丰县人民医院勇闯高龄手术麻醉“禁区”，成功为97岁老人实施手术
<div class="wx_rich_media_content" id="jsWxContainer"><section style='line-height: 1.6; box-sizing: border-box; text-align: justify; font-size: 16px;'><section style='text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; margin-top: 50px; margin-bottom: 10px; box-sizing: border-box;' powered-by="xiumi.us"><section style='display: inline-block;vertical-align: top;width: auto;flex: 0 0 0%;height: auto;line-height: 0;z-index: 3;box-sizing: border-box;'><section style='text-align: left; margin-right: 0%; margin-left: 0%; box-sizing: border-box;' powered-by="xiumi.us"><section style='display: inline-block;width: 16px;height: 16px;vertical-align: top;overflow: hidden;background-color: rgba(255, 255, 255, 0);border-width: 1px;border-radius: 26px;border-style: solid;border-color: rgb(152, 186, 189);box-sizing: border-box;'><div style='text-align: center;'></div><svg viewBox="0 0 1 1" style='float:left;line-height:0;width:0;vertical-align:top;'></svg></section></section></section><section style='display: inline-block; vertical-align: top; width: auto; flex: 0 0 0%; height: auto; margin-left: -8px; line-height: 0; box-sizing: border-box;'><section style='text-align: left; margin-right: 0%; margin-left: 0%; box-sizing: border-box;' powered-by="xiumi.us"><section style='display: inline-block;width: 16px;height: 16px;vertical-align: top;overflow: hidden;background-color: rgb(251, 228, 151);border-width: 0px;border-radius: 26px;border-style: none;border-color: rgb(62, 62, 62);box-sizing: border-box;'><svg viewBox="0 0 1 1" style='float:left;line-height:0;width:0;vertical-align:top;'></svg></section></section></section></section><section style='text-align: center;line-height: 1.8;letter-spacing: 1.8px;color: rgb(8, 99, 154);box-sizing: border-box;' powered-by="xiumi.us"><p style='box-sizing: border-box;'>高龄骨折患者常常被认为是</p><p style='box-sizing: border-box;'>麻醉和手术的“禁区”</p><p style='box-sizing: border-box;'>因为高龄导致各系统功能减弱</p><p style='box-sizing: border-box;'>且往往患有多种疾病</p><p style='box-sizing: border-box;'>麻醉和手术风险非常之高</p><p style='box-sizing: border-box;'>对施术者是一大挑战</p><p style='box-sizing: border-box;'>近日</p><p style='box-sizing: border-box;'>我院麻醉手术科、骨科</p><p style='box-sizing: border-box;'>成功为97岁超高龄患者</p><p style='box-sizing: border-box;'>顺利完成骨折手术和围术期麻醉管理</p></section><section style='text-align: center;margin-top: 10px;margin-bottom: 10px;line-height: 0;box-sizing: border-box;' powered-by="xiumi.us"><br></section><p style='box-sizing: border-box;' powered-by="xiumi.us"><br style='box-sizing: border-box;'></p><section style='text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; margin-bottom: 40px; box-sizing: border-box;' powered-by="xiumi.us"><section style='display: inline-block; width: 95%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; border-top: 3px solid rgb(255, 185, 187); border-bottom: 3px solid rgb(255, 185, 187); height: auto; padding-right: 20px; padding-left: 20px; box-sizing: border-box;'><section style='text-align: left; justify-content: flex-start; display: flex; flex-flow: row nowrap; margin-top: 10px; margin-bottom: 10px; box-sizing: border-box;' powered-by="xiumi.us"><section style='display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; min-width: 5%; max-width: 100%; height: auto; line-height: 0; padding-right: 5px; box-sizing: border-box;'><section style='transform: perspective(0px);-webkit-transform: perspective(0px);-moz-transform: perspective(0px);-o-transform: perspective(0px);transform-style: flat;box-sizing: border-box;' powered-by="xiumi.us"><section style='text-align: center; transform: rotateY(180deg); line-height: 0; box-sizing: border-box;'><section style='max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 21px;height: auto;box-sizing: border-box;'><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 288.279 254.107" width="100%" style='max-width: 100%;width: 100%;box-sizing: border-box;'><g style='box-sizing: border-box;'><g style='box-sizing: border-box;'><path d="M288.279,254.107,68.215,127.054,288.279,0ZM80.3,127.054,282.236,243.643V10.465Z" fill="rgb(62,62,62)" style='box-sizing: border-box;'></path><polygon points="0 124.499 211.001 246.32 211.001 2.677 0 124.499" fill="rgb(255,207,85)" style='box-sizing: border-box;'></polygon></g></g></svg></section></section></section></section><section style='display: inline-block;width: auto;vertical-align: middle;align-self: center;flex: 0 0 auto;min-width: 5%;max-width: 100%;height: auto;padding: 3px 20px;background-color: rgb(255, 207, 85);box-sizing: border-box;'><section style='text-align: justify;color: rgb(255, 255, 255);box-sizing: border-box;' powered-by="xiumi.us"><p style='box-sizing: border-box;'><strong style='box-sizing: border-box;'>病例回顾</strong></p></section></section></section><section style='margin-top: 10px; margin-bottom: 10px; box-sizing: border-box;' powered-by="xiumi.us"><section style='text-align: justify;letter-spacing: 2px;line-height: 1.8;color: rgb(8, 99, 154);box-sizing: border-box;'><p style='box-sizing: border-box;'>患者李奶奶，97岁，在家行走时不慎摔倒，左侧髋部着地，行走困难，遂就诊骨科门诊。经入院查体和医学影像学检查后，确诊为“左侧股骨粗隆间骨折”，收入我院骨科一病区治疗。<br style='box-sizing: border-box;'></p><p style='box-sizing: border-box;'>如采用保守治疗，长期卧床容易发生压力性损伤、尿路感染、肺部感染等并发症，生活质量几乎无从谈起。经骨科一病区医师团队综合评估，向患者及家属交代病情，征得同意后，决定为老人施行“左股骨粗隆间下骨折闭合复位内固定术”，提高晚年生活质量。</p></section></section><section style='text-align: right; margin-bottom: 10px; line-height: 0; transform: translate3d(15px, 0px, 0px); box-sizing: border-box;' powered-by="xiumi.us"><section style='max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 32.3828px;height: auto;box-sizing: border-box;'><svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" viewBox="0 0 103.69 70" style='max-width: 100%;width: 100%;box-sizing: border-box;' width="100%"><g style='box-sizing: border-box;'><g style='box-sizing: border-box;'><polygon points="-0.13,6.58 -0.13,48.86 21.01,48.86 15.37,70 42.15,48.86 42.15,6.58" fill="rgb(251,228,151)" style='box-sizing: border-box;'></polygon><path style='stroke: rgb(143, 255, 0);stroke-width: 0.4698;stroke-miterlimit: 10;box-sizing: border-box;' d="M-9,4.47" fill="none"></path><polygon points="42.15,6.81 -0.13,6.81 6.44,0.23 48.73,0.23" fill="rgb(185,211,249)" style='box-sizing: border-box;'></polygon><polygon points="48.73,42.28 48.73,0 42.15,6.58 42.15,48.86" fill="rgb(185,211,249)" style='box-sizing: border-box;'></polygon></g><g style='box-sizing: border-box;'><polygon points="54.83,6.58 54.83,48.86 75.97,48.86 70.33,70 97.11,48.86 97.11,6.58" fill="rgb(251,228,151)" style='box-sizing: border-box;'></polygon><path style='stroke: rgb(143, 255, 0);stroke-width: 0.4698;stroke-miterlimit: 10;box-sizing: border-box;' d="M45.96,4.47" fill="none"></path><polygon points="97.11,6.81 54.83,6.81 61.4,0.23 103.69,0.23" fill="rgb(185,211,249)" style='box-sizing: border-box;'></polygon><polygon points="103.69,42.28 103.69,0 97.11,6.58 97.11,48.86" fill="rgb(185,211,249)" style='box-sizing: border-box;'></polygon></g></g></svg></section></section></section></section><section style='margin-bottom: 20px; box-sizing: border-box;' powered-by="xiumi.us"><section style='color: rgb(8, 99, 154);letter-spacing: 2px;font-size: 20px;box-sizing: border-box;'><p style='text-align: center; box-sizing: border-box;'><strong style='box-sizing: border-box;'><span style='color: rgb(255, 185, 187);box-sizing: border-box;'>高龄不是“拦路虎”</span></strong></p><p style='text-align: center; box-sizing: border-box;'><span style='font-size: 18px; box-sizing: border-box;'>多科室协作 打破年龄壁垒</span></p></section></section><section style='text-align: center; justify-content: center; display: flex; flex-flow: row nowrap; margin-top: 40px; margin-bottom: 30px; box-sizing: border-box;' powered-by="xiumi.us"><section style='display: inline-block; width: 95%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; height: auto; padding: 20px; border-style: solid; border-width: 3px; border-color: rgb(255, 185, 187); box-shadow: rgb(182, 182, 182) 0px 0px 5px 0px; box-sizing: border-box;'><section style='transform: perspective(0px);-webkit-transform: perspective(0px);-moz-transform: perspective(0px);-o-transform: perspective(0px);transform-style: flat;box-sizing: border-box;' powered-by="xiumi.us"><section style='text-align: right; margin-top: -17px; line-height: 0; transform: translate3d(-17px, 0px, 0px) rotateY(180deg); box-sizing: border-box;'><section style='max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;width: 31.7839px;height: auto;box-sizing: border-box;'><svg xmlns="http://www.w3.org/2000/svg" viewBox="0 0 222.743 222.743" width="100%" style='box-sizing: border-box;'><g style='box-sizing: border-box;'><g style='box-sizing: border-box;'><polygon points="222.743 222.743 175.021 222.743 175.021 47.723 0 47.723 0 0 222.743 0 222.743 222.743" style='box-sizing: border-box;' fill="rgb(68, 92, 154)"></polygon></g></g></svg></section></section></section><section style='margin-top: 10px;margin-bottom: 10px;line-height: 0;box-sizing: border-box;' powered-by="xiumi.us"><section style='max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;box-sizing: border-box;'><span class="wxart_image" wx-style='display:inline-block;vertical-align: middle;max-width: 100%;width: 100%;box-sizing: border-box;'></span></section></section><section style='margin-top: 10px; margin-bottom: 10px; box-sizing: border-box;' powered-by="xiumi.us"><section style='text-align: justify;letter-spacing: 2px;line-height: 1.8;color: rgb(8, 99, 154);box-sizing: border-box;'><p style='box-sizing: border-box;'>接到手术通知后，麻醉手术科耿川副主任立即组织麻醉及护理团队进行科内讨论。因患者年纪大，全身各器官无论在生理结构，还是在功能上均有明显“老化”，还伴有慢性阻塞性肺病、冠状动脉粥样硬化性心脏病、脊柱侧弯等基础性疾病，有潜在血栓和肺炎等并发症的风险。</p><p style='box-sizing: border-box;'>麻醉团队从<span style='box-sizing: border-box;'>手术方案、麻醉计划、麻醉方式的选择到术中麻醉的管理、术后病人的康复、围手术期可能出现的并发症等方面</span>，为这位超高龄患者做出准确、全面的麻醉术前评估及风险预案，因为脊柱侧弯，无法实施椎管内麻醉，于是麻醉科权衡利弊，最终选择的方案是在麻醉深度监测、体温监测、动脉监测等完善监测的情况下，采取气管插管复合多模式镇痛的麻醉方案，术中加强生命体征以及内环境的监测调整，对患者进行精准的麻醉管理。</p></section></section><section style='margin-top: 10px;margin-bottom: 10px;line-height: 0;box-sizing: border-box;' powered-by="xiumi.us"><section style='max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;box-sizing: border-box;'><span class="wxart_image" wx-style='display:inline-block;vertical-align: middle;max-width: 100%;width: 100%;box-sizing: border-box;'></span></section></section><section style='margin-top: 10px; margin-bottom: 10px; box-sizing: border-box;' powered-by="xiumi.us"><section style='text-align: justify;letter-spacing: 2px;line-height: 1.8;color: rgb(8, 99, 154);box-sizing: border-box;'><p style='box-sizing: border-box;'>结果证明，该方案是最适合这位老人的麻醉方案，在骨科、麻醉科、手术室护理团队的密切配合下，手术很快顺利完成。术后在复苏室，麻醉护士对患者生命体征进行严密的观察和监测，直至达到平稳状态，陪伴老人度过术后最关键的一小时。回到病房后，通过骨科一病区医护团队全方位的照护，并积极指导术后功能锻炼，几天后，老人顺利康复出院。临行前，老人及其家属对我院医护人员精湛的医疗技术、高尚的医德素质、完善的护理服务质量赞不绝口！<br style='box-sizing: border-box;'></p></section></section></section></section><section style='text-align: center;margin-top: 10px;margin-bottom: 10px;line-height: 0;box-sizing: border-box;' powered-by="xiumi.us"><section style='max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;box-sizing: border-box;'><span class="wxart_image" wx-style='display:inline-block;vertical-align: middle;max-width: 100%;width: 100%;box-sizing: border-box;'></span></section></section><section style='margin-top: 10px; margin-bottom: 10px; box-sizing: border-box;' powered-by="xiumi.us"><section style='letter-spacing: 2px; line-height: 1.8; color: rgb(8, 99, 154); padding-right: 20px; padding-left: 20px; box-sizing: border-box;'><p style='box-sizing: border-box;'>近年来，我院高龄手术病人逐年增多，为80岁以上的高龄患者实施手术麻醉已成常态，90岁以上患者亦不是特例。高龄患者合并症多﹑病情复杂﹑麻醉风险大，这些超高龄患者手术麻醉的顺利实施，是我院麻醉技术、手术技术不断提升，以及多科配合、医护合作的结果，标志着我院技术实力又上新台阶！</p></section></section><section style='margin-top: 20px; box-sizing: border-box;' powered-by="xiumi.us"><section style='text-align: center;font-size: 14px;color: rgb(255, 156, 163);letter-spacing: 2px;box-sizing: border-box;'><p style='box-sizing: border-box;'><strong style='box-sizing: border-box;'>— END —</strong></p></section></section></section></div><p></p> 丰县人民医院的技术杠杠的 为人民服务、像所有医务人员致敬 点赞丰县人民医院骨科！！ 点赞麻醉科{:13_581:}{:13_581:}{:13_581:} 厉害了 厉害了 那么大岁数了，还受这个罪吗 为技艺高明的白衣天使点赞。 为丰县人民医院骨科点赞！ 厉害了 真厉害啊 技术高 医术精湛 点赞丰县人民医院骨科！
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