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[老年哮喘——诊断与治疗难题]

[Asthma in elderly--diagnostic and therapeutic difficulties].

作者信息

Rybacka-Chabros Barbara

机构信息

Katedry i Kliniki Pneumonologii, Onkologii i Alergologii, Akademii Medycznej im. Feliksa Skubiszewskiego w Lublinie.

出版信息

Wiad Lek. 2007;60(5-6):277-80.

Abstract

Epidemiological studies which were carried out in the USA and Europe indicated that bronchial asthma is a frequent cause of respiratory symptoms in people older than 60 years. Development of allergic inflammation in airways in elderly is similar to young people. There are two clinical forms of bronchial asthma: persistent asthma, which appears before 40 years of life, and asthma, which appears in people in the age over 65 years. Detailed evaluation of asthma severity in elderly is difficult because of a coexisting diseases other than asthma which are common in this group of age. Anti-asthmatic treatment in older people ought to be administered very individually. The clinical significance of asthma in elderly is important because it is frequently very severe, with permanent dyspnea and deep limitation of ventilation.

摘要

在美国和欧洲开展的流行病学研究表明,支气管哮喘是60岁以上人群呼吸道症状的常见病因。老年人气道过敏性炎症的发展与年轻人相似。支气管哮喘有两种临床类型:40岁之前出现的持续性哮喘,以及65岁以上人群出现的哮喘。由于该年龄组中除哮喘外还存在其他常见的并存疾病,因此很难对老年人的哮喘严重程度进行详细评估。老年人的抗哮喘治疗应该非常个体化。老年人哮喘的临床意义重大,因为它通常非常严重,伴有持续性呼吸困难和通气深度受限。

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