thealthЗдравоохранение ТаджикистанаHealth care of Tajikistan0514-2415Редакция журнала «Здравоохранение Таджикистана»10.52888/0514-2515-2024-362-3-105-110thealth-590Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWИнтенсивная терапия острого обструктивного ларингита у детейIntensive treatment of acute obstructive laryngitis in childrenБыковЮ. В.BykovYu. V.

Быков Юрий Витальевич – к.м.н., доцент кафедры анестезиологии и реаниматологии с курсом ДПО, ФГБОУ ВО СтГМУ.

Ставрополь

Yury V. Bykov - Candidate of Medical Sciences; Associate Professor at the Department of Anaesthesiology and Reanimatology with Advanced Training Course of Stavropol State Medical University.

Stavropol

yubykov@gmail.comОбединА. Н.ObedinA. N.

Ставрополь

Stavropol

ЗинченкоО. В.ZinchenkoO. V.

Ставрополь

Stavropol

ЯцукИ. В.YatsukI. V.

Ставрополь

Stavropol

ФГБОУ ВО Ставропольский государственный медицинский университет, кафедра анестезиологии и реаниматологии с курсом ДПО; ГБУЗ СК Детская городская клиническая больница им. Г.К. ФилиппскогоРоссияStavropol State Medical University, Department of Anesthesiology and Intensive Care with a course of Medical Education; Children’s City Clinical Hospital named after G.K. FilippskyRussian FederationФГБОУ ВО Ставропольский государственный медицинский университет, кафедра анестезиологии и реаниматологии с курсом ДПО; ГБУЗ СК Краевой клинический перинатальный центр №1РоссияStavropol State Medical University, Department of Anesthesiology and Intensive Care with a course of Medical Education; Regional Clinical Perinatal Center No. 1Russian FederationФГБОУ ВО Ставропольский государственный медицинский университет, кафедра анестезиологии и реаниматологии с курсом ДПОРоссияStavropol State Medical University, Department of Anesthesiology and Intensive Care with a course of Medical EducationRussian FederationФГБОУ ВО Ставропольский государственный медицинский университет, кафедра анестезиологии и реаниматологии с курсом ДПО; ГБУЗ СК Городская клиническая больница скорой медицинской помощиРоссияStavropol State Medical University, Department of Anesthesiology and Intensive Care with a course of Medical Education; City Clinical Hospital of Emergency Medical Care, Stavropol, Russian Federation Stavropol State Medical University, Department of Anesthesiology and Intensive Care with a course of Medical EducationRussian Federation20243010202403105110Copyright © Быков Ю.В., Обедин А.Н., Зинченко О.В., Яцук И.В., 20242024Быков Ю.В., Обедин А.Н., Зинченко О.В., Яцук И.В.Bykov Y.V., Obedin A.N., Zinchenko O.V., Yatsuk I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.zdrav.tj/jour/article/view/590

В статье приведён обзор современной отечественной и иностранной литературы с целью изучения вопросов особенностей проведения интенсивной терапии при остром обструктивном ларингите у детей младшего возраста. Проведённый анализ литературы подтверждает, что на сегодняшний день в мире накоплен большой опыт применения различных фармакологических и нефармакологических методик при лечении данного патологического состояния. Согласно данным литературы, наибольший терапевтический эффект при остром обструктивном ларингите у детей имеется при применении глюкокортикостериодов и ингаляционного адреналина. Оксигенотерапия не имеет доказанной эффективности. В статье рассмотрены основные пути введения, особенности дозирования и возможные побочные эффекты наиболее часто применяемых препаратов при остром обструктивном ларингите в педиатрической практике. Чёткое понимание особенностей интенсивной терапии данного неотложного состояния улучшит качество оказания медицинской помощи.

This paper addresses the specific challenges involved in the intensive treatment of acute obstructive laryngitis (OL) in young children by reviewing current literature, including both domestic and international publications. The analysis reveals that healthcare systems worldwide have significant experience in employing diverse pharmacological and non-pharmacological treatment approaches for this condition. According to the literature, the most effective treatments for OL in children are glucocorticoids and inhaled adrenaline, while there is no evidence supporting the use of oxygen therapy. The paper outlines the main routes of administration, considerations for dose selection, and potential side effects of the medications most frequently used in pediatric practice for OL. A comprehensive understanding of the specific aspects of intensive therapy in this medical emergency can significantly enhance the quality of care provided to pediatric patients.

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The authors declare that there are no conflicts of interest present.