Objective of the study: determination of the degree of influence of bilirubin in the blood during obstructive jaundice, on blood clotting. Methods. A retrospective study of case histories of patients with obstructive jaundice who have been treated at the Regional Hospital of Saratov in the period from 2000 to 2010. Results. The results confirm the assumption that the causes of bleeding in obstructive jaundice is hepatic failure. Conclusion. Absence of bile in the small intestine in obstructive jaundice is not the cause of bleeding. Bile acids are not involved in metabolizing fat-soluble vitamin K1
It was made the analysis of lipid composition of vagina tissue, morphometric cell index and vagina flora at premenopause women with atrophic colpitis. The results of investigation have shown that vaginal tissue of women with atrophic colpitis had increased quantity of unsaturated high fatty acids. Morphometric investigations have established that cells of surface layer of vaginal tissue at atrophy had increasing width and length conformation in compare with control group. It was found changes in qualitative and quantitative structure of microbiocenosis at atrophic colpitis. The results of the investigation have revealed pathogenetic pathway at atrophic colpitis characterized by changes in fatty acid composition of tissue, changes in morphometric cell indices, disorder of microbiocenosis that evidently lead to disturbance in hormone-receptor sending of different signal systems.
Objective of the study: Prevention of acute pancreatitis after diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). Material and Methods. Analysis of the results of diagnostic and therapeutic ERCP, of the patients treated at Saratov Regional clinical hospital f during the period from 2006 to 2010. Results, lincrease in pancreatic amylase levels in blood above 50 U/l till ERCP is a risk factor for development of acute pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). Conclusion. The above-stated follows to the background of increased pancreatic amylase levels in blood, performance of endoscopic retrograde cholangiopancreatography led to the development of acute pancreatitis.