[Nitrosorbide in the complex treatment of chronic cor pulmonale].
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Biomedical subjects
Publications and source records attributed to Z V Vorob'eva.
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A total of 140 patients with chronic bronchitis were examined and distributed into 4 groups depending on the presence and degree of instrumentally recordable bronchial obstruction: chronic non-obstructive bronchitis (CNB), obstruction of the proximal bronchi, obstruction of the distal bronchi, generalized obstruction. In the presence of unmarked exacerbation, the laboratory data in all the groups pointed to a moderate degree of the inflammatory process and tension of the immunity system. The groups of patients with distal and generalized obstruction manifested dysfunction in the production of blood serum immunoglobulins with an isolated increase in the IgM content. Analysis of histological alterations in bronchial biopsies withdrawn from the large bronchi confirmed the immune type of inflammation in CB exacerbation whatever the presence and degree of bronchial obstruction. Based on the character of alterations in the blood serum content of immunoglobulins and morphological evidence for the immune type of inflammation the authors lay emphasis on the originality of the immune response in cases of CB exacerbation with obstruction of the distal bronchi. Describe the time-course of the cellular immunity in the groups of patients with CNB and in those with distal obstruction treated with a drug having a thymomimetic action.
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The article discusses the values of 22 external respiration indices reflecting the condition of the lung volumes and their ratios, the irregular distribution of the ventilation-perfusion ratios, the alveolar ventilation, the diffusion property of the lungs, and the gas composition of the alveolar air in patients with chronic nonspecific diseases of the lungs before and after the development of chronic cor pulmonale and in its stages of compensation and decompensation. Correlative and regressive analysis of the main pathogenetic mechanisms was conducted, making it possible to reveal the contribution made by each of them to the pathogenesis of cor pulmonale.
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