Vol 43, No 5 (1962)

Interest in embolic myocardial infarction is explained by both the severity of this disease and the complexity of clinical symptomatology, which often causes great diagnostic difficulties. Embolic myocardial infarction with a wide range of various symptoms is always a complication of some other, primary disease of the cardiovascular system, accompanied by the presence of embologic material. Evaluation of individual signs of the underlying disease and the associated complication in the form of an embolic infarction is sometimes very difficult.

To study the adequacy of the blood supply to the heart and the recognition of coronary insufficiency, various loads (climbing stairs, squatting, etc.) are usually used with ECG control.

Lung operations have been performed in N. Tagil for 10 years. Initially, all operations were carried out in the surgical department of the 3rd city hospital. After surgeons were trained from phthisiatricians, a surgical department was organized at the TB dispensary. This specialization has improved the service of tuberculosis patients. Thoracic surgeons master the method of X-ray examination of patients, which allows them to independently resolve issues that arise in the postoperative period. Participation in the work of a phthisiological surgeon, bronchologist and a qualified cardiologist greatly improves both research and postoperative management of the patient. Both departments are still working under the general leadership. If necessary, one compartment replaces another. This facilitates the complex, multifaceted work of the united city hospitals.

Fractures of the proximal epimetaphysis of the humerus occupy a significant place among the fractures of this segment. According to the materials of the Kazan Institute of Traumatology and Orthopedics, they account for 42.5% of all shoulder fractures.

Although the pathological diagnosis is higher than the clinical one, nevertheless, the number of erroneous diagnoses in insufficiently experienced pathologists reaches 5-7% (IV Davydovsky).

Inflammatory diseases of the genitourinary system caused by Trichomonas are quite common in women. Many remedies have been proposed for the treatment of trichomoniasis, and the method of treatment is also varied. The results of treatment are not always stable, relapses are frequent.

From 1958 * to the beginning of 1960, we used vitamin B12 and folic acid treatment in children for alimentary anemia in 48 patients and folic acid alone in 20 patients.

One of the achievements of medical science is the possibility of curing tuberculous meningitis, a previously incurable form of the tuberculous process.

Mumps annually causes massive diseases, in some cases very difficult and even fatal (S.E. Ganzburg).

The role of carotid sinus receptors as the most important mechanism for regulating blood pressure in humans has been established for a long time. Over the past 20-25 years, more and more attention has been attracted to the so-called "carotid sinus syndrome", which is expressed by a number of clinical manifestations associated with its increased excitability.

Department of Faculty Therapy (Head - Prof. Z. I. Malkin) Kazan Medical Institute With regard to the etiology of rheumatoid arthritis, the most acute, controversial issue is the role of infection. ) A.I. Nesterov believes that streptococcal infection plays the role of a trigger mechanism. Streptococcus creates a lesion that leads to a toxic-allergic reaction from the joints. In accordance with this, Nesterov devotes a significant place to the treatment of rheumatoid arthritis with antibiotics in parallel with desensitizing therapy.

The Tatar Republican Blood Transfusion Station, having been studying the issue of the Rh factor since 1956, was the center where the serologically presumptive diagnosis of hemolytic shock was confirmed during transfusion of Rh-incompatible blood. In just 5 years, 4 cases of such a shock have been identified and accurately established. In all cases, neither the Rh-affiliation of the patient's blood, nor the Rh-compatibility of the recipient's and donor's blood was made. 2 cases were mild, one was moderate and 1 was severe. In view of the practical importance of shock during transfusion of Rh-incompatible blood, we briefly describe these cases.

Arachnoiditis of the brain occurs in a large number of patients. The symptomatology of this disease in some cases has much in common with a brain tumor, which makes it necessary to carefully differentiate both sufferings.

In 1920, Barre first reported a patient suffering from causalgic pain associated with a subungual tumor on the hand. 4 years later, Barre published 4 observations of such tumors. Masson made a detailed histological examination of these tumors and established their origin from the vascular glomeruli of the skin. Since then, they have been called Barre-Masson tumors.

Among the many complications in surgical patients, thromboembolic processes continue to be the most formidable. Despite significant progress in the study of the blood coagulation system, reliable and accessible methods for detecting prethrombotic conditions have not yet been found.

In carrying out anesthesia, the state of venous pressure is of great importance. According to a number of authors (A. N. Kravchuk, A. Ya. Pytel, I. A. Trukhalev, A. K. Tumansky), venous pressure is a more accurate indicator that determines the state of the cardiovascular system than pulse and blood pressure.

The study involved 102 patients (85 men, 17 women), 52 of them with gastric ulcer and duodenal ulcer, 29 with stomach cancer and 14 with a disease of the operated stomach, one with gastric polyposis, 3 with cardiospasm and 3 with cicatricial narrowing of the pylorus after chemical burn.

K., 30 years old, 6 / X was driving a truck on a shaky road. In the evening, she began to experience pains in the navel, which were cramping in nature. On the same day, she was hospitalized in the gynecological department with suspicion of threatening miscarriage in 25-26 weeks of pregnancy.

Clinical diagnosis of pancreatic heterotopies presents great difficulties. In the overwhelming majority of such patients, X-ray data resemble a picture of polyposis against the background of pain of a spastic nature, similar to pain in peptic ulcer disease. According to A.N. Protopopov, additional pancreas should be thought of with solitary rounded polyps up to 1 cm in diameter, localized more often in the antrum and pylorus and accompanied by spastic pains reminiscent of cholecystitis. In some cases, the orifice of the excretory duct is revealed on the x-ray as a small accumulation of barium in the center of a round defect.

P. in 1955, at the age of 25, suffered a perforation of the "mute" ulcer of the gatekeeper.

M., 21 years old, was admitted to the clinic on 23/1II 1958 in serious condition with complaints of cramping sharp pains in the abdomen, nausea.

In some cases, with thyrotoxicosis, the signs of a pronounced dysfunction of the gastrointestinal tract come to the fore. Observations are described when an error in diagnosis led to unnecessary and dangerous surgical interventions in the abdominal cavity in such patients.

The necrobiotic substrate is removed from the inflammatory focus, and a bone cavity is formed, which should be most expediently filled.

In the treatment of boils and hydradenitis, over the past 7 years, we have been chipping the infiltrate (preferably at the initial stage) with a solution of penicillin (100-200 thousand units). Only in some cases it is necessary to repeat this chipping every other day. Thus, 140 men and 60 women were treated; with boils of various localization — 187 and hydradenitis — 13.

Only isolated reports have been published about the absence of an increase in the incidence of scarlet fever in connection with the cancellation since 1956 of the compulsory hospitalization of scarlet fever patients and their treatment at home. The course of scarlet fever at home in isolation was studied by OE Mauerman, LA Berzina, FA Zismanova, and a mild course of the disease was noted in 93.6% of patients.

The beneficial effect of the use of anticoagulants in patients with chronic coronary insufficiency has been noted in recent years by many authors (B. P. Kushelevsky, V. Ya. Vladimirov, M. S. Vovsi., Goschriff, Waaler, Perlick, Nichol, etc.).

The attribution of sound phenomena that arise in the heart to a particular period of the cardiac cycle is sometimes difficult, especially with tachycardia. Novice doctors and, especially, students, even with a normal rhythm, slowly get used to the correct assignment of sounds arising in the heart to systole or diastole

The publication of the third edition of the neuropathology textbook by one of the largest and oldest neuropathologists in the Soviet Union, prof. LI Omorokova, one can only welcome. Associated with the clinic of nervous diseases for more than half a century, Ya. I. Omorokov is the keeper and long-term of the best traditions of Russian neuropathology, consisting in a fruitful combination of morphological, physiological and clinical approaches to the subject of neuropathology. It is not by chance, therefore, that the entire textbook of L. I. Omorokov is imbued with the ideas of I. P. Pavlov.

Currently, the treatment of most human malignant tumors includes: surgical removal of the tumor, exposure to ionizing radiation and the administration of anticancer chemicals. As a rule, complex therapy is used - that is, pre- and postoperative irradiation, the introduction of chemicals before and after the operation. Irradiation and administration of chemicals must be alternated due to the effect of these agents on the blood and hematopoietic organs.

Before the October Revolution, we had almost no pharmaceutical industry. It was only under Soviet rule that a large pharmaceutical industry began to emerge in our country. On the basis of the decree of the Council of People's Commissars of the RSFSR dated July 5, 1922, the procedure for the production of medicines, the opening of pharmaceutical plants and laboratories were decided by the Presidium of the Supreme Council of the National Economy.