综合ICU除接收内科系统危重症患者外,也时常有术后患者入住观察。笔者所在ICU曾接连收入几名股骨颈骨折后行全髋关节置换术的患者,均年龄高、基础疾病多,其中部分患者一两天内即出现呼吸吃力、低氧血症,转入昏迷。起初考虑高龄患者骨折后卧床并发肺炎而引起呼吸衰竭,但给予抗炎治疗及呼吸支持后病情继续恶化,意识障碍没有 ICU addition to receiving ICU critically ill patients, but also often postoperative patients admitted to observation. The author where the ICU has received several consecutive neck fractures of the femoral neck after total hip arthroplasty patients, are of high age, basic diseases, some of them within a day or two of respiratory difficulties, hypoxemia, into a coma. At first consider the elderly patients with fractures after bedside pneumonia caused by respiratory failure, but given anti-inflammatory treatment and respiratory support continued to deteriorate, unconsciousness