[Possibilities of fiber bronchoscopy in complex diagnosis and treatment of inhalation injuries of the tracheobronchial tree]. / Vozmozhnosti fibrobronkhoskopii v kompleksnoi diagnostike i lechenii ingaliatsionnoi travmy verkhnikh dykhatel'nykh putei.

The treatment of patients with burn injuries of the tracheobronchial tree is a pressing problem today, because of rather high prevalence of this injury and high mortality (90%). Clinical signs during the first 24 h do not allow evaluating the severity of the injury. Based on analysis of case histories of 24 patients, the authors sum up results of complex examinations including fibrobronchoscopy, microbiological, and histological studies. Fibrobronchoscopy precisely showed the degree and extension of airway involvement in burn injuries, while accessory microbiological and histological studies help timely predict the development of pyoseptic complications. Endoscopic methods of therapy promote a more rapid reduction of inflammation and healing of erosive ulcerative involvement of the tracheobronchial mucosa.

[Comparative efficacy of various massage techniques in the rehabilitation treatment of patients with inhalation trauma early after admission to the hospital]. / Sravnite'naia éffektivnost' razlichnych vidov massazha v vosstanovitel'nom lechenii bol'nykh s ingaliatsionnoi travmoi na rannem gospital'nom étape.

67 patients with inhalation trauma of 90 patients with acute thermal trauma and 23 healthy controls participated in the trial. External respiration function was assessed on the spirograph SPIROSIFT-3000 (Fukuda Densy, Japan). The injured patients have undergone chest vibromassage (n = 23), vibromassage of Zakhariin-Head zones (trachea-bronchi-lungs) (n = 22), manual chest massage (n = 22). Improvement of clinical and external respiration parameters was more significant in patients exposed to vibromassage of the trachea-bronchi-lungs zones.

[Lipid peroxidation and antioxidant system in inhalation injury]. / Perekisnoe okislenie lipidov i antioksidantnaia sistema pri ingaliatsionnoi travme.

Thirty-five patients (aged 45 +/- 2.0 years) with isolated inhalation injury were examined on days 1, 3, and 7 after the injury, Serum concentrations of lipid peroxidation (LPO) products (dienic conjugates, malonic dialdehyde, and degree of lipid oxidation) were increased in all terms of investigation. Studies of the antioxidant system (AOS) showed a decrease in endogenous alpha-tocopherol during all terms, while ceruloplasmin content gradually increased. LPO/AOS imbalance was the most expressed on day 7 after the injury, which indicates intensification of LPO processes in the victims. The results pathogenetically validate the use of antioxidants in combined therapy of patients with inhalation injuries. LPO/AOS imbalance should be evaluated in these patients.

[Preparation and clinical use of xenoskin]. / Zagotovka i klinicheskoe ispol'zovanie ksenokozhi.

Two methods of preparing the pig-skin at a meat-packing plant and its application as a biological bandage in the clinic of thermal injuries are described. The first method is the sterile preparing. The second one--xenotransplants are prepared without an observation of aseptics rules. The material is subject to lyophilic drying and sterilization by gamma rays. The application of xenotransplants gave good results in the treatment of 107 patients with burns.

[Diagnosis and treatment of respiratory tract burns]. / Diagnostika i lechenie ozhogov dykhatel'nykh putei.

The work gives an analysis of clinical signs in 111 patients with burns of the respiratory tract. Two complexes of curative measures are proposed according to anatomical changes found in fibrobronchoscopy. The fibrobronchoscopies are of special importance in the treatment of burns of the tracheobronchial tree.

[Experience with epidemiologic studies of pyocyaneus infections. I. Feasibility of using serotypes and antibiotic resistance as a epidemiologic label for clinical strains]. / Opyt épidemiologicheskogo izucheniia sinegnoinoi infektsii. Soobshchenie I. Vozmozhnost' ispol'zovaniia serotipov i antibiotikorezistentnosti v kachestve épidemiologicheskoi metki klinicheskikh shtammov.

The authors carried out serological typing of 98 Pseudomonas aeruginosa strains, isolated from patients of burn department of the Sklifosovsky First Aid Institute in January-July, 1974, and of 215 strains obtained from other sources; their sensitivity to 13 antibiotics was determined. Pseudomonas aeruginosa cultures isolated from the patients were typed with O-sera of 10 serological types. The presence of several hospital strains of Pseudomonas aeruginosa was found by means of serological typing; along with these there were revealed cultures of this causative agent sporadically appearing in the department. Sensitivity to some antibiotics could serve as an additional criterion for differentiation of Pseudomonas aeruginosa strains of the same serological type.