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{
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{
"id": 28,
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{
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{
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},
{
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{
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"image": null
}
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},
"code": "J04",
"name": "Острый ларингит и трахеит",
"icd_name": "Острый ларингит и трахеит",
"gender": 0,
"age_min": 0,
"age_max": 100,
"cause": [
2
],
"periodicity": 1,
"slug": "j04_ostryy_laringit_i_traheit",
"lead": "Вирусное заболевание верхних и нижних дыхательных путей",
"description": "Характеризуется затруднением дыхания, особенно вдоха. Возникает у детей, больных ОРВИ, и является ее синдромом. 3 % больных нуждаются в лечении в реанимационном отделении. Летальность при этом заболевании стоит на одном из первых мест в педиатрии.",
"etiology": "<p>Может развиваться при гриппе, ОРВИ, кори преимущественно у детей в возрасте от 6 месяцев до 3 лет. В основе заболевания лежат отек слизистой оболочки гортани, особенно ее подсвязочного пространства, рефлекторный <a href=\"/symptom/sudoroga/\" title=\"Перейти на страницу симптома Судорога\">спазм</a> мышц, <a href=\"/symptom/vospalenie/\" title=\"Перейти на страницу симптома воспаление\">воспаление</a> гортани.</p>",
"pathogenesis": "<p>Может развиваться при гриппе, ОРВИ, кори преимущественно у детей в возрасте от 6 месяцев до 3 лет. В основе заболевания лежат отек слизистой оболочки гортани, особенно ее подсвязочного пространства, рефлекторный <a href=\"/symptom/sudoroga/\" title=\"Перейти на страницу симптома Судорога\">спазм</a> мышц, <a href=\"/symptom/vospalenie/\" title=\"Перейти на страницу симптома воспаление\">воспаление</a> гортани.</p>",
"diagnostics": "",
"treatment": "<p>Выделяются пять основных направлений:</p>\r\n<p> </p>\r\n<p>1) организация помощи с учетом сопусттвующих заболеваний</p>\r\n<p>2) лечение больных с осложненными формами – стенозом гортани в стадии компенсации и неполной компенсации;</p>\r\n<p>3) интенсивная терапия при осложнении стенозом гортани в стадии перехода от неполной компенсации к декомпенсации (проведение ингаляций под тентом);</p>\r\n<p>4) интенсивная терапия больных со стенозом гортани в стадии декомпенсации (продленная интубация и трахеостома);</p>\r\n<p>5) реабилитация детей, перенесших продленную интубацию и трахеотомию.</p>",
"prevention": "",
"clinical_picture": "<p>В клинической картине выделяются три основных симптома: изменение <a href=\"/symptom/sluhovye_gallyucinacii/\" title=\"Перейти на страницу симптома Слуховые галлюцинации\">голоса</a>, грубый лающий <a href=\"/symptom/kashel/\" title=\"Перейти на страницу симптома Кашель\">кашель</a>, стенотическое дыхание. Ларинготрахеит острый может протекать по нескольким клиническим вариантам:</p>\r\n<p> </p>\r\n<p>1) острое начало, когда признаки ларинготрахеита острого проявляются внезапно, в отсутствие других симптомов ОРВИ;</p>\r\n<p>2) острое начало на фоне ОРВИ;</p>\r\n<p>3) постепенное нарастание симптомов ларинготрахеита острого на фоне ОРВИ. Рецидивирующая форма заболевания протекает также по одному из этих вариантов.</p>",
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"standard_type": 1,
"danger": 21,
"published": 1,
"parent": null,
"block_rubric": 100,
"standards": [
4758,
5046,
5367
]
}
]
}
