张世民;赵向东;王宏宝;

• 1:同济大学附属杨浦医院骨科
• 2:同济大学附属杨浦医院老年医学科
• 3:同济大学附属杨浦医院心内科

摘要(Abstract)：

髋部骨折对生命力衰弱的老年人是一巨大打击。目前认为老年髋部骨折属于亚急诊疾病,及早手术、减少卧床时间,是降低患者死亡率和并发症的重要措施。但老年人整体机能衰退,器官合并症多,麻醉和外科手术对患者的机体储备是第二次打击。如何判别患者能否耐受手术,手术风险如何,是及早手术还是进一步内科调整,是摆在临床医生面前、需要快速回答的问题。本文介绍几个针对老年髋部骨折患者的手术风险评估量表(如合并症指数、衰弱指数等问卷量表)。术前用量表对每个患者进行风险评分和百分比估算,有针对性的进行风险告知和预后判断,对提高知情同意和医疗安全,有重要的临床价值。

关键词(KeyWords)： 老年髋部骨折;手术风险;风险评估;术后死亡;术后并发症;合并症指数;衰弱指数;评分量表

Abstract:

Keywords:

基金项目(Foundation): 上海市科委医学引导类基金资助(编号14411971900)

作者(Author): 张世民;赵向东;王宏宝;

Email:

DOI:

参考文献(References)：

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