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ISSUE 2
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2022
ISSN: 2181-1601
Uzbekistan
www.scientificprogress.uz
Page 673
Medical Institute from September 21, 2021 to February 10, 2022. The infants were
admitted to the Intensive Care Unit and the Department of Newborn Pathology.
The group consisted of 25 boys (62.5%) and 15 girls (37.5%). 27 children (67.5%) were
born prematurely; 11 of these children (27.5%) were born after less than 30 weeks
gestation (extreme prematurity). A total of 80 neonatal radiographs were taken; of these,
55 were chest radiographs (66.2%) and the rest were from routine abdominal
radiographs and intestinal transit studies. All radiographs were assessed and the
observed pathologies summarised.
Results
: In the study group of children, the radiological picture of the lungs was
normal in 29 neonates (34.4%). In 13 cases where the first lung image was normal, the
second image revealed pathology; in 9 cases pathology was described after at least 3
radiographs. The most common pathology detected on the control images of newborns
with a normal chest image on the first image was pneumonitis (n = 9), followed by
infant respiratory distress syndrome (IRDS) (n = 5); in the remaining cases, there were
no abnormalities on the images or only the first image was taken (n = 8).
The final chest photograph showed no abnormalities in 40 neonates (48.8%).
Fig.1. Patient M. 2 months postnatal chest radiograph showing decreased aeration of
the lung tissue
Radiological signs observed in the main group at hospitalization were: decreased
aeration of lung tissue ( n = 55), increased aeration of lung tissue ( n = 9), atelectasis ( n
= 5), edema changes ( n = 3), pneumothorax ( n = 3). (n = 2), pathological dilation of
the mediastinal shadow ( n = 4); in 4 cases concomitant pulmonary tissue pathologies
did not allow evaluation. Increased pulmonary blood flow was noted in 4 neonates; in 1
case the cardiac silhouette could not be assessed, in the remaining 3 cases the heart
dimensions were normal. In 1 patient there was a decrease in pulmonary blood flow
with a concomitant increase in cardiac silhouette (cardiothoracic coefficient > 0.7).
Among the patients in whom decreased aeration of pulmonary tissue was
observed on chest radiographs, the most common nosological form was pneumonitis,
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