• COMPARATIVE ANALYSIS OF LUNGS FUNCTION BY REGULATION OF ELECTROLYTES AT PATIENTS WITH DIFFERENT PATHOLOGY IN THE CRITICAL STATE

    Aim. Carry out a comparative analysis of lung function by regulation of electrolytes in patients with different pathologies in critical states in dependence from hypocoagulating function.
    Materials and methods. In order to determine the participation of lungs in regulation of blood electrolytes were compared the patients in critical states with different pathologies : I group – 119 puerperas with hemorrhagic syndrome, complicated by acute renal failure (ARF), II – 85 patients with severe craniocerebral trauma (SCCT), III – 110 patients with bronchial asthma at bronhoastmatic state. The findings were compared with the control group (IV) – 20 healthy people. Lung function by regula¬tion of blood electrolytes was determined by veno-arterial difference between mixed venous blood (MVB) and flowing arterial blood (FAB), taken simultaneously, by indicators of electrolytes – potassium, sodium – in plasma and erythrocytes and calcium.
    Results. At patients in critical states with different pathology

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  • DIAGNOSIS OF BRONCHIAL ASTHMA IN FAMILY DOCTOR’S PRACTICE

    Aim. Evaluation of status of patients with a diagnosis of “bronchial asthma”, consisting on the dispensary in hospital of Tursunzade city.
    Materials and methods. Were examined 30 patients aged 20 to 70 years (20 women, 10 men), consisting in dispensary with a diagnosis of “bronchial asthma”. Patients were full explored in: palpation, percussion, auscultation of the chest, the assessment heart rate respiratory rate, calculated body mass index, peak flow and pulsoxymetry performed.
    Results. 10 patients (33,3%) had a mild intermittent, 8 (26,7%) – with mild persistent, 7 (23,3%) – with moderate, 5 (16,7%)
    – with severe bronchial asthma severity. In 11 (36,7%) diagnosed with lung exacerbation of asthma. According to the datas of peakflowmetry in 17 of examined obstruction has an corresponding partially controlled asthma, 13 – severe degree. Among 5 patients pulseoximetry were below 95%, which indicates the presence of respiratory failure.
    Conclusion. In spite of the existing protocols

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  • THE ROLE AND PLACE IN THE STRUCTURE OF MORBIDITY OF RESPIRATORY DISEASES AND DYNAMICS OF MORBIDITY FROM CHRONIC BRONCHITIS AND ASTHMA FOR 2002 -2010 YEARS FOR EXAMPLE TURSUNZODA, FAIZABAD AND SARBAND AREAS IN TAJIKISTAN

    YAKUBOV M.R., MURADOVA.M., KHAMROKULOV A.A.
    THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
    The article presents the analysis of population morbidity chronic bronchitis and asthma for the period from 2002 to 2010, on the examples of Tursunzade, Sarband and Faizabad districts of the Republic of Tajikistan. The results of these studies suggest that respiratory diseases occupy the first rank place of uptake of the adult population for medical help. In the dynamics of increase in incidence of respiratory diseases for 6 years has decreased by 24%. For the period from 2002 to 2010, the proportion of hospitalized children under 14 years of age increased from 26% to 67% of the total number of cases of appeals regarding the pneumonia. Despite declining in-hospital mortality of children under 14 years of age, they exceed 2 times mortality among the adult population. Levels of primary and total prevalence of chronic bronchitis in the Republic for 11 years grew 1.3 and 3 times respectively.

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