Keywords
Abstract
Diagnosis of diseases of the bronchopulmonary system in elderly and elderly patients makes it difficult for primary care physicians and requires additional instrumental studies to establish the correct diagnosis. The purpose of this work was to update the individual prognostic parameters for revealing the pathology of the respiratory system according to the results of multispiral computed tomography in patients older than 60 years for early diagnosis and adequate therapy. 82% of cases were detected in the elderly and old age, infiltration in 33%, emphysema in 29%, and intrathoracic lymphadenopathy in 21%, which was regarded as focal or diffuse pneumofibrosis (42%), рneumonia (23.2%), malignant neoplasms (12%), focal tuberculosis (3%). In the bronchial tree, bronchial wall compaction was revealed in 63%, augmentation of the pulmonary pattern in 55% of cases, which together with emphysema can be interpreted as a manifestation of chronic obstructive pulmonary disease. With age, the number of nosologies detected by multispiral computedtomography WGCs increases, as a consequence of the cumulative nature of the change, requiring additional testing to clarify the diagnosis. The proportion of elderly patients with volumetric formations is not high, but when this pathology is detected, especially in combination with intrathoracic lymphadenopathy, this is a high probability that requires obligatory pre-examination in an oncologist. Update of individual prognostic parameters based on the results of multispiral computed tomography of thorax for diagnosing the pathology of the bronchopulmonary system in elderly and senile age will improve the quality of management of this category of patients.