[Immune male infertility: correction with efferent therapy].

Effects of plasmapheresis and hemosorption on efficacy of the treatment of autoimmune male infertility (AMI) were studied in 289 AMI males with oligoasthenozoospermia aged 19 to 37 years. The males were divided into three groups by the levels of antisperm antibodies (ASAB) in the blood and ejaculate. The study was made of cellular and humoral immunity, intensity of protein and lipid free radical oxidation and antioxidant defense.

[Assessment of anesthesia adequacy with spectral analysis of the heart sinus rhythm].

The information density of spectral analysis of the variability of sinus rhythm to be used in diagnosing the neurovegetative activity in operation trauma was studied in 32 patients in the course of anesthesia and operation. It is suggested on the basis of the found the method can in monitoring the anesthesia adequacy.

[Assessment of adequacy of analgesia with spectral analysis of sinus rhythm variability in the maintenance of anesthesia].

A spectral analysis of the sinus rhythm (5-minute groups of cardiointervals) was made in 32 patients during anesthesia by the method of a fast Fourier transform with the estimation of the spectral density in 3 conventional ranges (HF, LF, VLF). Its indices were shown to depend on the stages of anesthesiological maintenance and operative intervention.

[Solcoseryl in intensive therapy in severe craniocerebral trauma].

The state of processes of lipid peroxidation and antioxidant defense was studied in patients with severe isolated craniocerebral closed injury. It was found that starting from the first days in the hospital the patients demonstrated marked alterations in the thiol-disulfide and ascorbate metabolism, activation of lipid peroxidation processes and lower antioxidant defense. The use of Solcoseryl as a component of the antioxidant therapy in treatment of the above mentioned category of patients resulted in considerably better indices of the thiol-disulfide metabolism.

[Erythrocyte membrane permeability and the sorption capacity of erythrocytes--optimal criteria of the severity of endogenous intoxication].

Sorption capacity of erythrocytes (SCE) and erythrocyte membrane permeability (EMP) have been determined along with a number of other biochemical parameters to assess the degree of intoxication in 265 critically ill patients. EMP was determined by a modified technique of V. N.

[Detoxification in the combined intensive therapy of patients with multiple organ failure].

Studies of the influence of the UV irradiation of autologous blood (UVIAB) and hemosorption (HS) upon changes of indices of endogenous intoxication in patients with the syndrome of polyorganic insufficiency (SPOI) have shown that the isolated (without HS) UVIAB reduces toxemia and prevents the development of SPOI in patients without pronounced alterations of microcirculation. Using the UV irradiation of autoblood in patients with clinically marked alterations of the peripheral blood circulation increases toxemia at the expense of release of toxic products from the "disclosed" system of microcirculation. HS with the simultaneous taking the blood from the subclavian vein and abdominal aorta with using "Actilen" and return of the mixed blood into the peripheral artery interrupts and relieves the course of SPOI.

[Ultraviolet irradiation of the blood and hemosorption in the complex therapy of acute pancreatitis].

Pancreonecrosis and hemorrhagic form of the acute pancreatitis was treated in 76 patients by "traditional" methods which were added by UV irradiation of autoblood (in 12 patients), hemosorption (in 17 patients), UV irradiation of blood followed by hemosorption within 15-20 min (in 46 patients). Positive changes of some homeostasis parameters after hemosorption following UVI of autoblood allow to consider their successive use in intensive therapy of patients with acute pancreatitis to be a perspective method.

[Ketalar anesthesia in the first-aid stage with the victims of severe injury and traumatic shock].

The article presents the first experience with the use of steroid anesthetic drug Ketalar in patients with severe mechanical trauma and traumatic shock at the prehospital stage. The technique employed and its influence upon some indices of the patient's state are described. The positive effect of Ketalar upon hemodynamics of patients with a critical trauma is noted.

[Choice of anesthesia in operations on the spine and spinal cord].

It was found that in patients with spinal and cerebrospinal lesions considerable circulatory disorders occur that are depended on the character of the disease and related homeostasis disturbances. As evidenced by the authors' findings the main causes of circulatory disturbances may be as follows: altered innervation below the focus of cerebrospinal lesion, the development of insufficiency of the myocardiac contractility, a changed general vascular resistance, a decrease of total circulatory volume.