42 research outputs found
The rare observation of Meckel`s diverticulum necrosis which the girl had with the suspicion of fallopian tube torsion
Meckel`s diverticulum occurs clinically only while development of complications (peptic ulcer with probable
hemorrhage and centesis β 43%; bowel obstruction on the background of the bowel obstruction and introsusception - 25,3%; diverticulitis - 14%, urachal fistula β 3,4%) and is relatively rare. Torsion of the appendages
of the uterus takes the 5th place in the structure of urgent gynecological pathology and occurs in almost 3%
of girls. We introduce our own observation, which presents difficulties in the preoperative diagnostics of these
conditions.
Girl of 15 years old was hospitalized complaining on pain in the lower abdomen, diarrhea up to 3 times per
day. In the blood tests minor inflammatory changes were detected. While ultrasound the parovarian tubular
formation up to 7 cm long with signs of infiltrative changes from the right side was revealed, which did not allow
to exclude an isolated torsion of the fallopian tube. Diagnostic laparoscopy was performed, and it was detected
that the uterus and appendages were without signs of inflammation and of normal sizes. At a distance of 30 sm
from the ileocecal angle the phagedenic changed Meckel`s diverticula up to 7 sm long twisted at the base was
detected. Laparoscopic removal of the diverticulum and appendectomy were performed. The postoperative
period proceeded smoothly, the girl was discharged home in a satisfactory condition on the 6th day.
Conclusion: all girls with a clinical picture of the βacute abdomenβ are advisable to perform diagnostic
laparoscopy regardless of the results of laboratory diagnostics and ultrasound. In most cases it is possible to
perform the curative stage of laparoscopy without conversion
Respiratory diseases in children with down syndrome
Down syndrome (DS) is one of the most common hereditary human diseases and the most common chromosomal abnormality (trisomy of chromosome 21). Besides the typical appearance, multiple anomalies of the cardiovascular, central nervous and immune systems, gastrointestinal tract, locomotor system, patients with DS commonly have respiratory tract diseases. The article presents current literature data on the causes of recurrent respiratory infections, upper and lower respiratory tract obstruction and obstructive sleep apnea. It provides data on the consequences of such respiratory tract abnormality as tracheal bronchus. It also describes interstitial lung diseases with DS (pulmonary hypoplasia, subpleural cysts) and their association with congenital heart diseases and pulmonary hypertension. It presents observations of patients with DS and pulmonary subpleural cysts. It discusses Palivizumab use for severe respiratory syncytial virus infection in children with DS. Β© 2017, Pediatria Ltd. All rights reserved
Carbohydrate metabolism disorders in salicylate poisoning: Diagnostic problems and physician's tactics
Drug poisoning, in particular poisoning with analgesics, is a topical problem in pediatrics. Poisoning signs are diverse, and interdisciplinary collaboration is important for managing these conditions. In this article, we discuss the diagnostic problems of salicylate poisoning, symptoms of which are similar to those in diabetes. In addition, ways to confirm the diagnosis and treatment modalities are described. Β© 2017 by the MediaSphere
Carbohydrate metabolism disorders in salicylate poisoning: Diagnostic problems and physician's tactics
Drug poisoning, in particular poisoning with analgesics, is a topical problem in pediatrics. Poisoning signs are diverse, and interdisciplinary collaboration is important for managing these conditions. In this article, we discuss the diagnostic problems of salicylate poisoning, symptoms of which are similar to those in diabetes. In addition, ways to confirm the diagnosis and treatment modalities are described. Β© 2017 by the MediaSphere
Respiratory diseases in children with down syndrome
Down syndrome (DS) is one of the most common hereditary human diseases and the most common chromosomal abnormality (trisomy of chromosome 21). Besides the typical appearance, multiple anomalies of the cardiovascular, central nervous and immune systems, gastrointestinal tract, locomotor system, patients with DS commonly have respiratory tract diseases. The article presents current literature data on the causes of recurrent respiratory infections, upper and lower respiratory tract obstruction and obstructive sleep apnea. It provides data on the consequences of such respiratory tract abnormality as tracheal bronchus. It also describes interstitial lung diseases with DS (pulmonary hypoplasia, subpleural cysts) and their association with congenital heart diseases and pulmonary hypertension. It presents observations of patients with DS and pulmonary subpleural cysts. It discusses Palivizumab use for severe respiratory syncytial virus infection in children with DS. Β© 2017, Pediatria Ltd. All rights reserved
Epilepsy in children and adolescents with type 1 diabetes: The course and diagnosis features
Diabetes mellitus type 1 (DM1) is an etiologically heterogeneous group of metabolic diseases characterized by chronic hyperglycemia. This autoimmune disease develops in people genetically predisposed to it. DM1 can combine with other autoimmune diseases, with lesion of both endocrine and not endocrine tissues. The coexistence of these diseases may indicate a genetic predisposition to this combination, but may be a coincidence. With endocrine diseases, seizures can be the result of neuroinflammatory, autoimmune and metabolic disorders. The article discusses problems of DM1 and epilepsy combination in children, features of epilepsy course, its forms and tactics of management of patients with the combination of these diseases. Β© 2016, Pediatria Ltd. All rights reserved
Epilepsy in children and adolescents with type 1 diabetes: The course and diagnosis features
Diabetes mellitus type 1 (DM1) is an etiologically heterogeneous group of metabolic diseases characterized by chronic hyperglycemia. This autoimmune disease develops in people genetically predisposed to it. DM1 can combine with other autoimmune diseases, with lesion of both endocrine and not endocrine tissues. The coexistence of these diseases may indicate a genetic predisposition to this combination, but may be a coincidence. With endocrine diseases, seizures can be the result of neuroinflammatory, autoimmune and metabolic disorders. The article discusses problems of DM1 and epilepsy combination in children, features of epilepsy course, its forms and tactics of management of patients with the combination of these diseases. Β© 2016, Pediatria Ltd. All rights reserved
Π’ΡΠ°Π½Π·ΠΈΡΠΎΡΠ½ΡΠ΅ ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΡΠ΅ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠΈ Ρ Π΄Π΅ΡΠ΅ΠΉ ΠΈ ΠΏΠΎΠ΄ΡΠΎΡΡΠΊΠΎΠ², ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠΉ ΠΈ ΡΠ΅ΡΠ΅Π½ΠΈΡ
The problem of a paediatric stroke has become relevant in recent decades. More than 50% of children with ischemic stroke are diagnosed with arteriopathy. The article presents observation of 61 patients with a confirmed diagnosis of arterial AI who underwent inpatient treatment at the Morozov City Child Clinic for the period from 2013 to 2018. 37 of them were boys, the average age of children was 7.8 years. The follow-up period was 16 months to 5 years (an average of 2.6 years). In 35 children from 61, according to neuroimaging, in the acute period, signs of arteriopathy were revealed. Of these, 24/31 revealed signs of unilateral focal stenosis of the cerebral arteries that did not correspond to the clinical and radiological picture of other types of arteriopathies, which were regarded in the framework of the focal cerebral arteriopathy. The analysis of clinical, laboratory and neuroimaging characteristics in groups of children with transient cerebral arteriopathy (TCAs) and without it was carried out. Progression of the neurological deficit and a less favorable outcome in children in the TCA group was noted. The need to isolate patients with arteriopathy is noted, which determines the tactics of dynamic observation and treatment.ΠΡΠΎΠ±Π»Π΅ΠΌΠ° Π΄Π΅ΡΡΠΊΠΎΠ³ΠΎ ΠΈΠ½ΡΡΠ»ΡΡΠ° ΡΡΠ°Π»Π° Π°ΠΊΡΡΠ°Π»ΡΠ½ΠΎΠΉ Π² ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΠ΅ Π΄Π΅ΡΡΡΠΈΠ»Π΅ΡΠΈΡ. Π£ Π±ΠΎΠ»Π΅Π΅ 50% Π΄Π΅ΡΠ΅ΠΉ Ρ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΈΠ½ΡΡΠ»ΡΡΠΎΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΡΠ΅ΡΡΡ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΡ. Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ΠΎ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠ΅ Π·Π° 61 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΌ Ρ ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½Π½ΡΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΠ½ΡΡΠ»ΡΡΠ° (ΠΠ), ΠΏΡΠΎΡ
ΠΎΠ΄ΠΈΠ²ΡΠΈΡ
ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠ΅ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π² ΠΠΠ£Π Β«ΠΠΎΡΠΎΠ·ΠΎΠ²ΡΠΊΠ°Ρ ΠΠΠΠ ΠΠΠΒ» Π·Π° ΠΏΠ΅ΡΠΈΠΎΠ΄ Ρ 2013 ΠΏΠΎ 2018 Π³Π³. 37 ΠΈΠ· Π½ΠΈΡ
Π±ΡΠ»ΠΈ ΠΌΠ°Π»ΡΡΠΈΠΊΠΈ, ΡΡΠ΅Π΄Π½ΠΈΠΉ Π²ΠΎΠ·ΡΠ°ΡΡ Π΄Π΅ΡΠ΅ΠΉ - 7,8 Π»Π΅Ρ. ΠΠ΅ΡΠΈΠΎΠ΄ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ ΡΠΎΡΡΠ°Π²ΠΈΠ» ΠΎΡ 16 ΠΌΠ΅ΡΡΡΠ΅Π² Π΄ΠΎ 5 Π»Π΅Ρ (Π² ΡΡΠ΅Π΄Π½Π΅ΠΌ 2,6 Π³ΠΎΠ΄Π°). Π£ 35 Π΄Π΅ΡΠ΅ΠΉ ΠΈΠ· 61, ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ Π½Π΅ΠΉΡΠΎΠ²ΠΈΠ·ΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ, Π² ΠΎΡΡΡΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π²ΡΡΠ²Π»Π΅Π½Ρ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΈ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠΈ. ΠΠ· Π½ΠΈΡ
Ρ 24/31 Π·Π°ΡΠΈΠΊΡΠΈΡΠΎΠ²Π°Π½Ρ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΈ ΠΎΠ΄Π½ΠΎΡΡΠΎΡΠΎΠ½Π½Π΅Π³ΠΎ ΡΠΎΠΊΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ΅Π½ΠΎΠ·Π° ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ, Π½Π΅ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΡΡΠΈΠ΅ ΠΏΠΎ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠ°ΡΡΠΈΠ½Π΅ Π΄ΡΡΠ³ΠΈΠΌ Π²ΠΈΠ΄Π°ΠΌ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠΉ, ΠΊΠΎΡΠΎΡΡΠ΅ Π±ΡΠ»ΠΈ ΡΠ°ΡΡΠ΅Π½Π΅Π½Ρ Π² ΡΠ°ΠΌΠΊΠ°Ρ
ΡΠΎΠΊΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠΈ (Π€Π¦Π). ΠΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
, Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
ΠΈ Π½Π΅ΠΉΡΠΎΠ²ΠΈΠ·ΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΎΠ½Π½ΡΡ
ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ Π² Π³ΡΡΠΏΠΏΠ°Ρ
Π΄Π΅ΡΠ΅ΠΉ Ρ ΡΡΠ°Π½Π·ΠΈΡΠΎΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠ΅ΠΉ (Π’Π¦Π) ΠΈ Π±Π΅Π· Π½Π΅Π΅. ΠΡΠ»ΠΎ Π²ΡΡΠ²Π»Π΅Π½ΠΎ ΠΏΡΠΎΠ³ΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π΄Π΅ΡΠΈΡΠΈΡΠ° ΠΈ ΠΌΠ΅Π½Π΅Π΅ Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΡΠΉ ΠΈΡΡ
ΠΎΠ΄ Ρ Π΄Π΅ΡΠ΅ΠΉ Π² Π³ΡΡΠΏΠΏΠ΅ Ρ Π’Π¦Π. ΠΡΠΌΠ΅ΡΠ΅Π½Π° Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ Π²ΡΠ΄Π΅Π»Π΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠ΅ΠΉ Π΄Π»Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΡΠ°ΠΊΡΠΈΠΊΠΈ Π΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ
Π’ΡΠ°Π½Π·ΠΈΡΠΎΡΠ½ΡΠ΅ ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΡΠ΅ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠΈ Ρ Π΄Π΅ΡΠ΅ΠΉ ΠΈ ΠΏΠΎΠ΄ΡΠΎΡΡΠΊΠΎΠ², ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΠΉ ΠΈ ΡΠ΅ΡΠ΅Π½ΠΈΡ
The problem of a paediatric stroke has become relevant in recent decades. More than 50% of children with ischemic stroke are diagnosed with arteriopathy. The article presents observation of 61 patients with a confirmed diagnosis of arterial AI who underwent inpatient treatment at the Morozov City Child Clinic for the period from 2013 to 2018. 37 of them were boys, the average age of children was 7.8 years. The follow-up period was 16 months to 5 years (an average of 2.6 years). In 35 children from 61, according to neuroimaging, in the acute period, signs of arteriopathy were revealed. Of these, 24/31 revealed signs of unilateral focal stenosis of the cerebral arteries that did not correspond to the clinical and radiological picture of other types of arteriopathies, which were regarded in the framework of the focal cerebral arteriopathy. The analysis of clinical, laboratory and neuroimaging characteristics in groups of children with transient cerebral arteriopathy (TCAs) and without it was carried out. Progression of the neurological deficit and a less favorable outcome in children in the TCA group was noted. The need to isolate patients with arteriopathy is noted, which determines the tactics of dynamic observation and treatment.ΠΡΠΎΠ±Π»Π΅ΠΌΠ° Π΄Π΅ΡΡΠΊΠΎΠ³ΠΎ ΠΈΠ½ΡΡΠ»ΡΡΠ° ΡΡΠ°Π»Π° Π°ΠΊΡΡΠ°Π»ΡΠ½ΠΎΠΉ Π² ΠΏΠΎΡΠ»Π΅Π΄Π½ΠΈΠ΅ Π΄Π΅ΡΡΡΠΈΠ»Π΅ΡΠΈΡ. Π£ Π±ΠΎΠ»Π΅Π΅ 50% Π΄Π΅ΡΠ΅ΠΉ Ρ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠΈΠΌ ΠΈΠ½ΡΡΠ»ΡΡΠΎΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΡΠ΅ΡΡΡ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΡ. Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ΠΎ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΠ΅ Π·Π° 61 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠΌ Ρ ΠΏΠΎΠ΄ΡΠ²Π΅ΡΠΆΠ΄Π΅Π½Π½ΡΠΌ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ Π°ΡΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΠΈΡΠ΅ΠΌΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΈΠ½ΡΡΠ»ΡΡΠ° (ΠΠ), ΠΏΡΠΎΡ
ΠΎΠ΄ΠΈΠ²ΡΠΈΡ
ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠ΅ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π² ΠΠΠ£Π Β«ΠΠΎΡΠΎΠ·ΠΎΠ²ΡΠΊΠ°Ρ ΠΠΠΠ ΠΠΠΒ» Π·Π° ΠΏΠ΅ΡΠΈΠΎΠ΄ Ρ 2013 ΠΏΠΎ 2018 Π³Π³. 37 ΠΈΠ· Π½ΠΈΡ
Π±ΡΠ»ΠΈ ΠΌΠ°Π»ΡΡΠΈΠΊΠΈ, ΡΡΠ΅Π΄Π½ΠΈΠΉ Π²ΠΎΠ·ΡΠ°ΡΡ Π΄Π΅ΡΠ΅ΠΉ - 7,8 Π»Π΅Ρ. ΠΠ΅ΡΠΈΠΎΠ΄ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ ΡΠΎΡΡΠ°Π²ΠΈΠ» ΠΎΡ 16 ΠΌΠ΅ΡΡΡΠ΅Π² Π΄ΠΎ 5 Π»Π΅Ρ (Π² ΡΡΠ΅Π΄Π½Π΅ΠΌ 2,6 Π³ΠΎΠ΄Π°). Π£ 35 Π΄Π΅ΡΠ΅ΠΉ ΠΈΠ· 61, ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ Π½Π΅ΠΉΡΠΎΠ²ΠΈΠ·ΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ, Π² ΠΎΡΡΡΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ Π²ΡΡΠ²Π»Π΅Π½Ρ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΈ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠΈ. ΠΠ· Π½ΠΈΡ
Ρ 24/31 Π·Π°ΡΠΈΠΊΡΠΈΡΠΎΠ²Π°Π½Ρ ΠΏΡΠΈΠ·Π½Π°ΠΊΠΈ ΠΎΠ΄Π½ΠΎΡΡΠΎΡΠΎΠ½Π½Π΅Π³ΠΎ ΡΠΎΠΊΠ°Π»ΡΠ½ΠΎΠ³ΠΎ ΡΡΠ΅Π½ΠΎΠ·Π° ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΡΡ
Π°ΡΡΠ΅ΡΠΈΠΉ, Π½Π΅ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΡΡΠΈΠ΅ ΠΏΠΎ ΠΊΠ»ΠΈΠ½ΠΈΠΊΠΎ-ΡΠ΅Π½ΡΠ³Π΅Π½ΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠ°ΡΡΠΈΠ½Π΅ Π΄ΡΡΠ³ΠΈΠΌ Π²ΠΈΠ΄Π°ΠΌ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠΉ, ΠΊΠΎΡΠΎΡΡΠ΅ Π±ΡΠ»ΠΈ ΡΠ°ΡΡΠ΅Π½Π΅Π½Ρ Π² ΡΠ°ΠΌΠΊΠ°Ρ
ΡΠΎΠΊΠ°Π»ΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠΈ (Π€Π¦Π). ΠΡΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
, Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΡ
ΠΈ Π½Π΅ΠΉΡΠΎΠ²ΠΈΠ·ΡΠ°Π»ΠΈΠ·Π°ΡΠΈΠΎΠ½Π½ΡΡ
ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ Π² Π³ΡΡΠΏΠΏΠ°Ρ
Π΄Π΅ΡΠ΅ΠΉ Ρ ΡΡΠ°Π½Π·ΠΈΡΠΎΡΠ½ΠΎΠΉ ΡΠ΅ΡΠ΅Π±ΡΠ°Π»ΡΠ½ΠΎΠΉ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠ΅ΠΉ (Π’Π¦Π) ΠΈ Π±Π΅Π· Π½Π΅Π΅. ΠΡΠ»ΠΎ Π²ΡΡΠ²Π»Π΅Π½ΠΎ ΠΏΡΠΎΠ³ΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π΄Π΅ΡΠΈΡΠΈΡΠ° ΠΈ ΠΌΠ΅Π½Π΅Π΅ Π±Π»Π°Π³ΠΎΠΏΡΠΈΡΡΠ½ΡΠΉ ΠΈΡΡ
ΠΎΠ΄ Ρ Π΄Π΅ΡΠ΅ΠΉ Π² Π³ΡΡΠΏΠΏΠ΅ Ρ Π’Π¦Π. ΠΡΠΌΠ΅ΡΠ΅Π½Π° Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ Π²ΡΠ΄Π΅Π»Π΅Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π°ΡΡΠ΅ΡΠΈΠΎΠΏΠ°ΡΠΈΠ΅ΠΉ Π΄Π»Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ ΡΠ°ΠΊΡΠΈΠΊΠΈ Π΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π½Π°Π±Π»ΡΠ΄Π΅Π½ΠΈΡ ΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ
Clinical and epidemiological features and prevention of nosocomial bronchiolitis with RSV etiology in children of severe course risk groups
Preterm infants and children with bronchopulmonary dysplasia, hemodynamically significant congenital heart diseases and number of other diseases are a group of severe risk of RSV bronchiolitis requiring hospitalization and intensive, including respiratory, therapy. RSV bronchiolitis can develop as at stationary phase due to nosocomial infection, and outpatient. The article presents current information about clinical and epidemiological features of nosocomial RSV bronchiolitis in children of severe course risk groups based on infection outbreaks analysis from literature and own data. It presents data on non-specific prevention of nosocomial RSV infection and experience of prevention with nosocomial spread of monoclonal antibody to virus F protein palivizumab. Β© 2016, Pediatria Ltd. All rights reserved