.


:




:

































 

 

 

 



30 2015

18

 

, [1]. , , 1-3 . ( 4-6 ) [1, 2, 3].

, , - , (, , ).

I. :


: .

:


() -10

J20

J20.0 , Mycoplasma pneumoniae

J20.1 , Haemophilus influenzae ( -)

J20.2 ,

J20.3 ,

J20.4 ,

J20.5 ,

J20.6 ,

J20.7 ,

J20.8 ,

J20.9

J21 :

J21.0 ,

J21.8 ,

J21.9

J22 .


:

IgE immunoglobulinE

--

2


: 2013 .

: 2015 .


: .


: , , .

.
:

-, (++) .
(++) - (++) - (+) .
- (+). , (++ +), .
D .
GPP .

 

 

. - . (80-95%) , [1, 2, 3, 4, 5, 6].
, , , , . , , , , . . , [1, 2, 3].


[1, 4, 5]. , , 4-6 [1, 2, 3, 4, 5, 6].


II. ,


:

:

- 3- ;

- 75 ;

- ;

- 38,0 ;

- .


:

- 3- ;

- 75 ;

- ;

- .

:

- ( );

- ;

- ;

- ;

- ;

- ;

- .


:


:

- ;

- (- );

- ;

- (, ),

- ( , , , ).


:

- , , , ( ), ;

- , ;

- ;

- .

:

- ;

- , .


- , .

:

. ( 3- ), ( , ), 75 , .. .

:

- ( );

- ( ());

- ( ).

 

 

(: 4): 2015

: , (J20.8)

(: 4): 2015

 


.

- - , - ,
- ≥ 38,0 - , - , , , - > 100 - , >24 , O2< 95%
- - - ( , , ). - . - IgE . - IgE .
- , , 26-30 - - - - - 100 -
- - ( ) - -
- - - - , - , - , ,


, , , , , .

 

:

- ;

- ;

- , , ;

- .


;

( 2-3 , );

;

, (, , , ).

:

, . , , .

. 48 , , () (, ) ( ).

, . , 6-7 , 65 .

(, , , ). (), (/, /) (, , , ), ( ) 2-3 per os. 5-7 .

:

- (, , );

- ;

- ;

- .

, . , , 5% ; , 5% .

(, , , , ); , (, ) .

. -2- (, ) ( ), (+ ) ( ).

, , , .

(), (, , , ), ( ). (/ /).

, , ( ) : , , , , .

:

(, , , ). , : , 65 .


:

.


:

- 3- .

 

 

:


.

() :

- ;

- ;

- , ;

- (-, .).

 

I. , 2015

1. 1) Wenzel R.P., Flower A.A. Acute bronchitis. //N. Engl. J. Med. - 2006; 355 (20): 2125-2130. 2) Braman S.S. Chronic cough due to bronchitis: ACCP evidence-based clinical practice guidelines. //Chest. 2006; 129: 95-103. 3) Irwin R.S. et al. Diagnosis and management of cough. ACCP evidencebased clinical practice guidelines. Executive summary. Chest 2006; 129: 1S23S. 4) Ross .H. Diagnosis and treatment of acute bronchitis. //Am. Fam. Physician. - 2010; 82 (11): 1345-1350. 5) Worrall G. Acute bronchitis. //Can. Fam. Physician. - 2008; 54: 238-239. 6) Clinical Microbiology and Infection. Guidelines for the management of adult lower respiratory tract infections. ERS Task Force. // Infect.Dis. 2011; 17 (6): 1-24, E1-E59. 7) .. . // . 2010; 18(2): 6064. 8) Smucny J., Flynn C., Becker L., Glazer R. Beta-2-agonists for acute bronchitis. //Cochrane Database Syst. Rev. 2004; 1: CD001726. 9) Smith S.M., Fahey T., Smucny J., Becker L.A. Antibiotics for acute bronchitis. // Cochrane Database Syst. Rev. 2010; 4: CD000245. 10) A.. // 2008. 21. . 3738. 11) Johnson AL, Hampson DF, Hampson NB. Sputum color: potential implications for clinical practice. RespirCare. 2008. vol.53. 4. pp. 450454. 12) Ladd E. The use of antibiotics for viral upper respiratory tract infections: an analysis of nurse practitioner and physician prescribing practices in ambulatory care, 19972001 // J Am Acad Nurse Pract. 2005. vol.17. 10. pp. 416424. 13) Rutschmann OT, Domino ME. Antibiotics for upper respiratory tract infections in ambulatory practice in the United States, 19971999: does physician specialty matter? // J Am Board FamPract. 2004. vol.17. 3. pp.196200.

II.

III.

IV. III.

V.
:

VI. 1) ..- ..., , ..

VII. 2) .. ..., .

VIII. 3) . ..., , ..

IX. 4) ..- , ..

X.
: .

XI.
:

XII. .. ..., .

XIII.
: 3 .

XIV.


XV. : 17.03.2016 13:13:31

 



<== | ==>
| 
:


: 2017-02-25; !; : 297 |


:

:

, , . , .
==> ...

1623 - | 1459 -


© 2015-2024 lektsii.org - -

: 0.045 .