目的 探索老年患者髋部骨折术后并发脑梗塞防治策略.方法 对38例老年患者髋部骨折术后并发脑梗塞进行临床资料分析,确诊脑梗塞后常规、急性期、后期等系统康复治疗,进行疗效分析.结果 术后随访时间6个月～8年,平均5.2年.死亡16例,22例均有不同程度的康复,其中15例生活能自理.结论 老年患者髋部骨折术后并发脑梗塞,避免一些医源性因素,术中、术后进行正确预防和治疗,有效地预防和治疗这种并发症.%Objective To explore the prevention and treatment strategies of the cerebral infarction after the hip fracture surgery in elderly patients. Methods The clinical data of 38 elderly patients with cerebral infraction after the hip fracture surgery were retrospectively analyzed, including routine treatment, acute stage treatment, and late stage rehabilitation after the diagnosis of cerebral infraction to conduct the efficacy analysis. Results Patients were followed up from 6 months to 8 years with an average of 5. 2 years. Sixteen patients died. Twenty-two patients recovered at different degree, including 15 patients with complete ability to take care themselves. Conclusion The cerebral infarction after the hip fracture surgery in elderly patients can be prevented and treated through avoiding the iatrogenic factors and the correct strategies during and post the operation.
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