| 储淼,周建刚.老年象皮肿病人行全髋关节置换术 1例[J].安徽医药,2022,26(6):1196-1198. |
| 老年象皮肿病人行全髋关节置换术 1例 |
| Total hip replacement in an elderly elephantiasis patient: a case report |
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| DOI：10.3969/j.issn.1009-6469.2022.06.032 |
| 中文关键词: 关节成形术，置换，髋 围手术期医护 肝素，低分子量 象皮肿 淋巴水肿 |
| 英文关键词: Arthroplasty, replacement, hip Perioperative care Heparin, low-molecular-weight Elephantiasis Lymphedema |
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| 中文摘要: |
| 目的总结罕见的老年象皮肿病人行全髋关节置换术的治疗经验。方法总结宜兴市人民医院骨科 2020年 4月收治的 1例老年象皮肿病人行全髋关节置换术围手术期的治疗与康复措施。结果 79岁老年女性，术前诊断:左股骨颈骨折、象皮肿。病人有着 22年下肢淋巴水肿病史。完善术前检查后行左全髋关节置换术，术前仔细备皮，术中无菌操作，术后予低分子肝素、间歇充气加压装置等防止血栓，予白蛋白、血浆支持治疗，病人恢复满意。结论积极的术前准备和多措施预防血栓是行全髋关节置换术的老年象皮肿病人围手术期治疗的关键。 |
| 英文摘要: |
| Objective To summarize the experience of treatment about total hip arthroplasty in elderly patients with elephantiasis. Methods The perioperative treatment and rehabilitation measures of total hip replacement for an elderly patient with elephantiasis inthe Department of Orthopedics, Yixing People's Hospital in April 2020 were collected and summarized.Results Preoperative diagnosis showed that a 79-year-old woman had left femoral neck fracture and elephantiasis. The patient had a 22-year history of lower extremity lymphedema. Total hip replacement was performed after preoperative examination. During perioperative period, carefully preoperative hair removal and sterile operation were taken to prevent infection, the treatment of low molecular heparin and intermittent air pressure device and other devices were taken to prevent thrombosis after surgery, albumin and plasma were used for support treatment. Thepatient recovered satisfactorily.Conclusion Active preoperative preparation and multiple measures to prevent thrombosis are key toperioperative management of elderly patients with elephantiasis undergoing total hip arthroplasty. |
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