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. 2017 Jun 23;8:425. doi: 10.3389/fphys.2017.00425

Table 3.

Injury scores based on histological evaluations.

Condition Alveolar wall thickening Alveolar wall breakage Blood cell infiltration Interstitial edema Vascular bed injury Alveolar wall flooding
CV 7–9 7–8 7 6–7 6–7 7
VV1 2–6 2–6 2–5 1–3 1–4 1–3
VV2 1–2 1–2 1 1 1 0

Histological scoring criteria: Alveolar wall thickening: structural changes in the alveolar extracellular matrix (ECM) due to swollen and/or loose ECM and hyaline membrane formation covering the epithelial layer. Alveolar wall rupture: thinner or broken alveolar walls with tissue retraction. Blood cell infiltration: increase in inflammatory cell numbers in the alveolar wall. Interstitial edema: protein containing free fluid and swelling of the extracellular matrix of alveolar wall space. Vascular bed injury: degeneration of vessels (swollen, vacuole rich vascular walls with cell necrosis). Alveolar wall flooding: platelet invasion including infarcts like hemorrhagic changes of alveolar walls after vascular rupture. Left upper lobes of the lungs (n + 5 in each group) and 20 sections/lamb were chosen randomly for analysis.