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The distribution of the main frequencies of spontaneous rhythm of the small intestine in the 12.0-8.0 cycle/min range (by the aboral frequency gradient) was studied by the electrogastroenterographic method in healthy individuals and patients with stomach and colorectal cancer before and after gastrectomy and total removal of the large intestine. Organization of spontaneous rhythm of the small intestine on an empty stomach and after mixed food load in healthy individuals and changes in this organization in patients with stomach and colorectal cancer before and after total gastrectomy and complete removal of the large intestine were evaluated. The authors hypothesize that the stomach normally coordinates the small intestinal rhythm, while in stomach cancer this coordination is impaired. Changes in spontaneous rhythm of the small intestine (both in the proximal and distal portions) were detected in patients with colorectal cancer.

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We studied the distribution of main frequencies of spontaneous activity (in the range of 2-4 cycles/min) of the stomach and large intestine in healthy individuals and patients with stomach and colon cancer before and after gastrectomy and resection or total colectomy. The rhythm was recorded noninvasively (from body surface) with Ag/AgCl electrodes connected to a 3-channel portable electrogastrograph. We determined general peculiarities of rhythm formation in the stomach and large intestine in healthy individuals on an empty stomach and after mixed feeding and evaluated changes in spontaneous activity in patients with stomach and colon cancer before and after gastrectomy, resection, or total colectomy. Rhythmic activity of the stomach was coordinated with that of the large intestine in healthy individuals, but not in patients with tumors before the start of specific therapy. Multichannel cutaneous electrogastroenterography and recording of spontaneous electrical activity in the epigastric and perianal regions reflect functional relationships between the stomach and large intestine.

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Skin electrogastrogram was made in 40 healthy controls and 32 patients with ulcerative pyloroduodenal stenosis in fasting condition and after mixed meal. Fasting frequency of gastric bioelectric activity (BA) was similar in the patients and the controls (2.65 +/- 0.008; 2.65 +/- 0.008; p < 0.01). BA frequency unstability factor (FUF) was not so high in patients compared to controls (13.9 +/- 0.07; 15.3 +/- 0.11; p < 0.01). The meal produced a significant rise in the frequency, amplitude and a decrease in FUF of gastric BA in the patients and controls but in patients a fall in FUF was greater. A rise in the amplitude of gastric BA in patients was more pronounced than in controls (250.6 +/- 5.17%, 162.0 +/- 2.23%; p < 0.01). In patients the amplitude increased greater in compensated stenosis, weaker--in decompensated stenosis. The changes in gastric BA amplitude varied with severity of pyloroduodenal stenosis.

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The authors came to the conclusion that in surgical treatment of the postthrombophlebitic syndrome it is necessary in some cases to excise the indurated fatty tissue on the leg during the operation on the veins. It should be carried out transfascially through a Felder incision in combination with ligatin of the perforating veins on the leg. The suggested method produces better results than those of excision of the changed fatty tissue through a cut made in the skin overlying it. Excision of the indurated fatty tissue removes the focus of chronic infection and autoallergy.

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Microcirculation in the patient's foot skin with different stages of arterial ischemia, was examined with the aid of TV-capillaroscopy, laser dopplerography, polarography of transcutaneous oxygen tension. The effect of semiconductor laser (wave length 0.98 mcm) on microcirculation system was studied. The dependence of capillary blood flow on the transcutaneous oxygen tension was determined. The laser therapy proved to be successful in the patients with the II and III stages of arterial ischemia.

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Current procedures (venous occlusive plethysmography, Doppler ultrasound echocardiography, transcutaneous oxygen tension determination and computed tomography) for examining patients allow one to clarify the nature, extent, site, and features of anatomic relationships between the intact tissues and angiodysplasia-afflicted areas, to substantially facilitate the choice of surgical management of such patients. Application of current procedures for anesthesiological protection of the patients with the use of hemodilution, drug-controlled hypotension, as well as the patient's autoblood during the operation ensures a radical intervention provided that the surgical concept is based on stepped therapy by using the endovascular occlusion techniques and following the due dates of each intervention stage.

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The authors propose a method of treatment of humeroscapular periarthritis by high conduction blocks of the brachial plexus by supraclavicular approach. The influence of high conduction blocks of the brachial plexus on the peripheral circulation in the upper extremities has been studied. The results of the treatment of 192 patients with humeroscapular periarthritis (mostly) with neglected forms of the disease) are presented.

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The effect of human blood serum from patients with purulent infections (sepsis, purulent resorptive fever) has been studied on the electrical and mechanical activities of isolated auricles of guinea pig. The intracellular resting potentials (RP), action potentials (AP) and isometric contractions elicited by electrical stimulation (1 Hz) were measured. The patient serum diluted by Tyrode solution (1:1) didn't change RP values and AP amplitude but caused a decrease in the AP plateau phase duration (P less than less than 0.05). In 75% cases a replacement of the healthy donor serum by the serum from patients caused a decrease in the contraction amplitude. This cardiodepressive effect was reversible: washing of the preparation by the control Tyrode solution or by the donor serum restored the normal contractility. These data were compared with those obtained in studying the action of staphylococcus alpha-toxin on a preparation of guinea pig myocardium]

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The effect of human serum diluted in Tyrode solution (1:1) on the cardiac contractility has been studied. Fragments of the right auricle myocardium from patients with congenital and acquired heart disease have been used to study serum effect on the contraction force. Myocardial strips were repeatedly stimulated with electrical impulses at a frequency of 0.1 to 1.5 Hz. All the perfusion solutions were maintained at 31-33 degrees C and Ca++ ion concentration was 2 +/- 0.2 mM/l. The serum increased the contraction force in the isolated myocardial fibers from patients with congenital and acquired heart disease. Positive inotropic serum action on the myocardium of patients with acquired heart disease was accompanied by a marked diminution of mechanical oscillations. At the same time human serum does not affect the form of force-frequency curves in both types of the preparations. The results suggest that human serum increases calcium ion homeostasis in the cardiac cells of patients during contraction-relaxation cycle.

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Ion-selective electrodes were employed to measure the concentration of K+, Na+ and Ca2+ in blood plasma of rabbits with burn shock or crush syndrome (CS). No significant changes in the plasma concentration of Na+, and Ca2+ were found under both pathological conditions. The plasma concentration of K+ in burn shock significantly increased from 3.06 +/- 0.73 (control) to 5.28 +/- 2.65 mM (n = 10), whereas in CS from 3.42 +/- 1.03 to 4.92 +/- 1,29 mM (n = 8). The rise of K+ concentration in the control plasma to the maximal values seen in the "burn" and "syndrome" plasma led to an increase in the duration of intracellular action potentials (AP) but did not substantially change the amplitude of isometric contractions of the papillary muscles of rabbit heart. Meanwhile the similar rise of the duration of intracellular AP during perfusion of the papillary muscles with the "burn" and "syndrome" plasma was accompanied by an appreciable drop of the amplitude of isometric contractions. It is suggested that elevation of K+ concentration in blood plasma, inducing an increase in the duration of intracellular AP of cardiocytes may be responsible for changes in the ECG in burn and CS. At the same time inhibition of myocardial contractility in burn shock and CS is virtually not linked with hyperkalemia.

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Marked depression of the amplitude of isometric contractions of myocardial preparations, which was induced by lysosomal enzymes from the liver of control animals, was demonstrated in isolated rabbit papillary muscles. The decrease of contractility was not accompanied by remarkable changes in the amplitude or in the duration of intracellular action potentials. The negative inotropic action of lysosomal enzymes was similar to that of blood plasma of the burnt animals. Based on the appearance and subsequent activation of lysosomal enzymes in blood of the animals by the 20th to 60th min after thermal injury it is suggested that lysosomal enzymes might be one of factors that depress myocardial contractility in burn shock.

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Experiments on papillary muscles of normal (control) rabbits and of those with the compression syndrome (CS) were made to explore the action of the control and "syndromic" blood plasma on electric and contractile activity of the myocardium. Isometric contractions of myocardial preparations were recorded at varying stimulation frequencies (0.1-2 Hz). Intracellular rest potentials (RP) and action potentials (AP) were led away with the aid of glass microelectrodes filled with 2.5 M KCl. The replacement of Tyrode solution by the control plasma raised the amplitude of papillary muscle contractions, that being greater as regards the muscles from rabbits with the CS. The "syndromic" plasma (diluted by Tyrode solution in a 1:1 ratio) markedly inhibited the amplitude of contractions of papillary muscles from both the control rabbits and animals with the CS. Reduction of the contractions induced by the "syndromic" plasma seen in all the preparations was followed by two patterns of changes in electrical activity of myocardial fibers. In one pattern, the RP, the amplitude and duration of the AP declined. In the other, on the contrary, the changes were reduced to a greater AP duration. The conclusion is made about the absence of a direct relationship between the decrease in myocardial contractility and changes in intracellular potentials induced by the "syndromic" plasma. It is suggested that the "syndromic" plasma deranges the process of stimulation and contraction coupling in heart papillary muscles.

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Experiments on the papillary muscles of the rabbit heart were made to examine the effect of blood plasma on isometric contractions and intracellular rest potentials (RP) and action potentials (AP) of individual myocardial fibers. The replacement of the perfusate (Tyrode's solution) with plasma diluted with the solution (1:1) led to an increase in the amplitude of rhythmical contractions of the papillary muscles at stimulation frequencies of 0.1 to 2 Hz. The positive inotropic action of the plasma was accompanied by the shortening of the length of the intracellular AP. The increased amplitude of contractions does not appear to be associated with the action of catecholamines that might occur in the plasma, since the beta-adrenoblocker propranolol did not abolish the inotropic plasma effect. The removal (dialysis) of low-molecular plasma components with a molecular weight less than 50 000 daltons led to the elimination of the positive inotropic effect of the plasma. This allowed a suggestion that the factor that increases the contraction amplitude might occur in the low-molecular part of the plasma.

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The effect of lethal burn injury on the parameters of hemodynamics and respiration was investigated in intact rabbits and those with disconnected aortal and sinocarotid reflexogenic zones. The rabbits of both groups demonstrated similar changes in cardiac output and total oxygen consumption. Unlike intact animals, the burn in rabbits with disconnected reflexogenic zones did not lead to a marked increase in the peripheral vascular resistance. Accordingly, the systemic arterial blood pressure in them fell to a considerably greater extent than that in the intact animals. The life span of the rabbits exposed to burns was less as compared to the intact ones. A reflex compensatory nature of the increased peripheral vascular resistance in burn shock is suggested.

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As revealed on the papillary muscles of the rabbit heart in vitro, contractile function of the myocardium proved to be disturbed in 50% of cases an hour after the infliction of burn to these animals. This could serve as one of the causes of a sharp cardiac output derangement found in these experiments.

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