Violence also flared in eastern Syria on Thursday, where the US-led coalition said it had killed at least 100 pro- regime fighters to fend off an attack on its Kurdish allies.
The clash marked a fresh escalation between Washington, which has threatened the regime over its alleged use of chemical weapons, and Damascus, which labelled the latest incident in eastern Syria a "war crime".
Moscow also slammed the US-led strikes, with Russia's UN ambassador Vassily Nebenzia saying he had lodged a protest about the assault during a closed-door Security Council meeting.
The UN Security Council yesterday failed to back a UN appeal for a month-long humanitarian ceasefire in Syria.
In Eastern Ghouta, which lies east of the capital and has been besieged since 2013, residents had no time to mourn their dead or treat their wounded from the previous day's bombardment.
"These are the worst four days that Eastern Ghouta has ever gone through," said Hamza, an overwhelmed doctor at the Erbin clinic who was treating wounded patients.
"From 2011 until now, there has never been the level of bombardment we've seen in the last 96 hours."
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