[Hemostasis in influenza and acute respiratory viral infections in the middle-aged and elderly]. / Sostoianie gemostaza pri grippe i ostrykh respiratornykh virusnykh infektsiiakh v pozhilom i starcheskom vozraste.

Hemostasis was examined over time in 168 patients with influenza and ARVI. There were 53 elderly patients, 54 senile patients and 4 long-livers. 57 patients under 60 years made up a reference group. The patients with influenza did not differ significantly from those with ARVI as regards hemostasis. The elderly persons manifested pronounced acceleration of phases I-II blood coagulation. In the acute disease period, the old men demonstrated high platelet aggregation, whereas during convalescence, activation of the plasmic component of hemostasis in the presence of relatively low antithrombin III. Analysis was also made of the age-associated changes in hemostasis depending on influenza and ARVI complications (pneumonia, exacerbation of coronary disease, bronchitis). The changes revealed dictate the necessity of hemostasis control in elderly and senile persons afflicted with influenza and ARVI.

[Hemostatic changes in various clinical courses of influenza]. / Izmeneniia gemostaza pri razlichnom klinicheskom techenii grippa.

Data are given on the changes in the hemostatic system in 42 patients with uncomplicated influenza and in complications (pneumonia, bronchitis, aggravation of ischemic heart disease). In the acute period of the disease they were characterized by hypercoagulation which was most pronounced in patients with influenza complicated by pneumonia. In cases of aggravation of ischemic heart disease functional platelet activity during convalescence decreases but the plasma link of hemostasis remains activated and fibrinolytic blood activity inhibited. Functional platelet activity in dynamics of the disease increases which should be taken into consideration in pathogenetic therapy.

[Pathogenesis and surgical tactics in the extrahepatic form of portal hypertension in children]. / Patogenez i khirurgicheskaia taktika pri vnepechenochnoi forme portal'noi gipertenzii u detei.

The correlation analysis of different parameters of the oxygen regimen of the liver, its blood circulation and angioarchitectonics were used in 44 patients in order to reveal different ways of the compensation of blood flow depending on the form of blockade (in thrombosis of the portal vein--at the expense of the hepatic artery, in its malformation--at the expense of the formation of porto-portal collaterals). The operation of choice is thought to be gastrotomy with ligation of varicose veins of the stomach and esophagus from the side of mucosa. It was used in 110 patients and in 88% of the cases recurrent bleedings were prevented for the period up to 15-20 years.