perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2016-61-5-64-69perinatology-382Research ArticleПУЛЬМОНОЛОГИЯPULMONOLOGYРецидивирующая обструкция бронхов и бронхиальная астма у детей первых пяти лет жизниRecurrent bronchial obstruction and asthma in children during the first five years of lifeИвановаН. А.IvanovaN. A.

кафедра детских болезней 

к.м.н., доцент 

194044 Санкт-Петербург, ул. Академика Лебедева, д. 6

Военно-медицинская академия им. С.М. Кирова, Санкт-ПетербургРоссияKirov Military Medical Academy, Saint-PetersburgRussian Federation2016191120166156469Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20162016Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/382

Высокая частота рецидивирующей обструкции бронхов у детей раннего и дошкольного возраста обусловлена как морфофункциональными особенностями респираторного тракта у детей данной возрастной группы, так и высокой частотой острых респираторных инфекций. Диагностика бронхиальной астмы у детей до пяти лет представляет объективные трудности. Не у всех детей с рецидивирующей вирусиндуцированной обструкцией развивается в дальнейшем бронхиальная астма. Тем не менее использование анализа семейного и личного аллергологического анамнеза, особенностей клинических проявлений заболевания, ответа на противовоспалительную терапию (при наличии показаний) позволяет установить диагноз бронхиальной астмы в любом возрасте и назначить базисную терапию в соответствии со степенью тяжести заболевания. 

The high rate of recurrent bronchial obstruction in toddlers and preschoolers is due to both the morphofunctional characteristics of the respiratory tract in these age groups and the high incidence of acute respiratory infections. The diagnosis of asthma presents objective difficulties in children aged less than 5 years. Not all children with recurrent virus-induced obstruction can further develop asthma. Nevertheless, an analysis of a family and personal history of allergy, the clinical manifestations of the disease, and a response to anti-inflammatory therapy, if indicated, can diagnose asthma at any age and use basic therapy in relation to the severity of the disease. 

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