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| 老年骨折伴心血管疾病患者手术危险因素分析 | |
| 引用本文： | 何伟东 李松军 柯楚群 许鸿灏 黄新宇. 老年骨折伴心血管疾病患者手术危险因素分析[J]. 医师进修杂志, 2005, 28(12): 15-16,28 |
| 作者姓名： | 何伟东 李松军 柯楚群 许鸿灏 黄新宇 |
| 作者单位： | 江门市人民医院骨科,529000 |
| 摘 要： | 目的探讨分析合并心血管疾病老年骨折患者的手术风险及其影响因素。方法回顾性分析192例合并心血管疾病的老年骨折患者的临床资料，采用微机多因素分析处理。结果老年骨折伴心血管疾病病人手术危险性大，有显著影响的因素依次为手术时间长、心血管病种类、心功能差和手术部位。结论对围手术期危险性作充分评估，严格掌握手术适应证，选择适当的手术时机，对心血管疾病作相应处理，能降低手术风险。 |
| 关 键 词： | 心血管疾病 骨折 危险因素 老年 手术治疗 |
| 收稿时间： | 2005-05-23 |
| 修稿时间： | 2005-05-23 |
Analysis ot operative risk factors ot elderly fracture patients |
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| HE Wei - dong , LI Song - jun , KE Chu - qun,et al.. Analysis ot operative risk factors ot elderly fracture patients[J]. Journal of Postgraduates of Medicine, 2005, 28(12): 15-16,28 | |
| Authors: | HE Wei - dong LI Song - jun KE Chu - qun et al. |
| Affiliation: | Department of Orthopaedics, The Peoples Hospital of Jiangmen City, Jiangmen 529000, China |
| Abstract: | Objective To investigate operative risk and influencing factors of the elderly fracture patients with cardiovascular disease. Methods From 1998 to 2003,192 cases of elderly fracture patients with cardiovascular disease were reviewed,Multiple factor analysis was employed. Result The operative risk was high in the elderly fracture patients,the significant influencing factors were long time of operation,categories of cardiovascular disease, cardiac insufficiency and operating cite in turn. Conclusions Adequate valuation of the operative risk factors preoperatively, selecting the indication for operation strictly, fixing the proper time of operation and treatment for cardiovascular diseases,can decrease the surgical operation risk. |
| Keywords: | Cardiovascular disease Fracture Risk factors |
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