It is so fast to deal with "the last fracture of life"!

"Hurry! It's really fast! I didn't expect to surgery so soon. My dad had only took less than a day from falling to surgery to complete. Now he recovered well. Hip fracture multi -disciplinary team. "Recently, at the ward of Zhongda Hospital affiliated to Southeast University, Grandpa Zhang, a centenarians with hip fractures, said gratefully after the multi -disciplinary treatment successful surgery. At present, Grandpa Zhang has been discharged smoothly.

Fulted accidentally late at night, and the centenary elderly people broke their hip fractures

Grandpa Zhang is a hero of the New Fourth Army. He is just 100 years old this year. He has always been tough and goes downstairs every day to exercise. However, a few days ago, when Grandpa Zhang watched at 12 o'clock at night, he dizzy and accidentally fell to the ground, causing pain in the left hip. In order not to disturb the children's rest, Grandpa Zhang did not tell them the first time. However, after falling, Grandpa Zhang had persistent acid and pain, and he did not apparently relieve it after rest. After all the dawn, Grandpa Zhang told the daughter who lived. When the family found that Grandpa Zhang's legs moved, the hip pain would increase, and the activity of the left lower limb was limited. So, hurriedly took Grandpa Zhang to the emergency medical treatment of the CUHK Hospital.

Open fast channels, multi -disciplinary joint surgery treatment

When I arrived at the CUHK Hospital, the doctor of orthopedic Shi Liu attended a comprehensive physical examination and imaging examination for Grandpa Zhang, and the preliminary diagnosis was a fracture between the left femoral rotor. Dr. Shi arranged for Grandpa Zhang to enter the fast channel of the elderly hip fracture emergency department, which further improved the comprehensive evaluation of hematological examination, thrombosis risk assessment, cardiac functional assessment, and elderly hip fractures. Comprehensive evaluation of Grandpa Zhang's physical conditions, and reporting the basic situation of Grandpa Zhang to the deputy director of the orthopedic department of the CUHK Hospital and the leading physician of the leader of the elderly hip fracture MDT, suggesting that it is best to surgery as soon as possible. At the same time, early analgesic and liquid supplement for Grandpa Zhang to ensure the surgery in advance. The surgery team also entered the "preparation state" and made all aspects of surgery preparation.

Prior to this, in the elderly hip fracture MDT group, the trauma orthopedic team had contacted Cui Ying, the nurse of the operating room in advance to coordinate the opening of the operation of the operation. "Patients intend to perform surgery today. Please pay attention to the teachers of the anesthesiology department ..." In the WeChat group of the elderly hip fracture multidisciplinary team, the patient's anesthesia has already begun to coordinate. At this time, Director Zhang Min has been notified to quickly prepare blood for surgery.

Time is the "vitality" that can better recover. Members of the elderly hip fracture and multi -disciplinary teams are preparing to surgery as soon as possible, open the fast channel, and all the surgery is ready. At 16 pm that day, the operation began. Director Rui Yunfeng led the attending physician Shi Liu and Dr. Dai Guangchun for the left femoral fracture closed and minimally invasive intramedalogy in intra -pillar. After 50 minutes, the surgery was successfully completed. It took less than 17 hours from Grandpa Zhang to the surgery.

"Patients are 100 years old, as well as basic diseases such as hypertension. After general anesthesia surgery, complications may occur. Director discussed. Before the operation, the team of Director Rui Yunfeng had communicated with the team of intensive medical medicine. After the operation, the patient directly entered the ICU fast channel after the operation room. Xu Jingyuan, deputy chief physician of the Department of Critical Medicine, paid close attention to Grandpa Zhang's postoperative condition, and the "crisis" may occur after the warning.

Some experts from the elderly hip fracture team view the patient recovery.

However, after a stable transition from intensive medical department to transfer to the general wounds of trauma orthopedics, new problems appeared again. After the surgery, Grandpa Zhang appeared symptoms such as shouting and screaming, nonsense, and other symptoms, and also had a lot of phlegm and not easy to cough. As a result, Grandpa Zhang turned to the systematic treatment of internal diseases for the elderly. Director Ren Liqun, director of the elderly medical department, led the team to formulate a precise treatment plan for Grandpa Zhang, controlling sputum and lung infections, treatment of basic diseases, and rehabilitation training. After more than ten days of multidisciplinary treatment, Grandpa Zhang recovered smoothly.

In the past six years, there have been more than a thousand elderly people, the oldest 104 years old

Director Rui Yunfeng pointed out that more and more domestic and foreign clinical evidence shows that surgical treatment for patients with hip fractures within 48 hours can significantly reduce the mortality of patients and increase the prognosis of patients. For these elderly patients, once the activity is limited after a fall, you should seek medical treatment as soon as possible and deal with it in a timely manner.

How to optimize the process, improve the efficiency of treatment, and win greater vitality to patients? To this end, the elderly hip fracture multidisciplinary diagnosis and treatment cooperation group of the elderly hospital of the University of China University of China University condenses the multi -disciplinary advantageous medical power, and the patients are managed by the centered process. Speed ​​up, efficient and precise, seamlessly connected. Director Rui Yunfeng introduced that emergency treatment is often the first level of patient treatment. Therefore, during the emergency treatment, optimizing the examination process, early analgesic, early inspection, early evaluation and early intervention provided full guarantee for early surgery. At the same time, the operating room is an elderly and high -risk Asian emergency surgery such as the elderly hip fracture, allowing patients to get surgery as soon as possible. Before surgery, submitted the patient to the patient after surgery to actively transfer to the application after surgery, seamlessly connected after surgery to transfer the patients, and the possibly complications of the patient after the warning patient were identified and treated as soon as possible. Regarding the merging of multiple diseases for elderly patients, experts from the elderly medical department will further actively treat them. For elderly hip fracture patients, the "acceleration" of all aspects of the entire process of treating the whole process will also help the "acceleration" of patients' recovery. According to reports, in August 2016, Zhongda Hospital took the lead in the establishment of an elderly hip fracture multidisciplinary comprehensive treatment collaboration group (MDT) composed of 18 member departments and 72 core members. The whole process of fracture of the elderly in the center and MDT mode. Over the past six years, the elderly hip fracture MDT team has successfully cured more than thousands of elderly hip fracture patients, with the largest age of 104, with an average age of 80.

The six -year clinical practice shows that the Chinese and University Hospital adopt the MDT model to manage the whole process of patients with hip fractures, which can minimize patients' pain, reduce the possibility of potential complications, allow more elderly people to stand up again, and have the opportunity to have the opportunity Continue to live a quality and dignified old age.

The old man has a sudden hip fracture, and the multi -disciplinary linkage as early as possible

Experts are particularly reminded that the elderly cannot get up immediately after falling down. They must first determine whether their consciousness is clear, whether the joints can move freely, whether there are bleeding, and whether there is incontinence in urine. Then, the body is properly moved, and you will not get up. If you can't get up, find the person around you or call 120 immediately for help.

Director Rui Yunfeng emphasized that the fracture of the elderly hip is called "the last fracture of life", which seriously endangers the health of the elderly and also causes a serious burden on the family and society. Therefore, it must attract great attention from the whole society. Once an elderly hip fracture occurs, active treatment should be actively treated. The patient can stand as soon as possible through the surgical minimally invasive or joint replacement surgery. Therefore, it is recommended that patients with hip fractures over 65 years of age should strive to admit to the hospital as soon as possible and surgery as soon as possible in order to obtain the best surgical effects and high -quality old age. (Liu Mincheng Shouqin)

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