Hilton C
Department of Psychiatry of Later Life, Salford Mental Health Trust, Manchester, UK.
Int J Geriatr Psychiatry. 1997 Aug;12(8):862-7.
Post-traumatic stress disorder (PTSD) may present many years after the original trauma. Case studies of two elderly patients are described. Both had experienced life-threatening combat situations and witnessed intense suffering during the Second World War. Marked distress was triggered by the media commemorating the fiftieth anniversary of the end of the war. PTSD patients often avoid talking of their traumatic experiences because of associated distress. Without taking a military and trauma history from elderly patients the diagnosis is likely to be missed.
创伤后应激障碍（PTSD）可能在最初的创伤事件发生多年后才出现。本文描述了两位老年患者的案例。他们都曾经历过危及生命的战斗情况，并在第二次世界大战期间目睹了强烈的苦难。纪念战争结束五十周年的媒体报道引发了他们明显的痛苦。PTSD患者常常因为相关的痛苦而避免谈论他们的创伤经历。如果没有询问老年患者的军事和创伤史，很可能会漏诊。
