北京大学学报(医学版) ›› 2022, Vol. 54 ›› Issue (5): 803-809. doi: 10.19723/j.issn.1671-167X.2022.05.004

• 院士论坛 • 上一篇    下一篇

老年髋部骨折的围手术期风险评估

姜保国*(),张培训   

  • 收稿日期:2022-04-25 出版日期:2022-10-18 发布日期:2022-10-14
  • 通讯作者: 姜保国 E-mail:jiangbaoguo@vip.sina.com
  • 作者简介:姜保国,中国工程院院士,医学博士,教授,主任医师,博士生导师;国家杰出青年基金获得者、国家“973”项目首席科学家、国家创伤医学中心主任、中国创伤救治联盟主席、“创伤救治与神经再生”教育部重点实验室主任、北京大学创伤医学中心主任、北京大学骨科学系主任;曾任中华医学会创伤学分会第七届主任委员,现任中国医师协会创伤外科医师分会会长、中华医学会骨科学分会副主任委员、国际矫形与创伤外科学会中国分会副主席、中国医师协会肩肘外科工作委员会主任委员、中华医学会骨科学分会足踝外科学组组长。
    从事创伤临床医学研究30余年,致力于降低创伤致死率和致残率的学术研究,是我国临床多发伤救治领域的学术带头人,在周围神经损伤修复技术、关节周围骨折诊疗技术、严重创伤救治体系建设领域取得了重要成果。
    主持国家自然科学基金、国家重点基础研究发展计划(973计划)、国家高技术研究发展计划(863计划)、“十一五”国家科技支撑计划、卫生公益行业科研专项等多项课题。2006年度获国家杰出青年基金资助,2012年作为团队学术带头人获得教育部创新团队,2013年作为首席科学家获国家973计划项目。作为第一完成人获国家科学技术进步奖二等奖、教育部高等学校科学研究优秀成果奖(科学技术)技术发明一等奖和科技进步一等奖、中华医学科技进步奖一等奖。个人获中国工程院光华工程科技奖、何梁何利基金科学与技术进步奖、国际顾氏和平奖。2017年获“全国卫生系统先进工作者”称号,2020年荣获党中央、国务院、中央军委授予的“全国抗击新冠肺炎疫情先进个人”称号

保国 姜*(),培训 张   

  • Received:2022-04-25 Online:2022-10-18 Published:2022-10-14
  • Contact: 保国 姜 E-mail:jiangbaoguo@vip.sina.com

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关键词: 髋部骨折, 骨质疏松, 合并症, 并发症, 围手术期, 加速康复

中图分类号: 

  • R683.3

表1

修正版髋部骨折手术风险评估量表"

危险因素 评分 危险因素 评分
年龄 心律失常 3
    55~64岁 0 冠状动脉粥样硬化性心脏病 3
    65~74岁 6 低白蛋白血症
    75~84岁 8     血清白蛋白≥25 g/L 3
    ≥85岁 10     血清白蛋白 < 25 g/L 8
性别 水、电解质、酸碱平衡紊乱 3
    男 4 COPD 10
    女 0 CKD 4
原发性高血压 恶性肿瘤 2
    1级 2 心力衰竭
    2级及以上 6     NYHA Ⅰ级 3
糖尿病     NYHA Ⅱ级及以上 8
    术前血糖≤10.0 mmol/L 4 呼吸衰竭
    术前血糖>10.0 mmol/L 10     Ⅰ型 8
贫血     Ⅱ型 10
    血红蛋白含量≥90 g/L 3 肺部感染 8
    血红蛋白含量 < 90 g/L 8 凝血功能异常 3
中枢神经系统疾病 4 合计 104
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