Expert assessment of morphological changes under burn shock
Abstract
To assess burn shock morphology, the data of 153 forensic autopsy reports and expert medical reports for the period from 2012 to 2017 were analyzed, among which 93.2 % of expert observations were deaths certified at burn centers and 6.8 % cases were deaths certified by first responders. Pathomorphological changes under burn shock are characterized by development of acute dystrophic changes in cells and stromal edemas of internal organs in context of pronounced microcirculatory impairments. Assessment of morphodynamics of dystrophic and necrobiotic changes in cardiomyocytes and acute myocardial blood circulation impairments is of information value under burn shock. Nonuniformity of the manifestations described in various cases of burn shock is primarily caused by the severity of shock and emergency of medical treatment at a burn center.
About the Authors
S. V. Savchenko
Novosibirsk State Medical University
Russian Federation
Russian Federation
N. G. Oshchepkova
Novosibirsk State Medical University
Russian Federation
Russian Federation
V. P. Novoselov
Novosibirsk State Medical University
Russian Federation
Russian Federation
V. A. Gritsinger
Novosibirsk State Medical University
Russian Federation
Russian Federation
V. V. Tikhonov
Novosibirsk State Medical University
Russian Federation
Russian Federation
E. V. Kuznetsov
Novosibirsk State Medical University
Russian Federation
Russian Federation
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Review
For citations:
Savchenko S.V., Oshchepkova N.G., Novoselov V.P., Gritsinger V.A., Tikhonov V.V., Kuznetsov E.V. Expert assessment of morphological changes under burn shock. Journal of Siberian Medical Sciences. 2018;(2):10-18. (In Russ.)
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