FEATURES OF THE COURSE, MORPHO-FUNCTIONAL AND CLINICAL-INSTRUMENTAL INDICATORS OF COMMUNITY-ACQUIRED PNEUMONIA WITH MYOCARDITIS IN CHILDREN

Аннотация

Myocarditis is an inflammatory lesion of the myocardium of infectious, toxic-infectious, infectious-allergic, autoimmune, or toxic etiology (3,4). Despite the research, the problem of myocarditis in children remains unresolved, which is associated with a variety of etiological factors and clinical, laboratory and instrumental manifestations of the disease. The search for differential diagnostic criteria and additional methods of pathogenetic therapy for the disease continues. In the study, in the majority of children with pneumonia, the plasma component of hemostasis was activated, a shortening of clotting time, hyperfibrinogenemia, a decrease in platelets, prothrombin index, and fibrinogen occurred; in a minority (19.64%) of children with pneumonia, the fibrinolytic activity of the blood increased. The authors recommend correcting the detection of changes with hemostabilizing drugs. The paper presents the results of anamnestic, clinical, generally accepted laboratory and unique examination methods in 80 children with community-acquired pneumonia aged 1 to 6 years, of which 40 patients with concomitant myocarditis who were hospitalized in the departments of the II Emergency Pediatrics and Pediatric Intensive Care Unit of Samarkand branch of the Republican Scientific Center for Emergency Medical Care in the period from 2020 to 2022.