Hruska Katrin, Ruge Toralph
Department of Emergency Medicine, Karolinska University Hospital, Huddinge, Sweden.
Department of Emergency Medicine, Karolinska University Hospital, Huddinge, Sweden; Department of Medicine, Solna, Karolinska Institutet, Stockholm, Sweden.
Emerg Med Clin North Am. 2018 Feb;36(1):219-235. doi: 10.1016/j.emc.2017.08.014.
Old age is a risk factor for poor outcome in trauma patients, as a result of undertriage and the presence of occult life-threatening injuries. The mechanisms of injury for geriatric trauma differ from those in younger patients, with a much higher incidence of low-impact trauma, especially falls from a low height. Frailty is a risk factor for severe injury after minor trauma, and caring for these patients require a multidisciplinary team with both trauma and geriatric expertise. With early recognition and aggressive management, severe injuries can still be associated with good outcomes, even in very elderly patients.
老年是创伤患者预后不良的一个风险因素，这是由于分诊不足以及存在隐匿性危及生命的损伤所致。老年创伤的损伤机制与年轻患者不同，低冲击力创伤的发生率要高得多，尤其是从较低高度跌落。虚弱是轻微创伤后发生严重损伤的一个风险因素，护理这些患者需要一个具备创伤和老年医学专业知识的多学科团队。通过早期识别和积极管理，即使是非常年长的患者，严重损伤仍可能有良好的预后。
