Features clinical of a current it is bronchial obstruction at children of early age

Abstract

Introduction.In young children, acute obstructive bronchitis is one of the most common forms of respiratory tract damage. In the structure of the morbidity of respiratory organs, they are determined in 30 - 50% of cases. Of these, 90% of patients are children of the first 2 years of life. The transferred obstructive bronchitis at an early age is dangerous because of the possibility of a recurrent course, and in 47-57% of cases - the transformation into bronchial asthma. The urgency of studying acute obstructive bronchitis is due to the increase in frequency, regional features of the clinic, the severity of the course and the prognosis of the disease, endangered life of young children, which led to these studies.Purpose of the study. To study the features of the clinical course of acute obstructive bronchitis in children-Kyrgyz at an early age.Material and methods.The results of clinical observation and examination of 138 children with acute obstructive bronchitis aged from 2 months to 3 years are presented. According to the age periodization, all sick children were divided into 2 groups. The first group consisted of children from 2 months to 1 year (89 children), the second group - from 1 year to 3 years (49 children).A complete clinical examination of a sick child was carried out according to generally accepted standards, with an assessment of the severity of the disease. The severity of the condition was assessed by the presence of dangerous signs, the degree of respiratory failure and intoxication according to the manual "Pocket Guide. Provision of inpatient care for children "(WHO, 2012).All our results are subjected to statistical processing using the SPSS 16.0 software.Results and its discussion.The leading clinical syndromes noted in acute obstructive bronchitis in young children are: obstructive syndrome, intoxication syndrome and respiratory failure syndrome. In boys, the disease occurs more often and occurs in a more severe form. Local symptomatology of the disease manifests itself as an expiratory or mixed dyspnea, local or widespread boxed hue of percussion sound, remote dry whistling and variously different wet wheezes against the background of hard breathing with prolonged exhalation. In severe forms of acute obstructive bronchitis in children of both age groups, symptoms of intoxication and respiratory insufficiency (p <0.01), more pronounced in infants (p <0.05), are more often noted. With increasing severity of the disease, the anxiety of children is replaced by lethargy, acrocyanosis - diffuse cyanosis. The third degree of bronchial obstruction and prolonged dry, painful, unproductive cough, the mixed character of expiratory dyspnea, the entrainment of all malleable areas, up to the sternum of the sternum, are observed with a severe form of acute obstructive bronchitis (p <0.05). Physical pathological abnormalities in the form of a widespread pronounced boxed sound with percussion, hard breathing with an abundance of dry and variegated wet wheezes in auscultation of the lungs are also more characteristic for severe disease (p <0.001).Conclusions.Features of the clinical course of acute obstructive bronchitis in young children indicate the need for further study of this problem due to the high risk of chronic bronchio-pulmonary disease in subsequent years of life.