SOME FEATURES OF PNEUMONIA IN NEWBORNS
Surveyed 112 newborn with congenital, aspiration and acquired pneumonia. Influence is established burdened systemic and tokology - gynecological anamnesis on the incidence of development pneumonia, clinical- laboratory polymorphism which, be formed gestational term and body weight at birth. Actuality. It is known that the predisposition of infants to infectious inflammatory diseases, due to features microflora, a certain state of the immune system, influence of the burdened somatic and obstetric gynecological history of the mother [2,3]. In the Republic of Tajikistan in the structure of the early neonatal mortality state, associated with intrauterine infection occupy 3 position, and among the causes of late neonatal mortality, the upper. According to maternity hospital №1 in Dushanbe mortality from pneumonia, as among full-time, so among aborted, tends to steady growth. In this connection it was decided explore this aspect. Aim. Identify some specialty development and course of pneumonia in newborns, born in maternity hospital №1 in Dushanbe. Materials and methods: Observed 112 newborns with pneumonia, which were divided into groups: congenital, aspiration, acquired. Diagnostics and the choice of treatment tactics were based on the approved by the Ministry of Health and Social Protection of the Republic of Tajikistan from 07.06.2011. (№318) national pneumonia protocol [1]. In analyzing the history of childbirth and the history of the development of newborns, a comparison was made of anamnestic and clinical laboratory parameters. The studies included complete blood count, leukocyte index, the absolute number of white blood cells; bacteriological - determination of pathogenic microflora of the blood, respiratory tract, mucous membranes, sensitivity to antibiotics, ultrasound, X-rays. Findings: 1. The development of the inflammatory process in the lungs of the newborn contributes to the burdened somatic and obstetric and gynecological genetic history of the mother. 2. Clinical presentations and laboratory manifestations differ in polymorphism and depend on the gestation period of the newborn 3. It was established that aspiration pneumonia was more characteristic for full-term, especially with large body mass. 4. Premature babies and newborns, born with signs of the intrauterine growth retardation, constitute a risk group for the development of their respiratory system pathology, conditioned peculiarities of the state of their immune system.