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首页> 外文期刊>Open Journal of Urology >Analysis of Perioperative Complications of Surgery for Proximal Femur Fracture in Elderly Patients Older than 75 Years
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Analysis of Perioperative Complications of Surgery for Proximal Femur Fracture in Elderly Patients Older than 75 Years

机译：75岁以上老年人股骨近端骨折手术围手术期并发症分析

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Background: In elderly patients with femoral neck fracture, functional recovery is affected largely by preoperative underlying diseases and postoperative complications. The present study was designed to analyze the relationship between preoperative underlying diseases and perioperative complications of surgery for proximal femur fracture. Methods: The study involved 86 patients aged 75 years or older, who underwent surgery for proximal femur fracture. Each patient was examined for the presence of preoperative underlying diseases and preoperative biochemical test data. Moderate and severe complications, which were life-threatening and necessitated treated, were investigated during the perioperative period. A retrospective analysis was conducted on the relationship of preoperative underlying diseases and preoperative biochemical data with the moderate or severe complications that developed during the perioperative period. Results: Eighty-one patients developed a preoperative underlying disease, with hypertension being most frequent (42 cases). Complications during the perioperative period were observed in 58 patients, with anemia develops most frequently (23 cases). Moderate or severe complications during the perioperative period were observed in 16 patients, and infection was the most frequent complication (8 cases). In the statistical analysis, a significant difference in the incidence of moderate or severe perioperative complications was observed only in the users of anticoagulants/antiplatelet drugs. Discussion: Patients of preoperative use of anticoagulants/antiplatelet drugs should be closely managed medically so that perioperative medical complications can be managed.
机译：背景：在老年股骨颈骨折患者中，功能恢复很大程度上受术前基础疾病和术后并发症的影响。本研究旨在分析股骨近端骨折术前基础疾病与围手术期并发症之间的关系。方法：该研究纳入了86名年龄在75岁以上的患者，这些患者因股骨近端骨折而接受了手术。检查每位患者的术前基础疾病和术前生化测试数据。在围手术期研究了危及生命并必须治疗的中度和严重并发症。回顾性分析术前基础疾病和术前生化数据与围手术期发生的中度或重度并发症的关系。结果：81例患者发生了术前基础疾病，其中高血压最常见（42例）。围手术期并发症58例，贫血最常见（23例）。 16例患者在围手术期出现中度或重度并发症，其中感染是最常见的并发症（8例）。在统计分析中，仅在使用抗凝剂/抗血小板药物的使用者中观察到中度或重度围手术期并发症发生率的显着差异。讨论：术前使用抗凝药/抗血小板药的患者应进行严格的医学管理，以便可以围手术期处理医疗并发症。

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