3 research outputs found
ΠΠ»Π°ΡΡΠΈΡΠ΅ΡΠΊΠΈΠΉ Π±ΡΠΎΠ½Ρ ΠΈΡ, Π°ΡΡΠΎΡΠΈΠΈΡΠΎΠ²Π°Π½Π½ΡΠΉ Ρ ΠΊΠΎΡΡΠΈΠ³ΠΈΡΠΎΠ²Π°Π½Π½ΡΠΌ ΠΏΠΎΡΠΎΠΊΠΎΠΌ ΡΠ΅ΡΠ΄ΡΠ° Ρ ΡΠ΅Π±Π΅Π½ΠΊΠ°
Plastic bronchitis (PB) is a rare disease that causes airway obstruction with large Β«rubberΒ» bronchial casts in adults and children, mainly due to concomitant cardiac or pulmonary pathology. It involves the organization of exudate or transudate, which takes the form of the respiratory tract. Mortality with PB reaches 50%. Exact epidemiological data are not known. In most patients, PB occurs in the context of major diseases, which can be conditionally divided into two groups: heart and vascular disease and secondary complication of pulmonary diseases. Usually PB manifests with episodes of dyspnea, tachycardia, hypoxia, fever and cough associated with airway obstruction. Sometimes the symptoms resemble asthma or obstructive bronchitis, accompanied by wheezing and the symptoms of respiratory failure, decreasing of saturation (of what?), the development of pneumothorax. All existing methods of treatment are symptomatic. Promising methods of therapy are the use of inhaled unfractionated heparin and a recombinant tissue plasminogen activator (TAP). The article presents a clinical case of PB in a girl of 5 years with the background of corrected cardiac anomaly.ΠΠ»Π°ΡΡΠΈΡΠ΅ΡΠΊΠΈΠΉ Π±ΡΠΎΠ½Ρ
ΠΈΡ (ΠΠ) β ΡΠ΅Π΄ΠΊΠΎΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠ΅, Π²ΡΠ·ΡΠ²Π°ΡΡΠ΅Π΅ ΠΎΠ±ΡΡΡΡΠΊΡΠΈΡ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΠ΅ΠΉ ΠΊΡΡΠΏΠ½ΡΠΌΠΈ Β«ΡΠ΅Π·ΠΈΠ½ΠΎΠ²ΡΠΌΠΈΒ» ΡΠ»Π΅ΠΏΠΊΠ°ΠΌΠΈ Π±ΡΠΎΠ½Ρ
ΠΎΠ² Ρ Π²Π·ΡΠΎΡΠ»ΡΡ
ΠΈ Π΄Π΅ΡΠ΅ΠΉ, ΠΏΡΠ΅ΠΈΠΌΡΡΠ΅ΡΡΠ²Π΅Π½Π½ΠΎ Π² ΡΠ²ΡΠ·ΠΈ Ρ ΡΠΎΠΏΡΡΡΡΠ²ΡΡΡΠ΅ΠΉ ΡΠ΅ΡΠ΄Π΅ΡΠ½ΠΎΠΉ ΠΈΠ»ΠΈ Π»Π΅Π³ΠΎΡΠ½ΠΎΠΉ ΠΏΠ°ΡΠΎΠ»ΠΎΠ³ΠΈΠ΅ΠΉ. ΠΡΠΎ ΡΠ²ΡΠ·Π°Π½ΠΎ Ρ ΠΎΡΠ³Π°Π½ΠΈΠ·Π°ΡΠΈΠ΅ΠΉ ΡΠΊΡΡΡΠ΄Π°ΡΠ°, ΠΈΠ»ΠΈ ΡΡΠ°Π½ΡΡΡΠ΄Π°ΡΠ°, ΠΊΠΎΡΠΎΡΡΠΉ ΠΏΡΠΈΠ½ΠΈΠΌΠ°Π΅Ρ ΡΠΎΡΠΌΡ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΠ΅ΠΉ. Π‘ΠΌΠ΅ΡΡΠ½ΠΎΡΡΡ ΠΏΡΠΈ ΠΠ Π΄ΠΎΡΡΠΈΠ³Π°Π΅Ρ 50%. Π’ΠΎΡΠ½ΡΠ΅ ΡΠΏΠΈΠ΄Π΅ΠΌΠΈΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΠ΅ Π΄Π°Π½Π½ΡΠ΅ Π½Π΅ΠΈΠ·Π²Π΅ΡΡΠ½Ρ. Π£ Π±ΠΎΠ»ΡΡΠΈΠ½ΡΡΠ²Π° ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΠ Π²ΠΎΠ·Π½ΠΈΠΊΠ°Π΅Ρ Π² ΠΊΠΎΠ½ΡΠ΅ΠΊΡΡΠ΅ ΠΎΡΠ½ΠΎΠ²Π½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ, ΠΊΠΎΡΠΎΡΡΠ΅ ΡΡΠ»ΠΎΠ²Π½ΠΎ ΠΌΠΎΠΆΠ½ΠΎ ΡΠ°Π·Π΄Π΅Π»ΠΈΡΡ Π½Π° Π΄Π²Π΅ Π³ΡΡΠΏΠΏΡ: Π±ΠΎΠ»Π΅Π·Π½ΠΈ ΡΠ΅ΡΠ΄ΡΠ° ΠΈ ΡΠΎΡΡΠ΄ΠΎΠ² ΠΈ Π²ΡΠΎΡΠΈΡΠ½ΠΎΠ΅ ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠ΅ Π»Π΅Π³ΠΎΡΠ½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ. ΠΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΡ ΠΠ ΠΏΡΠΎΡΠ²Π»ΡΡΡΡΡ ΡΠΏΠΈΠ·ΠΎΠ΄Π°ΠΌΠΈ ΠΎΠ΄ΡΡΠΊΠΈ, ΡΠ°Ρ
ΠΈΠΊΠ°ΡΠ΄ΠΈΠΈ, Π³ΠΈΠΏΠΎΠΊΡΠΈΠΈ, Π»ΠΈΡ
ΠΎΡΠ°Π΄ΠΊΠΈ ΠΈ ΠΊΠ°ΡΠ»Ρ, ΡΠ²ΡΠ·Π°Π½Π½ΠΎΠ³ΠΎ Ρ ΠΎΠ±ΡΡΡΡΠΊΡΠΈΠ΅ΠΉ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΡΡ
ΠΏΡΡΠ΅ΠΉ. ΠΠ½ΠΎΠ³Π΄Π° ΡΠΈΠΌΠΏΡΠΎΠΌΡ Π½Π°ΠΏΠΎΠΌΠΈΠ½Π°ΡΡ Π°ΡΡΠΌΡ ΠΈΠ»ΠΈ ΠΎΠ±ΡΡΡΡΠΊΡΠΈΠ²Π½ΡΠΉ Π±ΡΠΎΠ½Ρ
ΠΈΡ, ΡΠΎΠΏΡΠΎΠ²ΠΎΠΆΠ΄Π°ΡΡΡΡ ΡΠ°Π·Π½ΠΎΠΎΠ±ΡΠ°Π·Π½ΡΠΌΠΈ Ρ
ΡΠΈΠΏΠ°ΠΌΠΈ ΠΈ ΡΠΈΠΌΠΏΡΠΎΠΌΠ°ΠΌΠΈ Π΄ΡΡ
Π°ΡΠ΅Π»ΡΠ½ΠΎΠΉ Π½Π΅Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎΡΡΠΈ, ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ΠΌ ΡΠ°ΡΡΡΠ°ΡΠΈΠΈ, ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ΠΌ ΠΏΠ½Π΅Π²ΠΌΠΎΡΠΎΡΠ°ΠΊΡΠ°. ΠΡΠ΅ ΡΡΡΠ΅ΡΡΠ²ΡΡΡΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ Π»Π΅ΡΠ΅Π½ΠΈΡ ΡΠ²Π»ΡΡΡΡΡ ΡΠΈΠΌΠΏΡΠΎΠΌΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ. ΠΠ΅ΡΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΡΠΌΠΈ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌΠΈ ΡΠ΅ΡΠ°ΠΏΠΈΠΈ ΡΠ²Π»ΡΡΡΡΡ ΠΈΠ½Π³Π°Π»ΡΡΠΈΠΎΠ½Π½ΠΎΠ΅ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ Π½Π΅ΡΡΠ°ΠΊΡΠΈΠΎΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Π³Π΅ΠΏΠ°ΡΠΈΠ½Π° ΠΈ ΡΠ΅ΠΊΠΎΠΌΠ±ΠΈΠ½Π°Π½ΡΠ½ΠΎΠ³ΠΎ ΡΠΊΠ°Π½Π΅Π²ΠΎΠ³ΠΎ Π°ΠΊΡΠΈΠ²Π°ΡΠΎΡΠ° ΠΏΠ»Π°Π·ΠΌΠΈΠ½ΠΎΠ³Π΅Π½Π° (Π’ΠΠ). Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠΈΠ²ΠΎΠ΄ΠΈΡΡΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΡΠ»ΡΡΠ°ΠΉ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΠ Ρ Π΄Π΅Π²ΠΎΡΠΊΠΈ 5 Π»Π΅Ρ ΠΏΠΎΡΠ»Π΅ Π³Π΅ΠΌΠΎΠ΄ΠΈΠ½Π°ΠΌΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ ΡΡΠ½ΠΊΡΠΈΠΎΠ½Π°Π»ΡΠ½ΠΎ Π΅Π΄ΠΈΠ½ΡΡΠ²Π΅Π½Π½ΠΎΠ³ΠΎ ΠΆΠ΅Π»ΡΠ΄ΠΎΡΠΊΠ° ΡΠ΅ΡΠ΄ΡΠ°.
Plastic bronchitis associated with corrected cardiac anomaly in a child
Plastic bronchitis (PB) is a rare disease that causes airway obstruction with large Β«rubberΒ» bronchial casts in adults and children, mainly due to concomitant cardiac or pulmonary pathology. It involves the organization of exudate or transudate, which takes the form of the respiratory tract. Mortality with PB reaches 50%. Exact epidemiological data are not known. In most patients, PB occurs in the context of major diseases, which can be conditionally divided into two groups: heart and vascular disease and secondary complication of pulmonary diseases. Usually PB manifests with episodes of dyspnea, tachycardia, hypoxia, fever and cough associated with airway obstruction. Sometimes the symptoms resemble asthma or obstructive bronchitis, accompanied by wheezing and the symptoms of respiratory failure, decreasing of saturation (of what?), the development of pneumothorax. All existing methods of treatment are symptomatic. Promising methods of therapy are the use of inhaled unfractionated heparin and a recombinant tissue plasminogen activator (TAP). The article presents a clinical case of PB in a girl of 5 years with the background of corrected cardiac anomaly