MORPHOLOGICAL CHANGES OF BRONCH AND LUNG PARENCHYMA IN PNEUMOPATHIES DEPENDING ON GESTATION DATE
Keywords:
bronchus, lungs, pneumopathy, atelectasis, hystization, newborns, submucosa.Abstract
Objective: To determine the nature of pathomorphological changes in the bronchial wall and lung tissue of newborns who died from various forms of pneumopathy, depending on the gestational age.
Methods: The study includes materials from the corpses of 74 newborns who died in the perinatal center of the Samarkand region from various forms of pneumopathy, whose bodies were subjected to an autopsy study in the pathoanatomical department of the Samarkand regional multidisciplinary hospital.
Results: Depending on the specific nosological forms of pneumopathy in newborns, based on their periods of maturity, the material was divided into the following groups: 1) Primary lung atelectasis by gestation: 22-28 weeks, 29-31 weeks and 32-37 weeks. 2) Hyaline membrane disease depending on the life expectancy of infants. 3) Pneumopathy with edematous-hemorrhagic form of pathology, also based on the timing of neonatal life. An autopsy study of the lungs of infants with a primary diagnosis of primary pulmonary atelectasis revealed macroscopically airless, cyanotic, dormant lungs with a reduced volume and pointed, flat edges that did not completely fill the volume of the pleural cavities.
Conclusions: Thus, the main morphological forms of pneumopathy in premature newborns are primary atelectasis and hyaline membrane disease.
References
Байбарина Е.Н., Антонов А.Г., Ленюшкина А.А. Клинические рекомендации по уходу за новорождёнными с экстремально низкой массой тела при рождении // Вопр. практической педиатрии 2006; 4 (1): С. 96—97.
Геппе Н.А., Волков И. К. Перспективы развития и проблемы детской пульмонологии в России // Пульмонология 2007; 4:С. 6.
Голубев А. М., Перепелица С. А., Смердова Е.Ф., Мороз В.В. Клинико-морфологические особенности дыхательных расстройств у недоношенных новорождённых // Общая реаниматология, 2008, (IV 3): С. 49-55.
Голубев А. М., Перепелица С. А., и др. Изменения лёгких у недоношенных новорождённых с болезнью гиалиновых мембран (клинико-морфологическое исследование) // Общая реаниматология, 2009, (V 2): С. 5-11.
Самохин П. А. Бронхолегочная дисплазия новорожденного: морфогенез, морфологическая диагностика / П. А. Самохин, Ю. В. Цветкова // Арх. патологии. — 2008. — № 4. — С. 37–42.
Stevens T. P., Blennow M., Soll R. F. Early surfactant administration with brief ventilation vs selective surfactant and continued mechanical ven tilation for preterm infants with or at riks for respiratory distress syn drome // The Cochrane Library, Copyright 2005, The Cochrane Collaboration. Volume 1; 2005.
Rizaev J. A., Khazratov A. I., Iordanishvili A. K. Morphofunctional characteristics of the mucous membrane of the masticatory apparatus in experimental carcinogenesis //Russian Journal of Dentistry. – 2021. – Т. 25. – №. 3. – С. 225-231.