Vol 61, No 6 (1980)

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.

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.

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.

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.

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.

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%.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

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].