Allows you to see the true picture in the lungs and differentiate the diagnosis from related pathologies. This speeds up the diagnostic process and increases the chances of successful treatment. Therefore, when you schedule this examination, you should not refuse it. It is absolutely safe and brings benefits, not harm.
Indications for use
If bronchitis is suspected, chest X-ray is prescribed in several cases. These include:
- confirmation of diagnosis in children;
- cases differential diagnosis bronchopneumonia and bronchitis;
- signs of obstruction (narrowing of the lumen of the bronchi), leading to respiratory failure;
- cough of any kind for more than 10 days;
- lack of positive dynamics from the treatment;
- control therapeutic action drugs.
If one of the listed conditions is present, the doctor prescribes an x-ray diagnosis. This allows you to avoid serious complications and make a correct diagnosis in time.
X-rays for bronchitis are performed in a straight projection while standing. This allows you to most accurately assess the picture in the lungs. If questions remain after a direct photograph, it is also performed in a lateral projection. When analyzing a radiograph, several signs are assessed: 
- foci of “clearing” and “darkening”, except for physiological shadows and light areas;
- degree of pulmonary pattern;
- increased airiness of the lungs;
- condition of the root of the lung (a bundle of vessels and nerves together with the main bronchus).
The pulmonary pattern is normally almost invisible. Its severity increases with extensive inflammation. On x-ray lungs, the change in pattern appears symmetrically.
If there are foci of clearing or darkening, the diagnosis of “bronchitis” is removed and further differential diagnosis is carried out. During the inflammatory process, the root of the lung becomes more pronounced. This confirms that the patient has bronchitis.
Differences between acute and chronic forms on an x-ray
X-ray of the chest organs in acute bronchitis is not informative, since the changes are insignificant and are not reflected in the image. But this is only in the absence of complications. If there are signs of obstruction and increasing respiratory failure, x-ray examination necessary to clarify the diagnosis.
Manifests itself in photographs of the lungs and acute form. When performing an X-ray examination, the presence of signs is noted: 
- increased airiness and transparency of the lungs;
- blood stagnation in the lungs;
- the presence of obstruction (narrowing of the bronchial lumen).
With long-term bronchitis, thickening of the walls of the bronchial tree occurs, associated with chronic inflammation. Because of this, sclerosis of the respiratory tract occurs, especially pronounced at the root of the lung. Against this background, the pulmonary pattern intensifies. It is so easy to distinguish a chronic process from an acute obstructive one using x-rays.
Carrying out x-rays in children
Many parents doubt whether to agree to an x-ray. But this study is necessary for obstruction, which often occurs in children. This is due to the structural features of the child’s respiratory system, in which inflammation with upper paths quickly descends into the lungs.
For obstruction, x-ray is necessary
The amount of X-rays passing through the baby during the examination is absolutely safe. They will not affect the condition of other chest organs. The study itself is carried out in the presence of the child’s parent.
Since many children are unable to withstand medical procedure without movement, they are fixed in a special device. Next to the baby is one of the parents wearing an apron, which protects the adult’s body from radiation. The parent holds the child so that he is motionless. The procedure takes less than a minute, so it does not cause much discomfort.
Since not all children tolerate medical manipulations calmly, due to a reaction to the examination or insufficient immobility, flattening of the diaphragm occurs in the photographs. This does not refer to signs of pathology and is not considered by doctors when making a diagnosis.
Lung X-ray remains the most popular method of differential diagnosis. It allows you to identify obstructions related to dangerous conditions, and also see the changes that have arisen against the background of chronic inflammation.
Bronchitis is an inflammatory disease of the respiratory tract. It affects adults and children equally. For an accurate diagnosis and subsequent treatment, the patient must undergo examination. In the majority clinical cases It is possible to detect bronchitis on an x-ray.
It is especially important to know how the disease manifests itself in patients childhood. Thanks to this, parents can make an appointment with the pediatrician in a timely manner. Only after receiving test results and examining the child will the doctor prescribe treatment.
When is the photo scheduled to be taken?
The X-ray examination procedure involves irradiation of the body. In this regard, people are interested in whether it allows identifying the disease, or whether it can be done without it. If a common cold develops, then treatment can be prescribed after receiving the results of a blood test, listening to the respiratory system and assessing appearance mucous membranes.
If you ask a therapist whether bronchitis is visible on an x-ray of the lungs, he will answer yes. With average or mild degree For ARVI, such a study is not prescribed, so as not to be exposed to unnecessary radiation. The main indications for diagnosis are:
- Suspicion of the development of pneumonia.
- The likelihood of developing pulmonary obstruction.
- There is no positive dynamics after the therapeutic course.
- It is necessary to dynamically monitor the patient's condition after treatment.
Bronchitis is detected on x-ray, and is almost always unmistakable. It is mandatory for people who suffer from coughing for a long time, have shortness of breath, and notice active sweating to undergo an X-ray. All these symptoms may be signs of developing tuberculosis.
What can you see?
Signs of bronchitis on x-ray will be specific. The inflammatory process itself is not determined, but attention should be paid to the shadows. Since the rays penetrate the wall and air space of the alveoli, ring spots will be visible as the disease progresses. The chronic form also appears.
You can suspect bronchitis on an x-ray based on the following indicators:
- the pattern of the lungs and blood vessels changes (it looks like a branch in a tree);
- proliferation connective tissue defined as condensed roots;
- in some places there is collapse of organ tissue.
Bronchitis on x-ray looks like alternating zones of low and high airiness. The roots of the lungs are subject to detailed examination, since they are deformed. It is these changes that are clearly visible in the image, as well as the excessive growth of fibrous tissue. Knowing how bronchitis looks on an x-ray, you should not try to decipher it yourself. Description should do experienced doctor.
Signs of obstruction in bronchitis
First of all, there is a pronounced decrease in the structure of the roots of the organ; their boundaries are unclear, like healthy person, the walls of the bronchi are thickened. With severe disease, patients develop obstruction.
In this case, bronchitis on x-ray will have additional signs:
- Flattened chest.
- Low aperture position.
- Limitation of diaphragm mobility.
- The pulmonary background has increased transparency.
- The heart muscle is located vertically.
Deciphering x-rays for bronchitis is a responsible matter. If a specialist makes an incorrect description, they will make an incorrect diagnosis. As a result, the treatment prescribed to the patient will be ineffective, and pathological process will take on a neglected form.
X-ray contrast study
As bronchitis progresses, an increase in lung size is noted. As a result, the body provides high blood pressure on the heart. If there is a suspicion of a bilateral lesion, then two photographs may be prescribed with an interval of 5 days. Another type of diagnosis is bronchography.
This is also a technique x-ray examination, but using a contrast agent. It is administered intravenously to the patient immediately before the procedure. Thanks to this, the structure of the lungs is clearly visualized. This method is rarely used, since the patient may be allergic to contrast and also experience pain during manipulation.
The difference between X-ray and fluorography
When there is a suspicion that bronchitis is developing, a doctor prescribes fluorography or x-rays. Not every patient understands how these diagnostic methods differ. Therefore, the issue needs to be examined in more detail. The first unifying feature is that both methods make it possible to identify the inflammatory process.
In turn, during fluorography, the body receives a larger portion of radiation than during X-ray image. That is why it is prescribed only if a person is suspected of having tuberculosis, which is also accompanied by a severe cough. There is no way to diagnose bronchitis through fluorography.
Contraindications for X-rays
X-ray examination of the chest area can be performed on almost every person. There are no specific contraindications to the procedure. Restrictions apply only to women carrying a child and patients in serious condition.
In this case, the diagnosis is made based on test results, the list of which will be expanded. But if there is a clear threat to life, and an x-ray is necessary, it will definitely be performed even if there are contraindications. Taken during pregnancy additional measures security. To ensure that the fetus receives less radiation, a lead plate that does not transmit rays is placed on the abdomen.
Symptoms of bronchitis in a child
The respiratory system in children has certain characteristics. Unlike adults, they have narrow passages, therefore, when swelling develops on the mucous membrane of the larynx, the process of their closure occurs faster. In most clinical cases, the disease develops against the background of viral infection.
When symptoms of bronchitis develop, children should be treated by a pediatrician. Parents are advised to contact qualified help, if the baby feels a sore throat, he begins to cough, wheeze, his voice is hoarse and there are pronounced signs of conjunctivitis.
At the first stage of development of the disease, the cough will be dry, but already on the fifth day it becomes milder. From the seventh day, you can notice active secretion of mucous secretion. Body temperature remains within 38 degrees. On average, the period of complete recovery with adequate therapy is 10-14 days.
Treatment of bronchitis in children
During acute stage illness, the child must observe strict bed rest. Strictly not allowed active games. The baby should be calm and should be given plenty of warm drinks. It is important to balance the diet, saturate it healthy products containing vitamins.
The principle of developing specific therapy directly depends on why the child developed bronchitis. Symptoms and treatment in children may change throughout the course. If the nature of the disease is viral, then taking cephalosporin, penicillin or macrolide antibiotics is indicated. The complex may also include antifungal medications.
IN mandatory patients are prescribed medications from the group of mucolytics, which have the ability to dilute mucous secretions, which contributes to its better discharge from the respiratory tract. If the cough is dry, taking Oxeladin or Prenoxdiazine is indicated. If your child has allergies, be sure to take antihistamines.
Physiotherapy and prevention of bronchitis
Physiotherapeutic treatment of bronchitis shows a good therapeutic result. Patients are prescribed inhalations with medicines on oil or alkaline bases. IN Lately Treatment with a nebulizer is increasingly being carried out, using ultraviolet irradiation, UHF, and electrophoresis on the chest.
Concerning preventive measures, then first of all it is necessary to create conditions that will help avoid or minimize the frequency of acute respiratory viral diseases. It is also recommended to carry out antiviral prophylaxis During peak seasons (autumn/spring), contact with the allergen must be avoided.
You can avoid developing bronchitis if long time do not stay in the cold, harden the body. Pediatric patients age group needs to be done in a timely manner preventive vaccination against flu and pneumococcal infection. A child suffering from a recurrent or chronic form of pathology should visit a pulmonologist every two years.
If the patient suspects that his bronchitis is progressing, he should immediately undergo medical examination. To do this, you need to make an appointment with a therapist or pediatrician if your child is sick. With a timely diagnosis and complete treatment, full recovery, and complications do not develop.
Bronchitis is not always noticeable on fluorography; it can be determined by a number of indirect signs. Doctors resort to other, more precise methods studies to diagnose the disease in time and prescribe effective treatment. Timely diagnosis diseases of the bronchi and lungs prevents complications of pathology.
Description of the disease
Bronchitis is an inflammation of the mucous membrane lining the bronchi from the inside. Typical disease causes swelling of the mucous membrane and the appearance of pathological discharge, in the form of mucus, on the walls of the bronchi. With stenosis, breathing becomes difficult and the volume of air entering the lungs is reduced.
Often bronchitis is a consequence of acute respiratory viral infection, treatment of which was started too late, or therapy was not carried out to completion. This complication appears after ARVI no more than once a year, and in more frequent cases they speak of chronic obstructive bronchitis. Sometimes illness occurs due to work hazardous production associated with increased dustiness of the room.
Signs of bronchitis are primarily difficulty breathing, deterioration general condition, increased body temperature, spasms, wheezing in the throat.
However, these signs are also given by other pathologies, for example, cardiac ones. To diagnose the inflammatory process in the bronchi, doctors prescribe additional examinations which allow a clear diagnosis.
Who is the examination indicated for?
The indication for undergoing an X-ray examination of the chest organs is the doctor’s suspicion of pathology, based on subjective data. If the patient has signs of abnormality, it makes sense to take an x-ray. It is recommended for the following patients:
- patients with elevated temperature body and general malaise;
- with difficulty breathing, attacks of suffocation, shortness of breath;
- if you suspect chronic bronchitis of a smoker with characteristic symptoms;
- if the patient has an atypical whistle or wheezing in the lungs or bronchi;
- A severe cough persists for a long time (dry, hysterical, or with sputum);
- expressed respiratory failure(shallow breathing, decreased lung capacity, etc.);
- if necessary, monitor the patient’s health after treatment.
If these symptoms are present, doctors recommend undergoing an x-ray examination. X-rays are also prescribed to differentiate bronchitis from pneumonia, which is often difficult using other research methods. 
They resort to x-ray diagnostics and in the event that complications arise that cannot be visualized by other methods. For example, obstruction, in which the bronchi are clogged with pathological discharge - mucus, which disrupts normal gas exchange in the lungs.
X-ray of the lungs
Complications that arose as a result of it. If the patient directly inflammatory process in the bronchi, the following features will be noticeable in the image:
Other signs
Besides typical signs, such as decreased root structure, increased pulmonary pattern and thickening of the bronchi, other image descriptions are possible. For example, the image will show the curvature of the bronchi along their course, which is associated with the development of the inflammatory process and swelling.
Bronchitis on x-ray is characterized by the proliferation of connective tissue formations on the walls of the bronchi, as well as on the outside. The picture of complications may also be typical:
- bronchial obstruction (the presence of bronchial blockage, which is visualized as light “peas”);
- emphysema - transparent lungs due to air accumulated in them, which allows x-rays to pass through.
Additionally, the diagnosis is established by the abnormal condition of the diaphragm.
Fluorography or x-ray
Digital scanning fluorograph (the safest and modern method diagnostics) Diagnosis of the chest organs using x-ray or fluorography is often carried out. Fluorography is considered a simple and less harmful research method, so it is recommended for prevention purposes, and in some countries it is legalized. In Russia, fluorography has been used for this purpose since the thirties of the last century. Using this method, large masses of the population were examined to identify tuberculosis and pneumonia (pneumonia).
Today, fluorography puts significantly less burden on the patient. The study is performed as traditional method, by taking an image of the lungs on film, and digitally, when the image is displayed on a monitor. The latter, more modern method, made it possible to further reduce the harmfulness of the radiation dose. Please note that indications for fluorography include the following:
- the patient has HIV;
- registration for military service;
- diagnostics of the environment living with a pregnant woman;
- initial visit to the clinic.
As can be seen from the indications for fluorography, they are preventive and are not associated with certain pathologies. Even tuberculosis and pneumonia on fluorography will require additional, more careful study using other methods of radiation diagnostics.
If bronchitis is suspected, fluorography turns out to be uninformative, so patients undergo radiography. Indeed, the dose of such a study will be much higher than with fluorography, however, the clarity of the resulting image allows us to determine accurate diagnosis. Indications for the study are suspicions of specific abnormalities, such as cancer of the chest organs, pneumonia, tuberculosis, etc.
Additional Research
X-rays are usually sufficient to make the diagnosis. Bronchitis in the picture is clear and beyond doubt. However, upon detection accompanying pathologies may be required additional research others by radiation methods diagnostics:
All these techniques have a certain diagnostic value and allow you to establish the correct diagnosis.
Diagnosis of bronchitis using radiation research methods is the most exact way determine the presence of pathology, its severity, possible complications.
The main study today is radiography, and, if necessary, bronchoscopy with a contrast agent, which are carried out in any modern clinic.
Bronchitis in radiology, both here and abroad, remains a controversial topic. This method is not intended to diagnose inflammation of the trachea or bronchi. Bronchitis on an x-ray is more of a myth than a reality. When translating foreign sources, this diagnosis is often confused with bronchiolitis, which is a completely different disease. In addition, a lot depends on the device (digital, analog) and the quality of the resulting image. But no matter how it is, it is almost impossible to see bronchitis in the picture.
Radiology in diagnostics
X-rays for bronchitis are not used by competent clinicians to diagnose this pathology or verify the diagnosis. Most radiologists are of the opinion that it is impossible to see a reliable picture of this disease on an x-ray. Even in qualifying tests on this subject for doctors of this specialty, when asked what the signs are acute illness on the x-ray, you should answer that there are none.
The direction to Rg is given by:
- In acute form of pathology - to exclude focal pneumonia, especially if the therapist auscultates (listens) for suspicious moments.
- In chronic bronchitis - for differential diagnosis with neoplasms. Although in this case we are not talking about inflammation of the bronchi, but about a chronic cough. And then CT or MSCT will be more informative.
The maximum that you can ask an experienced radiologist to indicate in the presence of indirect signs of bronchitis is that the changes may indicate the disease. But practitioners argue that such changes, as a rule, turn out to be:
- Beginning emphysema.
- Small focal pneumonia.
- Pneumofibrosis or other pulmonary pathology.
Precisely for diagnosing changes lung tissue and calculated this method. Bronchi are not lung tissue. These include bronchioles and alveoli. The changes described above can be triggered by prolonged inflammation of the bronchi. But they may also have a different etiology.
Bronchopneumonia can be diagnosed using X-ray examination.
Radiation signs of the disease
In the case of a mild inflammatory process, neither x-ray nor CT scan, How diagnostic methods, do not apply. In this case about radial signs there is no point in talking about this pathology. According to some authors:
- In case of severe acute course of the pathological process, the image shows the lumens of the bronchi, bordered by their expanded walls, enhancing the pulmonary and hilar patterns.
- In the case of chronic pathological process, thickening of the bronchial walls occurs over time. And this can be seen on film or a computer screen.
However, according to most diagnosticians, such changes in the bronchial wall are not shown by either X-rays, CT scans, or relatively new method diagnostics – multi-slice CT.
The absence of any changes in the lungs and bronchi on x-rays is not proof of the absence of the disease (both acute and chronic form).
In the case of prolonged inflammation of the bronchi, lung tissue may also be affected. Then it is not the bronchitis itself that is visible on the x-ray, but the changes affecting the lungs:
- Strengthening the pattern of the lungs.
- Its deformation is diffuse (mesh type).
- Massive shadows of the interstitium of the lungs.
- Central hyperemia.
X-ray signs of bronchitis, in its chronic form, sometimes include:
- Linear and ring-shaped shadows, signaling the development of peribronchial connective tissue, that is, the process of fibrosis.
- Symptoms pulmonary hypertension(change in the position of the diaphragm - its low position, reduction of the shadow of the heart, expansion of the large vessels of the lungs, etc.).
Signs chronic bronchitis with obstruction radiology diagnostics described as manifestations of pneumosclerosis, pulmonary hypertension, interstitial fibrosis in a diffuse form.
Such changes in the lungs with bronchitis are possible. But an interpretation focusing on bronchitis, even obstructive, is far-fetched. Rather, it will be the lungs of an elderly smoker.
Diagnosis of bronchitis
Diagnosis of this disease is usually carried out by:
- Taking anamnesis.
- Auscultation (listening).
- Percussion (tapping).
- Laboratory analysis biological fluids(particularly blood).
If the clinical picture of the disease is typical, the following are observed:
- Cough.
- Sputum discharge.
- Shortness of breath, sweating.
- Leukocytosis was detected in the blood.
- The temperature rises to febrile levels.
These studies are quite sufficient. In this case, bronchitis will not show itself in the picture. And there is no point in exposing the patient to even minimal Rg radiation, especially if the pathological process responds well to antibiotic therapy.
If necessary, a therapist or pulmonologist may prescribe:
- Spirometry.
- Sputum analysis.
An X-ray may be prescribed for prolonged dry cough, hemoptysis, or ineffectiveness of the prescribed treatment. In this case, the patient may be recommended to undergo CT or microslice CT.
The most simple method, of course, is the use of an X-ray machine. Almost all of them are equipped with a standard “film” version. medical institutions. Unfortunately, to diagnose acute bronchitis he won't help. But thanks to it, it is possible to differentiate tuberculosis or lung cancer, fibrotic changes and pneumocaniosis.
When asked what bronchitis looks like on a picture, most radiologists will answer that it doesn’t look like it at all. When identifying radiation signs of lung pathology, other ailments of the respiratory system will come first. That is, the answer to the question whether a doctor can see bronchitis on an x-ray will be most likely negative. What you can see on an x-ray is inflammation of the lungs (pneumonia), but not inflammation of the bronchi.
A special type of respiratory tract pathology is foreign bodies. They can enter the upper sections (larynx and trachea), but in most cases one has to deal with this pathology already at the level of the bronchi.
Foreign bodies are various substances and objects that should not normally be in the respiratory tract. They can be of organic (food, seeds and grains, bones, nuts, peas) or inorganic (nails, nuts, beads, buttons, toys) origin. A foreign body enters bronchial tree in various ways:
- Aspiration (inhalation from the outside, reverse reflux during reflux or vomiting).
- Through a through hole (damage to the lung and chest).
- At surgical procedures(removal of tumors and adenoids, tracheotomy).
IN clinical practice The most common route is aspiration. Inhalation of small objects is more common in children who have a habit of holding them in their mouth. Then, during play, laughter, crying or when frightened, a foreign body enters the bronchi.
Special attention should be paid to conditions when aspiration occurs in unconscious or when performing surgical interventions. The latter refers to iatrogenic injuries associated with violation of the surgical technique.
Organic and inorganic bodies, falling into the lower Airways, behave differently. Hard and sharp particles can damage the mucous membrane and become firmly entrenched in it, without completely blocking the lumen. Smooth objects easily slide over the surface of the epithelium, penetrating deeper. Organic components (seeds, peas) swell, completely blocking the air flow, and sometimes crumble, falling into smaller bronchi.
Foreign bodies in the bronchi are a pathology that affects not only children, but also adults. Most often, foreign objects enter by aspiration.
Morphological changes
Pathological processes occurring in the lower parts of the respiratory tract are determined by the size, location, type foreign body and the duration of its stay. Most often, foreign objects enter the right bronchus, because it is wider than the left and extends from the trachea in a more vertical direction. First, the following reactions develop:
- Bronchospasm.
- Swelling.
- Redness.
- Erosion.
- Hypersecretion.
These processes are universal in nature; they occur in response to damage and are designed to limit the movement of a foreign component. Subsequently, an inflammatory reaction develops around the foreign body, granulation tissue grows, a fibrous capsule forms, and adhesions and scars form.
When a foreign body in the bronchus moves (moves) during breathing, it does not completely obstruct the lumen of the respiratory tract. In this situation, secondary disorders in the lungs are slightly expressed. With the so-called valve blockage, when the body does not adhere tightly to the mucous membrane, air penetrates into the alveoli when inhaling, but when exhaling it does not come out due to reflex bronchospasm. Then emphysema develops.
Complete obstruction of the bronchus leads to a decrease in the airiness of the corresponding area of the lung tissue. Atelectasis develops, which is characterized by the collapse of the walls of the alveoli and their exclusion from gas exchange processes. We must not forget that a foreign body always contains bacteria on its surface, which, when they enter the respiratory tract, trigger bacteria there. infectious process. And in conditions of reduced ventilation it takes on a protracted and poorly resolved character.
Under the influence of foreign bodies in the respiratory tract, a number of morphological changes which give rise to clinical symptoms.
Symptoms
Immediately after a foreign object hits, the so-called debut phase is observed. It is characterized the following signs, arising suddenly:
- Paroxysmal cough.
- Hoarseness of voice and aphonia.
- Shortness of breath until breathing stops (asphyxia).
Then the foreign body in the bronchus enters a phase when the ventilation function somewhat stabilizes (relative compensation). At this time, the child, due to bronchospasm and incomplete blockage of the respiratory tract, experiences stridor and wheezing, audible at a distance. Mixed shortness of breath is a concern, and pain in the corresponding half of the chest may occur.
Further symptoms are determined by the severity of secondary inflammatory reactions in the bronchopulmonary system. Last phase clinical picture(complications) occurs with the following manifestations:
- Productive cough.
- Discharge of mucopurulent sputum.
- Dyspnea.
- Hemoptysis.
- Fever.
Foreign bodies cause bronchitis, pneumonia, bronchiectasis, abscesses, and fistulas. Physical examination reveals signs of atelectasis, pneumonic infiltration, or emphysema (diminished breathing, wheezing, dullness or box-like sound to percussion). But there are also cases when the process is completely asymptomatic, emerging completely by accident.
Symptoms indicating a foreign body in the bronchi are nonspecific: cough, shortness of breath, pain in the chest. But it is important to note how and against what background they arise.
Additional diagnostics
The fact of aspiration of a foreign object cannot always be noticed. That's why great importance in the diagnosis of pathology there are additional methods:
- Radiography.
- Tomography (computer and magnetic resonance imaging).
- Bronchoscopy.
- Bronchography.
Cases with inorganic bodies are especially difficult, because they are not visible on a standard x-ray. However, even then one can notice indirect signs: atelectasis, emphysema and focal changes in the lung tissue. But the most reliable method is bronchoscopy, which allows you to see the foreign object itself. Often it is hidden behind granulations and fibrous changes.
Treatment
For any foreign body in the bronchi, its removal is indicated. In this case, they use the endoscopic method, which is effective in most cases. Having detected a foreign object, it is grabbed with bronchoscope forceps. Metal components are removed using a magnet, and small ones are removed using electric suction. After the procedure, it is necessary to re-examine the respiratory tract to exclude the presence of object debris and injury to the bronchial wall.
If a foreign body is deeply embedded in the bronchial wall and cannot be removed endoscopically, a thoraco- and bronchotomy must be performed. The same tactics are chosen if complications such as ruptures or bleeding occur during therapeutic bronchoscopy.
Medication correction is of auxiliary importance, which allows eliminating secondary changes in respiratory system. The most commonly used drugs are antibiotics, mucolytics and expectorants. But to eliminate symptoms such as cough and shortness of breath, it is necessary to first remove the foreign object.
The only correct tactic for a foreign body is to remove it from the bronchial tree.
Forecast and preventive measures
Timely removal of a foreign object gives confidence in a favorable prognosis. Delayed diagnosis leads to various complications: pleural empyema, pneumothorax, fistulas and bleeding, mediastinitis, etc. Sometimes the baby can even die from sudden asphyxia.
Preventive measures should include mandatory parental control over the quality of children's toys and their appropriateness for age. The child must be weaned from the habit of putting any objects in his mouth. From the outside medical workers It is required to carry out educational work among the population and observe the technique of surgical manipulations.
A foreign body in the bronchus is a serious situation that can be accompanied by a risk to life. Increased attention should be paid not only to timely diagnostic and therapeutic measures, but also issues of prevention.
