No abstract

Кашель -частый симптом, сопровождающий многие патологические состояния и приводящий ребенка к педиатру. Определение тактики врача зависит от общего состояния ребенка, механизмов возникновения и характера кашля. При сухом непродуктивном кашле после вирусных заболеваний, при коклюше, подготовке к диагностическим и лечебным манипуляциям показано контролируемое применение препарата центрального действия синекод (бутамират).Ключевые слова: дети, кашель, дифференциальная диагностика, тактика врача. W.M. DELYAGIN, MD, Prof. COUGH IN CHILDREN -TREAT OR NOT TREATCoughing is a common symptom that accompanies many pathological conditions and leads a child to a pediatrician. Determining the tactics of a doctor depends on the general condition of the child, the mechanisms of origin and nature of the cough. With dry non-productive cough after viral diseases, with whooping cough, preparation for diagnostic and therapeutic manipulations shows controlled use of the drug of the central action of the sinecode (butamirate).

Acute respiratory infections (ARI, commen cold) are the most common infection diseases in children. They account for up 75% of all cases of respiratory diseases. In most cases, ARI are selfterminating diseases that require only symptomatic treatment. The most common symptom of ARI is cough. In outpatient practice justified the use of herbal medicine. As an antisussive well eastablished syrup Gedelix. The effectivnesses of the medicine, the possibility of accuracy dosing, pleasant taste facilitate it use in children.

The prevalence of bronchial asthma among children in different regions of Russia ranges from 10.9–9.6‰ to 50–55‰. The frequency of bronchial asthma among lyceum students is 33.1‰, while in the most overcrowded school it is 45.8‰. Bronchial asthma occurs more frequently in the mild, less frequently in the medium form. Therefore, the main burden on the management of such patients falls on the ambulatory segment. Diagnosed on the basis of respiratory symptoms such as wheezing, difficulty breathing, strain and bloating of the chest, coughing. Asthmatic attack with bronchial asthma of any degree of severity can be as severe or even asthmatic status, which, along with the prevalence of bronchial asthma, determines the primary importance of ambulatory control of the disease. It is fundamental to suppress local bronchial inflammation and remove bronchospasm. Adequacy and systematic treatment is essential for the outcome of bronchial asthma in children. Timely anti-inflammatory treatment can lead to remission. Inhalation techniques of anti-inflammatory drugs and bronchodilators are the most optimal. The possibility of application of beclometasone (inhalation glucocorticosteroid), a combination of fluticasone and salmeterol, ipratropium bromide of Russian manufacture, which efficiency is proved in practical work and economically justified, is considered. IGCS, acting locally, have a pronounced anti-inflammatory activity, suppressing both acute and chronic inflammation. Clinical examples of children with atopic dermatitis and the revealed diagnosis of bronchial asthma, with an optimum choice of treatment are given. It is proved that application of modern inhalation drugs in complex treatment leads to bronchial asthma remission.