Emchinska E. Optimization of diagnosis of community-acquired pneumonia at children by means of computer phonospirography

Dissertation is dedicated to questions of optimization of early diagnosis ofcommunity-acquired pneumonia at children by determining phonospirographic criteria ofdifferent clinicoradiological pneumonia forms, research of computer phonospirographypossibilities for evaluating the effectiveness of treatment of pneumonia at children.Features of a course of different clinicoradiological forms of community-acquiredpneumonia at children of different ages were analyzed. It was established that the length,frequency, and intensity of inhalation and exhalation in healthy children depend on age.Acoustic parameters of the main and additional respiratory sounds in children withrespiratory pathology in various locations were studied in details. A phonospirographiccriteria for diagnostic of acute simple bronchitis, focal and segmental unilateral(polysegmental) pneumonia at children were developed. The high sensitivity andspecificity of the computer phonospirography method for diagnostic of communityacquiredpneumonia were demonstrated. It was found that the analysis of quantitativecharacteristics of the acoustic parameters of basic and additional respiratory noises in thedynamics of the disease allows to use computer phonospirography method as additionalcriteria for evaluating the effectiveness of treatment of pneumonia at children.