PBIM (135) № 2 2022

Subject of the article

НАСКОЛЬКО НЕОБХОДИМА ОПТИМИЗАЦИЯ ВЕДЕНИЯ БОЛЬНЫХ С ПЕРЕЛОМОМ ШЕЙКИ БЕДРЕННОЙ КОСТИ? (214-223)

Authors

Рузикулов Олим Шодиевич1, Жураев Илхом Гуломович2, Хамидов Обид Абдурахманович2, Келдияров Алишер Худоярович1, Мансуров Джалолидин Шамсидинович2, Садуллаев Озод Абдуолим угли2

Institution

1 - Самарканский филиал Республиканского специализированного научно-практического медицинского центра травматологии и ортопедии, Республика Узбекистан, г. Самарканд; 2 - Самаркандский государственный медицинский университет, Республика Узбекистан, г. Самарканд

Abstract

Пациенты с переломами шейки бедренной кости, как правило, пожилые люди с несколькими сопутствующими заболеваниями. При поступлении в стационар у них часто отмечают острую боль, электролитные нарушения, анемию, коагулопатию и делирий. Повышенная смертность связана с длительным временем ожидания операции. Баланс между количеством клинических тестов и оптимизацией, которая может (т. е. меньше осложнений и лучшая выживаемость) или не может (т. е. больше осложнений и повышенная смертность из-за ненужной хирургической задержки) принести пользу пациенту. В этом кратком обзоре будут рассмотрены существующие клинические рекомендации и соответствующие избранные исследования для оценки степени предоперационной оптимизации, необходимой перед хирургическим вмешательством при переломе шейки бедренной кости.

Key words

перелом шейки бедренной кости, пациенты с сопутствующей патологией, оптимизация травматологической помощи.

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