| 摘要: |
| ［摘要］ 目的 探讨高龄患者骨折后精神异常的原因及治疗措施。方法 回顾性分析2010-07～2011-05骨折后出现精神异常的40例高龄患者（年龄≥75岁）的临床资料。结果 40例患者均为髋部骨折（包括股骨颈骨折及股骨粗隆间骨折），均合并一种至数种内科疾病。38例顺利完成手术治疗，1例不同意手术而采用骨牵引保守治疗，1例放弃治疗出院。34例精神异常患者发生在寒冬季节，占85.0%。结论 髋部骨折的高龄患者在天气寒冷时更易出现精神异常，采取预防措施并及时对症处理可以使患者平安渡过围手术期。 |
| 关键词: 高龄患者 骨折 精神异常 |
| DOI：10.3969/j.issn.1674-3806.2013.03.19 |
| 分类号:R 68 |
| 基金项目: |
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| Assessment of 40 elderly patients with psychosis after fracture |
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LI De-jian, ZHAO Feng
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Yulin Orthopaedic Hospital, Guangxi 537000, China
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| Abstract: |
| ［Abstract］ Objective To study the causes and treatment method of the elderly patients with psychosis after fracture.Methods A retrospective analysis was used for 40 elderly patients with psychosis after fracture in our hospital between July 2010 and May 2011.Results Forty patients with hip fracture (including femoral neck and intertrochanteric fracture) were complicated by one or two more internal diseases. 38 patients were treated by operation, 1 patient was treated by skeletal traction, 1 patient discharged due to abandoning treatment. In addition, psychosis happened in 34 cases, incidence rate was 85.0% during December 2010 and February 2011.Conclusion Elderly patients with hip fracture were commonly associated with psychosis in cold weather. These patients with psychosis should get through perioperative stage safely by prevention and reasonable treatment. |
| Key words: Elderly patient Fracture Psychosis |
