[Physical training for the treatment of children presenting with bronchial asthma].

This paper reports the results of the treatment of 101 children presenting with bronchial asthma. The study has demonstrated the pronounced positive effect of the combined application of a pulsed low-frequency electrostatic field and therapeutic physical training on the dynamics of clinical symptoms of the disease. By the end of the treatment period, all the patients reported the disappearance of paroxysmal night-time coughing, productive cough, expectoration, and attacks of respiratory distress. Auscultation failed to reveal dry, whistling, and bubbling rales. Dynamics of the changes of the impaired airway patency was estimated from the results of computed pneumotachometry and monitoring peak expiratory flow by the peak flowmetric technique. The combined application of a pulsed low-frequency electrostatic field and therapeutic physical training significantly improved characteristics of the external expiratory function (PEF, FEV1, MEFR25, MEFR50--p < 0.02, MEFR75--p < 0.001). In the end of therapy, 96.7% of the children had normal parameters of computed flowmetry in the absence of a generalized impairment of bronchial patency while obstruction at the level of peripheral bronchi persisted only in 3.3% of the patients. The increase of PEF based on the results of peak flowmetry averaged 44.21% (p < 0.001). A rationale has been developed for the application of the proposed therapeutic strategy to the treatment of children with bronchial asthma.

[Oxygen transport parameters in halothane and isoflurane anesthesia with the low gas flow in children]. / Parametry transporta kisloroda pri anestezii galotanom i izofliuranom s minimal'nym potokom gazov u detei.

The efficiency and safety of low flow inhalation anesthesia for children were evaluated on the basis of oxygen transport parameters. Sixty-seven children aged 3 months to 15 years (mean age 5.7 +/- 2.5 years) were subjected to inhalation halothane and isoflurane anesthesia with fresh gas flow of 0.5 liter/min. Oxygen delivery, consumption, and tissue extraction were evaluated. Oxygen transport parameters remained optimal at all stages of anesthesia, which confirmed the safety of this method in children for routine interventions.

[The Zivert-Kartagener syndrome in children]. / Sindrom Ziverta--Kartagenera u detei.

A comprehensive clinicomorphological examination of 24 children with Zivert-Kartagener syndrome ascertained the complete triad (bronchiectasis, maldevelopment of the sinuses and transposition of the viscera) in all of them. Initial signs of the respiratory affection are shown to arise early. The disease progression depended primarily on the scope of pulmonary damage. Electron-microscopic findings at examination of the patients' tracheal mucosa obtained at bronchoscopy revealed reduced number of ciliary cells and abnormal inner structure of the cilia. The impairment in some patients was focal. The attention is drawn to the benefit of early diagnosis and follow-up for such patients who should be treated surgically after careful consideration of potential risks.

[Respiratory function in children with alveolitis]. / Funktsiia dykhaniia pri al'veolitakh u detei.

External respiratory function was examined in 27 patients aged 5 to 17 years suffering from alveolitis. Of these, 10 children were diagnosed to have idiopathic fibrosing alveolitis and 17 exogenous allergic alveolitis. The functional examination included investigation of the static pulmonary volumes by helium dilution method, spirography, body plethysmography, measurements of lung elasticity, diffusion capacity of the lungs and blood gases. It has been established that in alveolitis, restrictive ventilatory disorders prevail, whereas in acute and subacute exogenous allergic alveolitis, obstructive disorders may occur. In all the patients examined, lung diffusion capacity was found to be reduced.

[External respiratory function in children with bilateral, chronic, nonspecific inflammatory disease of the lungs after surgical treatment]. / Sostoianie funktsii vneshnego dykhaniia u detei s dvystoronnimi formami khronicheskikh nespetsificheskikh vospalitel'nykh zabolevanii lëgkikh posle khirurgicheskogo lecheniia.

The results of operative treatment of children with bilateral chronic unspecific inflammatory diseases of the lungs were studied in follow-up periods of up to 17 years. Among the 73 patients studied, 19 had a history of bilateral and the remaining a history of unilateral resections. According to the findings of respiratory function examination, a combined type of ventilation disorders with mild hypoxemia and hypercapnia was characteristic of this group of patients before the operation. In the postoperative period the restrictive syndrome intensifies because the volume loss is not compensated for. There is a discrepancy between the clinical and functional data in evaluation of the results of the operation. However, in cases of good clinical results after extensive resections of the lungs a positive dynamics of the ventilation capacity of the lungs with increased oxygen tension in the arterial blood is recorded.

[Obstructive bronchitis syndrome in acute viral respiratory diseases in young children]. / Bronkhoobstruktivnyi sindrom pri ORVI u detei rannego vozrasta.

External respiratory function was explored in 39 children aged 1.5 months to 2 years presenting with the bronchoobstructive syndrome (BOS) in the presence of acute respiratory virus infection. The development of the BOS was accompanied by disorders of bronchial patency and alveolar ventilation. The maintenance of adequate ventilation is reached at the expense of hurried breathing with the respiratory volume being lowered. During convalescence, bronchial patency rises, hyperinflation drops and the respiratory volume increases. Uniformity of the ventilation-perfusion relations in the lungs declines. The use of total body plethysmography and oxycapnography makes it possible to objectively estimate respiratory function and to control the efficacy of the treatment in infants.