ОБЩАЯ ХАРАКТЕРИСТИКА БОЛЬНЫХ ВНЕБОЛЬНИЧНОЙ ПНЕВМОНИЕЙ У ДЕТЕЙ С МИОКАРДИТОМ

Аннотация

In the article, the anamnestic, clinical, traditional laboratory and special examination methods of 80 out-of-hospital pneumonia children aged 1 to 6 years, emergency pediatrics and child resuscitation II of the Samarkand branch of the Republican Emergency Medical Research Center in 2020-2023 The results of 40 patients with myocarditis admitted to the hospital are presented. Key words: pneumonia outside the hospital, children, myocarditis, ECG. GENERAL CHARACTERISTICS OF PATIENTS WITH COMMUNITY- ACQUIRED PNEUMONIA IN CHILDREN WITH MYOCARDITIS Abstract. In the article, the anamnestic, clinical, traditional laboratory and special examination methods of 80 out-of-hospital pneumonia children aged 1 to 6 years, emergency pediatrics and child resuscitation II of the Samarkand branch of the Republican Emergency Medical Research Center in 2020- 2023 The results of 40 patients with myocarditis admitted to the hospital are presented. Key words: pneumonia outside the hospital, children, myocarditis, ECG. ОБЩАЯ ХАРАКТЕРИСТИКА БОЛЬНЫХ ВНЕБОЛЬНИЧНОЙ ПНЕВМОНИЕЙ У ДЕТЕЙ С МИОКАРДИТОМ Аннотация. В статье рассмотрены анамнестические, клинические, традиционные лабораторные и специальные методы обследования 80 детей с внебольничными пневмониями в возрасте от 1 до 6 лет, экстренной педиатрии и детской реанимации II Самаркандского филиала Республиканского научного центра скорой медицинской помощи в г. 2020-2023 гг. Представлены результаты лечения 40 больных миокардитом, поступивших в стационар. Ключевые слова: внебольничная пневмония, дети, миокардит, ЭКГ. 463 Enter. For several decades, severe bronchopulmonary diseases remain one of the urgent problems of modern medicine, because despite the use of new principles and methods of treatment, the number of patients increases and the death rate is constantly high [3 ,4]. The possible reason for this is delayed diagnosis and, as a result, late initiation of treatment, as well as the inability to adequately assess the effectiveness of therapy. Diagnosis of bronchopulmonary diseases in children is often difficult, especially if symptoms of respiratory failure have developed against the background of ARVI. The problem of acute myocarditis is related to its prevalence, especially in childhood. Myocarditis is an infectious, toxic-infectious, infectious-allergic, autoimmune and toxic etiological inflammatory injury of the heart muscle. This disease mainly occurs in children and young people, but the disease can develop at any age. Any viral or bacterial agent, as well as non- infectious factors, can be the cause of myocarditis. The most common cause of the disease is viruses. In 6-8% of cases, myocarditis develops during or shortly after various sporadic or epidemic viral infections [1]. The purpose of the study. Determining the general characteristics of patients in the course of pneumonia in children against the background of myocarditis. Research materials and methods. The patients in the 1st stage of the study were divided into 3 groups: 40 children without myocarditis, with community-acquired pneumonia, were included in group I. 40 patients with mild to moderate severity of community-acquired pneumonia against the background of myocarditis were included in group II. All patients traditional clinical, laboratory and instrumental examinations, as well as special research methods were carried out. In stage 2 (patients were taken from stage 1 of the study), patients were divided into 2 subgroups: subgroup Ia (20) received traditional therapy. Subgroup Ib (20) received differential corrective treatment in addition to traditional therapy. Control group consisted of 20 almost healthy children. Exclusion criteria from the study were patients with chronic (hereditary) diseases of the pulmonary bronchial system and congenital heart defects that naturally occur with changes in the cardiovascular system. Checking the diagnosis of pneumonia was carried out in accordance with the classification of the main clinical forms of pulmonary-bronchial diseases in children approved at the meeting of the XVIII National Congress on Respiratory Diseases [5]. We used the classification of myocarditis in children of the working group of the Russian Association of Pediatric Cardiologists (2016) [2]. 464 Most patients are hospitalized 1 to 4 days after the onset of illness; after admission, all patients were prescribed the same basic etiotropic, pathogenetic and symptomatic therapy for pneumonia and myocarditis according to generally accepted treatment schemes [3]. Research results. The discharge of sick children from the hospital was carried out in accordance with the specifics of the work of the emergency medical service, which cannot be delayed according to the standards of diagnosis and treatment, in which the recommended period of inpatient treatment was 9 days for pneumonia outside the hospital. During the retrospective analysis, observation and treatment of patients continued until the main symptoms of the