Rybacka-Chabros Barbara U
Z Katedry i Kliniki Pneumonologii, Onkologii i Alergologii, Akademii Medycznej im. Feliksa Skubiszewskiego w Lublinie.
Wiad Lek. 2007;60(1-2):87-90.
Bronchial asthma is a frequent cause of respiratory symptoms in elderly. In majority of cases asthmatic patients develop their disease before the age of 45 years, but sometimes the first episode of asthma occurs after the age of 60 years. Except for pharmacological methods, non-pharmacological therapies are recommended which include education of patients and his family and vaccination for influenza and pneumococcal infections. Two cases of bronchial asthma in patients over 60 years were analyzed. The first case illustrates coexistence of chronic heart-depending circulatory failure, complicated with episode of thromboembolic disease which occurred in the past, obesity and bronchial asthma, in 69 years old man. The second case illustrates 61 years old woman with chronic severe asthma from childhood, rheumatoid arthritis and tuberculous infection of the knee. It is known that evaluation of asthma severity in elderly is more difficult than in young people because of high frequency of comorbidities. An appropriate anti-asthmatic medication and education of patient and his family may enrich quality of live in elderly asthmatics.
支气管哮喘是老年人呼吸道症状的常见病因。大多数情况下，哮喘患者在45岁之前发病，但有时哮喘的首发症状出现在60岁之后。除药物治疗方法外，还推荐非药物治疗，包括对患者及其家属进行教育以及接种流感和肺炎球菌感染疫苗。分析了2例60岁以上患者的支气管哮喘病例。第一例是一名69岁男性，患有慢性心源性循环衰竭，既往有血栓栓塞性疾病发作史，合并肥胖和支气管哮喘。第二例是一名61岁女性，自幼患有慢性重度哮喘、类风湿关节炎和膝关节结核感染。众所周知，由于合并症发生率高，评估老年人哮喘严重程度比年轻人更困难。适当的抗哮喘药物治疗以及对患者及其家属的教育可以提高老年哮喘患者的生活质量。
