BOLALARDA PNEVMONIYA TASHXISINING ZAMONAVIY USULLARI
Abstrakt
Mavzuning dolzarbligi. Pnevmoniya bolalarni kasalxonaga yotqizishning asosiy sabablaridan biri hisoblanadi. Ushbu kasallikning aniq tashxisi hali ham olimlarning diqqat markazida. tadqiqotning maqsadi bolalardagi jamiyatdan tashqari pnevmoniya (VP) uchun ultratovush tekshiruvining diagnostik qiymatini baholash edi. Tadqiqot materiallari va usullari. ShTP tashxisi qo'yilgan bolalarning klinik ma'lumotlari va sog'lom bolalardan tashkil topgan nazorat guruhi yig'ildi, o'pkaning ultratovush tekshiruvi o'tkazildi. O'pka ultratovush tekshiruvi (O`U) shkalasi baholandi va venoz qon namunalari ham olindi. Qon testi, shu jumladan Leykositlar va neytrofillar absolyut soni, qon zardobidagi prokalsitonin (PKT) darajasi aniqlandi. Barcha bemorlar, bolalikda kritik kasalliklar shkalasi (BKKSh) bo'yicha baholandi. Tadqiqot natijalari. Leykositlar soni, mutlaq neytrofillar soni va respirator indeksi ShTP guruhida nazorat guruhiga qaraganda sezilarli darajada yuqori, oksigenatsiya indeksi esa sezilarli darajada past edi. Ultratovush tekshiruvi natijalari shuni ko'rsatdiki, ShTP guruhida plevral efyuziya, o'pkaning interstitsial o'zgarishi, o'pkaning konsolidatsiyasi, B chiziqlari, havoli bronxogrammasi belgilari va nazorat guruhiga nisbatan o'pkaning sirpanish belgilarining kamayishi yoki yo'qligi sezilarli darajada ko'proq aniqlandi. Bundan tashqari, O`USh va PKT darajalari ShTP guruhida sezilarli darajada yuqori, BKKSh esa sezilarli darajada past edi. Keyingi tahlillar shuni ko'rsatdiki, ShTP guruhidagi O`USh PKT darajasi bilan sezilarli darajada ijobiy va BKKSh bilan salbiy bog'liqdir. Xulosa: o'pka ultratovush tekshiruvi qon zardobidagi PKT va BKKSh darajasi bilan chambarchas bog'liq. O'pka ultratovush tekshiruvi yuqori sezuvchanlik va o'ziga xoslikni namoyish etadi, bu uning bolalarda ShTP uchun yuqori klinik va diagnostik ahamiyatini ko'rsatadi.
Mualliflar haqida
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