Vol 59, No 5 (1978)

The Soviet people, under the leadership of the Leninist Party of Communists, are working with great enthusiasm to implement the historic decisions of the 25th Congress, the December (1977) Plenum of the CPSU Central Committee.

Based on the results of intravital arterio- and phlebography of the vessels of the extremities of 87 patients with an obliterating process, as well as the study of the vessels of the extremities amputated due to gangrene due to obliterating diseases, a description of the X-ray symptoms and semiotics of changes in the venous circulation of the extremities in this pathology is given.

Surgical tactics for coarctation of the aorta is determined by the anatomical type of narrowing and its length. The results of treatment of this anomaly depend on the age of the operated patients and the adequacy of the restoration of blood flow through the aorta.

Clinical and electrophysiological examination of patients with myocardial infarction revealed the interest of segmental, autonomic and hypothalamic structures in the genesis of autonomic disorders. The role of myocardial infarction in the development of autonomic disorders has been experimentally confirmed.

The activity of blood serum acid phosphatase was studied in 72 patients with rheumatism, in 8 patients with systemic lupus erythematosus and 6 patients with rheumatoid arthritis. 10 people made up the control group.

It was found that alpha2-ferroprotein, which is absent in the blood serum of donors and patients with acute and chronic pneumonia, appears in the blood serum of patients with tuberculosis and lung cancer.

The results of treatment of 242 patients with chronic pneumonia and bronchial asthma refractory to traditional drug therapy are analyzed. 139 people received immunosuppressants-cytostatics (cyclophosphamide, cyclophosphamide, 6-mercaptopurine, azathioprine) and 103 - immunosuppressants in combination with anabolic steroids (retabolil, methandrostenolone).

In 179 adolescents with hypercortisolism syndrome caused by GINK drugs, the effectiveness of pulmonary tuberculosis treatment was traced. The syndrome of hypercortisolism does not exclude the use of tuberculin, collapse therapy and surgical methods of treatment. As a result of long-term complex therapy of respiratory tuberculosis in adolescents with hypercortisolism syndrome, a clinical cure was achieved in 95.5%.

In 83 patients with chronic pancreatitis, the content of copper, manganese, nickel, molybdenum, chromium and vanadium in whole blood was studied. Found a statistically significant increase in the concentration of manganese, molybdenum and vanadium, a decrease in chromium. Correlations were found between the content of trace elements and the form of the disease, the stage of the process and the activity of pancreatic enzymes in the blood and urine. The diagnostic role of the index of the ratio of antagonistic microelements was revealed.

Based on long-term observations and study of the state of hemostasis in 17 patients with Glanzmann's thrombasthenia, the diagnostic criteria of this disease during periods of exacerbation and clinical remission were determined. During the period of exacerbation, such signs are violations of platelet adhesion to glass fiber, their aggregation under the influence of ADP, adrenaline and collagen, changes in the excretory reactions of the patient's platelets under the action of ADP on them, as well as a sharp violation of the process of retraction of a blood clot. In the absence of clinical manifestations of the disease, impaired adhesion of platelets to fiberglass, aggregation of platelets under the influence of ADP and adrenaline, as well as a significant decrease in values ​​in retraction of a blood clot retain their diagnostic value.

The amount of estrogenic hormones in the urine and tissues of the endometrium, myometrium and myomatous nodes in 10 patients with uterine myoma before surgery during the menstrual cycle, as well as in urine and in the tissues of the uterus after its surgical removal was investigated. It was found that there is no difference in the content of estrogens in the myometrium and myomatous nodes. This means that myomatous nodes do not show an increased ability to accumulate hormones in comparison with neighboring unchanged muscle tissue. The obtained weak correlation dependence of estrogen hormones excreted in the urine and contained in the tissues of the uterus does not give the right to draw conclusions about changes in the hormonal balance in the tissues of the uterus only by determining the amount of estrogen in the urine. All the more difficult it is only on the basis of studying the excretion of estrogenic hormones in the urine to judge their significance in the occurrence of uterine fibroids.

Observations carried out on 45 patients with choroid detachment after cataract cryoextraction showed that subconjunctival glycerol injections give good results in this postoperative complication.

“Tobacco is a divine, incomparable, supremely excellent tobacco, far surpassing all panaceas, potable gold and philosophers' stones, an effective remedy for all diseases.

We managed to achieve successful resuscitation of the patient by 2-fold electrical defibrillation, performed 45 minutes after the onset of clinical death.

Pyridinol carbamate is recognized as an effective anti-atheromatous agent. According to published data, it does not have cholesterol-lowering and vasodilating properties.

The aim of our research was to establish the nature and degree of hemocoagulation disorders in diabetes mellitus, to identify the dynamics of these disorders depending on the clinical course of the disease and some of its complications, as well as to clarify the effect of various antidiabetic agents on them (insulin, sulfonamides, biguanides).

In the complex treatment of 30 patients with severe pulmonary diseases (males — 14, females — 16; age — from 15 to 70 years), we used normal immunoglobulin for intravenous administration, developed at the Kirov Research Institute of Blood Transfusion. In 20 patients the process was bilateral, in 10 it was unilateral. The sclerotic form of chronic pneumonia according to the classification of KG Nikulin (stage I) was established in 7 patients, bronchiectasis (stage II) in 11 and abscessing (stage III) in 12. The patients stayed in the hospital from 21 to 89 days. Immunoglobulin was injected intravenously (the rate of administration was no more than 20 drops per minute), 50–75 ml 2 times a week in a total dose of 100–150 ml. The drug was prescribed only for extensive lung lesions, bronchiectasis, abscess formation; in 2 patients it was used in preparing them for lung operations during critical periods of the course of the disease. Under the influence of complex treatment with the use of immunoglobulin for intravenous administration, patients showed positive shifts in the indicators of total protein, protein fractions and albumin-globulin index (see table).

Along with many indisputable positive qualities, polymer building materials can exhibit some properties hazardous to human health. In order to clarify the question of the possible sensitizing effect of polymeric materials used in housebuilding, we studied the air environment in three preschool institutions and the state of health of about 400 children at the age of 2 to 7 attending these institutions; in addition, employees of built-in furniture stores and some workshops of the Rostov automatic intercity telephone exchange were examined.

The reflexology method has won fairly wide recognition. Acupuncture is effective in a number of diseases, which are based on changes in organ function associated with a disorder of the central nervous system.

The monograph by MR Rokitsky is devoted to important issues of childhood pulmonology - treatment tactics in emergency conditions associated with an acute respiratory accident.

The monograph under review is the first work in the domestic literature that summarizes special and clinical studies on the use of film-forming aerosols. Particular interest in the monograph is given by the participation in the work on it of prominent specialists in the field of regeneration (V. E. Kolla, G. L. Bilich) and aerosol therapy (S. I. Eidelstein).

The question of the advisability of using antibacterial agents for respiratory viral diseases remains controversial. Most researchers consider it useless and even harmful (E. M. Tareev, K. V. Bunin, E. Katiladze and many others). D. Debsai et al. write that with prophylactic antibiotics, the number of bacterial complications does not decrease. According to AF Bilibin, antibiotics, suppressing the normal microflora of the body, promote the activation of viruses. Only a few authors (L.S. Schwartz et al.) Believe that for the prevention of pneumonia it is necessary to treat patients with acute respiratory diseases from the first days as patients with pneumonia.