Vol 78, No 2 (1997)

The examination of 30 patients in the presence of operative or conservative treatment is performed to study rheologic blood properties and to select the most informative tests for the diagnosis of microcirculai; disorders in the pathology of gastroenteric tract and hepatoduodenal zone. It is revealed that endogenic intoxication in the pathology of the stomach, duodenum and hepatoduodenal zone organs is accompanied by grave rheologic disorders. The determination of aggregation, deformation of erythrocytes and intoxication leukocytic index can serve as an additional criterion of treatment adequacy of patients with the pathology indicated.

The diagnostic possibilities of roentgenologic and endoscopic methods using proper estimation criteria in various stomach diseases including rare pathologies like submucous tumors are determined. It is established that for diagnosis the endoscopic investigation for the most part is sufficient. A list of the indications to obligatory roentgenologic examination after endoscopy is given.

The ablated subcutaneous veins during operation in persons with varicose disease are used as drain in 70 patients with various purulent diseases of bones and soft tissue. The positive results obtained allow to consider that under definite indications thoroughly washed and conserved salvage veins can be used as drain.

The causes of widely met diagnostic errors in pregnancy determination are considered. Several clinical cases of wrong diagnosis connected with pathologically changed female organism organs are described, as well as a case of false (suggestive) pregnancy is presented. The cause and effect relations of the origin of the pathologic symptom—complex of false pregnancy are analyzed. The causes of diagnostic errors in pregnancy differentiation are explained, and the conditions are emphasized when such errors are excluded.

The differential diagnosis of "empty" Turkish saddle syndrome and other pathologic changes of hypophysis is described and as well as the problems of conservative and operative treatment of the syndrome are presented. The patient’s own observation with "empty" Turkish saddle syndrome confirming the necessity of prolactin level investigation in the dynamics in the presence of the treatment to exclude the given pathology is performed.

The data of efficiency of dental caries prevention using 15% dimephosphone solution and 10% calcium gluconate solution in 105 patients with allergic diseases aged 12 to 44 years are presented. It is established that dental caries prevention proposed favorably affects the clinical course of allergic diseases, improves treatment efficiency, allows to provide stable remission of the disease, promotes immune status normalization, reduces labour and medical rehabilitation terms.

One of the common and difficult-to-treat complications after surgery for esophageal hernia is its narrowing, accompanied by dysphagia and severe pain syndrome. Surgical treatment of esophageal hernia includes fundoplication and suturing of the esophageal opening of the diaphragm on a probe under the control of the surgeon's fingers inserted into the esophageal opening. The data obtained in this case cannot be used for objective estimation of the degree of narrowing of the esophageal opening of the diaphragm necessary for hernia repair and sufficient for normal functioning of the esophageal-gastric transition, because individual anatomical features of the fingers and their orientation are highly variable for each particular surgeon.

Small intestinal hemangiomas in surgical patients with diseases of the gastrointestinal tract occur in only 0.009% of cases. Intestinal bleeding is often the first and only sign of a disease that is asymptomatic for a long time. This pathology is also extremely difficult to diagnose.

The main way to correct breast volume in hypomastia remains the use of endoprostheses. The most common complications after such operations include the development of constrictive fibrosis of the connective tissue capsule around the endoprosthesis or its rejection. Despite reports of possible duct damage, impaired nipple sensitivity and erection, a number of surgeons prefer the periareolar surgical access as the most cosmetic one.

Diagnosis of epidemic parotitis (EP) in typical cases of the disease is not difficult, which is explained by the salivary gland involvement characteristic of this infection. It is known that in the pathological process of ES, in addition to salivary glands, pancreas, testicles, etc. can be involved. At the same time, different authors assess the possibility of their isolated involvement ambiguously: either pancreatitis or orchitis are the only manifestations of mumps infection, or involvement of salivary glands in the pathological process is a mandatory component of ES and, therefore, involvement of other glands cannot be isolated.

The results of multidimensional analysis of traumatism cases in agriculture are presented. The basic causes of dangerous situations and accidents in production are revealed. The significance of accident prevention, in particular, the study of psychophysiologic features of victims with subsequent professiogram preparation for basic types of activity in agriculture is emphasized.

At present there is a gradual transition of domestic health care to a new method of medical care according to the regulations of the family physician (general practitioner). According to Professor I.N. Denisov, Corresponding Member of the Russian Academy of Medical Sciences, the curator of this type of activity, it is necessary to radically restructure the program of higher and secondary medical education with maximum attention to creating a doctrine of healthy lifestyle within the family, collective and society as a whole.

The plenum was attended by the Secretary General of the International Society of Internists, Prof. R. Stroehli, who represented the organization of the autologous donor service in Switzerland. In his speech, Prof. R. Strohly emphasized the difficulties of this service.

June 24, 1997 will be 100 years since the birth of Honored Scientist of the RSFSR and TASSR, member of the International Association of Orthopedists and Traumatologists (SI-AT), Honorary Member of several foreign scientific societies, Head of the Department of Orthopedics and Traumatology of Kazan HIDUVE, Professor Lazar Ilyich Shulutko.