Vol 74, No 5 (1993)

Outcomes of acute diffuse purulent peritonitis (OPHP), occurring with severe disorders of homeostasis, remain unsatisfactory. A decrease in mortality in severe forms of ARHP with massive (up to 50%) fecal contamination of the peritoneum is currently considered a significant achievement. It is quite natural to search for new ways to improve the results of treatment of patients with ARHP.

The indices of blood pressure in intramural vessels of the ureter before and after dressing, of vesical vessels are presented. The investigations are performed on 15 dogs in experiment and in 15 patients in resection of the urinary bladder with ureterocystoanastomosis and in 2 patients in ureterocutaneostomy as to the urinary bladder cancer. One patient died because of the failure of sutures of ureterocystoanastomosis as a result of ureter necrosis in suture, and one died after ureterocutaneostomy as a result of ureter distal piece necrosis. It is stated that hemocircular disorders occur in intramural vessels of a terminal part of the ureter after dressing of vesical vessels.

The formula of volume calculation of all the solutions of crystalline amino acids and some protein hydrolysates to compensate the necessary requirements of a patient for protein is given. The mathematical treatment of this formula with regard to the utilization rate and maximum doses of amino acids is made, the method of quantitative and qualitative estimation of the available preparations of crystalline amino acids and protein hydrolysates allowing to make a justified choice of the preparations is proposed. The article is illustrated by the tables with necessary information of the preparations for parenteral diet, their potential possibilities of protein compensation as well as a dosage of the preparations of crystalline amino acids and protein hydrolysates to compensate the necessary require# ments for protein.

As a result of the combined study of the hospital strains S. aureus it is stated that methicillinresistant strains are characterized by simultaneous resistance to 5—9 antibiotics (84,9%), product of hemolysins, fibronolysin and hyaluronidase. MRSA are resistant (56,6%) to lytic action of phages of the commercial kit. Phages 85 (39,1%) and 52A (21,7%) prevail over phagolysed phages. Electrophoretic analysis of exoproteins permits to differentiate MRSA not typified by phages and to assign them to phage 85 as well as to set off within the phages 85 and 94/96 two types of strains varying in spectra of protein composition.

The course and prognosis in myocardial infarction (MI) depend on various factors, but are largely determined by the development of complications of the underlying disease. Thromboendocarditis is one of the complications of acute myocardial infarction. Thromboembolic complications associated with thromboendocarditis develop despite intensive thrombolytic and anticoagulant therapy and often lead to disability or death of patients. So, embolism of arteries of the corresponding localization can cause stroke, renal infarction, gangrene of the extremities, as well as progressive heart failure and other complications. In this regard, timely diagnosis of acute myocardial infarction complicated by thromboendocarditis is extremely important not only for predicting the further course of the underlying disease, but also for choosing an adequate and effective therapy.

The several diagnostic features for differentiation of tuberculosis and sarcoidosis are determined using the original support systems «HELPER-2» and «FVD-1» created in the Kazan medical institute. They are age, sex, smoking, the prominence of inflammation, shadow’s type and step of ventilating disorders.