Vol 46, No 2 (1965)

According to the classification proposed by V.V. Zakusov (1963), coronary dilators are divided into 4 main groups: 1) substances of myotropic action (for example, persantin); 2) influencing the nervous regulation of coronary blood flow - central action (for example, nitranol, erinit-nitropentone), analgesic and neuroplegic action; 3) altering metabolic processes in the heart (for example, iprazide, benazide) and 4) altering hemodynamic conditions.

In this work, ECGs were recorded in patients during and outside the attacks of cardiac asthma in the semi-sitting position of patients. Were recorded I, II, III classical leads V1-6, AVR, AVL, AVF.

In the literature, there are separate messages devoted to the study of ECG in healthy women during pregnancy and childbirth. Yu. I. Arkussky (1947), analyzing a large number of ECGs in pregnant women, found the inversion of the T wave. He explained it by changes in the position of the heart in the chest cavity. Copeland and Stern (1958) found Samoilov-Wenckebach periods in 32 of 260093 ECGs taken from healthy pregnant women. The authors suggested that the slowdown in atrioventricular conduction is caused by an increase in the content of 17-hydroxycorticosteroids. However, A.G. Diorditsa (1952), examining the ECG in pregnant women who did not have organic lesions of the heart, indicates only changes in the amplitude of the P and R waves without disturbances at the same time of atrioventricular conduction.

With the introduction of a new method - flame photometry - the possibilities of studying the exchange of potassium (K) and sodium (Na) have significantly expanded.

In this message we present the results of acupuncture in the treatment of vascular diseases of the extremities.

Much attention is paid to newborn asphyxia, and significant success has been achieved in the fight against it, but the same cannot be said about studying its consequences. Only in recent years, the neuropsychiatric development of such children has attracted the attention of researchers (M.F.Deschekina, 1956; H. N. Stanishevskaya, 1956; S. A. Sarne, 1956; L. I. Plechikova and G. Ya. Shulman, 1956; B. V. Lebedev and Yu. I. Barashnev, 1960; M. N. Alyabyeva, 1960; L. Yu. Dolgina, 1961; R. O. Klyavin, 1962; M. I. Fedorov, 1963; Benaron with coauthors, 1960).

Over the past 50 years, over 60 surgical methods have been proposed for the treatment of functional urinary incontinence in women, most of which proved to be insufficiently effective.

In obstetric and gynecological practice, acute blood loss is often found, which is often combined with shock, especially with ectopic pregnancy, uterine ruptures, as well as with severe and prolonged surgical intervention.

Odontogenic osteomyelitis of the jaws is the most common disease, especially where the debridement is not set to the proper height.

About a hundred years ago, the first monograph (K.A. Rauchfus, 1869) appeared on the congenital pathology of the aortic mouth with a description of 25 observations, including 10 of his own. Materials of recent years refute the idea of ​​a great rarity of valvular and subvalvular stenosis of the aorta (7.4% of all congenital anomalies according to LD Krymsky, 1962). Subortal narrowing can have a different structure (A. L. Mikaelyan and L. A. Semenova, 1963), but is usually formed by a connective tissue membrane or fibromuscular crest. Being the result of a violation of the evolution of the embryonic bulb, with a relatively small size, it is clinically asymptomatic and can be first established in adulthood (Yonash, 1960; and others).

Coarctation, or narrowing of the aorta, according to many researchers, occurs in 15-18% of all congenital heart defects and large vessels, and 2-3 times more often in men than in women. The most common localization of narrowing of the aorta in a limited area is its isthmus. In such cases, patients note persistent headaches, dizziness, tinnitus, shortness of breath, palpitations, throbbing in the neck, head, which is explained by increased blood circulation in the upper body, and chilliness, rapid fatigue in the legs due to insufficient blood circulation in the lower parts of the body (O. Yu. Marina - 1961, A. S. Pipko with co-authors — 1961, Yu. E. Berezov with co-authors — 1962). Of the disorders in the cardiovascular system, first of all, it should be noted that the systolic pressure on the upper extremities is increased to 280/120, 200/100, while on the lower extremities it is lowered to 70/60 or not even detected. Discovered left ventricular hypertrophy, with auscultation, the accent of the 2nd tone on the aorta and pronounced systolic murmur, heard in the 2nd or 3rd intercostal space on the left at the sternum. The noise is conducted in the interscapular space, in the carotid arteries and in the subclavian region. A very characteristic sign of coarctation of the aorta in the place of its isthmus is considered to be the usulation of the ribs, caused by the constant pressure of the dilated and tortuous intercostal arteries.

Recently, interest in the state of veins in obliterating diseases of the arteries of the extremities has been increasing. Some authors (Wessler et al.) Even believe that with obliterating arteriosclerosis of the extremities, changes in the veins are primary, and in the arteries, secondary. In the domestic literature, several works have recently appeared on the issues of changes in the function of the veins of the extremities in obliterating arterial diseases. A. B. Maisel, studying venous pressure in obliterating endarteritis, came to the conclusion that it increases in parallel with the severity of the process. Violations of venous blood flow in the lower extremities in obliterating diseases of the arteries are reported by N.I. Krakovsky and V. Ya. Zolotarevsky. On the basis of phlebography data, H. M. Karnakova reported on the expansion of the main, venous trunks of the leg with obliterating endarteritis. Examining the veins of the amputated limbs, V.V. Ginzburg and A.G. Fedorova found their expansion in a third of the patients.

In cancer of the pancreas, sometimes it is necessary to resort to palliative operations, the expediency of which for inoperable cancers is beyond doubt (A.D. Vitebsky). This intervention removes the painful symptom of obstructive jaundice, eases the suffering of the big one, improves liver function. Observations are described when patients after cholecyst-enterostomy with pancreatic cancer live for several years.

Pancreatic stones are relatively rare.

Pulmonary ventilation was determined on a spirograph type SG-1, in a sitting position of the patient, on an empty stomach, after preliminary training conducted the day before, before and 30 minutes after intravenous administration of 0.24-0.36 aminophylline (we found that the maximum changes in pulmonary ventilation after the introduction of aminophylline occurs in 30-40 minutes). To assess the parameters of pulmonary ventilation, the proper values ​​of pulmonary volumes were calculated according to the tables of the proper basal metabolism (Harris - Benedict), taking into account the sex, age, weight and height of the patient.

According to Keller's method, two electrodes made of 10x10 cm zinc sheet were placed on a rubber sponge lining of the same size and about 1 cm thick and one was placed on the area of ​​relative dullness of the heart, the other exactly opposite to the back. The electrode on the chest was connected to the positive pole and on the back to the negative pole of a small portable iontophoresis machine. The rubber gasket of the anode was impregnated with a 1.5% solution of MgSO4 or MgCl2, while the cathode was moistened with distilled or fresh tap water. Sessions started from 5 minutes and gradually extended to 10 minutes, initially the current was 0.5 mA, and then with sessions it also increased - up to 1.5 mA. The course of treatment consisted of 12 sessions.

In the complex treatment of burns in 22 people, the skin of 4-6-month-old fetuses with a gap for the temporary closure of extensive wound surfaces and stimulation of regenerative processes was used. The skin was stored at a temperature of +4°C in saline with penicillin and streptomycin and was applied at different times up to two weeks from the moment of its harvesting.

K., 54 years old, was hit by a truck. Delivered in a state of severe shock. Visible mucous membranes and skin are pale. Answers questions sluggishly. Pulse 110. HELL - 80/50. No pathology was found in the organs of the chest. The abdomen is soft, participates in the act of breathing, painful in the lower sections, above the pubis. Even with a slight palpation of the pelvic bones and compression, crepitus is audible and a sharp soreness is noted. The legs are bent at the knee joints, a symptom of a "stuck heel". On the anterior wall of the vagina, there is a 9x7 cm patch wound, passing to the posterior fornix and penetrating into the abdominal cavity. Urine mixed with blood flows out of the wound. Pain sensitivity on the back of the right foot and the outer surface of the right leg is reduced; paresis of the right foot.

Techniques used by prof. IV Domrachev, are as follows.

When treating patients with pruritic dermatoses, we provide complex treatment.

The rapid development of the chemicalization of the national economy in our country can be judged not only by quantitative indicators, but also by how rapidly new branches and areas of chemical production are developing, especially those related to organic synthesis. At the same time, a set of measures is being taken to mechanize work operations that were previously performed manually, new, more highly productive devices are used, the main technological processes are accelerated, remote control, and the automation of chemical production are being introduced.

In our previous article "Vegetative-vascular syndrome in the early stages of chronic exposure to trinitrotoluene" (TNT), we showed that an early manifestation of chronic exposure to TNT is functional changes in the nervous system, especially its vegetative parts. It was also noted there that with TNT intoxication, there are often changes in the usual ratio of pressure in the temporal and brachial arteries and poor tolerance of nitroglycerin. The use of these vascular reactions in the detection of chronic TNT intoxication is the subject of this communication.

In the medical, technical and special literature on industrial injuries, issues related to the analysis of the causes of injuries and accidents in large-panel housing construction have not yet been covered. Meanwhile, it is this type of construction that is currently turning into the leading direction at many construction sites.

Chapter I of the monograph provides general information on sound and noise and their perception.

There were 3 problems in the congress program: 1. Some issues of acute infections in children. 2. Rickets. 3. Nephropathy.

Professor A. I. Nesterov, a full member of the Academy of Medical Sciences of the USSR, delivered a major program report "Scientific foundations and prospects for the prevention of rheumatism and its relapses".

By the end of 1964, there were 555 general practitioners in the NOT TASSR. Of these, in Kazan - 377 people. (304 worked in medical institutions of the practical network and 73 - in the medical institute and GIDUV).

The section in Bugulma was organized in December 1963. All doctors of the Bugulma maternity hospital, as well as obstetricians-gynecologists of the Bavlinsky, Urussinsky and district hospitals, became members of the section. The society has 20 members in total.

Specialist doctors with at least 5 years of experience in their specialty and with good performance indicators are subject to certification. The length of service in the specialty includes: the time of completing clinical residency and postgraduate studies in the specialty in which the doctor completed his residency or postgraduate studies, work in the apparatus of the ministries of health, regional, regional and city health departments, in a rural medical area, service in the Soviet Army as a doctor of any specialty, if the doctor worked in the same specialty before serving in the army.