[Spa treatment of postcholecystectomy syndrome].

In 40% cases pain and dyspepsia do not disappear after cholecystectomy made by laparotomic or laparoscopic method. The aim of the study was to introduce a new method of ultrasonic diagnosis of biliary excretion and to formulate principles of postcholecystectomy syndrome treatment depending on the dyskinesia form. The new method diagnosed 6 variants of biliary excretion: normal (7.

[Pathogenesis and intensive care of infants with toxic-dystrophic syndrome].

Eighty-two children with the toxic dystrophic syndrome coursing in the presence of acute enteric infection were examined. A number of pathogenetically significant disorders were revealed: salt-deficient exsicosis, exsication, hypopotassemia, anemia, hypoproteinemia, stable metabolic acidosis, protein and energy insufficiency. Among the causes of protein and energy insufficiency associated with progressive weight loss the principal were impaired cavitary digestion, decrease of the absorption capacity of the intestine for proteins, fats, and carbohydrates, and long inadequate nutrition because of protracted diarrhea.

[The enterotoxigenic activity of Campylobacter isolates taken in acute intestinal infections in children and its clinical assessment].

The screening of Campylobacter clinical isolates in ELISA with the use of nitrocellulose filters as solid phase has revealed the possibility of the detection of enterotoxins. The capacity for producing thermolabile enterotoxin has been found in 75.9%, Shiga-like enterotoxin in 56.

[Current strategy and tactics of etiotropic therapy of acute intestinal infections in children].

Efficacy of various types of etiotropic therapy in 1646 children with acute intestinal infections (AIIs) treated in the Infectious Department in 1977-1989 was analyzed by comparison with the data on drug resistance of the pathogens. It was shown advisable to apply etiotropic therapy only to patients with AIIs of invasive genesis with a differential approach to the drug choice and an account of the disease severity and phase, patient age, properties of the drugs and pathogens. Follow-up of the pathogen drug resistance by quarterly reports on antibiotic resistance of the circulating pathogens was found expedient.

[Clinical features of campylobacteriosis in children].

Campylobacters were found in 158 (6.7%) of 2,346 patients who were followed up for some years. The disease was more common among patients aged 1 to 3 years, particularly during summer.

Laboratory criteria in the diagnostics of intestinal infections of staphylococcal etiology in children.

Faecal samples were investigated from 948 children hospitalized with the diagnose of acute intestinal infection. The authors studied the isolation and properties of a broad spectrum of microorganisms from children's faeces: Salmonella, Shigella, E. coli, S.

[Etiologic structure of viral hepatitis in children based on data from an comprehensive serologic study of hospitalized patients].

During a year an overall serological examination of 1,200 children hospitalized with the diagnosis of viral hepatitis was carried out with a view to establish the presence of hepatitis A and hepatitis B markers (anti-HAV IgM, HBsAg, anti-HBs, anti-HBc and anti-HBe IgM) by means of the enzyme immunoassay and radioimmunoassay. The average annual proportion of cases of hepatitis A (61.4%), hepatitis B (20.

[The level of fecal excretion of free amino acids and lipids in children with acute intestinal infections].

The level of excretion of free amino acids and lipids in the stool was determined in children of young age with a severe course of acute intestinal infections (dysentery, salmonellosis, acute gastroenteritis and gastroenterocolitis of unknown etiology). The study has shown that excretion of free amino acids in the stool at the height of the disease considerably exceeds that in healthy children. Normalization of these disorders during convalescence is much behind clinical convalescence.

[Immunological reactivity of children vaccinated with a live measles vaccine].

Immunologic responsiveness in measles vaccinal and infectious processes was studied by the neutrophil alteration test in 72 children varying in ages from 18 months to 4 years of whom 20 were in the acute period of measles infection and 52 vaccinated with live measles vaccine from the L-16 strain. The study showed that both in the infectious disease and vaccinal process cell-mediated immunologic responses and changes in the specific humoral immunity are dissimilar. In measles disease they are manifested earlier and more marked than in the vaccinal process where even 30 days post-vaccination cell-mediated responses are not as manifest and frequent as in convalescents despite nearly similar levels of humoral immunity.