Vol 78, No 1 (1997)

The observation being of interest to infectionists and to therapeutists is given. The necessity of caution concerning malaria in persons with fever returning from regions unfavourable in malaria is stressed. Similar complications involve appropriate diagnosis and intensive combined therapy.

The efficiency of sublingual specific immunotherapy with everyday allergens of 112 children with respiratory allergoses — bronchial asthma and preasthma is studied. Its high efficiency is shown: persistant clinical remission of the disease is achieved in 88,4% of the children accompanied by the decrease of sensitization and hypersensitivity of the organ pertaining to shock to allergens and normalization of bronchial permeability.

The hypothesis of the lymphatic system participation in enzymes transport from organs to blood is experimentally tested. The permeability changes of the external cell membrane of dogs muscular cells are achieved under the influence of the dosed physical load. Absolute and relative increase of the activity of lactate dehydrogenase, glutamate and alanin transaminase in lymph of the thoracal lymphatic duct is ahead of the same in blood. It is concluded that eriginally enzymes get to lymph and then to blood.

It is established that according to the efficiency the effect on external respiration function in shot-term treatment of patients with chronic cardiac insufficiency the drugs are ordered like: strophantin with capoten, strophantin, cordipin, capoten prazozin. In the treatment with isosorbide dinitrate the positive dynamics of external respiration function is not observed or its aggravation begins in most patients.

The most often used method for the radiation diagnosis of labor traumas including traumas of the cervical part of vertebral column is roentgenography despite different current radiation diagnosis methods. The use of electroroentgenography and ultrasonic examination allows to reveal changes in osteal, disko- ligamentous and soft tissue structures in traumas of the cervical part of vertebral column. The original models of the trauma allow to realize the traumas initiation mechanism of the cervical part of vertebral column in different stages of labor, in obstetrical supplies and provide their prevention.

The reversible changes of cerebral cortex vessels prevail in cerebrovascular ischemia caused by unilateral ligation of the common carotid artery in rats. In bilateral ligation of the common carotid arteries, vertebral arteries, stenosis of ascending aorta the dystrophic vascular changes are manifested significantly. In postepileptic period in the presence of cerebrovascular disorders the dystrophic changes of cerebral cortex vessels prevail. In audiogenic epilepsies in the presence of renal hypertension and alimentary atherosclerosis the dystrophic changes of the vessels increase.

In hernioplasty various grafts are used to close muscular-aponeurotic defects of the abdominal wall of various sizes, as well as to strengthen and replace weak and damaged anatomical gashes. The use of foreign materials for plasty of herniotomy gates often results in infiltrates, suppuration, and ligature fistulas. Extensive suppuration necessitates the removal of grafts (especially synthetic ones), which, as a rule, is complicated by hernia recurrence. In this regard, the advantages of using autografts, especially autodermal flaps due to their great strength, elasticity, resistance to infection are undeniable.

The urgency of the problem of treatment of unformed external intestinal fistulas (UIE) is beyond doubt, since the overall mortality ranges from 2.8% to 34%, and postoperative mortality reaches 72%. The necessity of a complex therapy, the choice of elements of which is determined in each specific case, has been substantiated. An important component of this complex is measures to create and maintain hyperalimentation by combining various options of enteral and parenteral nutrition, which is the most acceptable in difficult economic conditions. Closure of large defects of the anterior abdominal wall seems to be no less important problem of NSCLC treatment and requires searching for new approaches in its solution.

When performing X-ray endovascular studies (REI) under local anesthesia, patients often experience pain, which against the background of emotional stress leads to significant stress reactions. Concomitant arterial hypertension in patients with vascular pathology significantly increases the risk of angiographic examination (AI). In addition, patients are often in a forced position, with the chest compressed or in a supine position with a roller placed under the abdomen. Patients with low threshold of pain sensitivity and concomitant cardiovascular pathology cannot stay in such position for a long time. The choice of an adequate and low-toxic method of anesthesia is an important and urgent task in AI. This issue is practically not covered in the literature. In this summary, we describe our first experience with potentiated anesthesia in AI.

The liver morphology in intoxication by 2-(a-fluor-a-trifhiormethoxymethyl) benzimidazol, 2-a- hydrotetrafluorethy) benzimidazol and 5 (6)-(2-oxy-hexafluorisopropil)-2-(a-fluor-a-trifluormethoxymethyl) benzimidazol is studied experimentally on rats. Vaseline oil in large doses manifests hepatoprotector property early in intoxication.

The use of computer medical information technology is one of the important factors of a rise of medical service quality in medical institutions. The formation of electronical maps of examination and treatment of patients will allow to improve the documents quality, to teach young specialists fast, to provide the high level of examination organization and to create the data base of all patients. The data base of patients is the basis for fast and thorough scientific research due to full and objective information about patients. The functions of subsystems promoted into the cardiology department of the city many profile hospital are described.

The treatment of patients with upper extremity bones fracture by external wiring apparatus mounted from Elizarov's apparatus parts without through layed wires is proposed. The choice of such rational arranging of the apparatus allows to avoid the complications connected with layed wires through neurovascular formations and major massive of soft tissue.

In the formation and development of the medical faculty of Kazan University in its first twenty years (1814-1833) the prominent role belongs to the German scientist Carl Fuchs. In the charter of 1804, under which Kazan University, and its medical faculty as of 1814, began to function, it was emphasized that "natural Russians" with the necessary knowledge and qualities should be preferred to "foreigners" when transferring vacancies.

Prof. R.G. Oganov, Director of the Center for Preventive Medicine, RF Ministry of Health (Moscow), touched upon epidemiological aspects of hypertension. High prevalence of arterial hypertension (AH) was found among men and women, and it increases with age, reaching 20-25% by the age of 50. Long-term prospective observations have shown that AH depends on age, body weight and alcohol consumption.