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首页> 外文期刊>Current opinion in anaesthesiology >Trauma and transfusion in the geriatric patient
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Trauma and transfusion in the geriatric patient

机译：特性病人的创伤和输血

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摘要

Purpose of reviewThe percentage of people over the age of 65 is growing rapidly and anesthesiologists must develop a medical understanding that is comprehensive to meet the unique medical needs of this population. The changing physiology of an elderly population makes them extremely vulnerable to trauma and the administration of blood products. Although most of these cases involve orthopedic attention, it is not less dangerous as a blunt trauma case.Recent findingsThis article addresses some of the main concerns for the anesthesiologists of providing a hemostatic resuscitation in the geriatric population. Should blood that is new lead to better outcomes than blood that was collected more than 14 days from the injury? What role does patient frailty have in trauma and transfusion outcomes? Is the massive transfusion protocol safe for the geriatric population? As this subset of the population grows, the number of patients on anticoagulation therapy will grow. Knowledge of the bone marrow plays an important role in geriatric trauma. How does head trauma in the elderly differ from the younger patient?SummaryThe information in this article is by no means comprehensive. Nongeriatric trauma protocols are far from being validated. Applying these protocols to the geriatric protocols must be investigated in terms of safety and benefits.
机译：审查65岁以上人民的百分比迅速增长，麻醉师必须制定一项全面的医疗理解，以满足这一人口的独特医疗需求。老年人种群的变化生理使它们极易受到创伤和血液产品的给药。虽然大多数这些病例都涉及骨科关注，但它与钝的创伤案例不太危险。特殊的发现文章为在老年人口中提供了止血复苏的麻醉学家提供了一些主要问题。如果新的血液会导致更好的结果，而不是从伤害中收集超过14天的血液？患者体现在创伤和输血结果中有什么作用？大规模输血协议是否为老年人口安全？随着这种人口的那样，抗凝治疗患者的数量将增长。骨髓的知识在老年人创伤中发挥着重要作用。老年人的头部创伤与年轻患者有何不同？摘要本文中的信息绝不是全面的。非洲创伤协议远非被验证。必须在安全和福利方面将这些议定书应用于老年协议。

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