Vol 61, No 5 (1980)

In improving Soviet health care after the 25th Congress of the CPSU, a special place is occupied by the resolution of the Central Committee of the CPSU and the Council of Ministers of the USSR "On measures to further improve public health." This decree noted not only the achievements in the field of health care, but also a number of unsolved problems.

The results of the treatment of patients with exogenous and endogenous intoxication by the hemosorption method are presented. The effectiveness and safety of this method of purifying the blood from toxic substances make it possible to expand the indications for its use.

The paper presents the results of a transillumination angiological study of the affected intestine in patients with acute postoperative necrotizing ischemic enterocolitis of hypotensive genesis. Samples of transillumination angiograms are shown.

Enzymatic peritonitis develops in two phases; the properties of the effusion in each phase are different. The main therapeutic measure for enzymatic peritonitis should be the removal of toxic effusion not only from the abdominal cavity, but also from the retroperitoneal tissue.

A method of intravenous anesthesia with sodium oxybutyrate in combination with drugs for neuroleptanalgesia and ataralgesia has been developed. The results of the use of anesthesia in 174 urgent surgical patients were analyzed. The normalization of acid-base balance under the influence of sodium oxybutyrate was noted.

A large-frame fluorographic examination (with direct image enlargement) of 425 persons who had suffered an uncomplicated spinal injury was carried out. Fluorograms were performed in frontal, lateral and oblique projections of the spine with the victim's vertical position

A total of 197 patients with pulmonary tuberculosis were examined, including 186 with destructive and 11 with other forms of the disease. Used tomography with longitudinal and oblique smearing, zonography, selective tomography. It is proposed to standardize the use of various methods depending on the severity of the main syndromes of pulmonary tissue damage: a) limited darkening, b) foci, c) dissemination, d) cavities.

Nonspecific factors of resistance of the organism of children turned out to be lower in case of localized pneumonia, which can be attributed to the frequent transferred and concomitant diseases and can be considered as the cause of decompensation of protective mechanisms during the period of clinical recovery. When analyzing the developmental histories of children with pneumonia, relapses were found in 30.5% of children after a localized form and in 25.2% after a toxic form. Consequently, follow-up care on an outpatient basis must be carried out regardless of the form of pneumonia transferred.

The technique of transluminal aortic puncture, based on the use of individual mathematical calculations for each patient, in determining the angles of the needle to the aorta and the distances from the point of needle injection to the puncture point of the aorta, using a special device for directing the needle to the aorta strictly at the calculated angles The technique allows to bring the needle to the target level of aortic puncture with 100% accuracy, and also to reduce the trauma of the study.

A clinical study of anti-lymphocyte globulin as a means of suppressing Rh isosensitization in 56 pregnant women was carried out. Its use in combination with other methods contributed to a more favorable course of pregnancy, complicated by Rh-conflict. Anti-lymphocyte globulin causes a decrease in the pathogenic activity of the mother's immunological system in relation to the fetus.

P., 17 years old, 30 / ІІІ 1978, at 6 pm, was urgently taken to the surgical department with complaints of severe pain in the pharynx and larynx, inability to swallow and move the head, increased salivation from the mouth with an admixture of blood, constant urge to cough, impaired voice formation.

Spontaneous complete ruptures of the stomach wall are relatively rare. Experts distinguish them into a separate group of damage to this organ. A rupture occurs most often in a wall that has lost its elasticity due to a chronic inflammatory process (ulcer, gastritis, burns, etc.) with a sharp increase in intragastric pressure. The symptomatology of the disease resembles the clinic of ulcer perforation.

Intestinal obstruction caused by trichobezoar against the background of adhesive obstruction, which has become more frequent in recent decades, is rare. Even less often, there is a relapse of trichobezoar, which caused repeated intestinal obstruction.

The dynamics of the passive hemagglutination reaction (RPHA) of the P reaction of leukocytolysis in persons suffering from peptic ulcer disease in the stage of relapse and remission was investigated. In parallel, the study of cholinergic activity and protein spectrum of blood was carried out.

We studied the long-term outcomes of the treatment of closed fractures in the period from 1 to 10 years after the injury in IZ children (boys - 78, girls - 35; age: up to 3 years - 9, from 4 to 7 years - 26, from 8 to 14 years - 68 , from -15 to 16 years-10).

In 13 city and regional VTEK TASSR, as of January 1978, 293 patients with multiple sclerosis (MC) were registered: men - 129, women - 164; age — from 22 to 85 years old; Tatars - 118, Russians - 162, Chuvashes - 9, people of other nationalities - 4.

The fibrin-stabilizing properties of tissues of 98 fallopian tubes were investigated. Depending on the features of the macro- and microscopic structure, all the studied material was divided into 4 groups. In the 1st gr. Tubes (29) with signs of chronic salpingitis without exacerbation, with moderately pronounced sclerosis of the walls and focal lymph-plasma-cell infiltrates, were included in the 2nd (9 tubes) - thin-walled hydrosalpinx with pronounced sclerosis and atrophy of the walls, in the 3rd ( 13 tubes) - pyosalpinx, the walls of which were edematous and infiltrated with neutrophils with an admixture of eosinophils and plasma cells. Served as control 47 unchanged pipes (4th group).

The dynamics of thermoregulatory reactions in response to staying in the hot room of the sauna and the cooling procedure in healthy people and patients with stage 1 hypertension is traced. From a hygienic point of view, the most rational conditions for staying in a sauna are substantiated (humidity and air temperature, water temperature for some types of contrast cooling).

With osteosynthesis of the femoral neck, there is a need for X-ray control of the stages of the operation. Difficulties associated with adjusting X-ray machines, cassette instability near the surgical site are well known.

November 1980 marks the 60th anniversary of his birth and 36 years of medical, scientific, pedagogical and social activities of Professor Ravil Gilmutdinovich Farkhutdinov, head of the Department of Propedeutics of Internal Diseases of the Bashkir Medical Institute.

Prevention of endemic goiter is a great hygienic problem. It is no coincidence that the authors of the book are hygienists. However, summarizing 20 years of experience in studying endemic goiter, the authors of the book do not limit themselves to its hygienic aspects, but also pay great attention to the incidence and peculiarities of the clinical and pathogenetic picture of the disease.

Among the works on the philosophical problems of medicine, published recently, this book attracts attention with an attempt to consider "the specifics of the subject of medicine as an independent branch of natural science." Clarifying the task, the author notes that “in particular, a person can be the subject of many sciences (biology, psychology, medicine, etc.), because each of them finds special laws inherent in a given object” (p. 41). According to the famous Soviet psychologist prof. BG Ananiev, “there was a promotion of man as a general problem of science”, and “medicine occupies an increasingly fundamental position” in human science [1].

By the decree of the Presidium of the Supreme Council of the Tatar ASSR, Galim Izmail Khabibullovich, Associate Professor of the Department of Radiology, was awarded the honorary title of Honored Doctor of the Tatar ASSR for his services in the field of health care;