الفهرس 
BronchiolitisOnly 14 pages are availabe for public view
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Abstract
and results of a physical examination.
Aim of the work The aim of the work is to study the role of nebulized hypertonic saline solution in acute bronchiolitis Patients and methods This study was conducted on 154 children with acute bronchiolitis.
Patients were divided into 2 groups Group I: 124 patients with acute bronchiolitis , with mean age 3.91 ± 2.70 months, 75 patients were males & 49 patients were females, 8 patients had positive family history of allergy & 116 had negative family history of allergy,
Group II: 30 patients taken as controls, with mean age 4.29 ± 2.49 months, 15 patients were males & 15 patients were females, 3 patients had positive family history of allergy & 27 had negative family history of allergy.
Patients and controls were enrolled from Pediatric Department Menoufiya University (Inpatient) and Mitghamer Central hospital and during the period from November 2011 to February 2012 .
All Patients and controls were subjected to the following:
1- Full history taking laying stress on:
a. History of upper respiratory tract viral Infection (Fever,
rhinorhae, cough or sneezing)
b. Past History of similar attacks.
c. Family history of allergy
2- Thorough clinical examination:
● General appearance : irritable or calm alert or lethargic
• Vital Signs
• Tachypnea, working ala nasi, subcostal and intercostal retraction, grunting, cyanosis
• Chest Examination
• Inspection : increased anteroposterior diameter of chest,
subcostal and intercostal retaction
• Palpation : shifting of trachea, tactile vocal fremeus
• Percussion : hyper resonance of chest
• Auscultation:Vesicular breath sounds , rhonchi and crepitations
3- Chest X-ray posteroanterior view
4- Clinical scoring system before and after treatment Results There were two groups, patients group and controls group.
● Patients group data was as follow, mean age 3.91 ± 2.70 months, 75
patients (60.5%) were males & 49 patients (39.5%) were females, 8(6.5%) patients had positive family history of allergy & 116 (93.5%) had negative family history of allergy,
● Controls group data was as follow, mean age 4.29 ± 2.49 months, 15 patients (50%) were males & 15 patients (50%) were females, 3 (10%)patients had positive family history of allergy & 27 (90%) had negative family history of allergy.
● There was no significant statistical difference between patients group and controls group regarding demographic data
● There was no significant statistical difference between patients and controls regarding clinical data on admission.
● There was highly significant statistical difference between patients and controls regarding length of stay in hospital , shorter in patient group.
● There was no significant statistical difference between patients and controls regarding clinical score on day one.
● There was highly significant statistical difference between patients and controls regarding clinical score on day three with greater improvement in patient group.
● There was highly significant statistical difference between patients and controls regarding clinical score on day five greater improvement in patient group.
● There were one hundred and one patients (81.5%) had normal chest x-ray,
twenty one patients (17.7%) had hyperinflated chest x-ray and two patients (0.8 %) had collapse in chest x-ray. twenty one controls (70%)had normal chest x-ray, nine controls (30%) had hyperinflated chest x-ray and no controls (0.0 %) have collapse in chest x-ray.
● There was non significant negative correlation between age & clinical score on day one.
● There was highly significant positive correlation between chest x ray &
length of stay in hospital.
● There was significant negative Correlation between family history of allergy & length of stay in hospital.
● There was significant negative correlation between age & length of stay in hospital.