Vol 43, No 4 (1962)

For many decades, calcium supplements have been widely used in the treatment of tuberculosis patients. If earlier the therapeutic effect of the use of calcium salts was explained by the elimination of the phenomena of "demineralization" (L.A. Rosen), allegedly present in patients with tuberculosis, and by the stimulation of the process of "calcification" of tuberculosis foci, then in the last 2-3 decades, the therapeutic effect of calcium therapy began to be assessed with other positions.

Of the numerous theories proposed to explain the occurrence of bronchial asthma, allergic asthma has the largest number of supporters. It is more correct to consider bronchial asthma as an infectious-allergic disease, in which sensitization of the body in the overwhelming majority of cases occurs as a result of an infection in the respiratory organs (P.K.Bulatov, 1951, 1953, 1954; L.L. Vasiliev, 1953; M.V. . Chernorutsky, 1953; etc.). The resulting changes in the functional state of the nervous system, although they occur a second time, so much affect the course of the disease that they deserve special study.

In recent years, myelosai (milleran) has become widely used to treat patients with chronic myelosis.

Errors in the diagnosis of complications of antibiotic therapy often depend on insufficient awareness of the possibility of their occurrence and clinical manifestations, as well as underestimation of contraindications to the use of antibiotics. This gives a reason to describe the cases of complications observed by us with the use of antibiotics, which led to the death of patients, due to erroneous diagnosis and incorrect therapeutic tactics.

Among splenomegaly of various origins, a special place is occupied by a group of surgical ones, in which the removal of a pathologically altered or perversely functioning spleen is justified.

In most patients with prostate adenoma in the second and third stages of the disease, the course of the process is complicated by an infection localized not only in the urinary tract, but also in the kidneys (pyelonephritis). Timely diagnosis of pyelonephritis is important for the prognosis and treatment of patients with prostate adenoma.

Of all the types of pain relief that are currently widespread, the generally accepted is superficial or even analgesic anesthesia, which became possible in connection with the introduction of muscle relaxants into practice. The latter, by relaxing the muscles, create favorable conditions for the operation with a minimum supply of the narcotic substance. At the same time, depression of respiration, cardiac activity, function (liver, kidney and other complications have become very rare. Rapid awakening of patients contributes to the early restoration of the cough reflex, deep breathing and is the best type of prevention of pulmonary complications.

Uterine ruptures are less common during pregnancy than during childbirth. They are according to L. S. Persianinov (1952) - 7.3%, according to G. A. Vorozhtsova (1957) - 6.1%, according to E. D. Dozortseva (1958) .) - 10.2%.

In the practice of large obstetric institutions, there are cases of pregnancy and childbirth in women of dwarf stature, and each such case poses a number of very difficult questions for the attending physician.

In stationary conditions, along with many other methods, the treatment of inflammatory diseases of the female genital area with novocaine with antibiotics is successfully carried out (EG Bazdyrev, NS Kiparisov, Ya. S. Rabinovich, etc.). Since such treatment has not become widespread on an outpatient basis, we tried to apply this method on an outpatient basis.

In the morphological study of the endocrine glands in hypertension and atherosclerosis, much attention is usually paid to the pituitary gland, since the greatest importance is attached to its functional disorders in these diseases (G. Cushing, A.T. Rassmussen, A.A. Waldman, I.S. Weinberg and M. K-Dal, E. V. Uranova, E. A. Savina, Yu. I. Miklyaev and others).

Veltman's test is of a certain diagnostic value in inflammatory and necrotic processes. In myocardial infarction, a number of authors (Teifl, Ts. S. Slutskaya and M. K-Ilyashenko, RS Belous) noted a shortening of the coagulation tape with dynamic changes (GI Shchukina).

According to postmortem dissection, thrombosis of cardiac cavities is rarely diagnosed by clinicians (V.S. Smolensky and many others).

The transient form of ventricular flutter is one of the very rare variants of rhythm disturbances. Observations published in this respect are rare (A.M.Spektor, Dresler, Kapf, Grisbach, etc.), because in most cases, the occurrence of flickering or flutter of the ventricles leads to the death of the patient within a few minutes. Even more rare are cases of frequent recurrence of paroxysms of ventricular flutter, registered electrocardiographically.

The anatomical proximity and functional connection of the stomach, duodenum, liver, gallbladder and pancreas create conditions such that the defeat of one of these organs contributes to the defeat of the other. Reflex influences (interoreceptive influences) also play a significant role. The existence of the relationship between diseases of these organs found expression in the works of N.I. Leporsky on the hepato-pancreatic-duodenal system.

Paroxysmal cold hemoglobinuria, first described by Dresler in 1854, is characterized by the fact that after cooling a chill sets in and the temperature rises to 39-40 ° with all the sensations accompanying this state. Then there are pains in the lumbar region and in the abdomen, frequent urge to urinate with cramps, nausea, vomiting. At the height of the fever or soon after the temperature drops, dark urine (the color of black coffee or strong tea) begins to be secreted. The skin is pale, with an icteric tinge. The attack ends in 6-12 hours, sometimes after 1-3 days.

In the last century, Russian doctors M.I.Lukomsky (1864) and I.V. Lyubarsky (1897), as well as many foreign authors, wrote about the therapeutic use of bee venom. Somewhat later, bee venom was widely used by Altshuller in Austria, Gel in America, Jarden in France. In the USSR, bee venom has been used in medical practice since 1918 by F.P. Gaidar, who used it for rheumatism, diseases of the peripheral nervous system, arteriosis, receiving positive results.

Surgical intervention aimed at reposition and fixation of fragments for fractures and pseudoarthrosis in the presence of infection is considered possible not earlier than 3-6 months from the moment of healing of the wound or fistula.

The question of the role of trauma, like infection, in the development of tumors of the nervous system is controversial. Beneke attaches importance to trauma as an etiological moment. X. N. Zilberstein believes that gliomas in the area of ​​traumatic scarring are in causal dependence on the skull trauma suffered in the past. I. Ya. Razdolsky, LI Smirnov and others indicate that trauma and infection are provoking factors that contribute to the identification of an existing tumor, the acceleration of its growth, and sometimes malignancy. V.V. Khokhlova notes that trauma and infection often serve as an impetus for the clinical manifestation of a brain tumor in children. LI Smirnov considers trauma and infection to be predisposing factors that cause disorders of cerebral circulation, cerebrospinal fluid circulation and metabolic processes.

Congenital ichthyosis (Ichthyosis congenita) is one of the rare congenital malformations of newborns

The content in the venous blood of total glutathione, reduced and oxidized, was determined in 87 (men - 27, women - 60) hypertensive patients (grade I - 26, II - 28 and III - 33). The patients were between 19 and 70 years old.

In the faculty surgical clinic of the Saratov Medical Institute, from November 1957 to August 1959, 3 patients with heart wounds and one patient with a wound of the intrapericardial part of the inferior vena cava were treated.

Pharyngeal pulsatile diverticula are not common, and therefore not always correctly recognized.

The limb is thoroughly washed, dried and wiped with alcohol (vodka or cologne). The nails are trimmed neatly. The leg is raised at an angle of 35-40 ° for 30 minutes to reduce swelling. Cotton pads are inserted into the interdigital spaces. Having dipped an ordinary paint brush in a warm composition of zinc-gelatin, they cover the skin of the foot and lower leg from the toes to the tubercle of the tibia with an even layer. Then proceed to the imposition of a bandage 6-8 cm wide with moderate tension without any folds, covering the previous move with the next half. When the bandage does not go in a spiral, it is cut with scissors, and thus they continue to consistently and evenly cover the limb with bandage moves to the intended place. The second and third layers of zinc-gelatin and bandages are also applied. When applied, the dressing should look like a well-fitted stocking. The bandage is applied for 3-4 weeks.

Hallux valgus is a fairly common disease. There are many ways of operations, the most common is the method of R. R. Vreden.

Injuries of the external genital organs in peacetime are rare, and scalped wounds of the penis with a detachment of the scrotum are even less common. This prompted us to publish a case of successful treatment of such an injury.

The source of infection is meat and fish affected by the pathogen, and the pathogen is a gram-positive bacillus, which penetrates through injuries and microtraumas of the skin. At the same time, serous inflammation occurs in the papillary and reticular layers of the skin, as well as in the subcutaneous tissue. The process may involve the ligamentous apparatus and interphalangeal joints.

Of the 6500 children under the age of 14 served, every child is examined and undergoes oral sanitation before entering school. All permanent and deciduous teeth affected by caries are filled, roots and teeth that cannot be treated are removed, anti-inflammatory treatment of the oral mucosa is carried out according to indications.

R., 7 years old, previously not ill, on 31 / III-59, began to cough, on 1 / IV while playing on the street, the child coughed, began to turn blue, and after 10 minutes he was already dead.

The tsarist government, having cruelly dealt with the December uprising of 1825, demoted most of the officers who participated in it to the ranks and sent them to settle in the distant harsh Siberia. After a while, many of them were transported to the Caucasus, which the reactionary Russian officials called South Siberia.

The problem of "toxin therapy", as you know, does not lie in the center of attention of modern studies of anticancer treatment, although a number of researchers continue to show interest in it (8, 13, 23). The toxin therapy, which emerged at the end of the last century, has never, even in the years of greatest interest in it, been considered as the main method of treating malignant neoplasms, and is now taken into account more as a page of history than as a prerequisite for cancer therapy.

The choice of the topic of the collection is due to the fact that in the Udmurt Autonomous Soviet Socialist Republic and especially in Izhevsk, biliary tract diseases constitute a kind of regional pathology, since, according to both the clinics of the Izhevsk Medical Institute and regional hospitals, the number of patients with biliary tract diseases is 12-13% of all diseases of internal organs. This allowed the participants of the peer-reviewed collection to collect and summarize a large clinical material. To a certain extent, this collection repeats, only in an expanded form, the collection published in 195G by the Izhevsk Medical Institute under the title "Hepatocholecystitis and Cholecystohepatitis". Now everything is presented much more fully, and the number of clinical observations is much larger.

The Congress was opened by the Minister of Health of the USSR S.V. Kurashov.