"It was the last shot when G7 was scorched behind in the finals,
It's also the morning light we waited for after a long night."
This is a patient
After a lot of hardships
After being refused surgery by multiple hospitals
Finally in the First Affiliated Hospital of Zhejiang University School of Medicine
After regaining hope
Written from the heart
Behind this
What kind of story is hidden?
The 62-year-old Taizhou aunt fell and then...
62-year-old Taizhou Chen auntie (pseudonym), some time ago, the mood was like a roller coaster, because of the hip fracture caused by wrestling, because of the basic conditions of the body is extremely poor, was rejected by many hospitals. However, on the verge of despair, Professor Hu Yihao, director of the Department of Orthopedics at the First Affiliated Hospital of Zhejiang University School of Medicine, asked her to return to normal life.
Aunt Chen worked in a public institution when she was young, conscientious, and her husband was very affectionate, and her only daughter had always been excellent. But what she did not expect was that when she was young, she was in very good health, and began to be about 40 years old, but she was successively hit by the "critical blows" of life: uremia required long-term dialysis, hypertension, pulmonary hypertension, heart hypertrophy, liver cirrhosis... After retiring, Aunt Chen came to her daughter's house in Hangzhou and lived with them.
In early November 2021, in an accident, Aunt Chen fell, and felt the pain from her left ass to her thigh, and she sat paralyzed on the ground and could not stand up. Her family rushed her to a hospital near her home, where she was eventually diagnosed with a fractured left femur neck after a series of emergency examinations.
Fractures of the proximal femur (including femoral neck fractures and intertrochanteric femur fractures) are also called hip fractures, but they have a more terrible name – the last fracture in their lives. In fact, the hip fracture itself is not directly life-threatening, but if you do not perform surgery, you need to stay in bed for a long time, which will lead to the elderly lung secretions, sputum can not be discharged, resulting in lung infection or pleural effusion; long-term bed rest and lead to blood flow in both legs can not move, slowly stasis, and eventually form a thrombus, the embolism runs everywhere with the blood flow, resulting in embolism in other parts of the body.
Therefore, for Aunt Chen, surgery to help her get off the ground early is the most needed and most appropriate treatment method for her. However, she never expected that whether she could do surgery or what kind of surgery had become a huge problem that plagued her family.
Traveled to several hospitals
Finally get hope here
"I ran to several hospitals, and they all said that my mother's blood clotting function was very poor, and the condition of all organs was very bad, so I was afraid that I would not be able to get off the operating table, the risk was too great, and it was recommended that we go home to recuperate." Aunt Chen's daughter told us, "But I have asked many friends who are studying medicine, and they all say that long-term bed rest is also very bad for my mother, and it is easy to produce various complications." ”
If surgery is not performed right away, an unpredictable risk of complications ensues! At a loss, Aunt Chen's daughter's friend suggested that she take her mother to the First Hospital of Zhejiang University to find Professor Hu Yiguo, director of the Department of Orthopedics. Professor Hu Yiguo has high achievements in complex hip and knee replacement and renovation, especially good at artificial joint replacement, 3D printing personalized prosthesis customization, etc.
"The patient's disease is not complicated, the operation is also very mature, the key is that her physical basic conditions are very bad, there is kidney failure, hypertension, cirrhosis, etc., especially the cardiopulmonary function is very poor, and even there have been lung infections, pleural effusions and other common complications after hip fractures in the elderly." This makes her less tolerant of anesthesia and the risk of surgery is high. Professor Hu Yiguo said.
But if surgery is not possible, Aunt Chen's life may be equally threatened, and long-term bed rest will not only greatly affect her quality of life, but also aggravate the complications of other diseases.
As long as it is beneficial to patients, as long as there is a glimmer of hope, we must do our best to "fight" for patients, which is professor Hu Yiguo's practice guidelines for many years, and it is also the belief of the medical staff of the First Hospital of Zhejiang University.
Prepare for surgery!
In order to reduce the surgical risk of Aunt Chen to a minimum, the team of orthopedic experts organized multidisciplinary consultations in cardiology, vascular surgery, respiratory medicine, nephrology center, anesthesiology, etc., comprehensively analyzed Aunt Chen's physical condition, and formulated the safest surgical plan for her, especially considering the poor coagulation function of Aunt Chen, to shorten the operation time as soon as possible, reduce the anesthesia time, and require the anesthesiologist to accurately grasp and do their best to ensure the safety of Aunt Chen's life during the operation!
Health is the stake, life is at stake! After everything was ready, Professor Hu Yiguo performed the replacement surgery of the artificial femoral head for Aunt Chen, an average of about 1 hour of surgery, under the operation of the expert team racing against the clock and tacit understanding, under the precise escort of the anesthesia team, the operation time was shortened to less than 30 minutes. After the operation, Aunt Chen was transferred to the ICU for close attention, and returned to the orthopedic ward and returned to her family with stable vital signs.
Under the meticulous treatment and care of the orthopedic medical team, on the third day after the operation, the morning aunt was able to walk on her own with the assistance of a walker, and was successfully discharged from the hospital a week later.
Prevent the last fracture of your life
Be sure to do this well
"The reason why the hip fracture of the elderly is called 'the last fracture in life' refers to the fact that after the fracture of the hip of the elderly, the fracture site is slightly active, it will be severely painful, whether it is turned over or sitting up, it will be particularly difficult because of the pain, so it can only lie in bed, and eventually necrosis of the femoral head occurs, and various complications lead to death." Professor Hu Yiguo, director of the Department of Orthopedics at the First Hospital of Zhejiang University, said, "There are four most common complications, lung infections, urinary tract infections, deep vein thrombosis of both lower extremities, and pressure sores. ”
Since the elderly mostly have osteoporosis, the structure of the neck of the femur makes it more likely to fracture. For people over the age of 50, the incidence of hip fractures doubles for every 6 years of age. This is accompanied by an increase in the incidence of hip fractures with a very high mortality rate (10% to 30% in elderly patients at 6 months after a hip fracture).
Hip fractures do not heal easily, and the blood vessel that enters the femoral head from the neck of the femur is a very small artery that is responsible for delivering nutrients to the femur and its surrounding tissues. When the femoral neck is fractured, the blood vessels are also damaged. When the blood vessels no longer deliver blood to the femoral head, the femoral head will enter a state of "no food and no drink", and ischemic necrosis will occur.
For young people, you can first consider conservative treatment, fix the femur, and heal itself, but for the elderly, they have osteoporosis, blood vessels, etc. are also in an aging state, so the only effective treatment method is surgery, through surgery to replace the artificial femoral head, so that patients can restore the ability to turn over, sit up, stand, and walk independently, and avoid various complications of long-term bed rest.
For patients with advanced age or more underlying diseases, the risk of surgery does exist, which not only requires experienced and skilled surgical experts, but also a strong multidisciplinary comprehensive strength, which can effectively carry out preoperative risk assessment, formulate the most appropriate treatment plan for patients, and more effectively cope with possible postoperative complications.
At present, under the leadership of Professor Hu Yiguo, the team of orthopedic experts of the First Hospital of Zhejiang University not only has rich experience in performing artificial hip replacement for patients over the age of 90 and very poor physical basic conditions, but also specializes in various complex artificial joint revision surgeries. Today, with the continuous improvement of artificial hip joint materials and the maturity of replacement surgery, artificial hip joints once have a general service life of 10 to 15 years, but now they can be used for an average of at least 20 years.
Orthopedic experts from the First Hospital of Zhejiang University said that in middle-aged and young people, people's bones are strong and hard, and there are strong muscles around the hip joint for protection, and this place is not easy to fracture, unless it is a very large external violence. However, once people are old, most of them will have osteoporosis, minor violent damage may cause fractures, once wrestled, most of them are buttocks on the ground, it is very easy to cause femoral head fractures.
Experts suggest that for people over 45 years old, it is best to conduct bone density examination every year, timely detection and intervention of osteoporosis, and reduce the risk of fracture as much as possible. Usually, it is also necessary to properly strengthen exercise and enhance muscle strength. Once a femoral neck fracture occurs, you should seek medical attention as soon as possible, perform surgery, and avoid prolonged bed rest. After surgery, rehabilitation training should be carried out as soon as possible under the guidance of a doctor.