Biomeditsina va amaliyot jurnali, 2022 №6

Тема статьи

X-RAY FEATURES IN PNEUMONIA IN NEWBORN DEPENDING ON THE DEGREE OF MATURITY (162-175)

Авторы

Mardieva M. Gulshod, Ashurov N. Jaxongir

Учреждение

Samarkand State Medical University

Аннотация

Objective: To study the features of X-ray semiotics in pneumonia in newborns, depending on the gestational age at birth. Material and methods: A clinical and radiological examination of 71 newborns with pneumonia was carried out. Plain chest radiography was carried out on the apparatus brand KX050F - "Toshiba" (Japan). Results: In the group of full-term newborns without signs of intrauterine growth retardation (IUGR) with pneumonia, the changes characteristic mainly for the I degree of severity of the respiratory distress syndrome (RDS) prevailed, namely, miliary spotting, limited low-intensity inhomogeneous blackouts, blurry nodose-reticular mesh, distinguishable "air bronchogram". In fullterm newborns with signs of IUGR, changes characteristic of I and II degrees of SDR severity prevailed in equal proportions, i.e. decreased pneumatization, coarse randomly scattered areas of lung tissue compaction and "air bronchograms". In premature newborns, depending on the depth of prematurity, and possibly due to a short-term clinically asymptomatic onset, at admission, in most cases, II and III severity of SDR were noted: a pronounced decrease in pneumatization ("ground glass"), smoothing of the pulmonary-diaphragmatic and pulmonary-cardiac borders (positive "silhouette" symptom), air bronchograms. Conclusions. The distribution of children according to clinical and radiological signs depends on gestational age, and atelectatic pneumonia is most often recorded in premature babies against the background of morphofunctional immaturity of the lungs. The deeper the prematurity, the more pronounced the influence of immature lung tissue on the occurrence and course of the inflammatory process in the lungs, and the inflammatory process becomes rapid, spreading to a large area of the lungs.

Ключевые слова

newborn, pneumonia, respiratory distress syndrome, radiography.

Литературы

Абдуллаева М.Н., Мардиева Г.М., Бахритдинов Б.Р. Оценка степени тяжести рентгенологических изменений при синдроме дыхательных расстройств. // Научно- практический журнал «Педиатрия» (Ташкент). - № 1-2, 2015. -Стр. 14-15 2. Бакрадзе М.Д., Гадлия Д.Д., Рогова О.А. О проблемах диагностики и лечения пневмоний у детей. // Педиатрическая фармакология. - 2015 – 12 (3) – С.354 - 359. 3. Войтенков В.Б., Марченко Н.В., Скрипченко Н.В. и др. Значение инструментальных методов в диагностике пневмонии при коронавирусной инфекции. //Педиатрия. Consilium Medicum. – 2020, № 1. - С. 20–25. 4. Володин Н.Н. Неонатология. Национальное руководство / под ред.. М.: ГЭОТАР - Медиа, 2015. - 896 с. 5. Сперанская А.А., Новикова Л.Н., Баранова О.П., Васильева М.А. Лучевая диагностика вирусной пневмонии. //Вестник рентгенологии и радиологии. - 2016;97(3). - С.149-156. 6. Труфанов Г.Е., Фокин В.А., Иванов Д.О. Особенности применения методов лучевой диагностики в педиатрической практике. // Вестник современной клинической медицины. - 2013 – том 6, вып.6. – С.48-54. 7. Царькова С. А., Кузнецов П. В., Купреева Н. Г. Пневмонии у детей : старые проблемы и новые возможности / Москва — 2011. — Т. 8, - № 1. — С. 12–16. 8. Ш. А. Юсупов, Г. М. Мардиева, Бахритдинов Б.Р. Особенности рентгенологической семиотики при пневмонии у детей раннего возраста. // Научно-практический журнал «Актуальні питання педіатрії, акушерства та гінекології». Тернополь (Украина). - № 2 (20). - 2017. - Стр. 21-24. 9. Balk D.S., Lee C., Schafer J., et al. Lung ultrasound compared to chest X-ray for diagnosis of pediatric pneumonia: A meta-analysis. Pediatr Pulmonol. 2018;53(8):1130–1139. 10. Lipsett S.C., Monuteaux M. C., Bachur R. G. et al. Negative Chest Radiography and Risk of Pneumonia. Pediatrics. 2018;142(3): e20180236. doi: 10.1542/peds.2018–0236 11. Shah S.N., Bachur R. G., Simel D. L., Neuman M. I. Does This Child Have Pneumonia? The Rational Clinical Examination Systematic Review. JAMA. 2017;318(5):462–471 12. Zimmerman D.R., Kovalski N., Fields S., et al. Diagnosis of childhood pneumonia: clinical assessment without radiological confirmation may lead to overtreatment. Pediatr Emerg Care. 2012;28(7):646–649. 13. Yunusova L. et al. Sonography and magnetic resonance tomography in monitoring of recurrent cysts lesions of the neck //Annals of Cancer Research and Therapy. – 2021. – Т. 29. – №. 2. – С. 131-134. 14. Yunusova L. et al. Magnetic resonance imaging in the diagnosis of cystic lesions of the neck //Annals of Cancer Research and Therapy. – 2021. – Т. 29. – №. 1. – С. 102