摘要
目的:寻找中老年股骨颈骨折患者应用微创闭合复位空心钉固定治疗方法后出现精神状态下降、困倦、食欲下降现象原因,并探讨骨蜡封闭空心钉中空部以减少隐性失血量方法的可行性。方法:2010年1月-2012年12月病例共60例,前30例为常规操作组,后30例为骨蜡封闭组,通过对患者术日晨和术后3d血常规检查得出患者的红细胞压积、血红蛋白量,计量术中出血量,统计出患者常规操作情况下的隐性失血量及骨蜡封闭空心钉后的隐性出血量。结果:常规操作情况下,患者术中出血约60.2ml,术后隐性失血量约304ml,血红蛋白平均下降10.1g/L;骨蜡封闭空心钉组术中出血约67.6ml,术后隐性失血量140ml,血红蛋白平均下降5.3g/L。结论:微创闭合复位空心钉固定治疗股骨颈骨折是一种常见手术,但中老年患者术后出现精神状态下降、困倦、食欲下降现象,增加患者痛苦,应引起医务工作者重视;应用监测隐性失血量方法找到原因,术中用骨蜡封闭空心钉中空部能有效减少出血,适合术中采用。
Objective： Looking for middle-aged and old patients with femoral neck fracture application of minimally in- vasive treatment after closed reduction and cannulated screw fixation of mental decline, drowsiness, loss of appetite phenomenon reason, and to explore bone wax sealed hollow nail hollow department in order to reduce the hidden blood loss of the feasibility of the method. Methods：Between January 2010 and December 2012, a total of 60 patients, 30 cases of normal operation group and 30 cases of bone wax after closed, through to the patients after operation morning and three days routine blood test that patients of red blood cells deposited, hemoglobin quantity, measuring peri-operative bleeding, statistics a patient in normal operation of the implicit blood loss and bone wax closed carmulated screw the a- mount of blood loss after recessive.Results：In normal operation, the patients about 60. 2ml intmoperatie bleeding and postoperative recessive blood loss of about 304ml, hemoglobin average fell 10. 1g/L; bone wax closed intraoperatie bleeding hollow nails group about 67. 6ml, postoperative recessive blood loss 140ml, hemoglobin average fell 5. 3 g/L. Conclusion：Minimally invasive closed reduction and cannulated screw fixation for femoral neck fracture is a common op- eration, but the middle-aged and old patients with postoperative mental decline, drowsiness, loss of appetite phenome- non,increase patient pain and sufferings, which should be paid attention during medical workers; monitoring the hidden blood loss method is applied to find out why,and using bone wax sealed hollow nail hollow department can effectively reduce bleeding, suitable for operation.
出处
《医学理论与实践》
2013年第17期2257-2259,共3页
The Journal of Medical Theory and Practice
关键词
股骨颈
空心钉
隐性失血
微创
Femoral neck, Hollow nails, Recessive blood loss, Minimally invasive
