CURRENT CLINICAL FEATURES OF DIFFERENT FORMS BRONCHOPULMONARY DYSPLASIA.
DOI:
https://doi.org/10.11603/24116-4944.2014.2.4858Keywords:
children, bronchopulmonary dysplasia, diagnosis.Abstract
We observed 131 children (269 cases) in age from 1 month to 3 years with a diagnosis of bronchopulmonary dysplasia. For a new form of bronchopulmonary dysplasia characterized by the formation of acute bronchiolitis (p <0.001) with respiratory failure II-III degree (p <0.001) during the acute illness. Clinical markers of this form of the disease in remission can be considered as breathlessness during exercise (p <0.01), acrocyanosis in anxiety (p <0.01), compliant places part of the chest in breathing (p<0.01), a detailed lower thoracic (p <0.001). Aggravation classical bronchopulmonary dysplasia characterized by frequent obstructive bronchitis (p <0.001), bronchiolitis (p <0.01), pneumonia (p <0.01) were found markers obstructive-restrictive respiratoryfailure during remission classical bronchopulmonary dysplasia: dyspnoea at rest and during exercise (p <0.01), barrel chest (p <0.01) and the involvement of compliant places the chest in the act of breathing (p <0.001), launched the lower aperture (p <0.001), barrel chest (p <0.05), dullness, interspersed with box sound (p <0.01), hard breathing (p <0.001), and crepitus (p <0.01). For patients with bronchopulmonary dysplasia term exacerbation manifested by frequent pneumonia (p <0.001), which was associated with impaired neuro-respiratory drive (r = 0,678, p<0.05). Clinical markers of bronchopulmonary dysplasia during term remission of the disease are breathlessness (p <0.01), lack of increase in body weight (p <0.001), tachypnea (p <0.01), acrocyanosis (p <0.001), dullness in the lower chest (p <0.001), severe breathing (p <0.001). Crackles and respiratory depression are not characteristic of bronchopulmonary dysplasia term.
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