A Retrospective Analysis Of The Perioperative Treatment Of337Orthopaedic Elder Patients

Objective:To emphasize on the importance of treatment of the perioperative, We study the cases of operative treatment for geriatric patients of orthopedic during hospitalization in November2007to November2011.Methods:We study the cases of operative treatment for geriatric patients of orthopedic during hospitalization nearly four years. By way of a retrospective study of337cases of typical cases, We found the common complication before the operation of chronic bronchitis, chronic pulmonary heart disease, obstructive emphysema, cardiac arrhythmia, hypertension, coronary artery disease, atherosclerosis, diabetes, hypoalbuminemia, anemia, stroke sequelae, pulmonary infection, urinary tract infection, benign prostatic hyperplasia, peptic ulcer, erosive drug-induced gastritis, psoriasis, cirrhosis, gallstones, hyperthyroidism, malignancy, depression, anxiety disorder, and so on, and the common complication following the operation of water and electrolyte disorders, abdominal distention, constipation, uroschesis, urinary tract infection, pulmonary infection, stress ulcer and gastrointestinal bleeding, delirium, deep venous thrombosis, pressure ulcers, cerebral infarction, and so on. Results:By way of examination and assessment, we found219cases have the chronic diseases before the operation, and89cases merge of two or more chronic diseases. After controlling disease,39cases given up surgery because of high risk, and the others successfully took the surgery. Postoperative,87cases of hypokalemia,77cases of hyponatremia,39cases of stress ulcer and gastrointestinal bleeding,27cases of nausea and vomiting,69cases of uroschesis,29cases of delirium,11cases of cerebral infarction,3cases of a large area of the cerebral infarction,19cases of deep venous thrombosis,5cases of myocardial infarction,36cases of pulmonary infection.16cases of them left voluntarily the hospital, and the others lasted out the perioperative safety after actively treatment.Conclusion:Through adequate pre-operative preparation and positive post-operative treatment, We can improve significantly the safety and success rate of surgery, and reduce medical disputes. Perioperative management occupies an important position in the surgical treatment. Orthopaedic doctor must strengthen the relevant knowledge of learning. At the same time also hope perioperative medical college was established in the perioperative or medical security team building, popularization, improve the perioperative management level, ensure medical safety.