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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">zurniimtpe</journal-id><journal-title-group><journal-title xml:lang="ru">Медицина труда и промышленная экология</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Occupational Health and Industrial Ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1026-9428</issn><issn pub-type="epub">2618-8945</issn><publisher><publisher-name>FSBSI “Izmerov Research Institute of Occupational Health”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.31089/1026-9428-2026-66-8-524-533</article-id><article-id custom-type="edn" pub-id-type="custom">fawdxs</article-id><article-id custom-type="elpub" pub-id-type="custom">zurniimtpe-4270</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEWS</subject></subj-group></article-categories><title-group><article-title>Применение гипотермической жидкостной искусственной вентиляции лёгких при токсическом отёке лёгких: выбор экспериментальной модели по данным литературы</article-title><trans-title-group xml:lang="en"><trans-title>Hypothermic liquid artificial lung ventilation in toxic pulmonary edema: selection of an experimental model based on literature data</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3627-7031</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бонитенко</surname><given-names>Евгений Юрьевич</given-names></name><name name-style="western" xml:lang="en"><surname>Bonitenko</surname><given-names>Evgeniy Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гл. науч. сотр. лаб. токсикологии ФГБНУ «НИИ МТ», д-р мед. наук</p><p>e-mail: eu_bonitenko@mail.ru</p></bio><bio xml:lang="en"><p>Chief Researcher of the Toxicology Laboratory, Dr. of Sci. (Med.)</p><p>e-mail: eu_bonitenko@mail.ru</p></bio><email xlink:type="simple">eu_bonitenko@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0002-0321-2829</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Исабеков</surname><given-names>Николай Ринатович</given-names></name><name name-style="western" xml:lang="en"><surname>Isabekov</surname><given-names>Nikolai R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зав. отделением реанимации и интенсивной терапии в клинике ФГБНУ «НИИ МТ»</p><p>e-mail: isabekov.nikolai@yandex.ru</p></bio><bio xml:lang="en"><p>Head of the Intensive Care Unit at the Clinic of the N.F. Izmerov Research Institute of Occupational Health</p><p>e-mail: isabekov.nikolai@yandex.ru</p></bio><email xlink:type="simple">isabekov.nikolai@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тоньшин</surname><given-names>Антон Александрович</given-names></name><name name-style="western" xml:lang="en"><surname>Tonshin</surname><given-names>Anton A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зав. лаб. токсикологии ФГБНУ «НИИ МТ», канд. биол. наук</p><p>e-mail: atonshin@yandex.ru</p></bio><bio xml:lang="en"><p>Head of the Toxicology Laboratory, Cand. of Sci. (Biol.)</p><p>e-mail: atonshin@yandex.ru</p></bio><email xlink:type="simple">atonshin@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ковтун</surname><given-names>Анатолий Леонидович</given-names></name><name name-style="western" xml:lang="en"><surname>Kovtun</surname><given-names>Anatoly L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зам. рук. направления химико-биологических и медицинских исследований Фонда перспективных исследований, канд. мед. наук, д-р биол. наук, проф.</p><p>e-mail: KovtunAL@fpi.gov.ru</p></bio><bio xml:lang="en"><p>Deputy Head of the Direction for Chemical, Biological, and Medical Research, Foundation for Advanced Research Projects, Cand. of Sci. (Med.), Dr. of Sci. (Biol.), Professor</p><p>e-mail: KovtunAL@fpi.gov.ru</p></bio><email xlink:type="simple">KovtunAL@fpi.gov.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Бала</surname><given-names>Анатолий Михайлович</given-names></name><name name-style="western" xml:lang="en"><surname>Bala</surname><given-names>Anatoly M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Рук. проектной группы Фонда перспективных исследований, канд. мед. наук.</p></bio><bio xml:lang="en"><p>Head of Project Group, Foundation for Advanced Research Projects, Cand. of Sci. (Med.).</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ «Научно-исследовательский институт медицины труда имени академика Н.Ф. Измерова»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Izmerov Research Institute of Occupational Health</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Фонд перспективных исследований</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Advanced Research Foundation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>11</day><month>09</month><year>2026</year></pub-date><volume>66</volume><issue>8</issue><fpage>524</fpage><lpage>533</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Бонитенко Е.Ю., Исабеков Н.Р., Тоньшин А.А., Ковтун А.Л., Бала А.М., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Бонитенко Е.Ю., Исабеков Н.Р., Тоньшин А.А., Ковтун А.Л., Бала А.М.</copyright-holder><copyright-holder xml:lang="en">Bonitenko E.Y., Isabekov N.R., Tonshin A.A., Kovtun A.L., Bala A.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.journal-irioh.ru/jour/article/view/4270">https://www.journal-irioh.ru/jour/article/view/4270</self-uri><abstract><p>Острые ингаляционные поражения пульмонотоксикантами, в частности хлором, сохраняют высокую актуальность для медицины труда, клинической токсикологии и интенсивной терапии в связи с риском быстрого развития острого респираторного дистресс-синдрома (ОРДС) и токсического отёка лёгких (ТОЛ). Несмотря на совершенствование методов фармакологической и респираторной поддержки, результаты лечения тяжёлых форм токсического поражения лёгких остаются неудовлетворительными, что поддерживает интерес к поиску новых подходов, включая полную жидкостную вентиляцию лёгких. Целью настоящего обзора явился анализ литературных данных для выбора экспериментальной модели, наиболее подходящей для доклинической оценки возможностей применения полной жидкостной вентиляции лёгких при ТОЛ. Проведён поиск и анализ российских и зарубежных публикаций, посвящённых моделям ОРДС токсического генеза и ТОЛ. Основное внимание уделено сравнительной оценке моделей, основанных на ингаляции хлора и интратрахеальной инстилляции соляной кислоты, с учётом их патофизиологической релевантности, воспроизводимости, технической выполнимости и пригодности для тестирования респираторных технологий. Показано, что обе модели позволяют воспроизводить ключевые проявления тяжёлого острого повреждения лёгких, однако инстилляционная HCl-модель отличается большей стандартизуемостью, технической простотой и экономической доступностью. На основании анализа литературы HCl-инстилляция может рассматриваться как наиболее практичная суррогатная модель для доклинической оценки современных стратегий респираторной поддержки, включая полную жидкостную вентиляцию лёгких, при сохранении ограничений, связанных с неполным воспроизведением всех особенностей ингаляционного поражения хлором.</p><sec><title>Участие авторов</title><p>Участие авторов:Бонитенко Е.Ю. — концепция и дизайн исследования, написание и редактирование текста;Исабеков Н.Р. — сбор и обработка информации;Тоньшин А.А. — сбор и обработка информации, написание текста;Ковтун А.Л. — обработка информации, редактирование;Бала А.М. — обработка информации, редактирование.</p></sec><sec><title>Финансирование</title><p>Финансирование. Работа была выполнена в рамках проекта Фонда перспективных исследований, шифр «Ранова».</p></sec><sec><title>Конфликт интересов</title><p>Конфликт интересов. Авторы заявляют об отсутствии конфликта интересов.</p></sec><sec><title>Дата поступления</title><p>Дата поступления: 07.07.2026 / Дата принятия к печати: 25.08.2026 / Дата публикации: 11.09.2026</p></sec></abstract><trans-abstract xml:lang="en"><p>Acute inhalation injuries caused by pulmonary toxicants, particularly chlorine, remain highly relevant for occupational health, clinical toxicology, and intensive care due to the risk of rapid development of acute respiratory distress syndrome (ARDS) and toxic pulmonary edema (TPE). Despite advances in pharmacological and respiratory support, treatment outcomes in severe toxic lung injury remain unsatisfactory, which sustains interest in novel therapeutic approaches, including total liquid ventilation. The study aims to analyze the literature data in order to select the experimental model most suitable for preclinical assessment of the possibilities of using full fluid ventilation of the lungs in TPE. The authors conducted a search and analysis of Russian and foreign publications devoted to models of ARDS of toxic origin and TPE. Special attention was paid to the comparative assessment of chlorine inhalation and intratracheal hydrochloric acid instillation models with respect to pathophysiological relevance, reproducibility, technical feasibility, and suitability for testing respiratory support technologies. Both models allow for the reproduction of the key manifestations of severe acute lung injury; however, the HCl instillation model is characterized by greater standardization, technical simplicity, and economic accessibility. Based on the analysis of the literature, HCl instillation can be considered the most practical surrogate model for preclinical evaluation of modern respiratory support strategies, including full liquid ventilation of the lungs, while maintaining the limitations associated with the incomplete reproduction of all features of chlorine inhalation injury.</p><sec><title>Contributions</title><p>Contributions:Bonitenko E.Yu. — concept and design of research, writing and editing of text;Isabekov N.R. — collection and processing of information;Tonshin A.A. — collection and processing of information, writing text;Kovtun A.L. — information processing, editing;Bala A.M. — information processing, editing.</p></sec><sec><title>Funding</title><p>Funding. The work was carried out within the project of the Advanced research foundation of code "Ranova".</p></sec><sec><title>Conflict of interest</title><p>Conflict of interest. The authors declare no conflict of interest.</p></sec><sec><title>Received</title><p>Received: 07.07.2026 / Accepted: 25.08.2026 / Published: 11.09.2026</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>токсический отёк лёгких</kwd><kwd>острый респираторный дистресс-синдром</kwd><kwd>острое отравление хлором</kwd><kwd>экспериментальная модель патологии</kwd><kwd>инстилляционная модель</kwd><kwd>ингаляционная модель</kwd><kwd>жидкостная вентиляция лёгких</kwd></kwd-group><kwd-group xml:lang="en"><kwd>toxic pulmonary edema</kwd><kwd>acute respiratory distress syndrome</kwd><kwd>acute chlorine poisoning</kwd><kwd>experimental pathology model</kwd><kwd>instillation model</kwd><kwd>inhalation model</kwd><kwd>liquid ventilation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Акимов A.Г., Халимов Ю.Ш., Шилов В.В. 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