Peculiarities of lungs interstitial damages in children from zone of ecological catastrophe – Aral Sea region

Mazhitova Z, Kissamiyeva B

Kazakh State Medical University, Almaty, Kazakhstan

Objective: Aim of investigation – study some clinical and roentgenological peculiarities of lungs interstitial damages in children from Aral Sea region (ASR).

Methods and Results: 641 children in age of 4-16 y.old and living in ASR. Analysis of complex investigation had showed, that signs of chronic hypoxia were observed in 81,3% children. The majority of children (65,3%) complain of the cough: dry (6,4%), constant (18,7%), rare (23,4%), with secretion of poor slimy phlegm (16,8%). Breathlessness, which intensifies during physical loading, was detected in 40,6% children; changes of nail-bones on type of drumsticks and watch crystals – in 24,5% patients. Deformation of chest as funnel-shaped was in 11,1% cases, as carinate – in 6,5% and with protrusion of sternum – in 0,8%. By percussion of lungs: pulmonary sound with box-note shade was detected in 67,5% children. By auscultation of lungs: hard breathing was sounded in 67,5% examined children, contraction of sniff and outward breath phases, on type of ”crackle of cellophane” in lower parts of lungs – in 18,1%. Roentgenological picture of lungs in children is present by reinforcement (51,6%) and deformation (78,3%) of pulmonary picture, net deformation (6,3%), small local shadows (3,7%), distension (43,3%), hardening (59,2%) and absence of normal structure of lungs roots.

Conclusion: Clinical signs and roentgenological picture of lungs in children from zone of ecological catastrophe testify about availability of interstitial damages in pulmonary tissue.

0434