Dynamics of morphological manifestations of the experimental acute aspiration bronchopneumonia development.

S. Zyablitsev, P.Yu. Penskyy, M.L. Litvinets, A. Kovalova, A.A. Salamaha
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Abstract

Background. Currently, there is a need to create an experimental model for reproducing the main pathogenetic mechanisms of COVID-associated lungs damage. The first stage of such a model may be reproducing acute aspiration bronchopneumonia in rats. Objective. Examine the dynamics of morphological changes in the lungs in the development of experimental acute aspiration bronchopneumonia. Methods. The group of laboratory Wistar rats (n=25) in compliance with bioethical norms under typoental anesthesia was carried out operational intervention with the introduction of a sterile capron thread 2.5 cm long and a thickness of 0.2 mm to a depth of 2.5 cm. In the control group included 5 false-controlled animals. At 7, 14, 21, 28 and 56 days, the animals were derived from the experiment, morphological studies were carried out with the painting serial sections with hematoxylin-eosin. Results. On the 7 day, the morphological picture testified to the development of the acute stage of exudative inflammation with the full-blood of vessels, microtrombosis, dyslectasis, hyperplasia of alveolocytes II type. After 14 days, the proliferative stage was formed with alveolocytes hyperplasia, the epithelium of bronchi, as well as fibroblasts with the formation of sharp peribronchial and alveolar abscesses. After 21 days, the development of the lungs fibrosis with the organization of acute peribronchial and alveolar abscesses was noted, peribronchial and intraalveoli pronounced interstitial edema and the reactive hyperplasia of lymphoid follicles of a mixed nature. After 28 days, bronchopneumonia was organized in the form of fibrosis parenchyma, sections of chronic productive inflammation with the formation of resorbative granuloms; sections of the blood vessels hyalinose. For 56 days, these phenomena were progressed before the development of dense fibrosis (carnification) with sections of chronic abscesses with a formed by a connective tissue capsule, the development of vascular hyalinose. Conclusion. Thus, the model of acute aspiration bronchopneumonia reproduces the dynamics of morphological manifestations of acute lung damage, which is the basis for the development of pathogenetic therapy fields.
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实验性急性吸入性支气管肺炎发展的形态学动态。
背景。目前,有必要建立一个实验模型来再现新冠肺炎相关肺损伤的主要发病机制。这种模型的第一阶段可能是在大鼠身上复制急性吸入性支气管肺炎。目标。检查实验性急性吸入性支气管肺炎发展过程中肺部形态学变化的动态。方法。实验组Wistar大鼠(n=25)符合生物伦理规范,在排位麻醉下,采用长2.5 cm、厚0.2 mm至深2.5 cm的无菌capron线进行手术干预。对照组设假对照5只。于实验第7、14、21、28、56天分别离体,用苏木精-伊红涂色系列切片进行形态学研究。结果。第7天,形态图显示急性期渗出性炎症,血管充血,微血栓形成,肺蠕动异常,II型肺泡细胞增生。14d后,肺泡细胞增生,支气管上皮增生,成纤维细胞增生,形成尖锐的支气管周围脓肿和肺泡脓肿。21天后,肺纤维化发展为急性支气管周围和肺泡脓肿,支气管周围和肺泡内明显的间质水肿和混合性淋巴滤泡反应性增生。28天后,支气管肺炎以纤维化实质的形式组织,慢性生产性炎症切片形成可吸收性肉芽;血管切片透明质糖。这些现象持续56天,然后发展为致密纤维化(肉化),慢性脓肿切片由结缔组织包膜形成,血管透明糖的发展。结论。因此,急性吸入性支气管肺炎模型再现了急性肺损伤的形态学表现动态,这是病理治疗领域发展的基础。
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