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87岁高龄、重度贫血、高血压、曾有两次因心脏衰竭致抢救的病史，因“右股骨颈骨折”辗转求医一个多月后，医院成功接受了右髋人工关节置换术，目前朱阿婆已经可以在助行器的帮助下独立行走了。今天上午，她特地走到二病区张薇薇护士长的面前，“姑娘帮我看看，我今天是不是走的比昨天更稳当了呀？”欣喜的表情就像一个刚拿到新玩具的孩子。
朱阿婆是4月5日在家摔伤的，诊断也很明确，就是右股骨颈骨折。可阿婆的求医路走的并不平坦，医院都认为年事已高，而且有很多基础疾病的她，并不适合手术治疗。
“阿婆这样的情况，如果不手术的话，她今后的日子就只能在床上度过了。但长期卧床造成的并发症可能很快就会要了她的命。
这也是为什么高龄患者股骨颈骨折被称作‘人生最后一次骨折’的原因。”关节科张文桥医师告诉小编。
医院做出进行手术这个决定的原因和底气又是什么呢？
▲朱阿婆术前拍片
01
“看着患者就这么回家，作为医生我们于心不忍。”关节科沈烈军主任在科内评估的基础上，特地邀请了麻醉科、老年护理科、质控办等相关科室的主任一起对阿婆进行了细致的术前评估。评估会开的并不顺利，大家的评估意见并不统一，那么阿婆到底能不能上手术台呢？
很快这个病例被上报到李展振院长手里。在听取了评估组意见的基础上，展振院长亲自为阿婆进行了诊察，仔细分析了阿婆的各项生理指标、骨折部位的X光片，这位有三十余年行医经验的骨伤大咖已经成竹在胸，“这个手术可以做，各部门要做好充分的术前准备，尽量缩短手术时间，确保手术安全。”
作为一台计划中的择期手术，二病区护理团队在张薇薇护士长的带领下，给予了阿婆更多的北京中科医院假北京中科白癜风医院平安医院
