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геленджике","retina":false,"avatarId":"0","isMacOS":false,"isEmbeddedFuturis":false,"brand":"yazeka","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Ложный круп: что это?","markdown":"**Ложный круп** (стенозирующий ларинготрахеит, острый обструктивный ларингит) — **острое воспаление верхних дыхательных путей, при котором происходит сужение просвета гортани и трахеи** из-за отёка слизистой оболочки гортани [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/)[2](https://fantasyclinic.ru/services/treatment/pediatriya/lozhnyy-krup-u-rebenka/). Обычно диагностируется в детском возрасте, что связано с анатомическими особенностями строения гортани у детей — узким просветом и рыхлой подслизистой тканью, склонной к отёку [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/). Но в редких случаях возможен и у взрослых [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/).\n\n\n\n## Причины\n**Основная причина** — **вирусные инфекции** [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/)[3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/). Чаще всего ложный круп провоцируют вирусы парагриппа, гриппа, аденовирусы и респираторно-синцитиальный вирус [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/)[3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/). \n\n**В редких случаях** отёки могут спровоцировать: \n* **Аллергия** (например, на пыльцу или резкие запахи) — вызывает спазм или отёк без температуры и других признаков ОРВИ [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/). \n* **Раздражители** — холодный воздух, табачный дым, сухой климат в помещении [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/).\n\n## Симптомы\n**Некоторые признаки ложного крупа**: \n* **«лающий» кашель** — резкий, отрывистый, похожий на лай [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/); \n* **Осиплость голоса** — из-за отёка голосовых связок [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/); \n* **Шумное дыхание (стридор)** — слышен грубый звук на вдохе [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/); \n* **Затруднённый вдох** — ребёнку приходится прилагать больше усилий, чтобы вдохнуть [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/). \n\n**Три степени тяжести** [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/): \n1. **Лёгкая** — ребёнок возбуждён, но дыхание немного учащённо, «лающий» кашель есть, но в покое одышки нет [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/). \n2. **Средняя** — заметное усилие при вдохе, втяжение межрёберных промежутков, беспокойство или, наоборот, вялость [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/). \n3. **Тяжёлая** — выраженная одышка, бледность или синеватый оттенок кожи вокруг рта, заторможенность или возбуждение, признаки нехватки кислорода [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/).\n\n## Диагностика\n**Диагноз** обычно устанавливает врач на основании сбора жалоб и анамнеза, а также результатов осмотра [10](https://www.invitro.ru/library/bolezni/27040/). Некоторые методы диагностики: \n* измерение температуры тела, частоты дыхания [10](https://www.invitro.ru/library/bolezni/27040/); \n* осмотр горла [10](https://www.invitro.ru/library/bolezni/27040/); \n* прослушивание лёгких (аускультация) [10](https://www.invitro.ru/library/bolezni/27040/). \n\n**Лабораторную диагностику** рекомендовано проводить лишь в тех случаях, когда температура превышает 38–39°С и есть необходимость исключить бактериальную инфекцию [10](https://www.invitro.ru/library/bolezni/27040/).\n\n## Лечение\n**Лечение ложного крупа направлено на снятие отёка, восстановление дыхания и устранение воспалительного процесса** [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/). Некоторые методы лечения: \n* **Медикаментозная терапия** — обычно назначаются глюкокортикостероиды для снятия отёка или антигистаминные препараты для уменьшения аллергической реакции [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/). \n* **Оксигенотерапия** — при снижении уровня кислорода в крови (сатурация ниже 92%) используется кислородная поддержка [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/). \n* **Госпитализация** — в тяжёлых случаях, когда дыхательная недостаточность прогрессирует, требуется стационарное наблюдение [1](https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/). \n\n**Важно своевременно обратиться за медицинской помощью** — ложный круп может прогрессировать быстро, приводя к кислородному голоданию и даже удушью [3](https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/).","linksData":[{"sourceId":1,"url":"https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/","shownUrl":"https://bwell-swiss.ru/news-med/stenoziruyushhij-laringotraheit-lozhnyj-krup/","title":"Стенозирующий ларинготрахеит (ложный круп): симптомы, лечение и профилактика / bwell-swiss.ru","shortUrl":"bwell-swiss.ru","isTranslated":false,"description":"","greenUrl":"bwell-swiss.ru"},{"sourceId":2,"url":"https://fantasyclinic.ru/services/treatment/pediatriya/lozhnyy-krup-u-rebenka/","shownUrl":"https://fantasyclinic.ru/services/treatment/pediatriya/lozhnyy-krup-u-rebenka/","title":"Лечение ложного крупа и снятие приступа у ребенка | Клиника Фэнтези в Москве","shortUrl":"fantasyclinic.ru","isTranslated":false,"description":"","greenUrl":"fantasyclinic.ru"},{"sourceId":3,"url":"https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/","shownUrl":"https://spb.fomin-clinic.ru/zabolevaniya/krup-u-detey/","title":"Круп у ребёнка — симптомы, причины, помощь","shortUrl":"spb.fomin-clinic.ru","isTranslated":false,"description":"","greenUrl":"spb.fomin-clinic.ru"},{"sourceId":4,"url":"https://www.k31.ru/baza-statey/lozhnyy-krup/","shownUrl":"https://www.k31.ru/baza-statey/lozhnyy-krup/","title":"Ложный круп у детей - причины, признаки заболевания, лечение","shortUrl":"k31.ru","isTranslated":false,"description":"","greenUrl":"k31.ru"},{"sourceId":5,"url":"https://www.yamed.ru/services/otorinolaringologiya/lozhnyy-krup/","shownUrl":"https://www.yamed.ru/services/otorinolaringologiya/lozhnyy-krup/","title":"Ложный круп - лечение, симптомы, причины и диагностика","shortUrl":"yamed.ru","isTranslated":false,"description":"","greenUrl":"yamed.ru"},{"sourceId":6,"url":"https://mc21.ru/articles/lozhnyy-krup/","shownUrl":"https://mc21.ru/articles/lozhnyy-krup/","title":"Ложный круп у детей: причины, симптомы и первая помощь при стенозе гортани","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":7,"url":"https://nv-clinic.ru/disease/lozhnyy-krup/","shownUrl":"https://nv-clinic.ru/disease/lozhnyy-krup/","title":"Ложный круп у детей. 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