CAJ | 학술논문

目的：调查分析老年髋部骨折患者术后需转ICU治疗的原因与转归。方法回顾性分析2008年2月-2013年2月98例髋部骨折术后转入ICU治疗老年患者的临床资料。结果术后早期因术中失血多、循环障碍转ICU 27例，全麻后呼吸功能不全转ICU 25例，严重肺部感染14例，急性心力衰竭10例，术后严重老年性精神障碍7例，肺栓塞4例，消化道应激性溃疡2例，术后脑血栓复发2例，其他多种原因8例。转入ICU后经监护治疗，好转转回骨科者56例，因基础疾病需继续治疗转内科等相关科室者28例，病情加重自动出院者8例，抢救无效死亡者6例。结论对于出现危重并发症的老年骨折患者，早期、及时和积极地转入ICU进行专业的监护和治疗，可以改善患者的症状，收到满意的治疗效果。
목적：조사분석노년관부골절환자술후수전ICU치료적원인여전귀。방법회고성분석2008년2월-2013년2월98례관부골절술후전입ICU치료노년환자적림상자료。결과술후조기인술중실혈다、순배장애전ICU 27례，전마후호흡공능불전전ICU 25례，엄중폐부감염14례，급성심력쇠갈10례，술후엄중노년성정신장애7례，폐전새4례，소화도응격성궤양2례，술후뇌혈전복발2례，기타다충원인8례。전입ICU후경감호치료，호전전회골과자56례，인기출질병수계속치료전내과등상관과실자28례，병정가중자동출원자8례，창구무효사망자6례。결론대우출현위중병발증적노년골절환자，조기、급시화적겁지전입ICU진행전업적감호화치료，가이개선환자적증상，수도만의적치료효과。
Objective To investigate and analyze the factors and outcomes of the ICU admission for elderly patients after hip fracture surgery .Methods A retrospective study was carried out from February 2008 to February 2013.Totals of 98 cases of elderly patients after hip fracture surgery were admitted to ICU and their data was collected .Results Twenty-seven cases admitted to ICU because of excessive loss of blood or circulatory disorder; Twenty-five cases transferred to ICU due to respiratory insufficiency after anesthesia;Fourteen cases had severe pulmonary infection; Ten cases had acute heart failure; Seven cases had severe postoperative cognitive dysfunction; Four cases had pulmonary embolism; Two cases suffered from gastrointestinal ulcer;Two cases suffered from postoperative cerebral thrombosis recurrence; Eight cases were admitted to ICU because of other various health problems .Treated in ICU, fifty-six cases recovered; Twenty-eight cases transferred to other department due to underlying diseases;Eight cases discharged from ICU of their own accord; Six cases died after emergency treatment .Conclusions For elderly patients with serious postoperative complications , strict preoperative assessment and aggressive treatment of the underlying disease can improve the symptom of elderly patients and achieve a satisfactory therapeutic effect .