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Biomedical subjects

L I Dmitrieva

Publications and source records attributed to L I Dmitrieva.

At least 19 recordsLinked to original sources

[X-ray semeiotics of functional changes of the respiratory organs in patients with tuberculosis of the lungs and the obstructive syndrome].

Examination included 178 patients with active pulmonary tuberculosis and moderate obstruction (74 subjects) or severe obstructive syndrome (104 subjects). The dynamic morphofunctional X-ray examination along with a study of external respiratory function made it possible to study the pattern of functional disturbances in patients with tuberculosis of respiratory organs and concurrent bronchial obstruction. Roentgeno-pneumopolygraphy supplemented with physical exercise tests and berotec specified the localization, extent and the character of disorders of bronchial patency and enabled one to study the compensatory mechanisms of external respiratory function during antibacterial therapy. According to the data of roentgeno-pneumopolygraphy, the more serious air-filling disorders are, the more pronounced the bronchial obstructive changes are, while the degree of respiratory disorders depends on the type and extent of the process and on the duration of the disease and its genesis.

Adult

[Use of plasmacytapheresis in combined modality therapy of patients with fibrosing alveolitis].

The authors describe the results of examination of 67 patients with exogenous allergic and idiopathic fibrosing alveolitis. Of these, 42 patients underwent plasmocytapheresis in addition to corticosteroid therapy. The clinical improvement, positive x-ray dynamics of pulmonary lesions, normalization of the altered laboratory indicators were noted in 39 out of the 42 patients treated with the use of plasmocytopheresis and in 15 out of 25 who received pharmacotherapy alone. The use of plasmocytapheresis at the inpatient stage of the treatment enabled the dose of corticosteroids to be reduced by 26% of the initial on the average in 3/4 of the patients and subsequent hospitalization requirement to be noticeably decreased. Plasmocytapheresis did not produce any complications.

Adrenal Cortex Hormones

[Roentgenological symptoms of functional changes in the respiratory organs of patients with pulmonary tuberculosis].

To study typical disorders in the external respiration function of patients with pulmonary tuberculosis without concurrent bronchial obstruction and to find out an information potential of the roentgeno-pneumo-polygraphic+ (RPPG) method in detecting local obstructive disturbances, 53 subjects aged from 23 to 52 years with respiratory tuberculosis, including 38 and 15 of them with a limited or disseminated process, respectively, were examined. X-ray functional examination conducted in dynamics and with the use of physical load and bronchodilators made in possible to discover both local and disseminated occult bronchial obstruction. Application of RPPG method and administration of such bronchodilator, as berotec, revealed a functional nature of the bronchial obstruction. According to RPPG data. In a lingering tuberculous process a costal component is predominant in the course of respiration.

Absorptiometry, Photon

[Clinical variants of the course and the characteristics of the x-ray changes in extrinsic allergic alveolitis--tobacco growers' disease].

Analysis is made of the clinical varieties and x-ray changes in the lungs in 143 persons engaged in tobacco growing. The immunological studies revealed sensitization to tobacco antigen in all the patients. Pointing to the polymorphism of the x-ray appearance the authors group at the same time the main signs into the x-ray symptom complexes: emphysematous interstitial, parenchymatous interstitial and pneumonic. Preliminary analysis indicates that the x-ray symptom complexes thus distinguished correlate with the main clinical varieties of the disease which may run its course by the type of obstructive bronchitis, bronchial asthma and recurrent pneumonias.

Adult

[Clinical manifestations of extrinsic allergic alveolitis--a disease of tobacco growers].

Clinicoroentgenological and functional manifestations of exogenic allergic alveolitis (EAA) have been studied in 143 patients. The disease is often masked and runs in the form of chronic nonspecific bronchopulmonary inflammation. The presence of antigen-dependent symptom complexes associated with involvement of other organs characterizes EAA more specifically. Finally, the disease progresses to parenchymatous interstitial fibrosis. Pulmonary ventilation and blood oxygen saturation are reduced.

Adult

[Differential x-ray diagnosis of disseminated tuberculosis and sarcoidosis of the lungs].

In the polymorphous picture of roentgenological shifts in disseminated tuberculosis and sarcoidosis of the lungs the authors mark out x-ray symptom complexes of differential diagnosis value. The complexes are based on predominating affection of the bronchopulmonary structures, x-ray characteristics of granulomas, nature and extent of the affections of the lymph nodes of the lung roots and mediastinum and the type of hypertension development in pulmonary circulation.

Diagnosis, Differential

[X-ray diagnosis of histiocytosis X].

The results of a dynamic x-ray study of 27 patients suffering from histiocytosis X with lung involvement were analyzed; the study was supplemented by CT in 4 cases. X-ray semiotics of the disease was investigated with relation to its stage. X-ray symptom complexes were defined: interstitial, interstitial-granulomatous, and focal (tumorous). The authors have emphasized the fact that the small focal-cystic and pneumothoracic x-ray variants of the disease, described in literature, are not nosological entities but reflect only its stage and complications.

Adolescent

[X-ray semiotics of the morphological and functional changes in chronic bronchitis].

The authors analysed structural disorders of a pulmonary pattern in patients with non-obstructive, obstructive and purulent bronchitis. Characteristic x-ray symptom-complexes were singled out for each clinical variant of the disease. In addition to roentgenomorphological changes functional disorders showing changes of biomechanics in patients with chronic bronchitis were revealed at roentgenopneumopolygraphy.

Adult