[Importance of electroimpulse therapy for restoration of work capacity in patients with auricular fibrillation]. / Znachenie elektroimul'snoi terapii v vosstanovlenii trudosposobnosti u bol'nykh s mertsatel'noi aritmiei

Social rehabilitation was studied in 799 patients with atrial fibrillation. Before the sinus rhythm was restored 26% of the patients had been working. Among the working patients the history of atrial fibrillation was usually of a short duration (9.8 +/- 1 months, on the average), and among the nonworking patients it comprised 28.9 +/- 0.6 months. After the reestablishment of the sinus rhythm the precentage of rehabilitation grew to 40. It greatly depended on the nature of the underlying pathology, sex (among the working patients, 51.8% were men and 25.5% -- women), place of habitation (capacity for work was restored in 45.8% of urban patients, and in 32.0% of rural patients). Upon the restoration of the sinus rhythm the capacity for work increased most markedly among the patients previously subjected to surgical correction of mitral stenosis (by 26.3%), and among those with post-myocarditis cardiosclerosis (by 17.4%). Repeated counterpulsation procedures in cases of atrial fibrillation recurrences provided for a lasting maintenance of the patients' capacity for work. To prolong the rehabilitation results it is rational to recommend such jobs for the patients that would not entail important physical and emotional stress.

[Treatment of gangrene of the lower extremities in diabetics]. / Lechenie gangreny nizhnikh konechnostei u bol'nykh diabetom.

The authors believe that the main criterion for choice of the method of treatment of diabetic patients with gangrene of lower extremities is the degree of compensation of blood circulation which was estimated by temperature asymmetry of necrosis on the crus. The conclusion is made on the basis of treatment of 62 patients. The amputation at the femur level is indicated in decompensated blood circulation, amputations on the foot associated with intensive pharmacotherapy are indicated in subcompensation. Complex conservative treatment is possible in patients with a starting gangrene.

[Results of truncal vagotomy in duodenal ulcer with disorders of cardial function]. / Rezul'taty stvolovoi vagotomii pri iazve dvenadtsatiperstnoi kishki s narusheniiami funktsii kardii.

Truncal vagotomy with draining measures was fulfilled in 70 patients with complicated duodenal ulcers. In 50 of them there was an insufficient cardial constrictor (in 26 patients--of light degree, in 20--of mild degree, in 4--of severe degree). Long-term results of the treatment of the disease were good in 68 patients, two patients had recurrences. Truncal vagotomy resulted in the improvement of the functional state of the cardial constrictor.

[Treatment of lactation mastitis]. / Lechenie laktatsionnogo mastita.

Results of the hospital treatment of severe purulent mastitis in 127 women after childbirth were analyzed. The authors believe that opening of the purulent cavity and dissection of the purulent focus within the limits of intact tissues do not exclude one another. They should be performed according to corresponding indications. The intensive infusion therapy is thought to be necessary for struggle against toxemia, for correction of the acidic-alkaline state and partial parenteral feeding. Feeding from the diseased breast should be permitted under conditions of sterile milk.

[Late results of gastrectomy and truncal vagotomy in duodenal ulcer]. / Otdalennye rezu'ltaty rezektsii zheludka i stvolovoi vagotomii pri iazve dvenadtsatiperstnoi kishki.

In equal groups of patients with duodenal ulcers truncal vagotomy with draining operations were performed in 98 patients, gastric resection--in 196 patients. The observations lasted from 2 to 7 years. Immediate lethal outcomes did not take place after vagotomy. Six patients died after gastric resection (3.05%). Postoperative complications were observed in 8% and 22.7% correspondingly. In remote periods after vagotomy 75% of the patients were referred to the I and II group (by the Wisik scale), 12% of patients--to the III group, 12%--to the IV group, after gastric resection--70%, 20% and 10% correspondingly.

[Possibility of isolating higher-risk factors in the malignant transformation of solitary formations in the thyroid gland]. / O vozmozhnosti vydeleniia faktorov povyshennogo riska malignizatsii solitarnykh obrazovanii shchitovidnoi zhelezy.

Main general clinical symptoms were compared in 450 patients with different solitary formations of the thyroid gland. The authors failed to narrow the group of higher risk of malignization of the solitary formations.

[Autologous transfusion of UV-irradiated blood in the treatment of occlusive arterial diseases of the lower extremities]. / Autotransfuziia UFO-krovi v lechenii obliteriruiushchikh zabole- vanii arterii nizhnikh konechnostei.

Complex examination of 72 patients with obliterating atherosclerosis and 10 patients with obliterating endarteritis was performed. All the patients were given autotransfusion of UV-irradiated blood as conservative treatment, preoperative preparation and postoperative management. The course of AUVIB was followed by a decrease of the lactic acid level, increase of functional properties of hemoglobin, activation of humoral immunity, change of the blood hemostatic potential to the side of hypocoagulation. The AUVIB treatment was most effective in patients at initial stages and those with peripheral forms of the disease.