[Standard and new regimens of anticoagulation for pulmonary thromboembolism].

The article discusses various options of anticoagulant therapy for pulmonary thromboembolism and the main criteria of medication choice including the use of unfractionated heparin, low-molecular-weight heparins, and rivaroxaban. The data presented are based on the own experience and results of international clinical trials.

[Treatment of early stages destructive pancreatitis].

The algorithm of the acute destructive pancreatitis' treatment is based on the analysis of 167 patients data. It includes medical activities on patient's admission, basic medication components and indications to the operative treatment. The application of the algorithm ensured satisfactory results of the treatment in 94% of patients with the destructive pancreatitis on early stages.

[Impact of a pneumonia prevention protocol on the results of treatment in patients in the acute period of stroke].

To evaluate the efficiency of introducing a local protocol for preventing pneumonia in the acute period of stroke, the authors analyzed the results of treating 52 intensive care unit patients who had a higher than 75% pneumonia risk. These patients were divided into 2 groups: a control group (before introduction of the protocol) (n = 25) and a study group (after introduction of the protocol (n = 27). A retrospective analysis showed a significant reduction in the total incidence of pneumonia (56 and 18.

[Endothelial dysfunction in pathogenesis of venous transformation].

The article deals with the findings obtained by present-day studies in pathophysiology of venous outflow disorders. The authors highlight a considerable role of the endothelium of the vascular wall resulting from its lesion with metabolic products of activated leukocytes in the development of varicose transformation. Also studied was the dynamics of the endothelial dysfunction marker, i.

[Diagnosis and correction of pathological changes of the tracheobronchial tree during lung surgery].

In 32% of patients operated on the lungs various changes in the tracheobronchial tree develop as early as during the surgical intervention. They are of determining significance in pathogenesis of postoperative disorders in the external breathing function. Bronchoscopy is the most effective method of diagnosis and of timely correction of these disorders during operation on the lungs.

[General biological characteristics of the etiology of postoperative complications in patients with surgical diseases of the lungs].

The causes of lethal outcomes (n = 60) and postoperative complications which occurred in 26.1% of 610 patients operated on for lung cancer were investigated with due consideration for the regularities of thermodynamics of nonequilibrium processes and theory of disasters. A total systems pathological inflammatory reaction, which augments the injury by many times and develops as a result of inadequate anesthesiological protection, underlies the development of the most unfavorable variant of response to surgery leading to life-threatening complications, such as pneumonia, thromboembolism, or ulcerative hemorrhages.

[The therapeutic procedure in different degrees of leakage in the injured lung].

Based of an experience with treatment of 118 patients with spontaneous and posttraumatic pneumothorax, pyopneumothorax and state after resection of the lung, the authors have developed a method of determination of the degree of nonhermeticity of the lung in different regimens of respiration and of the selection of treatment depending on the nonhermeticity of the lung.