Vol 61, No 6 (1980)

Diagnostics and surgical treatment of soft tissue tumors of the chest wall
Trishkin V.A., Stolyarov V.I., Musukaev H.M.
Abstract

The analysis of case histories of 1015 patients with various soft tissue diseases was carried out. In 104 of them (10.2%), the pathological focus was localized in the soft tissues of the chest wall. Sarcomas predominated (62 cases). With the localization of a pathological formation in these areas, X-ray examination is difficult. For differential diagnosis, it is advisable to resort more widely to methods of puncture (aspiration) biopsy. Excision of the tumor should be performed 2-3 cm apart from the palpable borders. In 25 out of 81 radically operated patients, the underlying bones were resected in a single block with the removed tissues.

Kazan medical journal. 1980;61(6):1-4
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Surgical treatment of soft tissue sarcomas
Sigal M.Z., Fatuhova G.F.
Abstract

In 46 patients with sarcomas, extensive soft tissue resections were performed using free skin defect plasty. The limits of resection were determined on the basis of preoperative examination, examination and palpation of various tissue layers during the operation. Defects were replaced with free skin grafts ranging in size from 40 to 300 cm2.

Kazan medical journal. 1980;61(6):4-6
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Diagnosis of precancerous conditions of the maxillofacial region
Saifullin F.G.
Abstract

According to observations of 583 patients, pretumor conditions of the maxillofacial region undergo malignancy in 9-14%. The cutaneous horn, papillomas for periods from 7 months to 3 years are especially prone to degeneration. The discrepancy between the diagnoses of the referring institutions and the pathomorphological conclusions was stated in 44-88%, the discrepancy between clinical and morphological diagnoses - in 19.8%.

Kazan medical journal. 1980;61(6):6-8
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The value of gastrofibroscopy in the diagnosis of recurrent gastric cancer
Napolskih V.M.
Abstract

The tactic of active monitoring of patients operated on for stomach cancer was applied. The scope of examination of patients, carried out every 3-6 months, along with the clinical method included X-ray and gastro-fibroscopic studies of the operated stomach. Two cases of timely diagnosis of disease recurrence with its localization in the stomach stump are presented. The advantage of gastrofibroscopy over the X-ray method is shown.

Kazan medical journal. 1980;61(6):8-10
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Guided hemodilution in radical surgery for gastric cancer
Nurgaleeva R.N.
Abstract

The use of sub-narcotic controlled hemodilution in the surgical treatment of gastric cancer creates conditions for improving the indicators of central and peripheral blood circulation, reducing intoxication and preventing complications in the operated patients and preventing complications in the operated patients.

Kazan medical journal. 1980;61(6):11-13
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Errors in the diagnosis of colon polyposis
Datorkin E.N.
Abstract

Based on the study of the initial symptoms of colon polyposis in 405 patients (302 adults and 103 children), five variants of the onset of the disease were identified. The errors of primary diagnostics and their causes are analyzed.

Kazan medical journal. 1980;61(6):13-15
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Tumor-like formations and tumors of the ovaries in girls and girls
Urazaev A.Z., Kapelushnik N.L.
Abstract

The analysis of the clinical course of tumor-like formations and ovarian tumors in 40 girls and adolescents aged 6 to 17 years is presented. More frequent development of proliferating tumors was noted. The immediate and long-term results of surgical and combined treatment of these patients have been studied. Practical recommendations for early diagnosis of ovarian tumors and methods of treatment are given.

Kazan medical journal. 1980;61(6):15-18
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Preparing patients for urinary diversion during cystectomy or bladder shutdown
Lopatkin N.A., Mazo E.B., Kulga L.G.
Abstract

The immediate results of urine diversion surgery were studied in 149 patients (age - from 15 to 82 years). 135 of them were operated on for bladder cancer and 14 for non-oncological diseases. Ureterosigmoanastomosis was performed in 67 patients, ureterocutaneostomy in 69, Bricker operation in 6, pyelonephrostomy in 7. Particular attention was paid to preoperative preparation and postoperative management of patients with ureteral transplantation into the intestines. In the group of patients specially prepared for surgery, the frequency of complications in the immediate postoperative period was 2.5 times lower.

Kazan medical journal. 1980;61(6):19-22
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Prevalence of diseases of the urinary system in children in the city of Kazan
Petrova G.P., Trofimova I.S., Halitova M.S.
Abstract

The territorial-nesting method examined 3000 children. 84 of them (2.8%) had diseases of the urinary system. Most of the patients are girls (70). Urenal infection prevailed (76 children). In 71 children, kidney damage was detected for the first time during the examination. An unfavorable prenatal period of child development, a hereditary predisposition to kidney disease, hereditary allergic burden, and allergic reactivity in children are the most significant risk factors for urinary system disease in childhood.

Kazan medical journal. 1980;61(6):22-24
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Clinical and laboratory symptoms of changes in the pyelocaliceal system in pyelonephritis in children
Protopopov A.A.
Abstract

It was found that the clinical symptoms of pyelonephritis in children are a reflection of changes in the calyx-pelvis system. Clinical manifestations such as asthenia, dysuric disorders, pain in the abdomen and lower back, with bilateral changes in the calyx-pelvic system, occur 2-4 times more often than with unilateral ones. The degree of impairment of the outflow of urine from the kidneys also clearly affects the frequency of asthenia, abdominal pain, dysuric and dyspeptic disorders. With pyelonephritis, the excretion of ammonia decreases and the release of oxalates, uric acid, calcium, phosphorus increases in proportion to the severity of changes in the pyelocaliceal system.

Kazan medical journal. 1980;61(6):24-25
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Efficacy of diet therapy in patients with end-stage uremia undergoing maintenance hemodialysis
Samsonov M.A., Ermolenko V.M., Agadjanov S.A.
Abstract

Based on biochemical analyzes and clinical observation of 32 patients with end-stage renal failure on maintenance hemodialysis, a special 7G diet was developed, containing 60 g of protein (0.9-1.0 g per 1 kg of the patient's body weight) and the physiological norm of vitamins and minerals. substances.

Kazan medical journal. 1980;61(6):26-28
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The effectiveness of hyposensitizing therapy with bacterial allergens
Burnasheva R.H., Alaturceva I.E., Cibulkina V.N., Molotilov B.A., Kamalov F.Z.
Abstract

For the treatment of infectious and allergic diseases (pre-asthma and bronchial asthma), the method of hyposensitization with bacterial allergens produced by the Kazan Research Institute of Epidemiology and Microbiology was used. 725 patients were under observation. The effectiveness of the treatment was 74.4%.

Kazan medical journal. 1980;61(6):28-31
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Influence of anaphylactic shock on the content of histamine, serotonin, components of the kallikrein-kinin system and the structure of lymphoid tissue
Muhutdinova F.I.
Abstract

With anaphylactic shock, along with an increase in lymphatic flow, there is an increase in the content of histamine, serotonin, total protein and all its fractions, activation of the kallikrein-kinin system in the lymph of the thoracic duct. After anaphylactic shock, the size decreases and the number of follicles in the lymph nodes increases.

Kazan medical journal. 1980;61(6):31-34
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Contact phase of blood coagulation in patients with chronic alcoholism
Popova L.G., Fedorova N.V., Kotlyarevskiy E.V., Goruhalov B.V., Posajenkova M.N., Ahmetshina M.H.
Abstract

In the blood of chronic alcoholics during the period of abstinence, enzymes of the contact phase of coagulation are activated. Kallikreins appear and the activity of contact prekallikreins decreases. In patients who have completed the course of detoxification and anti-alcohol therapy, the activity of kallikreins decreases, and in the period of remission, which lasts about a year, it normalizes.

Kazan medical journal. 1980;61(6):34-37
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Functional state of the liver in patients with dumping syndrome
Bogoyavlenskiy V.F., Oparin A.G., Gazizov R.M.
Abstract

56 patients with dumping syndrome were examined. In 44 people, an increase in the activity of the isozymes LDH5, 4, MDG3, ALP3, 1, CF1, AST2 was found to decrease the activity of the fourth fraction of esterases, while in 18 of them clinically, according to the results of widely used functional tests, no changes in the liver were detected. This gives grounds to recommend the study of the activity of hepatic isoenzymes LDH, MDH, ALP, CF, ACT esterases for early. identification of liver lesions in dumping syndrome in patients with resected patients; keywords: dumping syndrome, liver, blood serum enzymes.

Kazan medical journal. 1980;61(6):37-39
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Drug prevention and therapy of diabetic angiopathy
Losaberidze B.B.
Abstract

In 53 patients with diabetes mellitus of varying severity, the functional state of the kidneys after a course of treatment with retabolil was studied using radioisotope methods. There was a significant improvement in the general condition, a decrease in weakness, subjective improvement in vision, etc. Patients with concomitant diseases or multiple angiopathies were resistant to retabolil. Long-term results were followed in 14 patients.

Kazan medical journal. 1980;61(6):39-41
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Dynamics of the bioelectric activity of the pelvic diaphragm muscles during intravaginal dimexide therapy
Shamova N.A., Kuhnina T.M.
Abstract

The method of local electromyography of levators was applied to control the dynamics of the action of Dimexidum with the intravaginal method of its use in 75 patients. There was a significant difference in the bioelectric activity of the pelvic diaphragm muscles before and after treatment with tampons with Dimexide.

Kazan medical journal. 1980;61(6):41-42
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The spread of laryngeal cancer in the Karaganda region
Yagudin K.F.
Abstract

The purpose of our work was to study the characteristics of the spread of laryngeal cancer among the population of the Karaganda region. The incidence was studied by determining extensive, intensive, standardized indicators and an indicator of visibility, taking into account gender, age, place of residence and nationality. Primary statistical documents and reporting form No. 6 were used as a source of information.

Kazan medical journal. 1980;61(6):45
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Primary heart tumor
Kardakova N.I.
Abstract

L., 25 years old, in 1965 was diagnosed with rheumatism, in connection with which she was under dispensary observation and received seasonal bicillin prophylaxis. In March 1971, during pregnancy, L. complained of weakness, rapid fatigability. In November 1971, shins became pasty.

Kazan medical journal. 1980;61(6):45-46
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Primary malignant pericardial mesothelioma
Krukova L.I., Klurfeld M.N.
Abstract

P., 38 years old, first felt pressing pains and heaviness behind the breastbone during physical exertion in August 1976. Soon, by the end of the working day, swelling began to appear on the face, neck, and right arm. At rest, the edema disappeared. However, by October 1976, the edema at rest did not go away, the face and neck remained swollen, which forced the patient to see a doctor.

Kazan medical journal. 1980;61(6):46-47
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Microcirculatory bed of the stroma of precancer and cancer of the red border of the lower lip
Ruzvanov A.A., Valitov F.M.
Abstract

A comparative study of the nature of morphohistochemical changes in stromal vessels in papillomas (20 cases) and squamous cell carcinoma of the red border of the lower lip was carried out (123).

Kazan medical journal. 1980;61(6):47-48
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Colon cancer in members of the same family
Bashkov U.A., Malikov S.A.
Abstract

We observed a family in which four out of five members underwent surgery for colon cancer.

Kazan medical journal. 1980;61(6):48-49
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Rectal melanoma
Purkov V.A., Strelnikov M.M.
Abstract

Among 349 patients with malignant neoplasms of the rectum who applied to the clinic for 7 years (1972-1978), there were 6 people with melanoma (1.7%). all these patients (1 man and 5 women aged 45 to 65 years) complained of pain in the rectum and rectal bleeding. 2 patients independently felt the tumor in the anus; in 1 patient, the tumor fell out during bowel movements.

Kazan medical journal. 1980;61(6):49-50
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Long-term results of stage I ovarian cancer treatment
MIrabishvili N.V., Kozachenko V.P., Pichugina M.N.
Abstract

We have studied the long-term outcomes of treatment of 48 patients with stage I malignant epithelial tumors of the ovaries, of which 41 are currently under outpatient supervision at the Oncological Scientific Center of the USSR Academy of Medical Sciences.

Kazan medical journal. 1980;61(6):50-51
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The use of spatulas of our own modification for oncocytological studies during mass preventive examinations of women
Dudina T.B., Kuchurin E.A.
Abstract

In improving the quality of preventive examinations for the active detection of early forms of cancer of external localizations, the leading role belongs to the cytological method of research. Meanwhile, the instruments used to take scrapings from the cervix and cervical canal (Volkmann's spoon, tweezers, Eyre's spatula) have certain disadvantages.

Kazan medical journal. 1980;61(6):51-52
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Vascular reactivity and ovarian function in patients with chronic inflammation of the uterine appendages
Kuzmina N.A., Djabrailova S.S.
Abstract

In 46 patients with chronic inflammation of the uterine appendages, ovarian function, excretion of luteinizing hormone (LH) and vascular reactivity (including blood circulation in the pelvic organs) were studied. The age of the patients is from 20 to 35 years old. In 11 patients, menarche began at 11-12 years, in 22, at 13-14, in 13, at 15-17 years. In 23 women, as a result of the inflammatory process, there was a violation of the menstrual cycle: in 10 - menorrhagia, in 6 - metrorrhagia, in 3 - opsomenorrhea, in 4 - intermenstrual spotting. 32 out of 46 women suffered from infertility; in 12 it was primary, in 20 it was secondary. The duration of the inflammatory process ranged from 1 to 14 years.

Kazan medical journal. 1980;61(6):52-53
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The use of Dimexide in the complex treatment of Peyronie's disease
Muhamadeev M.G., Trofimova M.P.
Abstract

We observed 9 patients with plastic induration of the penis (Peyronie's disease), 3 of them interrupted treatment. Long-term results of treatment were traced in 6 patients (age - from 48 to 60 years): in 5 patients, complaints and clinical manifestations of disease recurrence were not noted for 2-4 years.

Kazan medical journal. 1980;61(6):53-54
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Metabolic processes in erythrocytes in stomach cancer
Kazancev F.N., Golub I.H.
Abstract

We investigated the content of erythrocytes, hemoglobin, pyruvic and lactic acids in erythrocytes, as well as the activity of lactate dehydrogenase (LDH) in 120 patients with stage II-IV gastric cancer. In 60 of them radical surgical interventions were performed, and in the remaining 60 trial laparotomies and palliative operations (respectively, 1st and 2nd groups of patients). The patients' age is from 35 to 70 years.

Kazan medical journal. 1980;61(6):54-56
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To the clinical pharmacology of digoxin
Gendestein E.I., Koletdinov V.I., Vladimirov U.P.
Abstract

Digoxin, a cardiac glycoside of foxglove, is one of the main cardiotonics used in the treatment of patients with chronic heart failure.

Kazan medical journal. 1980;61(6):56
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The contractile function of the myocardium in patients with influenza
Булатова N.A.
Abstract

We have studied the contractile function of the myocardium in 101 patients with influenza (49 women and 52 men under the age of 45) using the method of polycardiography (PCG) in the dynamics of the disease. The diagnosis and severity of the disease were determined on the basis of the clinical course of the disease, the epidemiological situation, virological and serological laboratory tests. The overwhelming majority of patients had A1 and A2 viruses isolated. In the history of the examined patients there was no indication of diseases of the cardiovascular system.

Kazan medical journal. 1980;61(6):56-57
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Using the technique of three levels of exposure to acupuncture points
Tabeeva D.M.
Abstract

We have developed a methodology for the rational combination of acupuncture points using a differentiated approach to three levels of exposure. Allocated conditionally three levels of "homeostasis" of the system of active points. The 1st level is represented by the functional interconnection of acupuncture points of the main meridians, the 2nd - by the functional interconnection of the points of the secondary meridians and the 3rd - "miraculous" meridians. Each of these levels is represented by specific acupuncture points, which constitute the levels of exposure.

Kazan medical journal. 1980;61(6):57-58
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Modified spectrophotometric method for the determination of copper in urine
Roshina N.A.
Abstract

The principle of our proposed method consists in the sorption of copper-containing urine compounds on an ion-exchange resin (Elgostat type) with the subsequent liberation of the free metal and its spectrophotometry determination in the form of a diethyldithio-carbamate complex.

Kazan medical journal. 1980;61(6):58-59
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Assessment of nonspecific reactivity of the organism in patients with otosclerosis
Budnik I.M.
Abstract

Recently, sodium fluoride has been used to influence the otosclerotic focus. Our task was to find out the effect of sodium fluoride on the state of nonspecific reactivity of the organism of patients with otosclerosis. For this purpose, we examined the content of properdin and lysozyme in the serum of 58 patients, including 24 with active otosclerotic foci (group 1), 29 with moderately active foci (group 2) and 5 with inactive foci (group 3). Group).

Kazan medical journal. 1980;61(6):59-60
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Influence of heparin on the functional state of the kidneys in patients with bronchial asthma
Esenin V.V., Pirogov A.B.
Abstract

The aim of this work was to study the functional state of the kidneys in patients with bronchial asthma and the effect of course therapy with heparin on the indicators of renal tests.

Kazan medical journal. 1980;61(6):60-61
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Differential diagnosis of metastatic lung tumors
Volodina G.I., Maksimov A.P., Ratner U.V.
Abstract

The clinical and radiological picture of cancer metastases of various localization in the lungs was studied in 143 patients. The methodological techniques for examining patients with cancer metastases in the lungs and the main differential clinical and radiological signs are described. The presented data will contribute to the timely and correct diagnosis of metastatic lung tumors.

Kazan medical journal. 1980;61(6):61-64
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Factors influencing the process of chemical carcinogenesis
Shabad L.M., Belyaev I.I., Gimadeev M.M., Litvinov U.A.
Abstract

Identifying the sources of carcinogens entering the environment and developing measures to prevent pollution of the latter is a very important aspect of cancer prevention, but it does not exhaust this entire problem. In the classical hygienic triad: factor - organism - health-improving measures, the link organism has not yet been given due attention. Meanwhile, the effect of a pathogenic factor depends not only on its strength and duration of action, but also on the state of the internal environment of the body [3, 18a, 25].

Kazan medical journal. 1980;61(6):65-67
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Features of the action of drugs in case of impaired renal function
Lazareva D.N.
Abstract

Most medicinal substances and their metabolites are excreted in the urine, therefore, with impaired renal function, the accumulation of many medicinal substances increases, their effect and toxicity increase [8].

Kazan medical journal. 1980;61(6):68-71
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