DAMAGE TO THE CENTRAL NERVOUS SYSTEM IN COMMUNITY ACQUISITED PNEUMONIA IN CHILDREN

Abstract

Relevance. Community-acquired pneumonia (CAP) with complications is typical for respiratory diseases and occurs in up to 20% of children. In addition to respiratory failure, children with CAP often experience complications from the central nervous system (CNS). Such complications include toxic-metabolic syndrome, convulsive syndrome, hypoxic encephalopathy. Purpose of the study. Early diagnosis, prevention of complications and optimization of treatment of children with CAP with central nervous system and heart damage. Methods and research. Under observation were 48 children with CAP who were being treated at a multidisciplinary clinic of the Tashkent Medical Academy; 14 (29.16%) children had toxic-metabolic syndrome, 12 (25.00%) had pathological changes in the cardiovascular system. The levels of respiratory failure and saturation indicator were determined, an ultrasound examination of the brain, an ECG and general clinical and laboratory tests were performed. Research results. In 15 (31.25%) sick children, a severe course of VP, symptoms of III degree DN, saturation index ≤85.0%, 16.6% signs of hypoxia during an UTT study of the brain were revealed. 14 (29.16%) treated children had symptoms of damage to the nervous system 18 (37.5%), had pathological changes in the cardiovascular system 17 (35.41%) (decrease in the QRS complex 15 (31.25%), partial block of the right branch of the Hiss bundle 7 (14.58%) and 4 (8.33%) had a partial block of the left branch of the bundle Gissa. Conclusions. To optimize the early diagnosis and treatment of the acute phase of CAP, central nervous system and heart damage, it is necessary to conduct symptomatology of DN, radiography, ultrasonography, MSCT and ECG of the lungs, determine and correct the O2 saturation index, and consult a pediatric neurologist and cardiologist.