Gossner J, Nau R
Department of Clinical Radiology, Göttingen-Weende Hospital, An der Lutter 24, 37074 Göttingen, Germany.
Radiol Res Pract. 2013;2013:584793. doi: 10.1155/2013/584793. Epub 2013 Jul 1.
Even in a global perspective, societies are getting older. We think that diagnostic lung imaging of older patients requires special knowledge. Imaging strategies have to be adjusted to the needs of frail patients, for example, immobility, impossibility for long breath holds, renal insufficiency, or poor peripheral venous access. Beside conventional radiography, modern multislice computed tomography is the method of choice in lung imaging. It is especially important to separate the process of ageing from the disease itself. Pathologies with a special relevance for the elderly patient are discussed in detail: pneumonia, aspiration pneumonia, congestive heart failure, chronic obstructive pulmonary disease, the problem of overlapping heart failure and chronic obstructive pulmonary disease, pulmonary drug toxicity, incidental pulmonary embolism pulmonary nodules, and thoracic trauma.
即使从全球范围来看，社会也在老龄化。我们认为，老年患者的肺部诊断成像需要专业知识。成像策略必须根据体弱患者的需求进行调整，例如行动不便、无法长时间屏气、肾功能不全或外周静脉通路不佳。除了传统的X线摄影，现代多层计算机断层扫描是肺部成像的首选方法。将衰老过程与疾病本身区分开来尤为重要。本文将详细讨论与老年患者特别相关的病症：肺炎、吸入性肺炎、充血性心力衰竭、慢性阻塞性肺疾病、心力衰竭与慢性阻塞性肺疾病重叠的问题、肺部药物毒性、偶发性肺栓塞、肺结节和胸部创伤。
