[Rate of establishment of a mistaken diagnosis in conduction of conservative therapy without histological verification in a syndrome of intrathoracic lymphadenopathy].

Results of examination of 98 patients, suffering syndrome of intrathoracic lymphadenopathy of various etiology in 2003-2012 yrs period, were analyzed. The rate of a mistaken diagnosis establishment while conducting conservative therapy without histological verification, was studied up. The disagreement rate between clinical and histological diagnosis in syndrome of intrathoracic lymphadenopathy have had constituted (64.3 ± 4.8)% at average. The patients distribution in accordance to their gender, age and previously conducted treatment-diagnostic work, were analyzed.

[State of dental health of the population according to social status and satisfaction with medical care].

In the article is conducted assessment of the dental health of adults of Zaporozhye on the basis of epidemiological investigation. It is established that despite of the diversity of all diseases that were revealed during examination, adult population seeks dental help in the event of acute pain. It is shown, that there is dependence of level negotiability for dental help from social status, education and income.

[Clinical estimation of the central vein catheterization in phthysiosurgical patients].

The issue of actuality of the central veins catheterization application was studied in phthysiosurgical patients. The author's view, concerning indications and choosing of the central vein catheterization side, was presented. The data, concerning frequency of the certain veins catheterization, were adduced. General succeeding in performing central veins catheterization have had constituted 96%. While having complications rate of 11.8%, this included mechanical--8.2%, thrombotic--2.3%, infective--1.3%. There was substantiated one of the most optimal and secure procedure among central accesses--the internal jugular vein catheterization.

[Possibilities of surgical treatment of patients with HIV/AIDS in conditions of phthysiosurgical hospital].

The results of surgical treatment of 158 patients in phthysiosurgical stationary, in whom HIV/AIDS was diagnosed, were presented. In the main group 103 (65.2%) patients were included, who were operated for tuberculosis of various localization. In 70 (44.3%) patients, suffering HIV/AIDS, videoscopy with pleural biopsy was performed, and in 50 (31.6%)--biopsy of lymphatic nodes for lymphadenopathy of occult genesis. The rate of postoperative complications was 4.4%. A priority of performance of videoscopic interventions in the patients, suffering HIV/AIDS, was substantiated.

[Pulmonary arteriovenous fistulas].

Arteriovenous fistulas (AVF)--a rare inborn disease of respiratory system. During 32 yrs 19 observations of pulmonary AVF were made. There were 13 (68.4%) men and 6 (31.6%) women. The patients' age was 25 yrs at average. In 4 (21.1%) patients there was Rendu-Weber-Osler disease diagnosed. Characteristic complaints were acrocyanosis, dyspnea while on loading, rapid fatigue. In accordance to laboratory investigation performed, polycytemia and hypoxemia were revealed. All the patients were operated on, most frequent operation was lobectomy--in 14 (73.6%). Multiple AVF were revealed in 4 (21.1%) patients. The postoperative period course was without complications in 15 (78.9%) patients. One patient (5.3%) died, aged 24 yrs old, suffering bilateral AVF, in 24 days after right-sided lower lobectomy from the bleeding, occurring in contralateral lung and asphyxia.

[Experience of application of pulmonectomy and pleuropulmonectomy for multiresistant destructive pulmonary tuberculosis].

The results of performance of pulmonectomy and pleuropulmonectomy in 89 patients, suffering multiresistant destructive pulmonary tuberculosis, were analyzed. Intraoperational methods of the bronchial stump buttressing using polymeric material and pericardial fat tissue on vascular pedicle, the methods of postoperative complications prophylaxis, the postoperative course peculiarities were elaborated and studied. General efficacy of operation while application of the methods proposed have had constituted 86.5% in the terms of observation up to 6 yrs.

[Methods of general anesthesia in videothoracoscopic operative interventions: priorities and possibilities].

Peculiarities of endobronchial intubation and guaranteeing the monopulmonary ventilation parameters in videothoracoscopic interventions were studied up. Various methods of pulmonary collapse achievement were adduced. There were suggested the main principles of medicinal anesthesiological support as well as the perspectives for conditions improving for surgical comfort and the anesthesia optimization.

[Bilateral pleural exudate].

Results of examination and treatment of 62 patients, suffering bilateral pleural exudate (BPE), in part, peculiarities of differential diagnostic criteria in groups in accordance with etiological factor and in comparison with those in patients, suffering one-sided pleural exudate, were analyzed. The patients, suffering BPE of various etiology, are distributed in accordance to gender factor, age, the treatment and diagnosis measures, the disease symptoms severity, visual signs of parietal pleura changes.

[Long-term results of treatment of chronic B-cell lymphoid leukocytes in persons who participated in the elimination of the effects of the nuclear accident at the Chernobyl nuclear station]. / Rezul'taty likuvannia khronichnoho B-klitynnoho limfoleikozu v uchasnykiv likvidatsiï naslidkiv avariï na ChAES u viddalenomu periodi.

Clinical-and-hematological characteristics are presented of B-cell chronic lymphoid leukosis in those persons who took part in the elimination of the effects of the Chornobyl accident in the remote period. Results are highlighted of treatment of 16 patients with making use of different chemical drug preparations. Employment of fludarabin and cyclophosphan combined in treatment of the medical condition in question has been shown to promote long-term complete and partial remissions in a major proportion of patients, which effect was not achievable with standard means of remediation. A side effect of fludarabin was leukocytopenia that in the presence of changed immunity threatened the patients with development and exacerbation of infections complications. Use of manax and erbisol moderated the immunosuppressive and toxic action of fludarabin, due to which fact infectious complications and drug-induced hepatitis have came to be less common, the patients' quality of life gotten better.

[Platelet membrane Ca(2+) and Na(+), K(+)-ATPase activity and aggregation in myelodysplastic syndrome]. / Ca(2+) ta Na(+), K(+)-ATP-azna aktyvnist' membran trombotsytiv i ïkhnia agregatsiia za miielodysplastychnoho syndromu.

Platelet aggregation was decreased under action of ADP and collagen in patients with myelodysplastic syndrome. The decrease in aggregation started from 3-rd minutes and decreased in 4 and 5 minutes after action of ADP. The study of Ca(2+)-ATPase and Na+, K(+)-ATPase membrane activities showed the decrease in Ca(2+)-ATPase and increase in Na+, K(+)-ATPase activity in the patients with myelodysplastic syndrome.

[The clinical course and histological characteristics of medullary hematopoiesis in acute leukemia in those who worked in the cleanup of the aftermath of the accident at the Chernobyl Atomic Electric Power Station]. / Klinichnyi perebih ta histolohichni osoblyvosti kistkovomozkovoho krovotvorennia pry hostromu leikozi u likvidatoriv naslidkiv avariï na ChAES.

The course is analyzed of myeloblastic leukemia in twelve participants in the elimination of the aftermath of the Chernobyl Atomic Power Plant breakdown. The iliac trepanobiopsies bone-marrow hemopoiesis is studied. A gross depression of normal hemopoiesis has been revealed together with a fibrous transformation of the bone marrow, which fact suggests a profound damage to the hemopoietic micro-surroundings, being a cause of ineffective hemopoiesis, of grave course of the illness, and of failure to respond to cytostatic therapy.