Correlational relationships of intestinal wall parameters after barotraum

Abstract

Explosions are physical phenomena that lead to a sudden release of energy; they can be chemical, nuclear or mechanical. This process results in an almost instantaneous increase in pressure above atmospheric pressure. Damage to the abdominal organs after the action of explosion factors (shock blast wave, striking elements of the explosive device, secondary shells, chemical and thermal factors) is a fairly common clinical situation. The small and large intestines are the most vulnerable to the impact of a shock blast among the abdominal organs. The aim of the study was a study of the distant consequences of the influence of barotrauma on the morphometric parameters of the intestines of white rats and their correlations. The studies were performed on 20 white outbred sexually mature rats weighing 180-200 g. The wall of the small intestine was stained with hematoxylin and eosin according to the generally accepted method. The thickness of the entire intestinal wall, mucous, muscular and serous membranes, the length and width of the villi, the depth and width of the crypts were determined. Statistical processing of morphometry results was performed using the Statistica 10.0 program. Analysis of histopathological changes in the wall of the small intestine by light microscopy on the seventh day after the impact of the shock air wave on the anterior abdominal wall showed a significant thickening of the mucous membrane, submucosa, muscle membrane compared with the control group of animals. Thickening of the intestinal wall layers occurred due to intercellular edema and edema of stromal elements. At the time of the study, an inflammatory reaction with predominantly neutrophilic infiltration was present in all mucosal, submucosal, and muscular membranes. From the vascular bed in the vessels of the mucous and submucosal membranes, circulatory disorders occurred in the form of plethora and stasis in the vessels of various diameters and affiliations. Thickening of the layers of the intestinal wall occurred due to intercellular edema, swelling of stromal elements. The analysis of the morphometric parameters of the wall of the small intestine showed that in experimental rats after barotrauma simulation, quantitative changes occur at both the cellular and tissue levels, which correlate with the observation period. The muscular shell is subject to more pronounced changes under the action of a shock wave, which is confirmed by morphometric studies and correlation analysis. When conducting a correlation analysis, it was established that all indicators had strong positive relationships with each other, except for the parameter of the thickness of the muscle layer. Changes in the average thickness of the mesenteric layer had a moderate relationship with all parameters except crypt width and mucosal thickness.