection,1 case DVT(deep veinous thrombembolism),2 case dislocation of prosthesis.Conclusion:Careful perioperative nursing is crux for prevention from perioperative nursing.