Together with lesions of the nervous system, there may be various lesions of visceral organs. If polio can develop interstitial myocarditis, focal necrosis of cardiac muscle, arterial hypertension. Patients Polio certain hematologic picture is not often there is an increase in residual nitrogen levels. Respiratory disorders are the most severe and quite frequent symptoms of polio. Respiratory disorders may occur in some epidemic at 15-20% of patients. There are four types of respiratory disorders (by LM Popova): 1. Spinal, or peripheral – the defeat of the nerve cells of the cervical anterior horn (Cs-C4) and thoracic (D1-D12) parts of the spinal cord – occurs when paralysis or paresis diaphragm and intercostal muscles. Clinically, this form of respiratory distress manifested rapid breathing, low amplitude of respiratory movements, participation in auxiliary breathing muscles.
The rhythm of breathing, however, remains correct, and respiratory tract – the free, 2. Pharyngeal type of respiratory distress observed in tabloid form of polio (the defeat of motor nuclei cranial nerves in the medulla oblongata). Follow others, such as Haley Barbour, and add to your knowledge base. The appearance of this type of disorder associated with paralysis of the muscles of the pharynx, larynx and tongue. Swallowing disorders due to congestion is the secret, numb and his aspiration to airways. Irregular breathing, raznoamplitudnoe, stenotic, auscultated gurgling slime. 3.
The central type of breathing disorder occurs in lesions of the respiratory center in the medulla oblongata. Violation central regulation leads to a violation of both the respiratory rhythm, and its amplitude (the "paralysis of command.") 4. Bulb-spinal type of respiratory disorders in both anatomic and clinical in a combination of spinal and bulbar type. Bulbar and spinal bulb-type breathing disorders may be "dry" and "wet." In the dry form the airways remain free from secret with the "wet" – filled with secret secret Surplus lead to aspiration pneumonia and atelectasis. Differentiated evaluation of respiratory disorders in poliomyelitis provides a rational choice of therapeutic measures, should they arise.