Wilson R F
Department of Surgery, Detroit Receiving Hospital, Michigan.
Crit Care Clin. 1994 Jul;10(3):461-506.
More than 30% of trauma patients over 55 years of age have pre-existing diseases and by the time these patients reach 65 years of age, 13.7% of them will have hypertension, 9.2% will have chronic obstructive pulmonary disease (COPD), 6.3% will have diabetes, and 5.6% will have coronary artery disease (CAD). By the age of 75 years, 12.9% will have CAD, and the most frequent cause of death in elderly individuals living for more than 48 hours after trauma will be sepsis and/or CAD. To obtain the best results in patients with pre-existing cardiac disease, one must have a high suspicion of its presence and aggressively treat the patient to prevent hypotension and hypoxemia. Early monitoring and optimization of cardiac output, organ delivery, and oxygen consumption are particularly important in elderly trauma patients if they require general anesthesia or ICU care.
55岁以上的创伤患者中，超过30%患有基础疾病。到这些患者65岁时，其中13.7%将患有高血压，9.2%将患有慢性阻塞性肺疾病（COPD），6.3%将患有糖尿病，5.6%将患有冠状动脉疾病（CAD）。到75岁时，12.9%将患有CAD，创伤后存活超过48小时的老年人最常见的死亡原因将是败血症和/或CAD。为了在患有基础心脏病的患者中获得最佳结果，必须高度怀疑其存在，并积极治疗患者以预防低血压和低氧血症。如果老年创伤患者需要全身麻醉或重症监护病房（ICU）护理，早期监测和优化心输出量、器官灌注和氧消耗尤为重要。
