Scherrer A, Couderc J L, Friard S, Le Blanche A
Service de Radiologie, Hôpital Foch, 40, rue Worth, 92151 Suresnes.
J Radiol. 2003 Nov;84(11 Pt 2):1829-36.
Chest x-ray is the most useful examination in the elderly as community acquired pneumonia is very frequent in this high risk population. Technical details have to be considered due to the clinical status of elderly patients. Raising arms above the head may help in the radiographic diagnosis of pneumonia. Guidelines for good radiological practice indicate that a chest x-ray should be done in patients with acute respiratory illness and dementia. Clinical and biological findings of pneumonia may be misleading in the elderly and treatment should be instituted rapidly to avoid complications. Lung cancer of elderly patients has to be investigated and treated without consideration for age. Surgery should be done whenever the tumor is removable by lobectomy. Chemotherapy may be safe even in patients older than 80 with an acceptable quality of life.
胸部X光检查对老年人来说是最有用的检查，因为社区获得性肺炎在这个高危人群中非常常见。由于老年患者的临床状况，必须考虑技术细节。将手臂举过头顶可能有助于肺炎的影像学诊断。良好放射学实践指南表明，患有急性呼吸道疾病和痴呆症的患者应进行胸部X光检查。肺炎的临床和生物学表现可能会误导老年人，应迅速进行治疗以避免并发症。老年患者的肺癌必须进行检查和治疗，而不考虑年龄。只要肿瘤可通过肺叶切除术切除，就应进行手术。即使是80岁以上且生活质量尚可的患者，化疗也可能是安全的。
