[Diagnosis and treatment of acute intestinal obstruction due to gall-stone].

Results of treatment of 43 patients with acute intestinal obstruction due to gall-stones are analyzed. Forty patients were operated, 3 patients were not because of extremely severe state. Enterolythotomy was performed in 27 cases, incision of intestinal wall was carried out directly above the stones (14 cases, group 1), above or below it (13 cases, group 2). Insufficiency of enteral suture was seen in 4 patients of group 1 that required repeated surgery. Lethality in group 1 was 21.4%, in group 2-7.1%. Intestinal resection was performed in 12 patients of group 3, there were no cases of suture insufficiency, and lethality was 8.3%. It is concluded that enterotomy should be performed above or below strangulated stone. Intestinal resection should be performed when concrement is immovable or in cases of intestinal necrosis.

[Surgical strategy in oncologic diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice]. / Khirurgicheskaia taktika pri onkologicheskikh zabolevaniiakh organov pankreatobiliarnoi zony, oslozhnennykh mekhanicheskoi zheltukhoi.

In patients operated upon for oncological diseases of organs of the pancreatobiliary zone complicated by mechanical jaundice the lethality was decreased in a group of patients with purulent cholangitis and high biliary hypertension by means of using a two-stage method of operative treatment, use of the dosaged decompression of the bile ducts with a gradually increased diameter of the drain from 4 to 7-8 mm being most effective. A good effect of the application of complex antibacterial therapy was also noted when using a direct endolymphatic administration and intracholedochal perfusion of antibiotics. It allowed twice as quick to arrest the inflammatory process in the bile ducts, to normalize the biochemical indices of blood, and to prepare the patient for the main stage of operation.

[Diagnosis and treatment of gastrointestinal hemorrhage]. / Diagnostika i lechenie zheludochno-kishechnykh krovotechenii.

The article analyses the results of treatment of 4,430 patients with gastrointestinal bleeding in the last four decades. Two periods, from 1950 to 1969 and from 1970 to 1990, are compared from the standpoint of change of the disease structure, the methods of diagnosis and hemostasis. The number of hemorrhages of ulcer genesis reduced from 80 to 40.3%. Changes in the pattern of the disease is associated with improved diagnostic methods and recognition of pathological processes which were previously inaccessible to radiological examination, such as the Mallory-Weiss syndrome, acute ulcerations of the mucosa. The age composition remains relatively stable. Just like in the previous years, each third patient is over 6.0 years of age. Despite introduction of new methods of treatment, such as endoscopic arrest of bleeding, enteral feeding, a new method for management of penetrating ulcers and others, the mortality rate reduced only from 4.5% (1950-1969) to 3.4% (1970-1990). It is noted, however, that fatal outcomes in the last years prevail among patients aged 65-70 or older.

[Effect of atmospheric pollution on morbidity among the children of preschool age]. / Vliianie atmosfernykh zagriaznenii na zabolevaemost' detei doshkol'nogo vozrasta.

The studies carried out have shown, that long duration of living (not less than 3 years) in the district with a significant degree of ambient air pollution plays a role in the increase of morbidity of children. Actual level of pollution of ambient air in an industrial city corresponded to high and very high degree of pollution (integral index P for the annual period of averaging during the 5 years varied from 7.7 to 32.8), which played a role in the increase of the theoretically possible level of total morbidity of children with the allowable degree of complex atmospheric pollution (P = 3) 2 times fold and caused significant economic damage to the people's economy.

[Experimental bases of endoscopic correction of the secretory function of the stomach]. / Eksperimental'noe obosnovanie éndoskopicheskoi korrektsii sekretornoi funktsii zheludka.

The article gives experimental data proving the usage of the method of bloodless reduction of gastric secretion through endoscope in case of peptic ulcer. Pricking around the secretory zones of the stomach with hypertonic glucose solution conducted on 35 mongrel dogs led to a stable reduction of acid producing function of the stomach. Morphological changes of the stomach mucous membrane were mainly expressed in the atrophy of glands. The analysis of the test results gives opportunity to recommend the clinical introduction of the method in complex treatment of peptic ulcer.

[Antimony accumulation in agricultural food crops]. / Nakoplenie sur'my v sel'skokhoziaistvennykh prodovol'stvennykh kul'turakh.

A study was made of the antimony content in some farm products of plant and animal origin in the zones of wastes of antimony factories and those having nothing to do with antimony processing. The content of antimony was discovered to be elevated in all foods obtained in the zone where antimony factories are located, especially in vegetables with ground fruit. A high antimony content was detected in milk. The content of antimony in a "standard" diet calculated on the basis of maximally allowable concentrations of the metal in foods and in analogous diets containing products of plant and animal origin grown in the Fergana and Chuisk valleys was 0.405, 8.585 and 1.702, respectively. The high proportion of vegetables and fruit in the local diets makes them, apart from milk and dairy products, the main sources of antimony supply to the human body.

[Nosologic position of confabulatory-paraphrenic psychoses of old age]. / K voprosu o nozologicheskom meste konfabuliatorno-parafrennykh psikhozov pozdnego vozrasta.

Three groups of elderly patients were studied. The state of these patients was characterized by confabulatory-paraphrenic delusion which developed for the first in senility. The nozological character of the first two groups of patients did not cause any doubt about their close connection with senile dementia. The third group of patients varied only by the presence of the confabulatory-paraphrenic delusion without any signs of endogenous or senile-atrophic processes. The comparative study of the psychopathological traits of confabulatory-paraphrenic delusion in all patients showed that in all three groups there was a similarity of this symptomatology. Besides, the type of personality traits and hereditary loading in all three groups of patients appeared to be similar. It is suggested that nosologically studied group of psychoses in old age developing only with confabulatory-paraphrenic delusion without endogenous or organic dementia first appearing in seniscence should be referred to be senile dementia.