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Acute bronchitis



Acute bronchitis is a common disease: 200-250 cases per 1000 children of the first years of life.

Etiology. The vast majority of bronchitis are viral diseases. Respiratory syncytial virus - 50%, parainfluenza viruses - 21%, pneumonia mycoplasma - 8.3%, cytomegalovirus - 6.3%, rhinoviruses - 4.2%, coronaviruses - 4.1%, echovirus I serotypes - 2%, influenza A virus - 2%, adenoviruses - 2%. Bacterial agents are among the rare or not playing any role factors in the etiology of bronchitis. Bacterial flora is more often found in "non-whistlers" than in "whistlers."

Clinic. Clinical symptoms of bronchial obstruction against acute respiratory viral infections in young children:

1) acute onset of the disease;

2) wheezing;

3) the variability of dry and wet rales;

4) bloating;

5) shortness of breath (reaches 60-80 in 1 min);

6) retraction of the jugular fossa and intercostal spaces (hypoxemia);

7) low body temperature.

In addition to the main symptoms, there may be:

1) rhinitis;

2) frequent excruciating cough;

3) bloating of the wings of the nose (hypoxemia);

4) breast rejection;

5) loss of appetite;

6) the presence of small crepitating wheezing, often diffuse;

7) stool disorder;

8) bad sleep;

9) cyanosis (hypoxemia);

10) apnea (hypoxemia).

Laboratory data.
Blood test: red blood - without features, accelerated ESR, leukocytosis. X-ray data are characterized by increased transparency of the pulmonary fields, an increase in the anteroposterior diameter of the chest due to overfilling of the lungs with air, emphysema, high standing of the dome of the diaphragm, and basal infiltration. Almost 1/3 of the patients show scattered areas of densification, which can be explained by the development of atelectasis in response to obstruction. In approximately 44% of cases, the x-ray picture remains normal. Sowing nasal and tracheal discharge is common flora.

Virological examination - by immunofluorescence, an increase in blood titer of antibodies.

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Acute bronchitis

  1. Acute bronchitis
    Acute bronchitis is an acute diffuse inflammation of the tracheobronchial tree. Classification: 1) acute bronchitis (simple); 2) acute obstructive bronchitis; 3) acute bronchiolitis; 4) acute obliterating bronchiolitis; 5) recurrent bronchitis; 6) recurrent obstructive bronchitis; 7) chronic bronchitis; 8) chronic bronchitis with obliteration. Etiology. The disease is caused by viral infections (viruses
  2. 49. BRONCHITIS ACUTE
    Acute bronchitis - inflammation of the trachea, bronchi and bronchioles of infectious origin, lasting up to 1 month. Etiology • Adenovirus • Influenza virus • Parainfluenza virus • Rhino viruses • Respiratory syncytial virus • Coxsackie virus • Mycoplasmas • Chlamydia • Bordetella • Haemophilus influenzae Allergic diseases • Immunodeficiency states • Elderly or child age • Smoking (including
  3. Acute bronchitis
    Acute bronchitis is an acute diffuse inflammation of the tracheobronchial tree. The disease is caused by viral (influenza viruses, parainfluenza, adenoviruses, respiratory syncytial, measles, pertussis, etc.) and bacterial infections (staphylococci, streptococci, pneumococci, etc.); physical and chemical factors (cold, dry, hot air, nitrogen oxides, sulfur dioxide, etc.). Predispose to
  4. Acute bronchitis
    respiratory syndrome: cough is dry, then moist, sputum is mucous or mucopurulent; toxicosis syndrome is not constant; bronchial obstructive syndrome is not constant; respiratory failure syndrome is not characteristic; bronchopulmonary syndrome: diffuse changes in the lungs, clear pulmonary sound, hard breathing voice trembling is not changed; dry, moist, medium and large bubble rales;
  5. LECTURE No. 19. Respiratory diseases. Acute bronchitis. Clinic, diagnosis, treatment, prevention. Chronical bronchitis. Clinic, diagnosis, treatment, prevention
    LECTURE No. 19. Respiratory diseases. Acute bronchitis. Clinic, diagnosis, treatment, prevention. Chronical bronchitis. Clinic, diagnosis, treatment,
  6. Inflammation of the bronchi (bronchitis)
    Bronchitis is an inflammatory lesion of the tracheobronchial tree caused by irritation of the bronchi by various harmful factors, resulting in a violation of mucus formation and bronchial function, which manifests itself in cough, sputum separation. Bronchitis is considered chronic if the disease lasts for at least three months for more than two consecutive years. At primary
  7. Acute runny nose (acute rhinitis)
    Acute rhinitis (rhinitis acuta) is an acute nonspecific inflammation of the nasal mucosa. This disease is among the most common in both children and adults. The clinic distinguishes: • acute catarrhal rhinitis (rhinitis cataralis acuta); • acute catarrhal rhinopharyngitis, usually in childhood (rhinitis cataralis neonatorum acuta); • sharp
  8. Bronchitis
    Bronchitis is an inflammation of the bronchi of an infectious or allergic etiology. Symptoms: cough, dry and wet rales of various sizes. Against the background of catarrhal phenomena, these symptoms are easily recognized, but pneumonia should be excluded when making a diagnosis of bronchitis. SIMPLE BRONCHITIS Simple bronchitis, not accompanied by clinically obvious signs of bronchial obstruction, in most cases - manifestation
  9. Chronic bronchitis in children
    Protocol code: 04-042 Profile: pediatric Stage: hospital Purpose of stage: 1. clarification of the diagnosis and elimination of the inflammatory process in the bronchi; 2. relief of symptoms of respiratory failure, general intoxication; 3. FEV1 recovery. Duration: 11 days ICD codes: J40 Bronchitis, unspecified as acute or chronic J41.0 Simple chronic bronchitis J41.1 Mucopurulent
  10. CHRONICAL BRONCHITIS
    On patency of the bronchi: obstructive and non-obstructive. According to the level of damage: proximal - up to 5-6 generation of bronchi. Purulent and catarrhal. Obstructive bronchitis. If distal, then the main symptom is associated with an air trap (when inhaling, the air enters the alveoli, during exhalation the bronchi are shortened, take the form of a corrugated tube and the air does not pass back, the volume increases
  11. Chronical bronchitis
    Chronic bronchitis is a progressive diffuse inflammation of the bronchi, not associated with local or generalized lung damage, manifested by cough. You can talk about chronic bronchitis if the cough lasts for 3 months in the 1st year - 2 consecutive years. Etiology. The disease is associated with prolonged irritation of the bronchi by various harmful factors (inhalation of air contaminated
  12. CHRONICAL BRONCHITIS
    - diffuse inflammatory lesion of the bronchial tree, caused by prolonged irritation of the bronchi by various harmful agents, having a progressive course and characterized by impaired mucus formation and drainage function, which is manifested by cough, sputum separation and shortness of breath According to the WHO recommendation, bronchitis can be considered chronic if the patient coughs up phlegm on
  13. Bronchitis
    Physical blockage Large bronchi carry air into the lungs, small bronchi (bronchioles) perform a more complex function: contracting and expanding, they regulate the working volume of the lungs. Bronchitis is an inflammation of the mucous membranes of the bronchi. Emotional blocking In metaphysics, the bronchi are associated with the family. Bronchitis appears when some problems arise in the family (for example,
  14. BRONCHITIS
    Bronchitis is an inflammation of the mucous membrane of the bronchi, usually developing as a result of a cold (due to drafts, hypothermia after bathing, etc.). The causative agents are often influenza viruses, adenoviruses and pneumococci. Bronchitis also occurs after inhalation of smoke or toxic gases, or as a complication of panleukopenia and some other diseases. More often acute, but for old and
  15. Trachea, bronchi and lungs
    The trachea, or respiratory throat (Fig. 60), serves as a continuation of the larynx downward and is a cylindrical tube 11–13 cm long (in an adult). It consists of individual cartilaginous rings from 16 to 20 in number, connected by a fibrous tissue. At the back, where the cartilaginous rings are not completely closed, the tracheal wall is formed by the muscular membrane. This wall is adjacent to the esophagus. {foto64}
  16. TRACHEA AND BRONCHES
    A trachea is an unpaired organ through which air enters the lungs and vice versa (Fig. 80). The trachea has the form of a tube 9-10 cm long, somewhat compressed in the direction from front to back; its diameter is on average 15-18 mm. The basis of the trachea is 16-20 hyaline cartilaginous semirings, interconnected by annular ligaments. Trachea begins at the level of the lower edge of the VI cervical
  17. Chronical bronchitis
    Chronic bronchitis is a progressive, diffuse inflammation of the bronchi, not associated with local or generalized lung damage, manifested by coughing. You can talk about chronic bronchitis if the cough lasts for 3 months in 1 year 2 years in a row. The disease is associated with prolonged irritation of the bronchi by various harmful factors (smoking, inhalation of air contaminated with dust,
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