Bronhoektatical disease in children

Bronhoektatical disease in children is the final stage in the development of chronic pneumonia. In early childhood, she may develop on the background of congenital broncho-pulmonary system. The exacerbation of the process in the bronchi frequent, the temperature rises to 38 - 39 degrees. Pale skin, with a grayish tint and a marble pattern. Marked cyanosis nasolabial triangle, puffiness of the face, shortness of breath. Wheezing is heard in the distance (oral wheezing). Persistent symptoms multiple bronchiectasis is a cough in older children with sputum, usually in the morning. Sputum mucopurulent, generous, with an unpleasant odor. Typical nail changes in hourly glasses and parrot's beak and nail phalanxes of fingers and toes in the form of drum sticks (children first two years of life are rare). Detected changes not only broncho-pulmonary system and other organs: heart, liver, biliary tracts, kidneys. Complications (of pyopneumothorax, pyelonephritis, otitis, purulent meningitis) are more frequent in young children. For the diagnosis of bronchial ecstatic disease in children are important radiological and bronchoscopic examination. The prognosis is more favorable, with a one-way process.
Treatment. To prevent infection bronchiectasis important to conduct radical treatment of sinusitis, dental caries, the patient should avoid contact with suffering from the flu or other infections. With worsening process required bed rest. When choosing medicines should be guided by the results of sputum flora with the definition of its sensitivity to essential drugs wide spectrum of action (penicillin, streptomycin, tetracycline, etazol , and others). Penicillin appointed on 1 kg of weight per day children up to 1 year 10 000-20 000 UNITS, and when complications of staphylococcal infection -up to 100 000-200 000 IU, children aged up to 40 000 UNITS, etazol or norsulfazol 4-6-8 times every hours following single doses: from 4 months. up to 2 years in the 0.1 - 0.25 g, from 2 to 5 years - 0.3-0.4 g, from 6 to 12 years in the 0.5-0.75 g, at first reception given a double dose. At a spasm of the bronchi- ephedrine on 0.002-0.02 g depending on age. If strong cough recommended mustard pack (see Mustard). Radical method of treatment is surgical.
Prevention should be aimed at eliminating all the causes contributing to the emergence of chronic pneumonia. It is necessary to conduct health-building, training activities that improve the overall resistance of the child's body.