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ГЛАВА3. The CLINICO-ANAMNESTICHESKY CHARACTERISTIC of CHILDREN With the ACUTE STENOSING LARYNGITIS (CROUP)

At inspection of a complex of clinico-anamnestic data attracts attention the allergological anamnesis of patients with OSL. Among allergic diseases in a family most often met a pollinosis - 29,5 %, allergic all-the-year-round rhinites - 22,9 %, a food allergy - 27,8 %, BA and an allergy on medicinal preparations - 21,3 %, a croup as a whole - 27,8 %.

Investigating the obstetric and neonatal anamnesis, it has been taped, that the pathological current of pregnancy became perceptible at 30,6 % of mothers of the surveyed group: ORVI during pregnancy have transferred 24,8 %, the pathology of the intranatal period took place in 36,8 % of cases.

Early terms of transition of the child on artificial feeding became perceptible. On early artificial feeding were 100 (61,4 %) children, duration of thoracal feeding of children with OSL basically was about 1-2 months у74 (45,3 %) the person, till 3-4 months at 63 (38,9 %), till 5-6 months at 16 (9,7 %) (a drawing 2).

Drawing 2. A kind of feeding (I) and terms of transition (II) on artificial feeding at children with an acute obstructive laryngitis (croup) (n=163)

At research of the family anamnesis and the anamnesis of a life of children with OSL (croup) an irrational food of mothers, application of medicines during pregnancy and feeding by a breast, smoking of both parents, adverse ecological conditions of residing took place.


In the anamnesis of all surveyed children there were indicatings on the transferred infectious diseases of the virus, bacteriemic or admixed aetiology. Frequent ORVI (more than 6 times in a year) took place at 77,8 % of patients, a repeated pneumonia at 3,8 % of children.

The accompanying pathology at the surveyed patients has been presented by group bronholegochnyh diseases: at 80 (49,3 %) the obstructive bronchitis, at 66 (40,6 %) frequent ORVI, at 15 (9,4 %) a pneumonia became perceptible

Diseases of ENTs-organs have been presented to 68,7 % by a chronic pathology.

Background diseases have made 12 %. Allergopatologija took place practically at each patient with OSL (croup), shown in a kind atopicheskogo a dermatitis at 114 (70 %), a pollinosis at 33 (20 %), a food allergy at 16 (10 %) (a drawing 3).

Drawing 3. An accompanying pathology at the surveyed patients (n = 163)


Thus children with OSL (croup) have the burdened heredity on allergic diseases, a pathology pre - and the intranatal period.

At studying of accompanying allergic diseases at children with OSL (croup) it has been established, that all children had the signs of a food allergy more often shown by dermal changes, in early age.

All observable children were Muscovites, lived in industrial regions of a city or along large highways that was an adverse ecological background.

Smokers in a family met in overwhelming majority of surveyed, frequency of passive smoking at children with OSL (croup) has made more than 80 %.

Thus, the probability of development OSL (groats) most likely depends on set of the various factors, including not only ecological aspects, but also genetic and immunologic features. At the same time till now criteria, authentic from positions of demonstrative medicine, early diagnostics of a virus and-or bacteriemic aetiology of disease are not developed, therefore we undertake attempt, on the basis of a complex of virologic, bacteriological, mass spectrometer methods of research, to allocate group of the factors promoting more exact definition of an aetiology of disease at children. Results of the given research will be presented in chapter 4.

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Scientific source FELDFIKS LARISSA IZEVNA. ROLE of the BACTERIEMIC INFECTION AT the ACUTE STENOSING LARYNGITIS (CROUP) At CHILDREN. The dissertation on competition of a scientific degree of the candidate of medical sciences. Moscow - 2014. 2014

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