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老年患者:围手术期管理的特殊方面

The geriatric patient: special aspects of peri-operative management.

作者信息

Wirtz Dieter, Kohlhof Hendrik

机构信息

Department of Orthopaedic Surgery and Traumatology, University Hospital of Bonn, Germany.

出版信息

EFORT Open Rev. 2019 Jun 3;4(6):240-247. doi: 10.1302/2058-5241.4.180087. eCollection 2019 Jun.

Abstract

This article offers a German perspective on orthopaedic management of geriatric populations in higher-income countries.Specific orthopaedic procedures necessitate a more intensive level of care in older adult patients, especially with co-morbidities, than in younger patients.During the pre-, peri- and post-operative periods, several aspects such as patient blood management principles improve the outcomes of geriatric patients.New interdisciplinary geriatric models of care including geriatric and orthopaedic specialties have to be established to take care of the special needs of geriatric patients. Cite this article: 2019;4 DOI: 10.1302/2058-5241.4.180087.

摘要

本文从德国视角探讨了高收入国家老年人群的骨科治疗。与年轻患者相比,特定的骨科手术在老年患者中,尤其是合并多种疾病的患者中,需要更强化的护理水平。在术前、术中和术后阶段,诸如患者血液管理原则等多个方面可改善老年患者的治疗效果。必须建立包括老年医学和骨科专业在内的新的跨学科老年护理模式,以满足老年患者的特殊需求。引用本文:2019;4 DOI:10.1302/2058-5241.4.180087 。

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