| Autor: |
Marushchak M; I. Horbachevsky Ternopil State Medical University, Ukraine., Krynytska I; I. Horbachevsky Ternopil State Medical University, Ukraine., Petrenko N; I. Horbachevsky Ternopil State Medical University, Ukraine., Klishch I; I. Horbachevsky Ternopil State Medical University, Ukraine. |
| Abstrakt: |
Acute lung injury (ALI) remains a major cause of acute respiratory failure and death of patients. Despite the achievements at the current stage in treatment, morbidity and mortality of ALI remain high. However, a deeper understanding of the pathogenetic links of ALI, identifying of the predictors that positively or negatively influence on the course of the syndrome, the correlation between some pathogenetic mechanisms will improve therapeutic strategies for patients with ALI, which makes the actuality of this study. The aim of the research was to detect additional pathogenetic mechanisms of the acute lung injury development in rats based on a comparative analysis of the correlations between the level of reactive oxygen species in blood and bronchoalveolar lavage, contents of neutrophils and blood gas composition. The experiments were performed on 54 white nonlinear mature male rats 200-220g in weight. The animals were divided into 5 groups: the 1st - control group (n=6), the 2nd - animals affected by hydrochloric acid for 2 hours (n=12), the 3rd - animals affected by hydrochloric acid for 6 hours (n=12), the 4th - animals affected by hydrochloric acid for 12 hours (n=12), the 5th - animals affected by hydrochloric acid for 24 hours (n=12). Correlation analysis was performed between all the studied indices. Coefficient of linear correlation (r) and its fidelity (p) was calculated that was accordingly denoted in the tables (correlation matrices). The correlation coefficient was significant at p<0.05. Conducted correlative analysis showed that the level of ROS in neutrophils of blood in rats with modeled ALI had a high negative correlative linkage with pH of arterial blood in 2nd and 3rd experimental groups. Conducted correlative analysis of data in BAL showed that the level of ROS in neutrophils in rats with modeled ALI had a strong positive correlative relationship with the number of white blood cells in 3-rd, 4-th and 5-th experimental groups and positive correlative relationship with the absolute number of neutrophils in the same experimental group. Consequently, the main manifestation of acute lung injury is the development of hypoxia and respiratory acidosis that is caused by the violation of gases diffusion in the alveoli. On this background non-specific inflammatory reaction is developed at lung microvessels level with violation of lung homeostasis, which is iniciated by neutrophils' activation, which are producing ROS. |
