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Просмотр полной версии : To my son 2 years. Diagnosis VPS - a stenosis of a pulmonary artery. At all this still...



Anastas
10.05.2004, 02:52
To my son 2 years. Diagnosis VPS - a stenosis of a pulmonary artery. At all this the larynx is still narrowed. One month ago has had been ill ORVI. There was an attack at night - was serious to breathe. Have caused or called fast. They have arrived in 40 minutes. The attack has passed or has taken place, but everyone have been frightened and did not know what to do or make. Tell how to render first aid to the kid, please? What to do or make has not arrived yet fast?

Tutelman K.M.
10.05.2004, 12:44
In your case hardly enough unequivocally to answer a question " what to do or make? ". It is connected by that at the isolated stenosis of a pulmonary artery presence odyshechno-tsianoticheskih attacks is not characteristic. They arise only at children with "dark blue" heart diseases at which the venous blood acts in the left departments of heart, an aorta, leading to a disadvantage of entering of oxygen first of all to the central nervous system. Attacks of the complicated respiration at children ranego age in the majority a case are connected with the false croup which has arisen on background ORVI (can in your case an available narrowing of a larynx has played a role?), Reactions (Quincke's edema) can be display allergic. In all cases the approach different - at groats or croup alkaline inhalations, application bronhodilatirujushchih agents are shown, at allergic reaction - antihistamine, hormonal preparations, etc. are used At odyshechno-tsianoticheskih attacks - beta blockers, sedatives. In any case certainly it is necessary to cause fast the help. To facilitate to the doctor finding-out of the reason of an attack you should - to count pulse and frequency of respirations at an attack. To pay attention than the given attack could be provoked (whether there was he on background ORVI or after any pogreshnostiv to a diet, especially if the child allergik). To define or determine what character of a dyspnea or short wind - to the child hardly to inhale or, on the contrary, hardly to exhale (the exhalation) is extended, whether there are whistling or buzzing rhonchuses. What duration of an attack. Before arrival fast you can provide adequate access of oxygen (to open a window), to give the child of a calmative, application of any medicinal preparations probably only after specification of the reason of an attack.