術前診察で未診断の急性および慢性硬膜下血腫を指摘し，先行して緊急穿頭洗浄血腫ドレナージ術を行った1症例

A Case Report：Emergency Burr-hole Irrigation and Drainage for Acute/Chronic Subdural Hematoma Revealed by an Elderly Femur-fracture Patient’s Preoperative Examination

要旨

　大腿骨骨折の患者の多くは高齢で，意識レベルが判定困難な場合もある。今回，われわれは大腿骨手術患者の術前診察で家族への問診により意識障害が判明し，大腿骨手術の前に意識障害に対する治療を行った症例を経験した。術前診察では普段の意識状態に関して家族や同居者への問診が必須であると考えられた。

　An 86-year-old woman with no dementia was brought to our hospital suffering from left hip pain after a fall injury. A left femoral fracture was observed, and elective surgery was scheduled for the next day. At the anesthesiologist’s preoperative visit, an interview with the patient’s family revealed that the patient’s impaired consciousness was unusual. A head CT scan showed acute and chronic subdural hematoma. Emergency drainage for this hematoma was performed the same day. In the preoperative examination of elderly patients, it is imperative to interview close relatives regarding the patient’s daily consciousness level.