DAMAGE OF MICROCIRCULATION OF BULBAR CONJUNCTIVA, LIVER AND KIDNEY DURING HEMORRHAGIC FEVER WITH RENAL SYNDROME

Abstract

The article views the results of studies of changes in the vessels of the microcirculatory bed of bulbar conjunctiva, liver, kidneys during hemorrhagic fever with renal syndrome. 17 patients with severe form of hemorrhagic fever with renal syndrome were examined. Perivascular, intravascular and vascular changes in the vessels of the microcirculatory bed were determined. Perivascular changes in bulbar conjunctiva were accompanied by edema, subconjunctival hemorrhages and hemosiderosis. Intravascular changes in venules, capillaries and arterioles are characterized by aggregation of erythrocytes, slowing of blood flow, retrograde movement of blood and stasis. Vascular changes in bulbar conjunctiva are accompanied by uneven venule caliber, aneurysm, tortuosity of veins and arterioles, capillary function disorder and their combination. During oligoanuric period of hemorrhagic fever with renal syndrome significant changes in microcirculation in bulbar conjunctiva, liver and kidneys were determined. It is established that a biomicroscopic method of investigation, which can be an informative method of research, allows to assess common processes of microcirculatory disorders of eyes and internal organs.