Vol 79, No 4 (1998)

The necessity to perform the systemic thrombolysis to patients with acute myocardial infarction is emphasized. The most effective and save thrombolytic agent is cabicanase. The recommendations for practical physicians are worthy of notice. The control of blood coagulability velocity and hemorrhage lingering is obligatory in the performance of thrombolysis; if it is possible, thrombelastograms are to be studied. It is essential to know well the contradictions to thrombolysis.

The interventional method algorythm in grave pneumonias accompanied by pronounced respiratory insufficiency is developed. As a result of the use of the given algorythm the normalization of homeostasis parameters came fast; positive roentgenologic dynamics, the improvement of indications of central and peripheric hemodynamics were observed. The algorythm developed can serve as an important addition to the complex of intensive therapy in patients of the given contingent.

The search of the prognostic criterion of postperfusion period course is performed. The informativity of one of the nonspecific organism protection indices — luminoldependent chemoluminescence of blood is estimated. Spontaneous chemoluminescence expresses phagocytes activity by the intensity of hydrogen peroxide generation. Stimulated chemoluminescence allows to establish the functional leykocytes reserve. As many as 54 patients with heart diseases are examined in dynamics. The increase of both of chemoluminescence types is observed in the cases of the uncomplicated course, during artificial blood circulation and after operation. The sharp decrease of indices with reduction of the stimulated chemoluminescence level below spontaneous level is noted during complications.

Among more than 1000 patients with hand lesions 17 children with the lesions of hand finger flexor tendons (in 7 patients in combination with nerves) aged from 11 months to 6 years were observed within recent 10 years. The proposed recommendations on the tactics of treatment and postoperative keeping of patients (especially immobilization of hand and fingers) allowed to obtain positive results.

The obstetric birth injury is simulated on experimental animals (rats — males). During the experiment it was proved that rotations and unbending of the animal's head can result in the trauma of the spinal cord, vertebral column, vertebral arteries, ischemic processes of the reticular formation, white substance of the brain. Neurologic symptomatology of traumatized animals resembles paresis of extremities or myatonic syndrome that are often found in infants. Traumatism of generally recognized obstetric methods is justified.

The data on the frequency of revealing the bronchial permeability disorders are presented and the mechanisms of its development in children with atopic dermatitis not having clinically bronchoobstructive syndrome in anamnesis are studied. In children with atopic dermatitis the main risk factors of the bronchial asthma development are shown and the possibilities of revealing its early preclinical signs are determined. It is significant in prevention of the bronchial asthma development in timely performance of specific preventive measures.

The quality of health care depends on the effective, rational, safe and economical use of medicines. This requires a clinical and pharmacological study of each drug substance. The expansion of foreign pharmaceutical products is becoming more and more noticeable.

Family planning and maintaining the health of women are the most important problems of modern medicine. The high frequency of abortions and complications associated with them make it urgent to find the most effective and safe methods of preventing pregnancy, including through reliable and safe contraception in women of late reproductive age.

The mathematical model of the study of hospital infections outbreaks caused by Klebsiella pneumoniae in the intensive therapy departments of children's hospitals is applied. Using the program it is not difficult to perform calculations connected with estimation and prediction of the number of children diseased and died of hospital infections. The peculiarity of the model involves taking account of some possibilities of bringing klebsiells to the intensive therapy department as well as the realization of the contact way of infection transmission through dirty hands of medical staff

Professor P.I. Pichugin belongs to the galaxy of talented medical scientists of the first half of the 20th century. He was born on June 27, 1876 in the village of Morki, Tsarevokokshaisky district, Kazan province (now the village of Morki, Republic of Mari El) in a working class family. His extraordinary mental abilities allowed the boy, at the age of eight, to graduate from a three-grade elementary school in two years with an award.

It is 70 years since the birth and 45 years of labor activity of the Honored Scientist of the Russian Federation and the Republic of Tatarstan, Doctor of Medical Sciences, Professor Irek Makhmudovich Rakhmatullin. THEM. Rakhmatullin was born on April 11, 1928 in Kazan into a family of teachers.

At the end of 1967, by order of the rector of the Kazan State Medical Institute, the Department of Traumatology, Orthopedics and Military Field Surgery was organized. Until that time, the teaching of individual sections of these subjects was carried out at various departments of the surgical profile. The creation of the department was due to the constant increase in the number of injuries and a significant increase in the nature of injuries, especially multiple and combined.