Vol 78, No 5 (1997)

The phenomenology of psychic disorders developing in visitors of "mass psychotherapy" performances is described. The proposals on pathogenesis of these disorders are made. The method of the emergency service in these situations — stress psychotherapy using dosed hypoxia, imperative suggestions and punctate massage methods is described.

The results of the treatment of 126 children with colonoptosis aged 7 to 14 are presented. As many as 45 children were operated. The operation was performed using the method of creating ligaments from peritoneal grafts and fixation of hepatic and splenic angles of the colon to them. The isolated colonopexia was performed in 7 patients (15,6%). In 38 patients (84,4%) colonopexia was supplemented by simultaneous operations: nephropexy, gastropexy, duodenopexy, cecopexy, appendectomy. The remote results at the period from 6 months to 5 years are followed in 40 patients. In 95% of the observations the results of the operations are considered to be good.

The clinical efficiency of kwamatel in the treatment of the relapse of duodenal ulcer, expressed in the decrease of night painful syndrome to the 3d day of the treatment, day painful syndrome to the 4—5 th day, cicatrization to the 28 th day (in 97%) is confirmed. The examination of patients in 3 months and a year revealed the decrease of subjective manifestations of duodenal ulcer in 86,9% of the patients, the initiation of the early relapse in 13% of the patients, the relapse of duodenal ulcer throughout the year in 34,8% of the patients.

The new method of the formation of biliodigestive anastomosis without the basic defect of existing methods of the surgical intervention — regurgitatior of enteric contents with the following development of ascending cholengitis is proposed. The type of anastomosis proposed is recommended for the approbation in clinical conditions for reconstructive operations of biliary tracts.

The state of hemostasis in 152 patients with bronchopulmonary complications of surgical sepsis is investigated. The thrombohemorrhagic syndrome is diagnosed wherein anticoagulant therapy with heparin is prescribed. Antienzymic therapy using such protease inhibitors as contrical, hordox and E-aminohexoic acid is performed in 48 patients. The terms of normalization depending on the gravity of the pathologic process comprise from 4 to 9 days.

The labor characteristics and contractile activity of the uterus resulting from programmed labors after the intracervical application of gel with prostaglandin E₂ are studied. The gel with prostaglandin E₂ was not used in the matched control group of patients with programmed labors. After introduction of the gel the modified Bishop scores significantly improved, the labor began in one of the patients. During introduction of the gel the hypertonus of the uterus or the pathology of the fetus heart rate is not observed. The length of the active phase and the second period of the labor is significantly shorter than in the control group. The contractile activity of the uterus is similar in both groups. The primary cervical effect of the gel is supposed.

The experience of the treatment of neuroendocrinal syndromes by traditional methods: acupunctural therapy and in combination with physiotherapy or with manual therapy is presented. Little information on each pathology, methods of acupunctural and manual therapy is given. K. Akabane test is chosen for diagnosis and treatment. For the estimation of the efficiency of acupunctural therapy the functional diagnosis tests, contents study of hormones, catecholamines, serotonin and biologically active substances are used. The favourable clinical effect in each group of patients supported by laboratory data suggesting the increase of reserve possibilities of the functional activity of hypothalamohypophysial and gonadal system is obtained.

One of the consequences of long-term BP increase is damage of internal organs, the so-called target organs (target organ damage, end organ damage). These include heart, brain, kidneys, vessels. Heart damage in arterial hypertension may be manifested by left ventricular hypertrophy, angina pectoris, myocardial infarction, chronic heart failure and sudden death, brain damage - by thrombosis and hemorrhages, hypertensive encephalopathy and cerebral lacunae, kidneys - microalbuminuria, proteinuria, chronic renal failure, vascular involvement - lesions of retinal vessels, carotid arteries, aorta (aneurysm).

One of the serious complications of esophageal diverticula is the development of cancer in it. In epiphrenal diverticula malignization is more frequent than in bifurcation diverticula. On the basis of statistical data analysis I.T. Shevchenko (1950) established that tumor in pulsatile diverticulum occurs in 1.2% of cases and in traction one - in 7.8%. In his opinion, one of the causes of esophageal tumor is a tractional diverticulum.

The history of clinical anatomy is quite complex. The progression of any fundamental discipline, and anatomy in particular, is reflected primarily in its content, which is put into concrete form. Born during the Renaissance, anatomy predetermined the success of medicine. The use of the deductive method in the practice of medicine led to the creation of descriptive anatomy, and of inductive anatomy to surgical anatomy with the condition that it must be taught to surgeons.

In recent years there is a tendency of steady development of laser medicine both in our country and abroad. Currently, laser diagnostic and treatment means are used in 5% of all medical interventions, but in the XXI century this figure will grow to 60% or more.

Lancet August 24, 1996 published an article by M. Pahor, J.M. Guralnick, L. Ferrucci, M.-C. Corti, M.E. Salive, J.R. Cerhan, R.B. Wallace, R.J. Havlik from different universities and medical institutions of Italy and the USA, where the problem of carcinogenesis risk as the result of widely used calcium channel blockers (CCBs) in treatment of hypertension is discussed. The editorial board of the Kazan Medical Journal, due to the importance of this problem, decided to introduce the main points of this article to its readers.