Актуальные научные исследования в современном мире iscience. In. Ua

«MODERN SCIENTIFIC CHALLENGES AND TRENDS»
 
SCIENCECENTRUM.PL 
ISSUE 3 
ISBN 978-83-949403-3-1 
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immediate cause of death was viral-bacterial or bacterial pneumonia, sometimes - 
massive intracranial hemorrhage. In children with septicopyemia (5), the primary 
focus was represented by purulent and purulent-necrotic thrombarteritis; less often 
phlebitis or productive vasculitis; metastatic foci - purulent leptomeningitis (4), 
fibrinous - purulent peritonitis (1) were detected in all the observations.Death came 
from intoxication due to the presence of purulent processes. The condition of the 
parenchymal organs and spleen did not differ from that of the children of the 
previous group. The mucous membrane of the intestine, as a rule, was not 
changed. One child had 28 days with septicemia and acute respiratory viral-
bacterial infection had cicatricial ulcers and serous-purulent peritonitis. 
In the group of deceased at the age of 1-2 months there were 22 children 
with a birth weight of 900-2000 g. Clinically, 17 children had signs of intracranial 
birth trauma, 15 had pneumonia with pneumonia, and 6 had pneumonia of bacterial 
etiology. The diagnosis of intrauterine sepsis was given to 22 children, all 
intrauterine infection was detected in all children. In 19 children, ulcerative and 
necrotic lesions of the intestine were diagnosed, and in 16 patients with 
peritonitis.In the section in some children (9), signs of previous hemorrhages (rusty 
staining of the brain membranes or epidural cellulitis of the spinal canal) were 
found. In 17 cases, acute respiratory viral-bacterial infection was diagnosed with 
pneumonia, in 7 - bacterial pneumonia. In septicemia, the primary focus was 
primarily on the productive inflammatory process (12 and 18), less often - 
productive-purulent (2) and purulent-necrotic (2). The cause of death was viral-
bacterial and bacterial pneumonia 96), cerebral hemorrhage (2), peritonitis, which 
complicated ulcerative-necrotic lesion of the intestine (10). With septicopyemia (6), 
the primary focus was characterized by the presence of productive (4) and 
productive-purulent (2) inflammation; metastatic purulent foci were found in the 
lungs (3), the kidneys (1), the pleura (4), the peritoneum (1).The degeneration of the 
parenchymal organs was moderately expressed, the spleen hyperplasia was 
sharper than in the previous groups. In 18 of the deceased, irrespective of their 
weight, there was ulcerative necrotic lesion of the ileum and large intestine. Ulcers 
were multiple, often of different prescription of occurrence in the same children, in 5 
cases - scarring. A frequent complication was perforation of ulcers and fibrinous-
purulent peritonitis. 
In the group of children older than 2 months. There were 8 premature infants 
(aged 2 months 4 days to 5 months 6 days) with a birth weight of 800-2400 g. All 
children clinically and in the section were diagnosed with intrauterine sepsis 
(septicemia) with productive inflammation in the primary septic focus in the lung 
tissue i.e. pneumonia, including 5 - as a complication of acute respiratory viral-
bacterial infection. In all the observations, there were multiple ulcers of the small 
and large intestines, more often with scarring or epithelialization of a part of the 
ulcers.Dystrophy of the parenchymal organs and spleen hyperplasia were 
moderately expressed. Death came from peritonitis (4), pneumonia (3), hepatic 
insufficiency (1). 
These materials allow us to draw certain conclusions about the 
characteristics of intrauterine sepsis in premature infants in modern conditions. 
Analysis of our material indicates that at present intrauterine sepsis in preterm 
infants in 16.6% of cases leads to death in the perinatal period. At half of the dead 

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