КЛИНИЧЕСКИЕ ПРОЯВЛЕНИЯ ОСТРОГО МИОКАРДИТА У ДЕТЕЙ НА ФОНЕ БРОНХОЛЕГОЧНЫХ ЗАБОЛЕВАНИЙ

Аннотация

Broncho-pulmonary diseases in children is one of the urgent problems in pediatrics, which is determined by the continuing high incidence and severe prognosis, especially in young children. The aim of the study was to determine the clinical characteristics of acute myocarditis in children with acute broncho-pulmonary diseases. We examined 84 children aged 6 months to 6 years with broncho-pulmonary diseases, which we divided into 2 groups. Group I (control) included 42 children who had only respiratory complaints. Group II (main) included 42 sick children with broncho-pulmonary diseases, who had a violation of the cardiovascular system, the presence of which was confirmed by instrumental methods. The results obtained emphasize that against the background of broncho-pulmonary diseases, all symptoms of acute heart failure are masked, the cause of which in most cases is acute coronary insufficiency; changes in the heart muscle in this pathology in children increases the risk of severe unwanted heart complications. Key words: acute myocarditis, broncho-pulmonary diseases, children. КЛИНИЧЕСКИЕ ПРОЯВЛЕНИЯ ОСТРОГО МИОКАРДИТА У ДЕТЕЙ НА ФОНЕ БРОНХОЛЕГОЧНЫХ ЗАБОЛЕВАНИЙ Аннотация. Бронхо-легочные заболевания у детей являются одной из актуальных проблем педиатрии, что определяется сохраняющейся высокой заболеваемостью и тяжелым прогнозом, особенно у детей раннего возраста. Цель исследования - определить клинические особенности острого миокардита у детей с острыми бронхолегочными заболеваниями. Обследовано 84 ребенка в возрасте от 6 мес до 6 лет с бронхолегочными заболеваниями, которых мы разделили на 2 группы. В I группу (контрольную) вошли 42 ребенка, у которых были жалобы только на органы дыхания. Во II группу (основную) вошли 42 больных ребенка с бронхолегочными заболеваниями, у которых имелись нарушения сердечно-сосудистой системы, наличие которых было подтверждено инструментальными методами. Полученные результаты подчеркивают, что на фоне бронхолегочных заболеваний маскируются все симптомы острой сердечной недостаточности, причиной которой в большинстве случаев является острая коронарная недостаточность; Изменения сердечной мышцы при этой патологии у детей повышают риск развития тяжелых нежелательных сердечных осложнений. Ключевые слова: острый миокардит, бронхолегочные заболевания, дети. 5 81 International scientific journal ISSN: 2181-3906 «MODERN SCIENCE АND RESEARCH» 2024 VOLUME 3 / ISSUE 4 / UIF:8.2 / MODERNSCIENCE.UZ Relevance. For several decades, severe broncho-pulmonary diseases has remained one of the urgent problems of modern medicine due to the steady trend towards an increase in the number of patients and a consistently high mortality rate, despite the use of new principles and methods of treatment [3,4]. The probable reason for this is the delayed diagnosis and, as a consequence, late initiation of treatment, as well as the impossibility of conducting an adequate assessment of the effectiveness of therapy. The diagnosis of broncho-pulmonary diseases in children is often difficult, especially if signs of respiratory failure have developed against the background of ARVI. The problem of acute myocarditis is currently due to its widespread occurrence, especially in childhood. One of the main causes of acute myocarditis today is acute respiratory viral infections (ARVI), which remain the most common and global diseases in children. Cardiovascular failure is common in broncho-pulmonary diseases, especially in young children. It develops rapidly, already in the early stages of the disease. With an uncomplicated course of the disease, clinically latent heart failure occurs, it is diagnosed with the help of instrumental studies such as ECG, Echo CG. With broncho-pulmonary diseases in children, dysfunction of the cardiovascular system can clinically manifest itself in the form of coronary insufficiency, and more often cardiovascular failure. [2,7.9,]. Each flu epidemic accompanied with a complication of broncho-pulmonary diseases in children is associated with an increase in the number of cases of acute myocarditis, which determines the urgency of studying this problem. An even more serious task is the timely diagnosis of complications of broncho-pulmonary diseases, especially myocarditis, since the identification of this cardiac complication allows you to avoid severe and sometimes fatal consequences for the patient. Previously developed clinical criteria, diagnostic criteria for the diagnosis of heart failure are not always objective enough to identify circulatory disorders in young children. For example, anxiety, decreased appetite, poor sleep in children are almost always noted. Tachypnea and tachycardia can be not only a sign of broncho-pulmonary diseases, but also occur in a healthy child during examination, feeding, etc. Shortness of breath, tachypnea are always accompanied by diseases of the bronchi and lungs. The frequency of myocarditis in Broncho-pulmonary diseases according to different authors var