[Surgical infection in drug dependands: determination of severity degree and treatment-tactical characteristics].

Basing on examination of 187 opium taking patients with surgical infection, the method of identification of infection severity degree and treatment-tactical policy of delivery of specialized medical care for those patients have been developed. The probable positive result of the proposed method is 90,4%. The rest 9,6% is a true negative result or a pure error of the proposed method of dentification of infection severity degree. The usage of the developed method in every day activity of surgical hospitals provides the possibility of differential approach to reaching the treatment-tactical goals revealing the patients with light degree of surgical infection and favorable outcome, medium degree of surgical infection and relatively favorable outcome, high degree of surgical infection and relatively unfavourible outcome and extremely high degree and unfavourible outcome.

[Viral hepatitis A and B in wounded patients]. / Virusnye gepatity A i B u ranenykh.

Virus hepatitis A and B have certain characteristics traits in personnel with gunshot wounds, especially when the wounds are of medium and high degrees of severity. Virus hepatitis A in the injured men is distinguished by shortened initial period, predominantly of dyspeptic or mixed type, as well as by grave and complicated course sometimes ending with lethal outcome. Virus hepatitis B in the injured men is characterized by the absence of pre-icteric period or weakness of its manifestations in many cases, by the prevalence of mild forms of the disease, as well as by increased tendency to development of chronic forms. During virus hepatitis A and B the traumatic disease often acquires grave and complicated course. In wounded personnel with hepatitis A the complications develop mainly on the background of medium or high degrees of severity of infection, whereas, during hepatitis B they develop predominantly on the background of mild forms of infection.

[The clinical characteristics of combat injuries against a background of infections]. / Osobennosti kliniki boevykh povrezhdenii na fone infektsii.

In 1985-1987 in Afghanistan 75 wounded, who at the same time had infectious diseases (benign tertian malaria, viral hepatitis, typhoid, dysentery, amebiasis), and 51 patients with gunshot wounds of soft tissues had a checkup and treatment. The control group was consisted of 54 sound volunteers. All the patients, 18-30 years old, male sex, were examined for the dynamics of general and special features of the wound process, hemogram and index of reactivity (Rotter-Kavetsky test). It was found out that in the indicated conditions the process of healing of tissue was worsening considerably because of the infection, off syndrome of the reciprocal aggravation arose. The qualitative initial surgical treatment of wounds, influence upon the reactivity of the organism, opportune diagnosis and treatment of the infectious diseases promote the shortening and improve the outcome of illness.