Vol 60, No 3 (1979)

Over the past two decades, emergency cardiology in our country has developed at a rapid pace.

Based on the results of a comprehensive clinical and instrumental examination of 191 patients, it was established that the qualitative characteristics of the polycardiogram, left ventricular cardiogram and electrokymogram have a differential diagnostic value in assessing aortic heart defects.

In 78 patients with circulatory insufficiency, a cardiac glycoside, cuspidoside, was used as the main therapeutic agent. During therapy with cuspidoside, the initial degree of circulatory failure decreased in 72% of the surveyed. Under the influence of cuspidoside, the parameters of central hemodynamics (cardiac and stroke index, blood flow velocity, total peripheral vascular resistance) and blood flow in the liver and kidneys improved. The drug has a diuretic effect, helps to increase the content of total metabolizable potassium in the body. The research results give grounds to recommend it for wide clinical use.

The dependence of the frequency of hypercholesterolemia of 6.45 mmol / l on age, average annual flight time, job category, class qualifications, and flight specialty in 300 pilots was studied. The likelihood coefficients of the risk of hypercholesterolemia were calculated. An assessment table has been developed, which makes it possible to correctly predict the risk of hypercholesterolemia in 84% and take a differentiated approach to the primary prevention of atherosclerosis in pilots.

The thromboelastography method was used to study the hemocoagulation system in 59 children with chronic cerebral vascular insufficiency in the vertebrobasilar vascular system, the cause of which was natal injury of the cervical spine and vertebral arteries. The data obtained indicate hypercoagulemia in the examined children.

Examination of patients with severe traumatic brain injury showed that the degree of impaired external respiration in them depends on the localization and severity of brain damage. The study of the dynamics of indicators of external respiration in such patients makes it possible to monitor the course of the disease and promptly undertake corrective treatment.

In the treatment of 298 patients with various diseases and injuries of the extremities, 103 of them (34.4%) used the usual phonophoresis technique and 195 (65.6%) - the method proposed by the author. In patients treated according to the new method, a positive therapeutic effect was obtained in 96.9%, and when using the conventional phonophoresis method - in 82.5%. It is proposed to introduce more widely into practice phonophoresis treatment according to a new technique

Reasonable therapy of rhythm disturbances is impossible without taking into account the mechanisms of heart rate alteration. In turn, changes in myocardial contractility in arrhythmias should not be considered only within the framework of physiological self-regulation of the heart [9], since this reduces interest in the alleged pathogenetic role of a number of features of the mechanical activity of the heart muscle.

General issues of studying the regeneration of damaged vertebrae, articular processes, and arches are highlighted. The necessity and possibility of controlled stimulation of bone tissue regeneration of the vertebrae is noted.

From January 1969 to December 1977, we examined and treated 221 patients with various manifestations of coronary heart disease (men - 148, women - 73) with heparin or indirect anticoagulants in the inpatient department of the local hospital and on an outpatient basis. 51 patients had myocardial infarction, 35 had arterial hypertension, 4 had diabetes mellitus; 118 patients had frequent attacks of angina pectoris, 3 were diagnosed with cardiac asthma, 77 showed signs of grade I heart failure.

Diagnosis of idiopathic myocardial hypertrophy presents significant difficulties. Some authors consider this pathology as the outcome of a special severe inflammatory process in the myocardium, proceeding according to the type of idiopathic myocarditis of Abramov - Fiedler.

The reaction of the blood coagulation system in response to surgical blood loss has been and remains the subject of close attention of researchers. We analyzed coagulograms of patients with peptic ulcer disease (71 people), who underwent gastric resection under endotracheal anesthesia with ether using muscle relaxants. We carried out blood tests in the course of the operation. Operational blood loss was determined gravimetrically.

For the treatment of patients with chronic bursitis of the knee and elbow joints, we use a modified by us method of bursotomy with vacuum suction.

For 12 years, the clinic for pediatric surgery has admitted 17 children with teratomas of the sacrococcygeal region — 12 girls and 5 boys. Thus, our data confirm the observations of individual authors about the predominant occurrence of sacrococcygeal teratomas in girls. 8 children were hospitalized in the neonatal period, 3 - up to 2 months of age, 1 - up to 6 months, 3 - up to a year and 2 - over 1 year.

Currently, antiviral drugs are mainly used for acute herpetic stomatitis.

The traumatological and orthopedic service is one of the most important types of specialized care for the population, since trauma and orthopedic diseases occupy one of the first places among the causes of morbidity, mortality and disability among the population. That is why in the decree of the Central Committee of the CPSU and the Council of Ministers of the USSR "On measures to further improve public health" (September 22, 1977), a special place is given to the development and improvement of traumatological and orthopedic care for the population of the country.

When examining men aged 40-54 years at some industrial enterprises in the city of Cheboksary, arterial hypertension was detected in 16.5%. As a result of medical examination, more than half of the patients achieved a decrease in blood pressure to a normal level.

The effect of the organometallic pesticide Granosan on the microflora of the soil occupied by agricultural crops was studied. It has been established that granosan has a depressing effect on saprophytic microflora. Its introduction into the soil causes the appearance of forms of microorganisms resistant to it.

An analysis of the results of treatment of 214 patients with chest injury, of whom in 111 it was penetrating, showed that the most optimal is active expectant tactics and surgery according to absolute indications. Puncture of the pleural cavity and follow-up thoracocentesis were used in 29.5% of the wounded, and a cure was achieved. The X-ray method is of leading importance in diagnostics. The success of treatment also depends on the timely elimination of respiratory disorders, cessation of shock, blood loss.

It is 70 years since the birth and 47 years of scientific, pedagogical and social activity of the doctor of medical sciences, professor Zainab Khabibullovna Karimova.

Diagnostics and treatment of emergency conditions are among the most pressing complex problems of infectious pathology.

The symposium was organized by the Academy of Medical Sciences of the USSR, the Institute of Evolutionary Physiology and Biochemistry named after V.I. IM Sechenov Academy of Sciences of the USSR, All-Union Scientific Medical and Technical Society. Scientists, practitioners and engineers from 27 cities of the Soviet Union took part in its work. 40 reports and 86 posters were heard and discussed.