Vol 43, No 4 (1962)
Aerosol inhalation of calcium chloride in the complex therapy of pulmonary tuberculosis
Abstract
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.
Experience of using electrophoresis of some medicines in the complex treatment of pulmonary tuberculosis
Abstract
When treating a patient with tuberculosis, it is important, along with the effect on the pathogen through antibacterial therapy, to eliminate excessive lability of nervous reactions, manifestations of hyperergia, increased permeability of serous and mucous membranes, etc. This is achieved in a number of cases by using physical methods of treatment, and in particular electrophoresis.
Adrenergic and cholinergic mediators as indicators of shifts in the autonomic nervous system in bronchial asthma
Abstract
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.
The experience of using the infusion of European clefthoof leaves in chronic circulatory failure
Abstract
Копытень европейский — Asarum europaeum— многолетнее растение семейства кирказоновых, широко распространен не только в СССР, но и в Западной Европе, Америке и Азин, где он пользовался широкой популярностью в народной медицине и в течение многих столетий применялся в качестве отхаркивающего, рвотного, жаропонижающего, противовоспалительного, мочегонного, желчегонного (С. Смирнов, 1858; М. А. Алуф с соавторами, 1943; Д. М. Российский, 1944; С. С. Станков, 1955; Г. С. Оголевец, 1951).
Bone marrow hematopoiesis in patients with chronic myeloid leukemia treated with myelosan (milleran)
Priapism as a complication of chronic leukemia
Abstract
During the last 5 years among 48 patients with chronic leukemia, we observed 3 cases of priapism. In all our patients, priapism was initially considered in polyclinics as a manifestation of a local process. In this regard, local treatment was used for a long time in the form of cold lotions and irrigations, novocaine blocks, suppositories, etc. Then, due to the failure of such therapy, the patients were sent to urological clinics, where a more complete study allowed the true nature of the disease. All our patients went through the above path before being admitted to a therapeutic clinic.
Errors in diagnosis and treatment of some complications of antibiotic therapy
Abstract
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.
Clinic of traumatic injuries of the spleen and immediate results of their surgical treatment
Abstract
The frequency of damage to the spleen with closed abdominal injuries is quite high (L.P. Aleksandrovich - 50%, B.E. Imnaishvili - 25%). Despite this, as well as the very dangerous, sometimes fatal bleeding that accompanies rupture of the spleen, diagnostic errors are not uncommon. Of particular difficulty is the diagnosis of rupture of the spleen, when there is a light interval between the injury, often minor, and the onset of severe internal bleeding. Sometimes the light interval is several days, sometimes months (Yu. Ya. Kulik).
Diagnostic value of determination of sialic acid and protein fractions in blood serum with prostate adenoma and pyelonephritis
Abstract
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.
Clinic, diagnosis and treatment of "cervical migraine"
Abstract
In recent years, the attention of neuropathologists and neurosurgeons has been attracted by the pathology of the cervical spine. A number of previously described atypical "cerebral vasopathies", "basal arachnoiditis", "vstibulopathy", etc., as it is now found out, depends on the deformities of the cervical spine. Nervous syndrome caused by a deformity of the cervical spine, called "cervical migraine", or "posterior cervical sympathetic syndrome", described in detail in 1949 Birchy-Roche in patients who have suffered a trauma of the cervical spine.
Experience in the use of modern methods of general anesthesia in gynecological operations
Abstract
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.
Electrical activity of the rectus abdominis muscle in a woman during childbirth
Abstract
Until now, many important issues of the mechanism of participation in the labor act of skeletal muscles have not yet been clarified, in particular, what is the relationship between the contraction of the smooth muscles of the uterus and the forced activity of the abdominal wall, at what stage of the act of childbirth its electrical activity is revealed. This study is devoted to the solution of these questions.
Experience of using citral in combination with nonspecific drugs for Rh and ABO incompatible pregnancies
Abstract
To prevent hemolytic disease of the newborn (HDN) in Rh and ABO incompatible pregnancies, effective desensitizing treatment is required. For this purpose, various means and methods have been proposed and tested. Among them are antihistamine drugs, namely antistin, citral (L. Girshfeld, T. G. Solovyova, I. A. Vasilyeva).
Outpatient treatment of inflammatory processes of female genital organs with injections of novocaine with antibiotics
Abstract
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.
Differential diagnostic value of hematological parameters in diphtheria and tonsillitis
Abstract
Morphological changes in the blood picture in diphtheria, especially in toxic forms, already at the end of the last century attracted the attention of scientists. So, a significant hyperleukocytosis has been described, especially high in cases with a fatal outcome and with an associated secondary infection. Along with this, many authors observed a rapid drop in the number of leukocytes to leukopenic figures before the death of patients (Puenso, Arnet). Also noted are the initial leukopenia in severe forms of diphtheria.
Morphological and histochemical changes in the pituitary gland in atherosclerosis and hypertension
Abstract
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).
Pathological changes in internal organs and intestines with colidispensions in young children
Abstract
The aim of this work was to study and atologoanatomical changes in internal organs, the brain and intestines, the serotypes of Escherichia coli, its localization, and the state of the intestinal intramural nerves. The corpses of 40 children from the neonatal period to 1.5 years of age were examined (in the first week of life - 3, in the second - 3, from 1 to 3 months of age - 13, from 3 to 6 months - 13, from 6 months to 1 years - 6, from 1 year to 1.5 years - 2).
On the diagnostic value of the Veltman coagulation test in acute coronary pathology
Abstract
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).
Transient form of ventricular flutter
Abstract
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.
On the reflexogenic and sensitizing role of cholecystitis in the pathogenesis of paroxysmal atrial fibrillation
Abstract
Paroxysmal atrial fibrillation in the absence of mitral stenosis, myocarditis, cardiosclerosis and thyrotoxicosis is very rare. So, NM Davidovsky, BP Kushelevsky and others described the occurrence of paroxysmal atrial fibrillation after concussions in people with a healthy heart.
About concomitant lesions of the liver, gallbladder and pancreas in peptic ulcer disease
Abstract
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
Abstract
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.
About familial ovalocytosis
Abstract
In the blood of healthy people, red blood cells are round. A certain amount of red blood cells (no more than 3%) has a slightly oval shape. With anemia (especially with pernicious), relatively many oval erythrocytes are found. In general, ovalocytosis is understood as a rather rare anomaly, inherited not to every descendant and consisting in that. that a large number of red blood cells are oval or even rod-shaped. Such cases are observed in people of all races. Described in 1955 about 350-400 cases of this anomaly (Wilson and Long).
Treatment of patients with deforming polyarthritis and spondyloarthritis with bee venom
Abstract
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.
Modification of osteosynthesis in the treatment of the pseudarthrosis of the femoral neck
Abstract
If with fresh medial fractures of the femoral neck thanks to the use of fixation with a three-blade nail, great success has been achieved (A.V. Kaplan, S.G. Rukosuev, V.G. Vainshtein, L.I.Shulutko, B.A.Petrov, etc.), this cannot be said about the treatment of false joints of the femoral neck. Therefore, the report of at least isolated cases of successful restorative surgical treatment of pseudoarthrosis of the femoral neck is of interest.
The importance of trauma and infection in the development of tumors of the brain and spinal cord
Abstract
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.
The importance of trauma and infection in the development of tumors of the brain and spinal cord
Abstract
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.
A case of penetrating injury of the right ventricle of the heart
Abstract
X., 19 years old, was admitted on 7 / VI 1959 at 21 hours 30 minutes with a stab wound 2.0 X 0.5 cm in the area of the 5th intercostal space on the left at the edge of the sternum and 0.3 X 0.8 cm in the area 3 intercostal spaces on the left at the sternum. Dark blood is released from the wound in the area of the 5th intercostal space when the patient moves. The patient himself stabbed himself two times in the chest 45-50 minutes ago.
Kidney cyst
Abstract
H., 58 years old, was admitted to the therapeutic department on 17 / XI-61 due to suspected splenomegaly. Complains of abdominal pain, fever, severe headache, severe weakness, poor appetite. A tumor in the abdomen on the left was first noticed 4 years ago. At first, the tumor did not cause significant disturbances. From 4 / XI-61, for no apparent reason, the tumor began to grow, there were pains in the abdomen, and the temperature rose.
Kefer's bandage for outpatient treatment chronic leg ulcers
Abstract
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.
Reconstructive resection for tuberculous coxitis
Abstract
Among patients with tuberculous coxitis, the most severe contingent are those in whom, as a result of the transferred process, significant destruction of the joint elements occurred. Before the advent of antibacterial drugs, these patients did not receive sufficient help. Antibacterial drugs made it possible to start surgical treatment. The operation consisted in a radical removal of tuberculous foci and the creation of a supportable limb.
About erysipeloid therapy
Abstract
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.
From the experience of the dental office of the children's polyclinic st. Kazan
Abstract
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.
Nestor Maksimovich Maksimovich-Ambodik
Abstract
The 150th anniversary of the death of N.M. Maksimovich-Ambodik, an outstanding Russian doctor of the 18th century, the ancestor of Russian obstetrics. He was born in Ukraine, in the village of Veprike, Poltava province. Intended by his parents for a spiritual career and was sent to study at the Kiev Theological Academy, but, disillusioned with theology, he left it in order to study legal sciences.
Doctors in the memoirs of the Decembrists exiled to the Caucasus
Abstract
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.
Determination of basal metabolism and lung function by AOOZ-M apparatus
Abstract
In 1957, in an article by engineers M.I. Abdrakhmanov and I.A. In 1958, a more advanced design of this kind of apparatus with a closed breathing circuit of the AOOZ-M type was developed (Fig. 1), in which the capacity of the rubber bellows was increased to 10 liters and the entire gas line (with a tank) - up to 60 liters; this makes it possible to conduct studies of basal metabolism both when breathing air and on pure O2 in a large volume.
About "toxin therapy" of malignant neoplasms
Abstract
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.
M.P. Konchalovsky. Selected Works
Abstract
Maxim Petrovich Konchalovsky (1875-1942) was one of the greatest therapists in the Soviet Union. He graduated from the medical faculty of Moscow University in 1899 and defended his doctoral dissertation in 1911. All his life and work were associated with the faculty therapeutic clinic (the university, and then the 1st Moscow Order of Lenin Medical Institute), where he came as a resident and which he headed from 1929 until the end of his life.
Issues of pathology of the biliary tract
Abstract
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.
Thoracic and abdominal surgery issues
Abstract
The collection contains the works of surgeons of the West Siberian Railway and the Faculty Surgical Clinic of the Altai Medical Institute (editor - prof. I. I. Neimark). The very fact of generalizing the experience of the authors in the form of a collection testifies to their great scientific and practical activity.