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老年人哮喘的诊断有不同吗?

Is the diagnosis of asthma different in elderly?

作者信息

Yorgancıoğlu Arzu, Şakar Coşkun Ayşın

机构信息

Department of Chest Diseases, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.

出版信息

Tuberk Toraks. 2012;60(1):81-5. doi: 10.5578/tt.2652.

DOI:10.5578/tt.2652
PMID:22554375
Abstract

Asthma is mis-diagnosed, under-diagnosed and under-treated in older populations but has a high mortality rate. The physiological changes due to aging of lung, the co-morbid situations and poly pharmacy may change the typical presentation of asthma in older people and cause diagnostic difficulties. But it therefore should be diagnosed properly by taking of all differential situations especially chronic obstructive pulmonary disease into consideration since the appropriate management of the disease will alter the morbidity and mortality.

摘要

哮喘在老年人群中存在误诊、漏诊和治疗不足的情况,但死亡率很高。由于肺部老化、合并症情况以及多种药物治疗导致的生理变化,可能会改变老年人哮喘的典型表现并造成诊断困难。但鉴于对该疾病的恰当管理将改变发病率和死亡率,因此应通过考虑所有鉴别情况,尤其是慢性阻塞性肺疾病,来进行正确诊断。

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