algorithm of prospective etiological decoding OSL (groats) at children

Thus, all above-stated allows to develop algorithm of possible etiological decoding of an acute stenosing laryngitis (croup). At the anamnesis collecting it is necessary to pay attention to such facts as: burdeness of allergic diseases; a pathology a pre-post perinatalnogo the period; the allergic anamnesis of the child; age of the child:
Till 1 year, 1-3 years, 3-6 years,> 6 years; a stenosis of larynx II-III of degree in a disease debut; frequent respiratory diseases; it is long also flaccid ORZ; bacteriemic complications at ORZ; spent therapy with presence of etiotropic treatment.

Mainly virus aetiology of disease can be assumed, if at the patient the first day of disease takes place, the temperature does not exceed 38 With and 1 day remains, the stenosis of a larynx I - II degrees, quickly stopped against spent ldechenija becomes perceptible, at objective survey mucous stomatopharynxes weakly giperemirovany, a discharge from a nose poor, serous character, without a pathological smell, in OAK all indicators correspond to age norm or the moderate neutrophilia becomes perceptible.

Mainly bacteriemic aetiology of disease can be assumed, if the child is sick more than 2-3 days, the temperature> 38С during all period of disease or its rising on 2-3день, becomes perceptible a stenosis of a larynx of II degree without significant improvement more than 24 hours against spent treatment, at objective survey mucous stomatopharynxes brightly giperemirovany, are hydropic, a discharge from a nose of is serous-purulent character with a putrefactive smell, in OAK nejtrofilnyj a leukocytosis, accelerated by an ESR. In b/h SRB> 0,007g/l.

Drawing 34. Algorithm of decoding of an aetiology of an acute stenosing laryngitis (croup)