[Radiation and endoscopic diagnosis of pneumonia]. / Luchevaia i éndoskopicheskaia diagnostika pnevmonii.

The authors analyze the results of different types of radiation and endoscopic studies of 151 patients with pneumonia with an established etiological agent. There is a correlation of X-ray semiotics and endoscopic changes with the clinical manifestation and causative agent of the disease. When the studies are combined, emphasis is laid on the role of endoscopy in verifying the diagnosis, in specifying an etiological agent, and in implementing therapeutical measures to prevent complications. An algorithm of radiation imaging techniques is proposed to examine patients with pneumonia and of their purpose-oriented use according to the task set.

[Serotonin level in endocrine cells in bronchial mucosa and stomach in chronic obstructive lung diseases]. / Soderzhanie serotonina v éndokrinnykh kletkakh slizistoi obolochki bronkhov i zheludka pri khronicheskikh obstruktivnykh zabolevaniiakh legkikh.

85 patients aged 26-60 years with pulmonary chronic obstructive diseases (PCOD) and gastric and duodenal erosive-ulcerous lesions were investigated. In PCOD the increased bioamines level in endocrine cells of bronchial ciliated epithelium and gastric glandular epithelium was detected before the treatment. The complex treatment in the form of bronchoscopy with lymphotropic administration of antibiotic and immunomodulator against the background of intragastral ozonotherapy contributes to the decrease in tissue edema, restoration of their trophicity and inflammatory process resolution. Against the background of therapy the serotonin content in endocrine cells of bronchial ciliated epithelium and gastric mucosa decreased to the norm.

[The comprehensive diagnosis and treatment of patients with bronchitis deformans]. / Kompleksnaia diagnostika i lechenie bol'nykh deformiruiushchim bronkhitom.

A total of 1067 patients aged from 15 to 82 years who suffered from deforming bronchitis were examined. All the patients underwent X-ray examination, forced external respiration test, bronchofibroscopy with biopsy and radionuclide study of the lungs whose results were the basis for establishing a diagnosis of deforming bronchitis with an accuracy of 99.8%. Therapeutical bronchoscopies made in patients with deforming bronchitis were an effective therapeutical tool in 96.9-98.1% of cases.

[Differential diagnosis of deforming bronchitis and the peribronchial form of central lung cancer]. / Differentsial'naia diagnostika deformiruiushchego bronkhita i peribronkhial'noi formy tsentral'nogo raka legkogo.

Bronchofibroscopy was performed in 4736 patients in the Moscow Endoscopic Center (S. P. Botkin Hospital) over the period of September 1984-December 1987. Central lung cancer was diagnosed in 139, of them peribronchial tumor growth was determined in 15. Deforming bronchitis was diagnosed in 283 patients, 23 of them were admitted to hospital with the diagnosis of central lung cancer. Differential diagnosis of peribronchial central lung cancer and deforming bronchitis is based on findings of a combined study including roentgenography, tomography, bronchofibroscopy with biopsy for subsequent cytological and histological investigation.

[Differential diagnosis of central bronchial cancer and tuberculosis of the lungs]. / O differentsial'noi diagnostike tsentral'nogo raka i tuberkuloza legkikh.

Although the X-ray pattern of central cancer of upper lobular bronchus is sometimes very similar to that of tuberculosis of the lungs, a correct diagnosis can be established at a relatively early stage, if specific differences in the patterns are interpreted adequately with a due consideration of peculiarities of the clinical picture. Segment localization is of no practical value in differential diagnosis between cancer and tuberculosis of the lung. This purpose can be effectively served by bronchoscopy. A single bronchoscopy may verify diagnosis in as many as 77% of cases. Since carcinoma of upper lobular bronchus has a tendency to peribronchial growth, the results of a single bronchoscopy are inclusive in 23% and double bronchoscopy--in 10% of cases.