Management of the Skin and Soft Tissue in the Geriatric Surgical Patient

被引:19
|
作者
Greenhalgh, David G. [1 ]
机构
[1] Univ Calif Davis, Med Ctr, Shriners Hosp Children Northern Calif, Dept Surg, Sacramento, CA 95817 USA
关键词
Skin; Burns; Geriatric; Wound healing; Chronic wounds; GROWTH FACTOR-BB; INCOMPETENT PERFORATING VEINS; CHRONIC VENOUS INSUFFICIENCY; EXTREMITY DIABETIC ULCERS; RADIATION-IMPAIRED WOUNDS; OPEN SUBFASCIAL DIVISION; PRESSURE ULCERS; SOCIOECONOMIC IMPACT; CLINICAL-EVALUATION; LEG ULCERATION;
D O I
10.1016/j.suc.2014.09.008
中图分类号
R61 [外科手术学];
学科分类号
摘要
Aging has significant effects on the healing ability of the geriatric population. When the elderly suffer injuries, they have a decreased metabolic reserve to handle the stress required to recover. Diseases of the elderly, such as malnutrition, diabetes mellitus, treatment of malignancies, and vascular disease, all impair tissue repair. The geriatric population is more prone to pressure ulcers, venous stasis ulcers, and other chronic wounds. This review discusses how changes in the elderly lead to impaired healing or chronic wounds. Prevention of these problems and their treatment are also discussed.
引用
收藏
页码:103 / +
页数:14
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