Vol 78, No 6 (1997)

The vegetative nervous system state in 60 pregnants with late hestosis (with terms of 36— 40 weeks is studied. The vegetative response types using mathematical analysis of cardiac rhythm variability in rest and in test with active orthostasis and phychologic peculiarities of a person are determined. The peculiar type of vegetative response especially in vegetative provision of activity as well as revealed psychovegetative syndrome can be connected with suprasegmental part disfunction of vegetative nervous system, in particular, its ergothropic part and with intrasystemic disintegration of the brain.

The influence of mycoplasma and mixed infection on fetoplacental system using ultrasonic scanning and dopplerometric method as reliable noninvasive and safe methods during pregnansy is studied. Mycoplasma infection and its combinations are always accompanied by chronic fetoplacental insufficiency (compensated or decompensated) causi, small-for-date intrauterine fetus, placental detachment and hestosis in a mother. Ultrasonic symptoms Z-V placenta infection are sufficiently reliable and confirmed by morphologic studies.

The possibilities of antenatal diagnosis of ABO-conflict, extremely difficult during pregnancy are studied. The proposed tactics of observation of pregnants allows to interpret properly the results of different investigation methods and to perform the appropriate treatment.

The laser welding suture of peritoneum in pregnants and in women in labor with high risk of pyo-septic complications is used in cesarean section operation. In the basic group the postoperative complications are three times as little than in the comparison group. The promise of the use of the biological laser @welding@ in obstetrics and gynecology to improve technology and results of surgical treatment especially in delivery of women with high risk of pyo-septic complications is noted.

The practical experience of the use of endoscopic surgery in 248 patients with extrauterine pregnancy is given. It is concluded that a wide introduction of this method just as diagnostically so operatively is necessary in gynecologic practice.

The ultrasound sanation method of peritoneum in 103 operations of cesarean section is used to decrease the number of postoperative complications. As a result of it the number of postoperative complications decreased by a factor of six, the necessity of preventive antibacterial therapy was excluded. The best results are obtained after ultrasound sanation in solutions of dimephospone and antibiotics that perhaps is associated with phonophoresis of medicinal agents in tissue immediately in infection. The use of ultrasound sanation is indicated in operative delivery of pregnants with increased risk of the development of pyo-, inflammatory postoperative complications.

The experience of the use of temporary obturation of bronchi in the treatment of 42 patients with inspecific empyema complicated by bronchopleural fistulas is analyzed. The best results are found in the treatment of empyema complicating the lung abscess and destructive pneumonia with the disease length not more than 2 months. The worst results are obtained in the treatment of empyema complicating the lung gangrene. The classification of complications of temporary obturation of bronchi is given and the possibility of the use of this method before and after operation is considered. The use of temporary obturation of bronchi in the treatment of empyema complicated by bronchopleural fistulas is justified, gives good results, and allows to abandon mutilating operations.

Dysgerminoma is a malignant tumor that arises from elements of undifferentiated gonads preserved in the ovarian portal from the embryonic period of development. Its frequency varies from 0.5 to 7% of all malignant ovarian tumors. Young women are more often affected, and large tumors occur in patients aged 13 to 18 years who have signs of infantilism.

Family planning, the main goal of which is the birth of desired and healthy children in the family, is one of the priority areas of maternal and child health services. The urgency of this problem is determined by a number of reasons: the high frequency of abortions as the main method of birth control, the low level of use of modern methods of contraception as an alternative to abortion, the lack of reproductive culture of the population, poor awareness in this area and the absence of a sex education system, a significant increase in cases of sexually transmitted diseases.

This congress was devoted to the problems of clinical radiological diagnostics, modern computed tomographic and ultrasonic diagnostics, radionuclide research, interventional radiology with recognition of diseases of the spinal cord and brain, cardiovascular system, thorax, abdomen, kidneys and skeletal musculature. The physical aspect of medical (electron, proton) imaging was also touched upon.

The Chair of skin and venereal diseases was organized in 1872. Its first head was professor A.G. Ge, who graduated from the Medical faculty of Kazan University in 1865 and as early as 1868 defended his thesis for a Doctor of Medicine degree. From 1870 to 1872 A. G. Ge studied skin and venereal diseases abroad, in the clinics of the largest dermatologists Gebra, Zeisle, Sigmund and Brucke (in Vienna and Würzburg). Thanks to his persistence and efforts on March 1, 1900 a new clinic was opened, built on donations of State Councilor I.I. Alafuzov, the owner of several factories in Kazan. A.G. Ge owns 20 works. The result of my many years of clinical teaching, personal observations and researches was the textbook "The course of venereal diseases", which was reprinted 8 times during the author's life. A considerable part of my works is devoted to the issues of organization of struggle against syphilis and prostitution. Prof. A.G. Ge headed the department for 35 years.