Bronchiectasis for long. With a certain conventionality can speak of three periods for bronchiectasis. Bronchiectasis often begins to develop griep from childhood and for many years may not produce the typical manifestations. This is the first, the asymptomatic period of the disease or oligosymptomatic. In this period observed griep phenomena expressed mild bronchitis.
The next period, the second is characterized by recurrent localized pneumonia (pneumonia, bronchiectasis) that are associated with either AECB near bronchiectasis or more represent griep exacerbation of chronic interstitial pneumonia. They are almost always accompanied by dry pleurisy, starting often quite sharply after considerable chill. Such pneumonia often mistaken for new disease treated as influenza pneumonia. They occur mostly benign. Increased (up to 38-39 ) temperature is usually 3-4 days; this increases the amount of sputum; Sometimes during these exacerbations first an unpleasant smell sputum. With the establishment of the normal temperature condition of the patients improved again: the ability griep to work soon recovered and remains a cough, a little different from what it was before the exacerbation.
Finally, the third period is a period of chronic suppuration and chronic intoxication. Here we see the daily evolution of considerable purulent sputum, which in some patients may acquire pronounced putrid character. Even in this period of the disease, patients retain some time satisfactory general condition, but soon begin to detect signs of intoxication in the form of a slight fever, weight loss, anemia and decrease efficiency. Almost always there is a sluggish current interstitial pneumonia, frequent dry pleurisy, but now bronchiectasis may be complicated by pulmonary abscess, gangrene, griep pneumoempyema. May develop metastatic brain abscess. Relatively often also develop amyloidosis, usually just before hitting the spleen, liver. Almost simultaneously developing renal amyloidosis; emergence of significant albuminuria and large edema indicates adherence to lipid nephrosis amyloidosis. Among the diseases, amyloid-ending lipoid nephrosis, bronchiectasis is one of the first places.
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History of Medicine, griep 2011-2012. Required Reading rules for the use of the resource.
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