[Pulmonary diseases in patients with peritonitis].
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Biomedical subjects
Publications and source records attributed to V F Matveev.
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A total of 90 stomatological patients were subjected to clinico-psychopathological examinations. Of these, 70 were therapeutic and 20 orthodontic ones. The functional stomatological diseases in the form of stomatalgias were revealed in all the patients suffering from neurasthenia, neurotic depression, neurotic development of the personality as well as from psychopathy decompensation. The hypochondriac syndrome was marked by senestopathic and algesic disorders and in some cases, by anxious-phobic disturbances. Associated stomatalgias and neurotic symptomatology resulted in the lingering course and unfavourable dynamics of neuroses. The origin of stomatalgias in psychopathic personalities was accompanied by its decompensation, leading not infrequently to the development of the litigious and quarrelsome personality.
Investigated were 400 patients with first acute myocardial infarction. Borderline psychic disorders were detected in all the patients: neurotic--in 150 and neurosis-like--in 250. In the former group psychogenic reactions to the disease prevailed, and in the latter the responses were primarily somatogenic. Leading syndromes were: astheno-depressive (170 patients), anxio-phobic (190), anxio-hypochondriac (75), hystero-hypochondriac (55), obsessive-hypochondriac (10). Clinical features of these disorders were discussed along with the issues of their differentiation and treatment.
For 10-15 years the authors studied the time-course of neurosis-like disturbances in 46 patients with schizophrenia manifested in adolescence with cenesthopathic symptomatology (23 patients presented the cenesthopathic-hypochondriac syndrome, in 17 cenesthopathia was attended by phobias, in 6 it was combined with manifestations of derealization and depersonalization). The study showed that in 87% of the observations the disease ran continuously (torpidly in 29, by the type of the simple form in 5 and by the type of the paranoid form in 6 patients), in 13% of the patients the disease ran a paroxysm-progressive course. In 10-15 years the clinical picture in half of the patients continued to be characterized by the leading cenestho-hypochondriac symptomatology, in one-fourth of patients cenestho-hypochondriac disturbances were transformed into hallucinational-paranoid, in another one-fourth of patients into either psychosis-like or apathoabulic (by the type of the simple form) symptomatology. The authors discuss the degree of progression of the disease in different variants of its course, the social and marital status of patients, the specificity of personality changes and peculiarities of disease relapses.
To study the patient's insight into the disease, the authors have reviewed the results of the follow-up of 366 patients with such somatic illnesses as coronary heart disease, essential hypertension, gastric and duodenal ulcers, chronic non-specific colitis, bronchial asthma, and chronic pneumonia. Four types of complaints have been identified, including (1) concrete-sensitive; (2) affective; (3) conceptualizing; and (4) evaluative-esthetising. These complaints were established to depend on the development of the psychological defense mechanisms. The data obtained are necessary not only for solving the questions of the differential diagnosis and multimodality therapy but also complying with the principles of medical deontology in the work of the physician of a general somatic hospital, encountering borderline psychopathologic disturbances.
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A total of 87 schizophrenic patients (39 boys and 48 girls), with a psychopathlike syndrome and deviant behaviour were examined. On the basis of the clinical picture and type of development of the disease, 2 groups of patients (from 14-18 years) were distinguished. The first group included patients who by their clinical traits belonged to heboid schizophrenia and were observed in the framework of a one-attack shiftlike development of the process. In the second group the psychopathlike syndrome was expressed in the presence of increasing personality changes, while the development of the process was a sluggish type.
Clinico-psychopathological traits of non-process forms of deviant behaviour in adolescents were studied in the framework of pathological personality formation. Two variants in the development of the disease were distinguished: favourable and unfavourable. Some differential diagnostic criteria are outlined which permit to delineate this form of borderline pathology from a debut of schizophrenia in adolescency. The study includes a consideration of the disturbed system of relationships of the personality in the adolescents examined.
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On the basis of a clinico-dynamical and paraclinical (mathematico-statistical, electrophysiological, experimental-psychological) study of 122 patients with the asthenical form of neurosis 2 main groups were distinguished: protracted asthenical neurosis and neurotical personality development. Different clinical varieties, common symptoms, typical for each form and the therapeutical-preventive measures are determined.
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The authors describe certain ultrastructural changes in neurons of the cortical motor zone in rats after the administration of haloperidol and LSD in combination with haloperidol. The study took place 1, 4, 8, 12 and 24 hours after the administration of the drugs. LSD caused certain neuron changes --a lucid swelling. An increase in the number of large neurons with a hyperchronic staining of the cytoplasm and an increased intensively stained nuclei was characteristic of haloperidol action. A significant increase of the surface of granular endoplasmatic reticulum and ribosomes was observed in the large hyperchromic neurons. The action of haloperidol on the development of LSD intoxication is regarded as a protective one.
On the basis of clinical, experimental psychological and EEG data of 133 blind patients 4 types of neurotical personality development were distinguished: asthenical, hysterical, obsessive and hypochondrical. Each of these variants had its certain clinical traits. On all phases of the disease which were related to a sudden loss of sight, the authors mark the necessity of a manifold medical treatment and psychotherapeutical approach directed towards a sociovocational adaptation.
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