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Dizontogeneticheskie bronchiectasis - a consequence of genetically determined inferiority of the bronchial tree, which is manifested in the weakness of the bronchial wall, insufficient development of smooth muscle, elastic tissue and cartilage.
Violation of the pulmonary circulation with the development of regional or general pulmonary hypertension stds due to structural changes in the lungs, endobronchitis and changes in the bronchial arteries disorder alveolar ventilation. Symptoms of bronchiectasis in children
X-ray examination to determine the decrease in the shade and seal the affected lobe of the lung and therefore mediastinal shift toward the lesion with the appearance of the opposite edge of the spine.
Bronhografiya serves as the primary diagnostic tool, which allows to establish the nature of morphological changes in the bronchial tree (cylindrical or saccular bronchiectasis), stds failure to complete a contrast agent bronchial branches located more peripheral bronchiectasis.
Computed tomography shows pockets of reducing the volume of lung tissue, sealing vessels, ring shadows extended terminal bronchi distal visualization of bronchi within 1 cm from the surface of the pleura. Treatment of bronchiectasis in children
Conservative treatment of bronchiectasis in children, started on time, allows stds to achieve a clinical effect. Conservative treatment includes bronchial suctioning using bronchoscopy, postural drainage, inhalation antibiotic therapy.
Surgical treatment of bronchiectasis in children involves resection of the lung, thereby eliminating foci of chronic purulent infection and lead to a complete resolution of chronic endobronchitis. The indications for surgical treatment are ineffective conservative treatment and lack of vascular perfusion stds in the affected lung. Forecast bronchiectasis in children
Prognosis depends on the severity of bronchiectasis, severity of the disease and its complications. The prognosis worsens with the development of complications of pulmonary arterial hypertension, pulmonary hemorrhage, renal amyloidosis. Rehabilitation of bronchiectasis in children stds is successful in efficiency bronchial suctioning.
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