[Clincial aspects and treatment of exacerbated chronic respiratory insufficiency in silicosis patients]. / Klinika i lechenie na izostrenata khronichna dikhatelna nedostatuchnost pri bolni ot silikoza.

The clinical picture and treatment of exacerbated chronic respiratory insufficiency is studied in 189 silicosis patients with different stage and degree of decompensation. It is found out that chronic respiratory insufficiency determination in these patients is conditioned by the exacerbation of a chronic inflammtory process in the bronchi and lungs (68.2 per cent), or by intercurrent acute inflammtory pulmonary process (15.9 per cent). The clinical manifestation of the disease is aggravated and modified by the appearance of new clinical elements, resulting in the typical clinical picture of inflammatory decompensation of silicosis. It is stressed that the effect of treatment is greater, the milder the stage of the disease, and the earlier and less marked the decompensation-induced derangements. Lethality in patients with III degree silicosis amounts to 8,2 per cent, and in patients with III degree respiratory insufficiency -- to 30.7 per cent. A complex active therapy program for silicosis patients with exacerbated chronic respiratory insufficiency is proposed.

[X-ray morphological changes and the degree of lost work capacity in silicosis patients]. / Rentgeno-morfologichni izmeneniia i stepen na zagubena rabotosposobnost pri bolni ot silikoza.

In a series of 200 patients with silicosis an analogy is drawn between form, size, widespreading and evolution of the pneumoconiotic changes, on the one had, and working ability loss, on the other. It is established that the heavier the form of the pneumoconiotic process, the higher the degree of severity and widespreading of the roentgenmorphological changes in the lungs and the quicker the evolution, the heavier the retriction of the ability for work among the affected. The conclusion is reached that that the working ability of patients with silicosis represents a complex phenomenon resulting from numerous factors with varying in intensity effect. A new, more complex and updated method for the assessment of working ability in patients with silicosis is proposed.