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首页> 美国卫生研究院文献>Journal of Thoracic Disease >Geriatric chest wall injury: is it time for a new sense of urgency?
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Geriatric chest wall injury: is it time for a new sense of urgency?

机译：老人胸壁损伤：是时候换一种新的紧迫感？

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Geriatric trauma has become an increasingly recognized management concern for trauma centers, and hospitals alike, on a national scale. The population of the United States is aging, as life expectancy rates have demonstrated a steady climb to an average of 78.8 years of expected life. With pervasive efforts of medical screening, prevention and chronic medical condition management, more elderly people will lead more active lifestyles and will be more predisposed to injury. As best practice guidelines specific for the geriatric trauma population have yet to be developed, many researchers have identified management strategies that have offset complications and mortality rates inherent to this patient population after injury. The impact of rib fractures in the 65-year and older patient population has been well documented, as have the mortality and pneumonia rates yet, historically, little attention has been directed to curtailing these adverse outcomes with more advanced treatment options. With the advent of rib plating for rib fracture fixation and chest wall stabilization, the practice paradigm for rib fracture management is shifting, as a viable operative intervention now exists. In this review, we focus on the characteristics of the geriatric trauma patient, areas of management where improvement opportunities have been identified, chest wall injury in the elderly patient, rib plating as a treatment option and offer our data to facilitate a better understanding of rib plating’s impact in the geriatric trauma patient.
机译：在全国范围内，老年创伤已成为创伤中心和医院日益关注的管理问题。美国人口正在老龄化，因为预期寿命已显示出稳定增长，平均预期寿命为78.8年。随着医学筛查，预防和慢性病管理的广泛努力，更多的老年人将过着更积极的生活方式，更容易受伤。由于尚未制定针对老年人创伤人群的最佳实践指南，因此许多研究人员已经确定了可以抵消该患者人群受伤后固有的并发症和死亡率的管理策略。肋骨骨折对65岁及65岁以上人群的影响以及死亡率和肺炎的发生率已有很好的记录，但从历史上看，很少有人关注通过更先进的治疗方法来减少这些不良后果。随着用于肋骨骨折固定和胸壁稳定的肋骨板的出现，肋骨骨折管理的实践范式正在发生变化，因为目前存在可行的手术干预手段。在这篇综述中，我们着重于老年创伤患者的特征，已确定改善机会的管理领域，老年患者的胸壁损伤，肋骨板作为治疗选择，并提供我们的数据以促进对肋骨的更好理解电镀对老年创伤患者的影响。

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