Shorr R M, Rodriguez A, Indeck M C, Crittenden M D, Hartunian S, Cowley R A
Maryland Institute for Emergency Medical Services Systems, Baltimore.
J Trauma. 1989 Feb;29(2):234-7. doi: 10.1097/00005373-198902000-00016.
Significant differences were identified between a group of elderly patients (65 years and older) and a nonelderly group both with blunt thoracic trauma. There was a lower incidence of elderly patients presenting in shock; however, cardiopulmonary arrest at arrival was more frequent in this group. Although the types of complications were similar in both populations, the morbidity and mortality rates were higher in the elderly. A high index of suspicion must be generated for an elderly patient who has sustained blunt chest trauma. An aggressive diagnostic and therapeutic approach may lead to a decrease in the high morbidity and mortality rates in the elderly.
在一组钝性胸部创伤的老年患者（65岁及以上）和非老年患者之间发现了显著差异。老年患者出现休克的发生率较低；然而，该组患者到达时心脏骤停更为频繁。尽管两组人群的并发症类型相似，但老年人的发病率和死亡率更高。对于遭受钝性胸部创伤的老年患者，必须保持高度怀疑。积极的诊断和治疗方法可能会降低老年人的高发病率和死亡率。
