[Current characteristics of advanced and rapidly progressive forms of pulmonary tuberculosis].

Tuberculosis morbidity and mortality in the Moldova Republic has deteriorated since 1991. The percentage of advanced and rapidly progressive forms of the disease rose 2-3-fold. Most of the patients are 21-50-year-old unemployed men living in poor financial and social conditions.

[Organization of medical services for patients with nonspecific diseases of the respiratory organs in the regions with predominantly rural population].

Pneumologic bed demand for adult population was established (0.6 per 1000 residents) and data are given concerning the organization of specialized pneumologic departments at the republican, urban and rural level. The expediency of establishing payment rate for pneumotologists at CRH polyclinics in regions with numerous adult population (40,000 residents and more) was shown.

[Biochemical study of the pleural fluid in exudative pleurisy].

The authors relate the data on the importance of a biochemical analysis of the pleural fluid for the differential diagnosis of pleurisy and identification of the early signs of pleural fluid suppuration. For the purposes of the differential diagnosis between transudates and exudates measurements are made of the protein content and LDH activity in the pleural fluid. The exudate protein/serum protein and exudate LDH/serum LDH ratios are computed in necessary cases.

[A method of differentiating transudate and exudate].

A diagnostic value of pleural fluid alkaline phosphatase (AP) for transudate and exudate differentiation is shown. AP below and above 0.5 mumol/(ml.

[Pathogenetic agents in the complex treatment of patients with tuberculous pleurisy].

Data on therapy of 257 patients with tuberculous pleurisy and the clinicoroentgenological outcomes at the hospitalization stage were studied. 180 of them were treated pathogenetically in addition to the use of etiotropic drugs. The pathogenetic treatment included the use of prednisolone, tuberculin, pyrogenal, phonophoresis or electrophoresis with heparin.