Abstract
The article deals with the problem of prevalence, treatment and prophylaxis of inflammatory disorders of the larynx in patients with acute respiratory infections. The authors show their own data on the occurrence of different forms of laryngitis in children. The role of endoscopy in diagnostics of this condition is described. In order to reveal the cause of obstructive laryngitis recurrence virological and endoscopic examination was performed in 100 patients who had had recurrent/relapsing croup. The shown data are over 2 epidemic seasons. The principles of patients management are described, the data on clinical efficacy of treatment and prophylaxis schemes, including complex homeopathic drugs, are represented. The authors made conclusions, that prevalence of different forms of laryngitis against the background of acute respiratory infections is 3,91-29% (among the group of frequently ill children). Children with recurrent /relapsing laryngitis (including obstructive variants) accounts for 53,32%. No correlation between amount of pathogens, episodes of obstructive laryngitis and organic pathology of the larynx in children with recurrent/relapsing laryngitis were found. Taking into account the diversity and variability of the causative agents, it is reasonable to include the drugs with antiviral activity, high efficacy and safety into the schemes of treatment of such patients, as well during prolong treatment.
Highlights
The Russian National Research Medical University Named after N.I
The article deals with the problem of prevalence, treatment and prophylaxis of inflammatory disorders of the larynx in patients with acute respiratory infections
The authors show their own data on the occurrence of different forms of laryngitis in children
Summary
2. Распределение больных по первичной обращаемости к врачам различных специальностей. Одной из причин этого можно считать приоритетное обращение больных с симптомами ларингита на фоне ОРИ к врачу-педиатру Что вопрос об истинной распространенности острого ларингита на фоне ОРИ требует дальнейшего уточнения. Соотношение различных форм ларингита на фоне ОРИ представлено на рис. 3, при этом следует еще раз подчеркнуть, что врач-оториноларинголог осматривал больных после купирования явлений дыхательной недостаточности. Аналогичная работа была проведена в группе часто болеющих детей, посещающих отделение восстановительного лечения при одной из детских поликлиник г. 3. Соотношение различных форм ларингита на фоне острой респираторной инфекции. В выборке, состоящей из 100 детей, 29 человек (29%) перенесли различные формы ларингита. Ч. и функции дыхания) у детей, находившихся на лечении в боксированных отделениях Показанием к ее проведению служило изменение тембра голоса (дисфония), а также отсутствие клинического улучшения (в т. ч. и функции дыхания) у детей, находившихся на лечении в боксированных отделениях
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