Vol 43, No 5 (1962)
Clinical variants of embolic myocardial infarction
Abstract
Interest in embolic myocardial infarction is explained by both the severity of this disease and the complexity of clinical symptomatology, which often causes great diagnostic difficulties. Embolic myocardial infarction with a wide range of various symptoms is always a complication of some other, primary disease of the cardiovascular system, accompanied by the presence of embologic material. Evaluation of individual signs of the underlying disease and the associated complication in the form of an embolic infarction is sometimes very difficult.
On the clinical and biochemical characteristics of individual phases of the course of atherosclerosis
Abstract
The modern study of the clinical course of atherosclerosis is determined by the practical need to reflect the phase of the process in the diagnosis, since this is important for the correct construction of a complex of therapeutic and prophylactic measures.
On the clinical significance of the pulse wave velocity
Abstract
The speed of propagation of the pulse wave is a quantity whose square is directly proportional to the modulus of elasticity of the arterial wall. This physical law determines its value as an objective indicator of the elasticity of the arteries. The faster the speed of propagation of the pulse wave, the greater the elasticity and, therefore, the less elasticity of the vascular wall.
Analysis of the causes of mortality and severe complications during lung surgery in a city hospital
Abstract
Lung operations have been performed in N. Tagil for 10 years. Initially, all operations were carried out in the surgical department of the 3rd city hospital. After surgeons were trained from phthisiatricians, a surgical department was organized at the TB dispensary. This specialization has improved the service of tuberculosis patients. Thoracic surgeons master the method of X-ray examination of patients, which allows them to independently resolve issues that arise in the postoperative period. Participation in the work of a phthisiological surgeon, bronchologist and a qualified cardiologist greatly improves both research and postoperative management of the patient. Both departments are still working under the general leadership. If necessary, one compartment replaces another. This facilitates the complex, multifaceted work of the united city hospitals.
Fractures-dislocations in the shoulder joint and their treatment
Abstract
Fractures of the proximal epimetaphysis of the humerus occupy a significant place among the fractures of this segment. According to the materials of the Kazan Institute of Traumatology and Orthopedics, they account for 42.5% of all shoulder fractures.
Ligation of the inferior vena cava above the confluence of the renal veins
Abstract
Ligation of the inferior vena cava below the confluence of the renal veins is well established both experimentally and clinically. Experimental studies (6, 9, 8, 5, 4, 2, etc.) have established that ligation and excision of the inferior vena cava in this area are well tolerated by animals, and numerous anastomoses completely ensure collateral circulation.
Treatment of infected abortions
Abstract
There is still no consensus on the treatment of infected abortion. Some are conservative and expectant. method, others - active (L. I. Bublchenko, G. G. Genter, M. K. Gesberg, K. K. Skrobansky, I. P. Demichev). The question of which of these methods is better continues to be relevant.
Treatment of female trichomoniasis PASK
Abstract
Inflammatory diseases of the genitourinary system caused by Trichomonas are quite common in women. Many remedies have been proposed for the treatment of trichomoniasis, and the method of treatment is also varied. The results of treatment are not always stable, relapses are frequent.
On the differential diagnosis between chronic tonsillogenic intoxication and latent rheumatism in children by the level of sialic acid in the blood serum
Abstract
In pediatric pathology, a large place is given to chronic tonsillogenic intoxication. On the one hand, chronic tonsillitis in a large percentage of cases precedes rheumatism (V.E. Nezlin, E.I. Volkova, F.A. D. Lebedev, A. V. Dolgopolova, B. S. Preobrazhensky, O.D.Sokolova-Ponomareva). In both cases, patients complain of rapid fatigue, weakness, flying pains in the joints, headaches, pain in the region of the heart, low-grade fever.
Survival of synthomycin-resistant dysentery bacteria in fecal matter
Abstract
In recent years, reports have accumulated in the literature on the frequent isolation of antibiotic-resistant forms of pathogens in patients with dysentery. The percentage of synthomycin-resistant strains isolated from patients is, according to a number of authors (2, 22, 12, 17), from 15.3 to 90. T.B. Gorgiev, L.M. In the foci of dysentery, synthomycin-resistant strains of dysentery bacteria were used on linen, water taps, etc. A number of researchers (22, 14) found synthomycin-resistant strains among dysentery cultures isolated from patients who had not yet been treated with this drug, and even from newborns.
A case of carotid sinus syndrome
Abstract
The role of carotid sinus receptors as the most important mechanism for regulating blood pressure in humans has been established for a long time. Over the past 20-25 years, more and more attention has been attracted to the so-called "carotid sinus syndrome", which is expressed by a number of clinical manifestations associated with its increased excitability.
Experience in the use of convallotoxin in circulatory failure
Abstract
In the domestic literature, there are very few works on the action of convallotoxin, but they testify to the great effectiveness of the drug in patients with cardiovascular insufficiency. KA Khasanov believes that the therapeutic effect of konvallotoxin is not inferior to strophanthin, has a pronounced vascular and sedentary effect. LI Zhukovsky and BM Klebanov, noting the positive effect of konvallotoxin, pay attention to its side effects (the occurrence of pain and a feeling of compression in the heart, palpitations, shortness of breath, headaches, etc.).
Treatment for rheumatoid arthritis
Abstract
Department of Faculty Therapy (Head - Prof. Z. I. Malkin) Kazan Medical Institute With regard to the etiology of rheumatoid arthritis, the most acute, controversial issue is the role of infection. ) A.I. Nesterov believes that streptococcal infection plays the role of a trigger mechanism. Streptococcus creates a lesion that leads to a toxic-allergic reaction from the joints. In accordance with this, Nesterov devotes a significant place to the treatment of rheumatoid arthritis with antibiotics in parallel with desensitizing therapy.
Hashimoto type thyroiditis
Abstract
Thyroiditis (struma limfomatosa - Hashimoto's disease) is a two-sided diffuse dense goiter, intimately fused with the trachea. Fusion with other organs and tissues is not observed. At the same time, the thyroid gland is often slightly enlarged and can cause compression of the trachea, which leads to hoarseness. The disease usually affects older women over 40 years of age (Babcock). On the cut, the tissue of the thyroid gland is dense, whitish, with significant lymphoid infiltration, proliferation of connective tissue, atrophy of the glandular tissue and degeneration of the epithelium. Struma Hashimoto was considered a disease of the Anglo-Saxon countries, where about 200 observations are described. However, in recent years, the domestic literature has been significantly enriched with reports of chronic lymphoid thyroiditis.
About hemolytic shock caused by transfusion of Rh-incompatible blood
Abstract
The Tatar Republican Blood Transfusion Station, having been studying the issue of the Rh factor since 1956, was the center where the serologically presumptive diagnosis of hemolytic shock was confirmed during transfusion of Rh-incompatible blood. In just 5 years, 4 cases of such a shock have been identified and accurately established. In all cases, neither the Rh-affiliation of the patient's blood, nor the Rh-compatibility of the recipient's and donor's blood was made. 2 cases were mild, one was moderate and 1 was severe. In view of the practical importance of shock during transfusion of Rh-incompatible blood, we briefly describe these cases.
Closure of a penetrating bowel defect with a free skin autograft
Abstract
A large number of methods have been proposed to close a defect in hollow organs. Some suggested closing the bowel defect with a muscle flap (N.A.Vazin, 1948), others - with the fascia, the peritoneum (PD Kolchenogov, 1957), many suture the omentum or other intestine.
Two cases of Barre-Masson disease
Abstract
In 1920, Barre first reported a patient suffering from causalgic pain associated with a subungual tumor on the hand. 4 years later, Barre published 4 observations of such tumors. Masson made a detailed histological examination of these tumors and established their origin from the vascular glomeruli of the skin. Since then, they have been called Barre-Masson tumors.
Emphysema of the mediastinum in a patient with pulmonary tuberculosis with influenza
Abstract
Mediastinal emphysema as an independent complication is rare, and its pathogenesis is not always clear enough. We observed spontaneous penetration of air from the lung into the mediastinum and subcutaneous tissue of the neck and chest without pneumothorax.
Heparin time and blood clotting during surgery
Abstract
Among the many complications in surgical patients, thromboembolic processes continue to be the most formidable. Despite significant progress in the study of the blood coagulation system, reliable and accessible methods for detecting prethrombotic conditions have not yet been found.
The effect of acute blood loss on fibrinogen and fibrinogen "B" in plasma
Abstract
Under the influence of acute blood loss in humans and animals, blood clotting increases, which contributes to the cessation of bleeding (E. Briicke, J. Cohnheim, N. Sahli, G. A. Ionkin and N. N. Popova, N. S. Javadyan, D. . M. Zubairov, R. A. Dymshits). In our previous studies (Kazan honey., 1961, 2; Folia Haematolog., 1962, 1), it was found that a sharp increase in blood clotting after acute blood loss is accompanied by the appearance of thrombin in the blood, which in some cases leads to vascular thrombosis.
Effect of potentiated anesthesia on venous pressure
Abstract
In carrying out anesthesia, the state of venous pressure is of great importance. According to a number of authors (A. N. Kravchuk, A. Ya. Pytel, I. A. Trukhalev, A. K. Tumansky), venous pressure is a more accurate indicator that determines the state of the cardiovascular system than pulse and blood pressure.
The functional state of the liver in diseases of the stomach before and after surgery
Abstract
The study involved 102 patients (85 men, 17 women), 52 of them with gastric ulcer and duodenal ulcer, 29 with stomach cancer and 14 with a disease of the operated stomach, one with gastric polyposis, 3 with cardiospasm and 3 with cicatricial narrowing of the pylorus after chemical burn.
On the pathogenesis of pain in peptic ulcer disease and diagnostic value
Abstract
The phenomenon of percussion pain was described by Mendel in 1903. I. Ya. Razdolsky (1927, 1930) discovered painful zones of the anterior abdominal wall in peptic ulcer disease and made a "map" of these zones in the epigastric region in certain sections.
Caecal volvulus in 25 weeks gestation
Abstract
K., 30 years old, 6 / X was driving a truck on a shaky road. In the evening, she began to experience pains in the navel, which were cramping in nature. On the same day, she was hospitalized in the gynecological department with suspicion of threatening miscarriage in 25-26 weeks of pregnancy.
Pancreas in the jejunum in combination with adenomatous polyps of the stomach
Abstract
Clinical diagnosis of pancreatic heterotopies presents great difficulties. In the overwhelming majority of such patients, X-ray data resemble a picture of polyposis against the background of pain of a spastic nature, similar to pain in peptic ulcer disease. According to A.N. Protopopov, additional pancreas should be thought of with solitary rounded polyps up to 1 cm in diameter, localized more often in the antrum and pylorus and accompanied by spastic pains reminiscent of cholecystitis. In some cases, the orifice of the excretory duct is revealed on the x-ray as a small accumulation of barium in the center of a round defect.
Abdominal syndrome with thyrotoxic goiter
Abstract
In some cases, with thyrotoxicosis, the signs of a pronounced dysfunction of the gastrointestinal tract come to the fore. Observations are described when an error in diagnosis led to unnecessary and dangerous surgical interventions in the abdominal cavity in such patients.
Thermoregulatory reflex in rheumatism in children of different age groups
Abstract
There were carried out 501 studies of thermoregulation in 243 patients in the dynamics of the rheumatic process. For control purposes, 30 practically healthy children from 3 to 16 years old were examined. The frequency and nature of the thermoregulatory reflex in patients with rheumatism are as follows
Treatment of pustular skin diseases by injecting penicillin directly into the focus of infection
Abstract
In the treatment of boils and hydradenitis, over the past 7 years, we have been chipping the infiltrate (preferably at the initial stage) with a solution of penicillin (100-200 thousand units). Only in some cases it is necessary to repeat this chipping every other day. Thus, 140 men and 60 women were treated; with boils of various localization — 187 and hydradenitis — 13.
Inclusive cytomegaly (role in fetal and newborn pathology)
Abstract
Inclusive cytomegaly is a viral disease, one of the signs of which is the appearance in different organs of "cytomegalic" (giant) cells with characteristic inclusions (inclusions). Despite the fact that the pathological descriptions of the first cases of the disease appeared more than 60 years ago, its clinical picture is still relatively little known to a wide range of practitioners. With the exception of isolated cases of intravital diagnosis, cytomegaly is usually recognized on a section.
The course of scarlet fever in modern conditions and the results of its treatment at home
Abstract
Only isolated reports have been published about the absence of an increase in the incidence of scarlet fever in connection with the cancellation since 1956 of the compulsory hospitalization of scarlet fever patients and their treatment at home. The course of scarlet fever at home in isolation was studied by OE Mauerman, LA Berzina, FA Zismanova, and a mild course of the disease was noted in 93.6% of patients.
The experience of organizing the treatment of cardiovascular patients with anticoagulants in a polyclinic
Abstract
There are already many reports on the use of anticoagulants both for prophylactic and therapeutic purposes for angina pectoris and myocardial infarction in the conditions of a polyclinic (N.G. Rabinovich, N.A. Tolubeeva, E.E. Epshtein, B. S. Vilensky, etc.).
Long-term anticoagulant therapy on an outpatient basis
Abstract
The beneficial effect of the use of anticoagulants in patients with chronic coronary insufficiency has been noted in recent years by many authors (B. P. Kushelevsky, V. Ya. Vladimirov, M. S. Vovsi., Goschriff, Waaler, Perlick, Nichol, etc.).
Agricultural eye injury and its prevention
Abstract
For 3 years, we observed 164 patients with eye injuries, of which 116 were agricultural workers (70.7% of the total number of injuries, according to Krol - 88.5%). Among the injured were 34.4% of tractor drivers, 19.7% of combine harvesters, the rest were blacksmiths, collective farmers, etc.
Installation for auscultation of the heart with simultaneous visual observation of the phases of the cardiac cycle
Abstract
The attribution of sound phenomena that arise in the heart to a particular period of the cardiac cycle is sometimes difficult, especially with tachycardia. Novice doctors and, especially, students, even with a normal rhythm, slowly get used to the correct assignment of sounds arising in the heart to systole or diastole
Introduction to Clinical Neuropathology
Abstract
The publication of the third edition of the neuropathology textbook by one of the largest and oldest neuropathologists in the Soviet Union, prof. LI Omorokova, one can only welcome. Associated with the clinic of nervous diseases for more than half a century, Ya. I. Omorokov is the keeper and long-term of the best traditions of Russian neuropathology, consisting in a fruitful combination of morphological, physiological and clinical approaches to the subject of neuropathology. It is not by chance, therefore, that the entire textbook of L. I. Omorokov is imbued with the ideas of I. P. Pavlov.
Treatment of human malignant tumors
Abstract
Currently, the treatment of most human malignant tumors includes: surgical removal of the tumor, exposure to ionizing radiation and the administration of anticancer chemicals. As a rule, complex therapy is used - that is, pre- and postoperative irradiation, the introduction of chemicals before and after the operation. Irradiation and administration of chemicals must be alternated due to the effect of these agents on the blood and hematopoietic organs.
Treatment of human malignant tumors
Abstract
Currently, the treatment of most human malignant tumors includes: surgical removal of the tumor, exposure to ionizing radiation and the administration of anticancer chemicals. As a rule, complex therapy is used - that is, pre- and postoperative irradiation, the introduction of chemicals before and after the operation. Irradiation and administration of chemicals must be alternated due to the effect of these agents on the blood and hematopoietic organs.
40th anniversary of the organization of the pharmaceutical industry in the Tatar ASSR
Abstract
Before the October Revolution, we had almost no pharmaceutical industry. It was only under Soviet rule that a large pharmaceutical industry began to emerge in our country. On the basis of the decree of the Council of People's Commissars of the RSFSR dated July 5, 1922, the procedure for the production of medicines, the opening of pharmaceutical plants and laboratories were decided by the Presidium of the Supreme Council of the National Economy.