Smiljić Sonja, Radović Blagica
Department of Physiology, Medical Faculty, Kosovska Mitrovica-Pristina, Serbia.
Med Pregl. 2012 May-Jun;65(5-6):196-9.
Pulmonary tuberculosis in the elderly shows a specific clinical presentation in relation to younger persons. The aim of this study was to examine the influence of age and possible risk factors on pulmonary tuberculosis, clinical features of disease and lung x-ray findings. The research included 151 patients who had been treated at the Pulmonary Department of the Health Centre in Kosovska Mitrovica in the period from 2005 to 2009. Younger patients often suffer from severe forms of tuberculosis with caverns (46.9%), a significantly higher number of their sputum is positive for bacillus Kohn and they show a greater tendency towards alcoholism. A common symptom in older patients is dyspnea and radiographic changes are the most intense in the lower lung fields. The number of younger people suffering from severe forms of cavernous tuberculosis is significantly higher. Sputum findings are often negative, the caverns are found less often and lower lung fields are affected more often in the elderly.
老年人的肺结核与年轻人相比有特定的临床表现。本研究的目的是探讨年龄及可能的危险因素对肺结核、疾病临床特征和肺部X线表现的影响。该研究纳入了2005年至2009年期间在科索沃米特罗维察健康中心肺病科接受治疗的151例患者。年轻患者常患有伴有空洞的严重肺结核（46.9%），其痰中结核杆菌阳性的比例显著更高，且他们表现出更大的酗酒倾向。老年患者的常见症状是呼吸困难，肺部影像学改变在下肺野最为明显。患有严重空洞型肺结核的年轻人数量显著更高。痰检结果通常为阴性，空洞较少见，且老年人下肺野受累更常见。
