Caring for the protection of the health of the people has always been one of the main tasks of the Party and the Soviet state.

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.

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.

To study the adequacy of the blood supply to the heart and the recognition of coronary insufficiency, various loads (climbing stairs, squatting, etc.) are usually used with ECG control.

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.

Over the past two decades, both positive (A, N. Bakulev, V.V. Lebedenko, etc.) and negative (K.G. Terian, H.I. a blind suture on a cranial wound that has undergone secondary treatment.

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 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.

Although the pathological diagnosis is higher than the clinical one, nevertheless, the number of erroneous diagnoses in insufficiently experienced pathologists reaches 5-7% (IV Davydovsky).

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.

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.

According to Dr. Dani (Prague) and Associate Professor Kostich (Belgrade), trichomoniasis occurs in 39.5% of women, according to V.A. Sapozhnikova - in 48.7%, according to B.A.Teakharov - in 26.6% of men ...

From 1958 * to the beginning of 1960, we used vitamin B12 and folic acid treatment in children for alimentary anemia in 48 patients and folic acid alone in 20 patients.

One of the achievements of medical science is the possibility of curing tuberculous meningitis, a previously incurable form of the tuberculous process.

In the light of modern concepts in the pathogenesis of various diseases, great importance is attached to the processes of autosensitization.

Mumps annually causes massive diseases, in some cases very difficult and even fatal (S.E. Ganzburg).

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.

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.

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.

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.

Arachnoiditis of the brain occurs in a large number of patients. The symptomatology of this disease in some cases has much in common with a brain tumor, which makes it necessary to carefully differentiate both sufferings.

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.

Our report is based on a clinical analysis of 28 patients operated on in the neurosurgical department in 1946-1958.

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.

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.

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.

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.

To determine the viscosity of blood, we used a Determan viscometer modified by A.E. Pleshchitser.

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 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.

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.

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.

On 20 / VII 1960, at 21:30, S., 13 years old, was brought by car with complaints of pain in the scrotum after falling from the fence.

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.

G., 13 years old, was admitted at 6 am on 9/4/59 with complaints of severe cramping abdominal pain, vomiting, absence of gas and stool.

M., 21 years old, was admitted to the clinic on 23/1II 1958 in serious condition with complaints of cramping sharp pains in the abdomen, nausea.

One of the most severe acute surgical diseases of young children is intestinal obstruction, in which intussusception takes the first place; most often there is the introduction of the ileum into the blind

Since 1956 we have been treating rib fractures with 5% oil solution of novocaine base. A solution of novocaine base in peach oil is available in 5 ml ampoules.

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.

The necrobiotic substrate is removed from the inflammatory focus, and a bone cavity is formed, which should be most expediently filled.

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

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.

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.

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.

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.).

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.).

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.

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