Method for differential diagnosis of the injury of bronchopulmonary system with radioactive nuclides by inhalation route and of chronic unspecific inflammatory diseases of lungs
A method for the differential diagnosis the injury of the bronchopulmonary system with radioactive nuclides by inhalation route and of chronic unspecific inflammatory diseases of lungs in the sufferers consists in the complex determination of clinical, endoscopic and cytological indices of the state...
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Zusammenfassung: | A method for the differential diagnosis the injury of the bronchopulmonary system with radioactive nuclides by inhalation route and of chronic unspecific inflammatory diseases of lungs in the sufferers consists in the complex determination of clinical, endoscopic and cytological indices of the state of bronchopulmonary system. The combined-comparative clinical, functional (pneumotachometry), endoscopic and radiologic examination of the bronchopulmonary system of persons which at different conditions (emergency, domestic) affected with radioactive nuclides of emergency man-caused or natural origin by inhalation route is conducted. In presence of syndrome of irritation of upper air passages with a low productive-secretory component during the direct reliable inhalation intake of radioactive nuclides and in the nearest terms after action of this disturbing factor, of initially chronic character of development of bronchopulmonary disease with minimum clinical symptomatology of early postdamage period (first two-five years) and its transformation in quick development of ventilating and purulo-obstructive complications in a distant period after action of disturbing factor, of disparities of speed of development of roentgenologic changes in lungs (strengthening of pulmonary picture, increase of clear lung fields, peribronchial fibrosis) at the minimum clinical demonstrations of affection of the bronchopulmonary system in the first years after action of disturbing factor, of detection of ventilating syndrome of hypotonic dyskinesia of membranous part of trachea in the first years after action of disturbing factor and further development/transformation in total bronchoobstruction in a next period, of prevailing presence of atrophy endobronchitis with the considerable sclerotic changes of mucous tunic of bronchus and deformation of bronchial tree, of specific violation of relative maintenance and correlation of maintenance of epithelium cells, alveolar macrophages, neutrophils and lymphocytes, the affection of the bronchopulmonary system with radioactive nuclides by inhalation route is determined. |
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