KO‘KRAK QAFASI TUMTOQ VOSITALAR TA’SIRIDA YOPIQ JAROXATLARIDA O‘PKA LATINING PATOFIZIOLOGIYASI VA PATOMORFOLOGIYASI
##article.subject##:
: ko‘krak qafasi, yopiq jarohat, o‘pka lati, patofiziologiya, patomorfologiya, diagnostika, mexanizm, tanatogenez.##article.abstract##
Ko‘krak qafasi yopiq jaroxatlarida uchraydigan o‘pka latining patofiziologiyasi va patomorfologik ko‘rinishin aniqlash.Mavzu bo‘yicha so‘nggi yillarda chop etilgan ilmiy adabiyotlar tahlili o‘tkazildi. Tegishli ma’lumotlar MEDLINE va Web of Science elektron bazalaridagi maqolalardan olindi, ulardagi havolalar, iqtiboslar va statistik ma’lumotlar tahlil qilindi. Izlashda quyidagi atamalar to‘liq va qisqartirilgan shaklda qo‘llanildi: ko‘krak qafasi, yopiq jarohat, o‘pka lati, patofiziologiya, patomorfologiya, diagnostika, mexanizm, tanatogenez. O‘pka latining patofiziologiyasida asosiy o‘rinni havo va qon o‘rtasidagi to‘siqning buzilishi egallaydi. Bu holatda qon va interstitsial suyuqlik alveolar va interstitsial to‘qimalarga chiqib ketadi, natijada o‘pkaning ventilyasiya va perfuziya funksiyasi buziladi. Morfologik jihatdan o‘pka lati ikki turga bo‘linadi: cheklangan va keng qamrovli. CHeklangan o‘pka lati — diametri 10 sm gacha bo‘lgan va bir o‘pka bo‘lagidan tashqariga chiqmaydigan jarohat, keng qamrovli o‘pka lati esa — bir nechta bo‘lakni qamrab olgan o‘pka shikastlanishidir. Ko‘krak qafasi yopiq jaroxatlarida o‘pka patomorfologiyasini yanada chuqurroq o‘rganish, patogenez va o‘pka asoratlarini tushunish uchun muhim hisoblanadi, bu esa ushbu turdagi bemorlarni davolash samaradorligini oshiradi. Ushbu shikastlanishning hajmi va darajasini aniqlash sud-tibbiyot nuqtai nazaridan jarohatning og‘irlik darajasini baholashda ham muhim ahamiyatga ega.
Библиографические ссылки
Насонкин О.С., Сучков А.И., Пашковский Э.В. и др. Патофизиология травматической болезни. — Л.: Медицина, 1987. — 303 с.
Ahmad Ganie F., Lone H., Nabi Lone G., et al. Lung contusion: a clinico-pathological entity with unpredictable clinical course. // Bull Emerg Trauma. — 2023; 1:7–16.
Allen G.S., Cox C.S. Pulmonary contusion in children: diagnosis and management. // South Med J. — 1998; 91(12):1099–1106.
Bakowitz M., Bruns B., McCunn M. Acute lung injury and the acute respiratory distress syndrome in the injured patient. // Scand J Trauma Resusc Emerg Med. — 2012; 20:54.
Broderick S.R. Hemothorax: etiology, diagnosis, and management. // Thorac Surg Clin. — 2013; 23:89–96. https://doi.org/10.1016/j.thorsurg.2012.10.003
Casley-Smith J.R., Eckert P., Földi-Börcsök E. The fine structure of pulmonary contusion and the effect of various drugs. // Br J Exp Pathol. — 1976; 57:487–496.
Chong W.H., Saha B.K., Austin A., Chopra A. The significance of subpleural sparing in CT chest: a state-of-the-art review. // Am J Med Sci. — 2021; 361:427–435. https://doi.org/10.1016/J.AMJMS.2021.01.008
Cohn S.M., DuBose J.J. Pulmonary contusion: an update on recent advances in clinical management. // World J Surg. — 2010; 34(8):1959–1970. https://doi.org/10.1007/s00268-010-0599-9
Deng H., Tang T.X., Yao Y., et al. The incidence, clinical characteristics, and outcome of polytrauma patients with the combination of pulmonary contusion, flail chest and upper thoracic spinal injury. // Injury. — 2022; 53(3):1073–1080.
Hoth J.J., Wells J.D., Brownlee N.A., et al. Toll-like receptor 4-dependent responses to lung injury in a murine model of pulmonary contusion. // Shock. — 2009; 31:376–381.
Hooker D.R. Physiological effects of air concussion. // Am J Physiol. — 1924; 67:219–274.
Karmy-Jones R., Jurkovich G.J. Blunt chest trauma. // Curr Probl Surg. — 2004; 41(3):211–380.
Lisa J. Toelle, Allison G. McNickle, Declan Feery, et al. // [Title unavailable]. — June 2024; Article ID: 100247.
Mastroroberto P., Di Mizio G., Colosimo F., Ricci P. Occlusion of left and right coronary arteries and coronary sinus following blunt chest trauma. // J Forensic Sci. — 2011; 56(5):1349–1351.
Miller D.L., Mansour K.A. Blunt traumatic lung injuries. // Thorac Surg Clin. — 2007; 17(1):57–61.
Miller P.R., Croce M.A., Bee T.K., et al. ARDS after pulmonary contusion: accurate measurement of contusion volume identifies high-risk patients. // J Trauma. — 2001; 51(2):223–230. https://doi.org/10.1097/00005373-200108000-00003
Moroz V.V., Vlasenko A.V., Golubev A.M. и соавт. Дифференцированное лечение острого респираторного дистресс-синдрома, обусловленного прямыми и непрямыми этиологическими факторами. // Общая реаниматология. — 2011; VII (4): 5—10.
Moseley R.V., Vernick J.J., Doty D.B. Response to blunt chest injury: a new experimental model. // J Trauma. — 1970; 10(8):673–683.
Patel S., Yelne P., Gaidhane S.A., et al. Lightning Strike Presenting as Fatal Lung Contusion: A Case Report. // Cureus. — 2022; 14(12):e33125.
Raghavendran K., Davidson B.A., Huebschmann J.C., et al. Superimposed gastric aspiration increases the severity of inflammation and permeability injury in a rat model of lung contusion. // J Surg Res. — 2009; 155(2):273–282.
Rendeki S., Molnár T.F. Pulmonary contusion. // J Thorac Dis. — 2019; 11(Suppl 2):S141–S151.
Roy N., Kizhakke Veetil D., Khajanchi M.U., et al. Learning from 2523 trauma deaths in India — opportunities to prevent in-hospital deaths. // BMC Health Serv Res. — 2017; 17:142.
Stephen M. Cohn, Joseph J. DuBose. Pulmonary Contusion: An Update on Recent Advances in Clinical Management. // World J Surg. — 2010; 34:1959–1970. https://doi.org/10.1007/s00268-010-0599-9
Villar J., Blanco J., Añón J.M., et al. The ALIEN study: incidence and outcome of acute respiratory distress syndrome in the era of lung protective ventilation. // Intensive Care Med. — 2011; 37:1932–1941. https://doi.org/10.1007/S00134-011-2380-4
Ward P.A. Acute lung injury: how the lung inflammatory response works. // Eur Respir J Suppl. — 2003; 44:22s–23s.
