[Acute pancreatitis in children].

The article shows the results of treatment of 66 children, aged from 5 months to 14 years, with acute pancreatitis (AP), 17 of them had the destructive form of the disease. The causes of AP development in children are analysed and the criteria of its diagnosis are determined. Particular attention is focused on the methods of the diagnosis of destructive forms, ultrasonic examination of the abdominal cavity and laparoscopy among others.

[Treatment of generalized forms of suppurative peritonitis in children].

The article deals with the experience in the treatment of 220 children with generalized forms of purulent peritonitis of various origin (appendicular, posttraumatic, consequence of destructive pancreatitis and other inflammatory processes in the abdominal cavity). A scheme of therapeutic measures which were applied for the control of infection and endotoxicosis is given. They include homeostasis by means of extracorporeal detoxification, differentiated immunocorrection, quantum therapy, and other modern methods of treatment.

[Treatment of generalized purulent appendicular peritonitis in children].

Experience in the treatment of 137 children with a most severe and complicated course of generalized purulent peritonitis of appendicular genesis is generalized. It is shown that such patients must be concentrated in centers of pediatric surgery providing the possibility of applying a complex of diagnostic examinations and therapeutic measures, including purposeful antibiotic therapy, differentiated immunocorrection, and effective detoxification. The detoxification and immunocorrection effect of discrete plasmapheresis with two-stage "washing out" of the red cells is illustrated in the discussion of 22 cases.

[Helium-neon laser irradiation in combined treatment of children with suppurative diseases of the lungs and pleura].

The article discusses the results of treatment of acute ischemia of the pleura in 60 children with the use of intracavitary laser therapy. The empyema cavity was irradiated through a quartz flexible monocrystal light guide. The authors studied the effect of helium-neon laser beam on the empyema microflora, the condition of immunity, and the specific features of the clinical course of acute empyema of the pleura.

[Dynamics of immunologic indicators in children with severe forms of suppurative-septic diseases after the exchange-substitute plasmapheresis].

Time course of the immunity system parameters was followed in children suffering from grave endotoxicosis forms treated by discrete plasmapheresis (DPA) as the emergency therapeutic measure. T, T-active, B lymphocytes, O cells, immunoglobulins A, G, M were analyzed, as were the counts of phagocytizing leukocytes and circulating immune complexes. The infectious process was found to lead to a temporary relative secondary immunodeficiency.

[Plasmapheresis in severe forms of suppurative-septic diseases in children].

Under analysis is the first experience with the application of discrete plasmapheresis in 44 children aged from 6 months to 14 years for detoxication of severe forms of pyo-septic diseases. The method of discrete plasmapheresis is described. The method was shown to have a favourable influence upon hemodynamics and some parameters of the cell and humoral immunity.