Vol 338, No 4 (2017)

The current state is examined and the organizational experience of the sanitary and aviation evacuation is analyzed, as well as the equipment for carrying out the evacuation. The problematic issues of the organization of sanitary, aviation evacuation are identified, and prospective directions of its development and improvement in the Armed Forces in peacetime are outlined.

The information about the features of tumor based on analysis of the treatment of patients with kidney cancer in 1339 received. Studied the characteristics such as the stepwise distribution of patients, incidence of histological types of kidney cancer, and varying degrees of tumor differentiation, the proportion of organ and organ-resecting interventions, methods of drug treatment, adoptive immunotherapy.

In anesthetics practice exist different scales and indexes, through which the evaluation functional condition of the patient. The disadvantage of these scales and tests are subjective evaluation as a condition of the patient, who is able to re-evaluate their functionality and anaesthesiologist, co-tory may underestimate the presence of comorbidities and patient complications in the postoperative period. The method of improvement of objective assessment of the patient’s functional reserves of a cardiorespiratory exercise testing is given. The methodology of testing in 18 patients, who were later performed surgery on the abdominal organs. The definition-of anaerobic threshold was conducted using V-slope method. In all cases was reached and was 11,1 (10,1; 12) ml/kg/min. Maximum oxygen consumption was 15,7 (15,2; 18,3) ml/kg/min. The results show the possibility of using the selected duct la research to predict possible complications and post-operative period.

The data of the literature and our own research of clinical and epidemiological features of hantavirus infection in the North-West region of Russia, showing the loss of endemicity of hemorrhagic fever with renal syndrome. It is noted mostly airborne infection in young and middle-aged men, year-round nature of the disease with seasonal peaks. The clinical picture is moderately prevalent the disease with no or minimal systemic manifestation of hemorrhagic syndrome, often marked by thrombocytopenia, moderate dysfunction and kidney damage in half the time without reducing urine output. The introduction of acute kidney damage concept allows significantly improve the diagnostic efficiency and stratification of renal dysfunction severity in patients with hantavirus infection.

Presented modern data characterizing the state of somatic health and the psychological status of young men of pre-conscription and draft age. The unfavorable dynamics of the obtained indices with increasing age is shown. Their connections with the quality of life of young men are studied. Sanitary and hygienic living and living conditions of young men have been analyzed and evaluated.

Ejection attitude doesn’t allow avoiding spinal injuries. Research of experimental influence of vertical pressure load on relatively straight three spinal bone lumbar areas showed that the intervertebral cartilage core plays main traumatic role. At the beginning occurred a sag in the center of vertebral end plate, then its damage, and finally fracture in the center of spinal bone. Spinal fracture occurred relatively rare in pilots. More often spinal damages are external cracks and small sags on vertebral end plate, which are not determined by ordinary X-ray and can proceed asymptomatic. Further these damages can cause degenerative dystrophic processes in the spinal cord in the form of osteochondrosis and Schmorl’s nodules.

Were identified the features of the microcirculation in the vessels of the tongue of dogs after acute blood loss replenishment for 4,2-4,8% by weight of the animal (50-60% of blood volume) by experimental blood substitute based on modified gelatin. It was found that a single infusion of the experimental blood substitute in the ratio of the volume of blood loss: replenishment of 1:1, had improve microcirculation in the vessels of the tongue within 24 hours of observation, reaching the level of normal values, and a number of parameters - were exceeding it. This normalization of the microcirculation occurs due to physiological regulation mechanisms of tissue microperfusion. The microcirculation recovery in the tongue vessels in dogs without replenishment of acute blood loss was less pronounced, and occurred due to the stress functioning of the physiological mechanisms of the critical state compensation. The assumption was made about the effectiveness and safety of the gelatin substitutes in a complex of measures to fill the acute blood loss in severe injury or damage, including requiring antiedematous therapy.

The clinical case of tuberculosis combined with HIV infection is described. It is shown that the conduct of rational individualized treatment regimens, including antiretroviral and TB treatment, provided the patient’s adherence to treatment and timely elimination of adverse reactions, it is possible to achieve high efficiency.

The article deals with the history of the complex of buildings of the Mandryka Central Military Clinical Hospital located in Moscow’s Serebryany and Krivonikilskiy lanes. Famous historical figures, physicians and writers whose names are associated with the buildings of the hospital are listed. In 2014, the Moscow government commission decided to recognize the architectural monuments of the building of the surgical hospital and the income house of MD S.M.Rudnev and the income house of A.R.Lednitsky, currently part of the architectural ensemble of the hospital.