头部和颈部损伤：老年患者的特殊注意事项

Head and Neck Injuries: Special Considerations in the Elderly Patient.

作者信息

Sandstrom Claire K, Nunez Diego B

机构信息

Section of Emergency and Trauma Radiology, Department of Radiology, Harborview Medical Center, Box 359728, 325 Ninth Avenue, Seattle, WA 98104, USA.

Emergency Radiology and Neuroradiology Divisions, Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.

出版信息

Neuroimaging Clin N Am. 2018 Aug;28(3):471-481. doi: 10.1016/j.nic.2018.03.008. Epub 2018 Jun 8.

DOI:10.1016/j.nic.2018.03.008

PMID:30007756

Abstract

Traumatic injuries to the head and neck are common in the elderly, which is a rapidly growing sector of the American population. Most injuries result from low-energy falls and therefore might be at risk for delayed presentation and undertriage. Imaging, particularly with computed tomography, plays a vital role in the evaluation of traumatic head and neck injuries in geriatric patients. A thorough understanding of the differing patterns of trauma in the elderly patient and the factors that are associated with poorer outcomes is essential.

摘要

头部和颈部创伤性损伤在老年人中很常见，而老年人是美国人口中快速增长的一个群体。大多数损伤是由低能量跌倒所致，因此可能存在就诊延迟和分诊不足的风险。影像学检查，尤其是计算机断层扫描，在老年患者创伤性头部和颈部损伤的评估中起着至关重要的作用。全面了解老年患者不同的创伤模式以及与较差预后相关的因素至关重要。