[Experience of treatment of patients with myocardial infarction without raise of ST segment on ECG of high risk of cardiocomplications by method of coronary angioplasty].

There was realized a risk-stratification in accord with elaborated evaluative hazard rating of cordial complications during effectuating of transcutaneous coronary operations (TCO) by 109 patients with myocardial infarction without increasing of ST segment on ECG (MIWIST). There were marked 2 groups: group of the 1st and the 2nd stage of risk with using of 2-component (aspirin+klopidogrel) and 3-component (aspirin+klopidogrel+blocker of glycoprotein IIb/IIIa receptors of thrombocytes) ancillary contra-thrombocyte therapy (CTT). Was concluded, that in conditions of effectuating of TCO by patients with MIWIST, relating to the 1st stage of risk of cordial complications in accord with elaborated evaluative hazard rating, 2-component CTT permits achieve 100% of clinical-angiographic effect; there was showed using of 3-component CTT among patients of the 2nd stage of risk.

[Extraperitoneal complications in gun-shot penetrating wounds of the stomach].

The article after a short literature review presents data of analyze of progression of extra-peritoneal visceral pathology by wounded persons with penetrating wound of stomach. There was described frequency of morbidity of extra-peritoneal organs in dependence on flow of peritonitis. Were marked differences in frequency of progression of peritonitis in conditions of fragment and ballistic wounds. In course of effectuated research was marked dependence between frequency of lethal outcomes and flow of peritonitis and added diseases of respiratory organs, uropoiesis, cardiovascular system. There was effectuated a comparative analysis of frequency of appearance of pathology of marked systems in dependence on localization of ballistic wound. Also there was shortly described a clinical-laboratorial presentation in conditions of appearance of diseases of extra-peritoneal organs.

[Differential diagnosis of pleural effusions].

The role of clinical and instrumental studies into the nature of pleural effusion obtained through transthoracic puncture was ascertained in 639 with pulmonary pathology. An algorithm was developed for the application of this method to differential diagnosis of different forms of pleuritis. Etiopathogenetic groups of patients with terminal differentiation of this pathology were distinguished.

[Acute coronary syndrome: modern approaches to diagnosis and treatment].

Diseases of blood circulatory system for a long time are very widespread and stay being the main course of mortality in Russian Federation. The article presents a short review of methods of treatment in conditions of instable stenocardia and myocardial infarction, principles of theirs using and results of treatment in hospitals.