The research activities of the institutions of the RSFSR in 1966 were aimed at solving the problems posed to medical science and health care by the Program of the CPSU, the XXIII Congress of the CPSU.

The advances in vascular reconstructive surgery achieved in recent years are largely due to the development and widespread use of vascular prostheses. Thanks to the use of preserved homografts, artificial synthetic prostheses, improvement of the vascular suture and the use of anticoagulants, vascular reconstructive operations are successfully performed in a number of vascular centers.

In recent years, surgeons have increasingly begun to meet with various constrictions of the great vessels caused by atherosclerosis, obliterating endarteritis, obliterating thromboangiitis and other diseases. Special large medical institutions are not able to serve all patients with these diseases, therefore, it is of particular interest to organize their treatment in peripheral hospitals.

The treatment of patients with acute arterial obstruction (spasm, acute thrombosis, embolism) still remains one of the most difficult and unresolved problems in cardiovascular pathology. The points of view of researchers on this issue differ: some (B.P.Kushelevsky, A.V. Miklashevskaya, A.L. Myasnikov, G.V. Andrenko, E.I. Chazov, etc.) adhere to the tactics of conservative treatment, others ( 3.V. Ogloblina, 1955; G.L. Ratner, 1963; B.V. Petrovsky et al., 1965; N. Haigpoпisi, 1960; I. Cranley, 1964, and others) are deeply convinced of the advantage of surgical treatment ( thrombus or embolectomy) in combination with the use of anticoagulants, fibrinolysin, antispasmodic and ganglion blocking agents.

Determination of the degree of development and state of collateral circulation in obliterating endarteritis of the lower extremities is of great importance in choosing a method of treatment, assessing its effectiveness and in the employment of patients with chronic forms of the disease. Many authors recommend using contrast arteriography for this.

Experimental and clinical studies carried out in recent years have shown that nicotinic acid, in addition to a vasodilator effect, has a number of other valuable properties. Thus, in experimental atherosclerosis, nicotinic acid in large doses reduces cholesterol levels in animals and largely protects them from the development of aortic atheromatosis.

In the diagnosis of complications of atherosclerosis, great importance has recently been attached to the change in the level of some components of the mucopolysaccharide blood complex, by which the severity of the pathological process is judged. For the differential diagnosis of various forms of acute coronary insufficiency, the determination of the content of sialic acids and the diphenylamine reaction are widely used.

In the pathogenesis of vascular catastrophes in recent years, decisive importance is attached to the disruption of the activity of the central apparatus that regulate cerebral and coronary circulation.

The literature describes atherosclerosis of the coronary arteries without pain. Along with this, severe attacks of angina pectoris with a fatal outcome are possible in the absence of coronary atherosclerosis.

The problem of treating patients with atherosclerosis remains one of the most urgent, since the means available in the doctor's arsenal are not effective enough.

Despite the fact that ACTH and corticosteroids have been used for more than 10 years in the treatment of patients with bronchial asthma, rheumatism and infectious nonspecific polyarthritis, the study of their effect on the atherosclerotic process in the heart muscle is still in its initial stage.

It is known that pain syndrome contributes to the maintenance of the spastic state of the coronary vessels (S. M. Dionesov, 1963; A. V. Vinogradov, 1964). However, practical medicine has a limited number of means by which it can be eliminated.

Many clinicians note the effectiveness of oxygen therapy for angina pectoris and myocardial infarction [2, 3, 11, 12, 13, 15, 22, 23, 24, 26]. However, the mechanism for the therapeutic action of O2 remains unclear. Until recently, only the substitutional effect of O2 was taken into account, i.e., the replenishment of its deficiency in tissues and organs.

The incidence of thromboembolic complications in myocardial infarction, according to different authors, varies widely, from 5 to 60% [1, 2, 3, 5, 6, 7], depending on the composition of patients and the recording method (for example, thrombophlebitis and repeated heart attacks, some authors taken into account as thromboembolic complications, others are not).

50 years ago, after detailed studies by V. Kennon and his collaborators [6], it was undeniably shown that adrenaline accelerates blood coagulation in animals. Later, these data were confirmed by numerous studies.

The method of rheoencephalography (REG) is based on the study of tissue electrical resistance. Since the resistance of all tissues is constant and changes only depending on the volume of inflowing blood, the rheogram curve is a reflection of the volumetric pulse.

In 1891, Recklinghausen first described hyperparathyroid osteodystrophy under the name ostitis fibrosa cystica generalisata, considering bone changes as manifestations of the inflammatory process. In 1904, the pathologist Ashkenazi linked these changes with damage to the parathyroid glands.

In the pathogenesis of rickets, the most studied is phosphorus-calcium metabolism. Other types of mineral metabolism, in particular the exchange of electrolytes, have not been sufficiently studied. Only a small number of works have been devoted to the content of electrolytes K and Na in rickets.

The peculiarities of the course of dysentery in recent years are due to an increase in the reactivity of the macroorganism, improved methods of treatment and diagnostics, a change in the etiological structure towards an increase in the role of less toxic strains of dysentery pathogens.

Recognition of the initial periods of late toxicosis, and even more pre-toxic conditions, helps to prevent severe forms of this complication of pregnancy.

According to many authors, the Chronis operation is indicated to correct cicatricial volvulus of the eyelids and trichiasis.

According to the literature, oxytocinase activity in the blood of pregnant women increases in parallel with the development of pregnancy.

For the treatment of women with cervical erosions and chronic endocervicitis, we used deep electrocoagulation with spherical or disc (4 mm) monoactive electrodes at a current strength of 0.4-0.5 A (EN-57 apparatus).

The problem of the simultaneous study of many parameters in women of the same group, who are in the same conditions during childbirth and after the birth period, is recognized in modern world literature.

Repeated ectopic pregnancy, according to Soviet scientists, accounts for up to 10.4% of all ectopic pregnancies.

In 1949 Sternheimer and Malbin proposed a method of in vivo staining of urine elements with a water-alcohol mixture of safranin and gentian violet.

At present, a great deal of experience has been accumulated in the treatment of patients with neoplasms of the bladder. However, the inadequacy of existing treatment methods forces clinicians to seek more rational methods of treatment.

To clarify the amount of radiologically detected effusion in the maxillary sinus, one of the authors (A. Kh. Amirova) underwent three puncture of each sinus with the introduction of an increasing amount of saline (1, 2, -3, 5, 10, 15 ml). Each time, images were taken in the naso-chin projection in the vertical and horizontal positions of the subject.

Reports of vestibular and vestibular-auditory disorders of infectious origin that do not fit into the typical picture of tympanogenic or meningogenic labyrinthitis, as well as diseases of the brain and its membranes, have long begun to appear in the literature.

Isadrin (isopropylnoradrenaline, novodrin), first used in 1952 by Nathanson and Miller, proved to be especially valuable in the long-term treatment of patients with atrioventricular conduction disorders. At present, it is successfully prescribed for partial and complete atrioventricular blockade and Edems-Stokes syndrome (Zarday, 1964).

The defeat of the stomach at the same time by various benign tumors is extremely rare, in connection with which the case we observed is of interest.

Leiomyomas are known to be rare forms of bladder tumors. They are observed mainly in 40-60-year-olds.

As you know, the diagnosis of acute appendicitis during pregnancy, especially in the second half of it, is difficult.

When analyzing statistical materials in the aspect of hospital-wide mortality, B.P.Kushelevsky and E.D.Schmidt noted that thrombosis and embolism are most often observed in women.

K., 42 years old, was delivered on 7 / XII 1963 an hour after the injury. Diagnosis: open multifragile fracture of the lower third of the left femur with massive damage to soft tissues, crush and thrombosis of the popliteal artery over a considerable extent; traumatic neuritis of the left sciatic nerve with paralysis of the foot; shock II Art.

We studied the state of blood coagulability in 700 dispensary patients with hypertension and atherosclerosis on an outpatient basis. In 182 of them (in 94 with hypertension II "A" stage and in 88 with atherosclerosis in the II period of the I stage according to the classification of A. L. Myasnikov) the ECG showed signs of myocardial ischemia.

On 25 / XII 1966, a 12-year-old boy Sasha S. was admitted to the children's hospital with a diagnosis of anemia, hepatolienal syndrome. Pirquet's reaction is positive since February 1966.

Acute erythromyelosis was first described by di Guglielmo in 1917. This suffering is characterized by severe progressive anemia with a subacute course, hyperplasia and anaplasia of the red sprout of the bone marrow.

X., 8.5 months, was admitted to the hospital on 14/2 1965. The girl is restless, she has poor appetite, vomiting, constipation, fever within the last 5-6 days, a sharp emaciation.

We studied 116 children of two preschool orphanages in Leningrad at the age of 3-7 years, of whom 58 received daily 100 or 300 mg of ascorbic acid until the body was saturated.

Urachus cysts in children are relatively rare, so we decided to share our observation.

In the domestic literature from 1885 to 1958, only 295 reports of pancreatic cysts were published. This disease is especially rare in children.

In modern anesthesiology, muscle relaxants with a depolarizing effect are most widely used, the duration of the effect of which, as is known, depends on the activity of blood pseudocholinesterase.

In the mechanism of "spontaneous" ruptures of the intestine, the simultaneous uneven contraction of the abdominal wall is important, accordingly, the ratio of intra-abdominal pressure changes sharply. In the observation described below, elastic hyperextension of a part of the intestinal wall in the hernial sac occurred.

Of the surgical methods of treatment for bleeding ulcers of the stomach and duodenum, gastric resection certainly deserves preference.

K., 25 years old, delivered on 14 / II 1966 with diffuse peritonitis in a serious condition. 5 days ago, aching pains appeared in the right half of the abdomen. Outpatient treatment did not show any improvement. On the day of admission, while on the bus, K. felt a sharp pain in the abdomen, and was taken to the surgical department in an ambulance.

In 1932, Crohn, Ginsburg and Oppenheimer were the first to present extensive material on inflammatory processes in the region of the distal ileal loop.

S., 52 years old, was admitted on 27 / VI 1964 about subacute hematogenous disseminated pulmonary tuberculosis, which was discovered in January 1964.

In 200 patients with extensive granulating wounds, we determined the content of total protein, amino nitrogen and urea in the blood and the excretion of total nitrogen, urea, amino nitrogen, ammonia and ascorbic acid in the urine.

Here is the case history C. The patient is in deep narcotic sleep. The skin is pale, with a bluish tinge, cold sweat. Breathing wheezing, 9-10 min., Foam at the mouth, strong smell of chloroform from the mouth.