[The TORCH complex and its role in perinatology].
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Biomedical subjects
Publications and source records attributed to M B Chistiakova.
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Tumour consisting of nodes (15 x 10 x 8 mm, 2 cm and 0.3 cm in size) on the alveolar processes of the maxilla and mandibula is found in a newborn. Histological diagnosis is granular-cell myoblastoma.
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The authors take part in the discussion concerning the formulation (structure) of pathological diagnosis in pediatric practice, particularly in perinatology. A scheme of formulation of pathological diagnosis which must reflect sections of the "Certificate on Perinatal Death" with due consideration for the new IX revision of International Classification of Diseases is proposed. The authors discuss the justification of the diagnosis of asphyxia and formulation of pathological diagnosis in cases of death of newborn babies due to noninfectious pneumopathies. The rules of formulation of the clinico-anatomical epicrisis is also discussed.
The incidence of influenza, parainfluenza, respiratory syncytial and adeno-virus antigens and morphological manifestations of acute respiratory viral infections (ARVI) in infants were studied on the materials of 188 autopsies of fetuses and newborns dying in the first 168 hours of life, i.e. in the perinatal period. ARVI were shown to be highly prevalent in the perinatal period. Morphological manifestations of infections increased with the duration of life: from minimal manifestations in stillborns to marked viral lesions in newborns of 3-5 days of life. Signs of ARVI were observed also in a number of cases of the so-called "noninfectious pneumopathies". A peculiar kind of necrotic pneumonias in newborns is described which are characterized by the complete lack of cellular reaction around foci of necrosis of the lung tissue.
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