新型冠状病毒肺炎疫情期间老年髋部骨折患者的诊治体会

Experience in diagnosis and treatment of elderly patients with hip fractures during epidemic period of Coronavirus Disease 2019

  • 摘要:
      目的  探讨新型冠状病毒肺炎(COVID-19)疫情期间老年髋部骨折患者的诊治体会。
      方法  在COVID-19疫情期间,结合国家及上海市COVID-19防治规范以及患者病情,本院2020年2—4月共收治老年髋部骨折患者58例,其中股骨粗隆间骨折39例,股骨颈骨折19例。采用手术治疗48例,采用保守治疗10例。
      结果  58例老年髋部骨折患者中,46例体温正常,12例体温高于37.3℃,经排查后均排除了COVID-19疑似可能性。采取手术治疗的48例患者术后切口愈合良好,均顺利康复出院。
      结论  在充分考虑COVID-19疫情下的医疗安全以及患者获益情况,采用多种防控手段相结合的诊治方式,可以保证老年髋部骨折患者得到良好的治疗。

     

    Abstract:
      Objective  To investigate the experience in diagnosis and treatment of elderly patients with hip fractures during the epidemic period of Coronavirus Disease 2019 (COVID-19).
      Methods  During the epidemic period of COVID-19, totally 58 elderly patients with hip fractures were treated in our hospital from February to April 2020 under the guidance of the National and Shanghai government's standards for prevention and control of COVID-19 as well as patients' conditions. Among the 58 patients, there were 39 cases of intertrochanteric fractures and 19 cases of femoral neck fractures, and 48 cases were treated by operation and 10 cases by conservative treatment.
      Results  Among the 58 elderly patients with hip fractures, 46 cases had normal body temperature, 12 cases had more than 37.3 ℃ of body temperature, and their suspected possibility of COVID-19 was excluded after investigation. A total of 48 patients with surgical treatments had good wound healing, and all of them recovered and discharged smoothly.
      Conclusion  In the condition of fully consideration on the medical safety and benefits of patients during the epidemic period of COVID-19, the combination of various prevention and control measures can ensure that the elderly patients with hip fractures are treated well.

     

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