79-year-old man fell and fractured during home isolation, medical staff performed surgery under tertiary protection

Hip fractures in the elderly are known as “the last fracture in life”, and the risk and fatality rate are very high. Recently, the Department of Trauma and Tissue Repair of Dalian Central Hospital has joined hands with multiple departments to successfully complete the surgical treatment for an elderly man with hip fracture who has a variety of common diseases of the elderly under the three-level protection, without causing the accident to fall. A lifetime regret for the patient’s family.

Recently, 79-year-old Ms. Li and her family have been quarantined at home after returning from Shanghai with her family. On April 4, Ms. Li accidentally fell at home and was rushed to Dalian Central Hospital by 120 ambulance. Although it was a holiday, due to the special situation of the patient, Geng Lili, director of the Department of Infectious Diseases, rushed to the hospital as soon as possible to instruct relevant departments and strictly follow the requirements for patient management in the isolation ward to improve the preoperative examination. On the other hand, Lu Ming, director of trauma and tissue repair surgery, and Zhang Shuang, assistant to the director, who came to the consultation, discussed the surgical treatment plan according to the patient’s situation.

After multidisciplinary consultation, it is believed that only through surgical treatment can the patient get out of bed as soon as possible, so as to avoid further damage to the heart, lungs, urinary system, etc. caused by bed rest, and the consequences of long-term bed rest will be unimaginable. Since the patient has a history of hypertension for more than 40 years and is also associated with various diseases such as atrial fibrillation, heart failure, cerebral infarction, etc., anesthesia is difficult, and performing such operations under tertiary protection also has higher skills for the operator. Require. After discussion and judgment, Duan Wenjian, deputy director of the Department of Anesthesiology, specially formulated a personalized anesthesia plan for the patient, which minimized the disturbance to the patient’s physical state and greatly improved the safety of the operation. Under the leadership of Zhang Shuang, the medical staff in the anesthesiology department and the second operating room worked together to perform operations on patients under three-level protection. Although protective clothing, N95 masks, goggles, face screens, double gloves, etc. It was inconvenient, but the medical staff always completed each surgical step calmly and rigorously. The operation was successfully completed in just over 40 minutes. After the operation, under the careful care of the medical staff in the isolation ward, the patient’s condition gradually improved.

Peninsula Morning News, 39 Degrees Video Reporter Huang Fengtong