Important protective procedure for the cleaning mechanism of the airways from secrets, foreign body etc

Important protective procedure for the cleaning mechanism of the airways from secrets , foreign body etc.

• Important protective procedure for the cleaning mechanism of the airways from secrets , foreign body etc.

• Important role in the elimination of bacterias, other infective particles

• It can prevent severe arrhythmyas

• This is the most frequent complain for the patients at doctor visits, and the patient pay a lot for madication

G. Sz.. born.:28.06.1995 (II/II, 4000 gr)

• G. Sz.. born.:28.06.1995 (II/II, 4000 gr)

• History:

• from one year of age repetitive wheeze problems, bronchitis

• Th: continous ICS, beta agonist as he need

10. December. 1999.

• 10. December. 1999.

• Fever, UTI

• Amoxicillin therapy- improved

• Continous dry cough

• 17. January 2000.

• Increasing cough, first dry then mostly wet, then fever appeared.

• Chest X-ray right upper lobe pneumonia

• Th: Dalacin

19. January 2000.

• 19. January 2000.

• Admission: 2nd Pediatric Department of SU

• Status: he is alert, well without fever

• Above the chest normal knocking sounds, with auscultation puerilic breathing, 1-2 wheeze sounds, 1-1 whistling sound

• BR: 30/min

• Laboratory tests:

• We: 3 mm/h, Hgb:135 mmol/l, Fvs:7,8 G/l

Intacr tracheal system. On the wall of the trachea soluble, purulent mucus. At the orificium of the right upper lobe some white mass can be seen. With sucking an approx. 4 cm long, flexible mucus can be removed. On the blanket it seems a bronchial replica.

• Intacr tracheal system. On the wall of the trachea soluble, purulent mucus. At the orificium of the right upper lobe some white mass can be seen. With sucking an approx. 4 cm long, flexible mucus can be removed. On the blanket it seems a bronchial replica.

• On left side some purulent mucus.

KÉP

• KÉP

Bronchus bact:

• Bronchus bact:

• no bacteria

• Histology:

• Fibrin, and inflammatory cells can be found which is bronchial tree replica.

• Diagnosis:

• wheeze bronchitis ,

• bronchitis fibrinosa plastica

• atelectasia

• Cronic cough : Cough last more then 3 weeks

• Usually more then one problem/ agent can take part in the provocation or keep chronic cough, but sometimes can be the only symptomes of a disease.

• Asthma, wheeze bronchitis

• PostNasal Drip Syndrome (PNDS),

• UTI

• Gastro-esophagealis reflux

Chronic bronchitis, tracheitis

• Chronic bronchitis, tracheitis

• Special infections

• Mycoplasma pn., Chlamydia, B. pertussis, M.tbc

• Disease which causes purulent pulmonary disease

• cystic fibrosis, immundeficienciy, bronchiectasy

• primer ciliáris dyskinesis

• Disseminated pulmonary diseases

Congenital malformation

• Congenital malformation

• vascular ring, tracheo-bronchomalcia, fistula

• bronchogen cyst, secvestration, thymus hyperplasy

• Cardiac disease

• acyanotic congenital heart disease, VSD, PDA, PS, PH, Fallot IV.

• Foreign body, tumor, lymphnodes

• Aspiration

• central nervous system, neuromuscular diseases

• Enviromental factors

• smoking, allergens, chemical irritation, dry home

• Psychogen os neurotic cough

• Reflex cough