Bronchiolitis
Description:
Bronchiolitis - an acute inflammation of bronchioles; is considered as a severe form of an acute bronchitis.
Bronchiolitis symptoms:
Onset of the illness acute or against the background of a tracheobronchitis. Fever (38-39 °C); the expressed asthma (to 40 and more dykhaniye in 1 min.), shallow breathing with participation of auxiliary muscles. The thorax is fixed in the provision of a breath with the raised shoulder girdle. The person is bloated, cyanochroic. Painful cough with a scanty mucous phlegm, a stethalgia owing to an overstrain of muscles and reduction of a diaphragm at cough. A percussion sound with a bandbox shade, the breath weakened or rigid, plentiful small-bubbling (subcrepitant) not sonorous rattles, the whistling rattles on an exhalation. Symptoms of obstructive emphysema accrue. Frustration of a pulmonary and intra cardial hemodynamics owing to pulmonary hypertensia join the expressed respiratory insufficiency. Radiological strengthening of the pulmonary drawing in lower parts and in the field of roots of lungs is defined. The leukocytosis, increase in SOE is noted. The current is very heavy, duration of a disease is up to 5-6 weeks. The lethal outcome is possible. Differentiate from miliary tuberculosis, pneumonia. Crucial importance in the differential diagnosis belongs to X-ray inspection.
Thorax KT at a bronchiolitis
Bronchiolitis reasons:
Activators - usually viruses (influenzal, respiratory and syncytial) or virus and bacterial infections. Can develop after inhalation of the irritating gases, very cold air. The inflammation of bronchioles with disturbance of their passability leads to heavy disturbances of gas exchange and blood circulation.
Treatment of the Bronchiolitis:
Parenteral administration of antibiotics by the principle of treatment of acute pneumonias. Oxygenotherapy. Analeptical means (Cordiaminum, Sulfocamphocainum), зуфиллин (5 ml of 2,4% of solution by 2-3 times a day). Symptomatic therapy: in the period of painful unproductive cough - antibechic (codeine, ethyl morphine a hydrochloride), then expectorating and Mucolyticums; analgetics at pain; banks, mustard plasters, spirit compresses on a thorax, grinding, for example Unguentum Terebinthinae. If necessary - an intensive care in the conditions of the intensive care unit.
