伴有终末期肾病的股骨颈骨折围手术期管理进展

Progress in Perioperative Management of Femoral Neck Fractures with End-Stage Renal Disease

摘要: 为探讨终末期肾病的股骨颈骨折围手术期管理策略，对围手术期血液透析、呼吸道管理、预防性抗凝、抗生素使用、麻醉方案、骨质疏松治疗、血糖管理、血压管理及术后康复等方面进行总结。得出结论伴有终末期肾病的股骨颈骨折患者围手术期管理较为复杂，需要结合患者基础疾病类型，拟定个体化诊疗计划。主要计划应当涵盖围手术期透析计划、抗凝方案，抗感染方案，麻醉计划，呼吸道管理，血糖和血压管理，骨质疏松治疗和康复计划。

Abstract: In order to explore the perioperative management strategy of femoral neck fracture in end-stage renal disease, perioperative hemodialysis, respiratory management, prophylactic anticoagulation, antibiotic use, anesthesia regimen, osteoporosis treatment, blood glucose management, blood pressure management and postoperative rehabilitation were given. Conclusion: Perioperative management of femoral neck fracture patients with end-stage renal disease is complicated, and individualized diagnosis and treatment plan should be developed according to the basic disease types of patients. The main program should cover perioperative dialysis program, anticoagulation program, anti-infection program, anesthesia program, respiratory management, blood sugar and blood pressure management, osteoporosis treatment and rehabilitation program.