Postoperative Intestinal Paralysis after Prosthetic Surgery of the Hip-Joint
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A case of death due to intestinal paralysis after prosthetic replacement of the femoral head for the neck fracture was reported.A blind woman aged 76 years old had fractured herself at the femoral neck. On 20th day after accident, she came to our hospital for bloody treatment. As she was aged and riskful and her fracture was intracapsular showing typical displacement, prosthetic replacement was proposed her to recover early from bed. After premedication (atropine sulfate 0.4mg; meperidine hydrochloride 50mg) and during lumbar anesthesia (nupercaine hydrochoride 2.0ml) and surgical procedure, she showed slight or middling shock. Though the procedure often had to interrupt from shock conditions and exclusion of the head required excess times, the operation was acomplished in two hours with almost smooth except blood loss of about 500ml and somewhat unsatisfactory stability of prosthesis because of sever bone atrophy of the neck. The next day, she could take half sitting position, sometimes in a daytime. On the second day after surgery, she was injected meperidine hydrochloride (35mg) for abdominal-ache. On the third day, she showed meteorism or intestinal paralysis due to postoperative hypokalemia and treated with every possible conservative method, but symptoms were progressing incurably. At last, on the sixth day cardiac arrest happened her just bef or the gas-enterostomy. Immediately, open massage of the heart was begun and after 20 minutes once revival was successful for about half an hour but she had died eternally.
- 西日本整形・災害外科学会の論文
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関連論文
- Paraplegia and Tetraplegia in CHIKUHO Labour Accident Hospital
- Postoperative Intestinal Paralysis after Prosthetic Surgery of the Hip-Joint