The seventies of the elderly fractures, and multi -discipline collaborates to help them pass the difficulties

Grandma You, a 73 -year -old, is a patient with a history of heart disease for many years. He has been treated many times for atrial fibrillation and insufficient heart function.

Two months ago, she accidentally slipped in the bathroom at home. At that time, she felt the fierce pain in the hip joint on the right. She couldn't get up and stood. The family quickly sent the old man to the hospital.

Due to Grandma You's own basic diseases, in addition to heart problems such as atrial fibrillation and left heart failure, there are also hyperthyroidism, pulmonary edema, hypertension, hypertropacteria, hypertropenia, anxiety and depression, etc. Symptoms of conservative treatment, but the symptoms of hip pain, chest tightness, and dizziness still have not improved.

In order to obtain better treatment, Grandma You has traveled to several large hospitals. Because of the age and the basic diseases of the medicine, the risk of femoral head surgery did not dare to decide easily.

Occasionally, the family members saw a report from Director Lu Weijie, the joint surgery of the first hospital affiliated to Guangzhou Medical University, so he hugged the outpatient clinic of Director Lu Weijie.

"Because patients are old and merged with various basic diseases, if you choose conservative treatment, you need to bed for 2-3 months, which will lead to a variety of bed complications, which may endanger patients' life safety. Only by surgical treatment can the patient recover for the patient , But the high risk of surgery may have a blow to the patient's cardiopulmonary function. "

After fully understanding Grandma You's condition, Director Lu Weijie invited many disciplinary teams such as cardiovascular medicine, respiratory department, anesthesia surgery, etc. to discuss.

Director of Cardiovascular Medico Bichei found that Grandma You turned out to be his own "old sickness". "Patients have a history of hyperthyroidism. They used to diagnose hyperthyroidism heart disease in the Department of Endocrinology of our hospital. Here here. "Director Luo Bihui believes that with the current cardiovascular conditions of patients, if the femoral head surgery is performed, the risk of anesthesia is very high. The timing. "

After nearly one week of careful treatment and care after the cardiovascular department of cardiovascular medicine, Grandma You's condition is stable. After multiple disciplines such as joint surgery and anesthesia surgery, it is confirmed that the patient can tolerate surgery and formulate an individualized comprehensive treatment plan for her. "Considering the patient's condition, we adopt a rotor fracture closed and closed to the proximal intra -intra -intra -intra -intramed fixed surgery scheme, surgical minimally invasive, and relieve the pain of the elderly." Complete this operation.

Due to the number of patients with internal medicine, in order to ensure safety, Grandma You spent the most critical ICU monitoring period in the ICU. Under careful care, the patient's internal department was stable and the wound healed well.

Osteoporosis is a common disease of the elderly, which seriously affects the quality of life of the elderly. The greatest harm is to cause fractures, especially the high incidence of hip fractures, high disability rate, high medical expenses, low quality of life quality Features, becoming the "nightmare" of elderly friends.

"It is found in the clinic that there are many cases of hip fractures in the 80s and 90 -year -old people. There are many basic diseases such as such groups and difficulty in treatment. They often need multidisciplinary cooperation to allow patients to accept surgery and safe safely. After surgery, resume walking ability, and gain better life quality. "Director Lu Weijie suggested that for patients with fractures of this type of age and basic diseases "The last fracture of life" is no longer terrible.

(Guide expert: Lu Weijie, deputy chief physician of Li Weijie and Li Zhichen, the First Affiliated Hospital of Guangzhou Medical University)

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