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Vrachebnoe delo最新文献

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[The quality standards of patient treatment in hospital departments]. [医院科室病人治疗质量标准]。
Pub Date : 1991-12-01
B G Vedenko, A P Koliadenko

Standards have been compiled on the basis of the clinical picture of the disease as well as objective, laboratory, instrumental-apparatus data. The dynamics of the patient's health were evaluated using concrete indices--normalization or reduction by 10-30% of the initial systolic pressure, absence of painful sensations, increase of range of articular movements, normalization of body temperature, blood indices, urine and oth. Treatment quality values were determined by comparison of results to the preplanned and are evaluated by a three-point rate--good, fair, poor.

标准是根据疾病的临床情况以及客观的、实验室的、仪器设备的数据编制的。使用具体指标评估患者的健康动态——初始收缩压恢复正常或降低10-30%,无疼痛感,关节活动范围增加,体温、血液指标、尿液等恢复正常。治疗质量值是通过将结果与预先计划的结果进行比较来确定的,并以三分制进行评估——好、一般、差。
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引用次数: 0
[Changes in the clinical and immunological indices of patients with disseminated sclerosis being treated with prednisolone]. [泼尼松龙治疗弥散性硬化症患者临床及免疫学指标的变化]。
Pub Date : 1991-12-01
A A Iarosh, A M Tiazhkorob, M M Prokopiv, S A Kanevskaia, I K Zhovnir

The authors examined clinically and immunologically 60 patients with multiple sclerosis. One group (30 patients) received prednisolone in the complex treatment while the second group (30 patients) received only complex treatment. A control group of 20 healthy persons was examined. Patients of the first group showed marked neurological and immunological disorders which is considered as a complication due to the empiric prednisolone doses.

作者对60例多发性硬化症患者进行了临床和免疫学检查。一组(30例)采用强的松龙综合治疗,另一组(30例)仅采用综合治疗。对照组为20名健康人。第一组患者表现出明显的神经和免疫紊乱,这被认为是由于经验泼尼松龙剂量引起的并发症。
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引用次数: 0
[The role of lipid peroxidation and the activity of energy metabolism enzymes in the pathogenesis of acute closed craniocerebral trauma]. [脂质过氧化和能量代谢酶活性在急性闭合性颅脑损伤发病机制中的作用]。
Pub Date : 1991-12-01
A E Dubenko

The state of lipid peroxidation and activity of dehydrogenases, transaminases and creatinphosphokinase was studied in rats and 94 patients with mild and average--severe head injuries. A relationship has been found between activation of peroxidation and reduction of activity of enzymes participating in energy reactions that along with activation of transamination evidences reduction of the energy charge of the body. Activation of peroxidation plays a major role in the development of posttraumatic brain edema and especially after mild head injury.

研究了94例轻、中、重度颅脑损伤大鼠和患者的脂质过氧化状态及脱氢酶、转氨酶和肌酸磷酸激酶活性。过氧化反应的激活与参与能量反应的酶活性的降低之间存在一种关系,这种关系与转氨酶的激活一起证明了身体能量电荷的减少。过氧化激活在创伤后脑水肿的发展中起着重要作用,特别是在轻度脑损伤后。
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引用次数: 0
[The significance of Helicobacter pylori in the pathogenesis of peptic ulcer]. 【幽门螺杆菌在消化性溃疡发病机制中的意义】。
Pub Date : 1991-12-01
V G Perederiĭ, Iu V Subbotin, A V Tsvetkov
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引用次数: 0
[The early rehabilitation of patients, operated on for peptic ulcer and cholelithiasis, at Mirgorod health resort]. [在Mirgorod疗养胜地,对消化性溃疡和胆石症进行手术的患者进行早期康复治疗]。
Pub Date : 1991-12-01
A D Vizir, S A Pyshkin, A I Sapa, O N Bobrova

The authors analyzed the condition of 51 patients in the early period of operation for ulcer and cholelithiasis. It was found that most patients showed asthenic, dyspeptic and pam syndromes, anemia, hypoacidic or achylous gastritis, inflammation at the operative site. As a result of treatment at the Mirgorod health resort (physiotherapy, mineral water) there occurred a significant improvement in the patients' condition. It is concluded that rehabilitation of patients following surgical intervention on the 20th day of operation for ulcer and cholelithiasis at the Mirgorod health resort has good perspectives.

对51例溃疡合并胆石症患者手术早期的情况进行了分析。结果发现,大多数患者表现为虚弱、消化不良和pam综合征、贫血、低酸或乳糜炎、手术部位炎症。由于在Mirgorod疗养地接受治疗(物理疗法、矿泉水),病人的病情有了显著改善。结论Mirgorod疗养地溃疡胆结石患者术后第20天手术干预后的康复具有良好的前景。
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引用次数: 0
[The diagnosis of stomach cancer by the morphological study data from gastric biopsies]. 【通过胃活检的形态学研究资料诊断胃癌】。
Pub Date : 1991-12-01
L A Kolesnikova, I V Vasilenko, V F Levin, V N Kotliarova
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引用次数: 0
[The diagnosis and treatment of patients with acute intermittent porphyria]. 【急性间歇性卟啉症的诊断与治疗】。
Pub Date : 1991-12-01
E A Zakhariia, Ia N Romanishin, N A Zastavnaia, I V Temnik, S A Antonenko, M V Kinakh, V V Grigorenko

Four patients with acute intermittent porphyria (AIP) were treated and followed-up. It was established that in AIP urinary pigments have specific absorption spectra in the visible light range. Clinical manifestation and the severity of the disease course correlated with the amount of excretion of copro- and uroporphyrin and their characteristic spectrum of light absorption. It is concluded that of significance in the AIP pathogenesis is the level of formation of copro- and uroporphyrin isomers which may directly effect the nervous tissue and clinical manifestations of AIP. It is recommended to use plasmapheresis in biohemosorption by means of extracorporeal donor spleen.

对4例急性间歇性卟啉症(AIP)患者进行治疗和随访。结果表明,AIP尿色素在可见光范围内具有特定的吸收光谱。临床表现和病程严重程度与共卟啉和尿卟啉的排泄量及其特征光谱吸收有关。因此,在AIP发病机制中有重要意义的是共卟啉和尿卟啉异构体的形成水平,它们可能直接影响AIP的神经组织和临床表现。建议采用体外供体脾血浆置换法进行生物血液吸收。
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引用次数: 0
[The history of the development of the surgical shop in Uzhgorod in the 16th to 19th centuries]. [16至19世纪乌日哥罗德外科商店的发展历史]。
Pub Date : 1991-12-01
E I Berezh
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引用次数: 0
[The histophotometric characteristics of the hepatocytes in acute blood loss and pulmonary artery thromboembolism (based on the data from early autopsies)]. [急性失血和肺动脉血栓栓塞时肝细胞的组织光度特征(基于早期尸检数据)]。
Pub Date : 1991-12-01
O D Mishnev, A I Shchegolev, A Iu Ragozin

A comparative morphological study of the liver in acute blood loss and massive thromboembolism of the pulmonary artery was carried on basis of early autopsies. Histoenzymatic and correlation analysis was used to study the characteristic features of the metabolism of hepatocytes in conditions of acute blood loss and massive pulmonary artery thromboembolism.

在早期尸检的基础上,对急性失血和肺动脉大块血栓栓塞的肝脏进行了比较形态学研究。采用组织酶和相关性分析研究急性失血和肺动脉血栓栓塞时肝细胞代谢的特征。
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引用次数: 0
[The use of sporulating bacteria in treating patients with dysbacteriosis]. [孢子菌在治疗菌群失调中的应用]。
Pub Date : 1991-12-01
L G Voĭchishina, V Ia Chaplinskiĭ, V A V'iunitskaia

In the treatment of patients with different forms of dysbacteriosis routine bacterial preparations (coli-, lacto-, bifidumbacterin) were supplemented by sporeforming aerobic Bacillus bacteria. It was found that efficacy of treatment in patients receiving sporeforming bacteria was 20-30% higher than traditional bacterial agents.

在治疗不同形式的菌群失调患者时,常规的细菌制剂(大肠杆菌、乳酸菌、双歧杆菌)被补充成产孢需氧杆菌。研究发现,采用孢子形成菌治疗的患者的治疗效果比传统的细菌制剂高20-30%。
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引用次数: 0
期刊
Vrachebnoe delo
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