[Pre- and postoperative treatment of trophic ulcers in a controlled germ-free environment]. / Pred- i posleoperatsionnoe lechenie troficheskikh iazv v usloviiakh upravliaemoi abakterial'noi sredy.

Pre- and postoperative treatment was conducted in 140 patients with trophic ulcers in a controlled abacterial medium in the period from 1985 to 1988. The etiological factor of the development of the trophic ulcer was primary varicosity in 86 (61.4%) and the post-thrombophlebitic syndrome in 54 (38.5%) patients. Venous hemodynamics improved both on the healthy and on the affected extremity. Besides, there was a tendency towards a decrease of the blood proteolytic activity near the focus of affection and an increase of that in the peripheral blood.

[Diagnostic value of studying the indicators of blood lipid composition and the status of intravascular microcirculation in patients with diabetes mellitus associated with ischemic heart disease]. / Diagnosticheskaia zhachimost' issledovaniia pokazatelei lipidnogo sostava krovi i sostoianiia vnutrisosudistoi mikrotsirkuliastii u bol'nykh sakharnym diabetom v sochetanii s ischemicheskoi bolezn'iu serdtsa.

A comprehensive study of blood lipid composition and microcirculatory indices was performed in 88 patients with diabetes mellitus (DM) combined with coronary heart disease (CHD). A "syndrome" of mutual aggravation was shown to develop in the combination of DM and CHD. As a result of it the above indices were changed depending on clinical signs of each of the two diseases. Lipid metabolic and microcirculatory derangements depended mostly on a degree of compensation of carbohydrate metabolism. a DM type, the presence of diabetic angiopathies and CHD gravity.