[Applying of the multifaceted approach to the treatment of patients with a phlegmon of hand].

Presented the experience of treatment of 189 patients with a phlegmon of hand. Conducted multifactorial analysis of the importance and influence on the outcome of disease and prognosis of each of the indicators used to determine the severity of the pathological process. Proved that individual determination of the severity and prognosis of the disease allows correcting choice of treatment methods, to evaluate the probability of complications development and to determine timing and amount of outpatient rehabilitation. Complex of clinical and laboratory methods and ray studies allowed to differentiate medical tactics depending on the location, extent and severity of the pathological process. Diferentiated approach allowed to optimize the schemes and determine indications for immunomodulators, systemic enzyme therapy, and indirect lymphotropic therapy. In 70,9% of cases good resonse to the treatment in patients'with a phlegmon of hand was obtained, in 22,7% satisfactory response to the treatment and only in 6,3% of cases response to the treatment was unsatisfactory (including deep and combined phlegmons). Obtained results allow to recommend developed treatment and diagnostic algorithm for using in clinical practice.

[Participation of base hospital in regional trauma system].

The authors demonstrated the ability effective work of base hospital in a regional trauma system as a specialized patient care clinic with polytrauma. An experience of the hospital in the treatment of combat injuries, using scales of objective assessment of the severity of injury was applied.

[Treatment of patients with purulent diseases of the hand, the typical mistakes and complications].

In a review of the literature addresses the causes, characteristics of the purulent process of the hand, the questions of treatment of purulent diseases of the hand, methods of anesthesia and rehabilitation of the patients with this pathology. The typical mistakes in the delivery of health care of this category of patients.

[1602th district military hospital--70 years].

An important role in medical care of troops (forces) of the North Caucasian military district, and most recently--the Southern Military District under martial of action and crisis situations, as well as in peacetime, performs 1602th District Military Hospital of Defense Ministry of Russia. Hospital team has achieved significant results in treatment and diagnostic work, and became a leading military medical institution in the North Caucasus and the Southern Federal District. Today the hospital is not only a medical-diagnostic, but a methodical, scientific, educational and teaching center in the county. He has good material and technical basis and equipped with modern medical equipment. The article described the historical path of the hospital and its current status.

[Peculiarities of the immune status of soldiers taken ill with extramural pneumonia during battle action].

The article deals with violations of general resistance of the organism of military men, who get extramural pneumonia during the battle action. The author analyzed the data of immune status in three groups of soldiers. Statistical analysis of materials led to the conclusion that violations of immunity in the main group depend on the circumstances and nature of military service. This fact indicates that the significant clinical and pathogenetic differences in the development, course and outcome of an extramural pneumonia against the background of chronic adaptation syndrome. Pathogenic peculiarities of patients with pneumonia against the background of the impact of extreme factors of the military conflicts are presented in a prolonged dysfunction of all parts of the immune system.

[Comparative analysis of community-acquired pneumonia severity in servicemen of organized military groups].

The results of the treatment of 2000 patients with community-acquired pneumonia are showed, 693 of 2000 patients were vaccinated with pneumococcal vaccine "Pneumo-23". Vaccinated patients, in comparison with non-vaccinated, didn't suffer from complications and sustained course of a disease. The regression of disease's symptoms and radiological resolution of pneumonia were faster. The length of hospital stay was shorter (18.1 +/- 1.7 and 22.41 +/- 1.30 days agreeably).