[Zenker憩室作为一位患有中度痴呆的九旬老人吸入性肺炎和吞咽困难的病因]

[Zenker's diverticulum as a cause of aspiration pneumonia and dysphagia in nonagenarian with moderate dementia].

作者信息

García-Almenta Mercedes Martín, González Becerro Margarita, Gómez Pavón Javier, Carvajal Balaguera Josué, Camuñas Segovia Juan, Peña Gamarra Luis, Cerquella Hernández Carlos María

机构信息

Servicio de Cirugía General y Aparato Digestivo, Hospital Central de la Cruz Roja, Madrid, España.

出版信息

Rev Esp Geriatr Gerontol. 2008 Mar-Apr;43(2):113-6. doi: 10.1016/s0211-139x(08)71164-8.

DOI:10.1016/s0211-139x(08)71164-8

PMID:18682122

Abstract

The association between aspiration pneumonias and digestive symptoms is frequent in geriatric patients and is usually attributed to comorbidity, being the most frequent causes cerebrovascular disease or dementia. We present the case of a 90-year-old woman, with malnutrition associated with progressive dysphagia and episodes of aspiration pneumonia, due to Zenker's diverticulum, which was treated surgically. We provide a review of this disease and analyze the criteria that can be applied when considering surgical indication in the oldest-old with dementia.

摘要

吸入性肺炎与消化症状之间的关联在老年患者中很常见，通常归因于合并症，最常见的病因是脑血管疾病或痴呆。我们报告了一例90岁女性患者的病例，该患者因Zenker憩室导致营养不良，并伴有进行性吞咽困难和吸入性肺炎发作，接受了手术治疗。我们对这种疾病进行了综述，并分析了在考虑为患有痴呆的高龄老人进行手术指征时可应用的标准。