COMMENTS ON ARTICLES APPEARING IN THE OFFICIAL JOURNAL OF SURGERY EDITED BY THE MINISTRY OF HEALTH IN MOSCOW AND LENINGRAD
Document Type:
Collection:
Document Number (FOIA) /ESDN (CREST):
CIA-RDP82-00047R000200640005-3
Release Decision:
RIPPUB
Original Classification:
C
Document Page Count:
2
Document Creation Date:
December 23, 2016
Document Release Date:
April 12, 2013
Sequence Number:
5
Case Number:
Publication Date:
April 21, 1953
Content Type:
REPORT
File:
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Declassified in Part - Sanitized Copy Approved for Release @ 50-Yr 2014/11/04: CIA-RDP82-00047R000200640005-3
UL/11-1L;A I ION UUNFI1)E1IT1A
diENTRAL INTELLIGENCE AGENCY
INFORMATION REPORT
�
� PLACE
ACQUIRED
DATE
ACQU I RED
DATE OF 3170
USSR
�Comments on Articles Appearing in the
Official Journal of.Siirger7Pdited-bY
the Ministry of Neslth in 'Moscow and
Leningrad
THII DOCUMINT $01171 III INFORMATION AFFLOTINS 7411 NATIONAL 0E71011
OF 71111 UNITIO STATES, WITHIN 7H1 MIANIMS OP TI TLC II, IICTION1 71$
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77011111710 EY LAW, 71111 ROFRODUOTION OF THIS 701114 IS NIONIIITEDI
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SUPPLEMENT TO
REPORT NO.
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THIS IS UNEVALUATED INFORMATIrl"
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The journal "Vyestnik Khirurhii" (The Surgical News-Reporter) published every
twomonths, generally givatthe impression that it is edited for genera; practicalsoxl
use for surgeons. The character of the articles is -ractical than
eci ntific.
Here are a few points of general interest:
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Dr. N. E. Blinov from the State Institute of Completion of physicians fio7 in
Leningrad wrote an article (journal #10 Volume 72, 102) about the mec &ass
of influence in blood transfusion. His standpoint is that the transfusion's
reaction is only the reflectory effect from irritated central nervous system.
and he does not recognize any chemical or biological processes in the body which
receive the blopd. From this view, discussing transfusion's reaction, he
complet,..ly ignores Rh factor and does not even mention it as a biological factor
of reaction. He also tries to prove that the blood groups are not highly
significant for blood transfusions. The transfusion's reactions which occur when the
wrong blood group 'is given are, in. his opinion, not because of the wrong blood
group but because of the poor technic of the transfusion. In such case the poor
technic irritates too strongly the nervous system and therefore the reaction
takes place. When the nervous system will be depreseed or paralyzed during the
transsusion, in. his opinion, there is apparently no reaction. He illustratesthis
theory with experiments on only one animal wheryeiththe ,wrong-blood,grouprnavocain
was given intravenously. In this case he did not observe any reaction. With the
human being, he illustrates also only one case when blood group A was given to a
patient with blood group 0 during the anesthesia (surgery) in amount of 300 cc.
He states there was no rection but the patient had � rash over the entire
body and hemoglobinuria (hemoglobin in urine) for at lea S two days. In his
� opinion, these symptoms ure probably not signs of transfueion's reaction. What
are the signs of reaction in his opinion? He did not give any laboratory tests for
patients which could show any kidney or liver damages from this transfusion. He
did not especially recommend the use of wrong blood groups for patients but, in
his opinion, if the wrong blood group must be given (he did not indicate any
reason for it)joit could be donsOonly a careful technic should be used. This
"careful technic" is a dropping method whee the patient receivesnot more
than 2 cc of wrong blood per one minute. ife does not mention any indication and
contra-indication for such a "new technic."
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3. The article is chaotic, it was confusing Whether this kind of
transfusion is tried because of shortage of blood in USSR or because it is
of scientific irt-east figure out from this article. The
article Shama very poor knowledge of biochemistry of blood in modern
medicine.
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4., Dr. A. A. Kampelmaher from the State Medical School in Svierdleevsk
discusses in the same journal the indication of splenectomies in caaes
of some hemorrhagic diseases. He gives neither classification of hemorrhagic
dietasee nor the significant laboratory tests for diagnosis of hemorrhage_
Aa ar only indication for splenectomy, he gives the history or presence of
bleede ig (any kind, as from bowel, mouth, nose; into jointsj under the skin,
etc ) and enlarged ereen. The laboratory diagnosis is made only from reports
of Hb,, rbc, wipe and differencial and platelet count. There is not any sign
of other important laboratory tests to aistinguish the character of disease.
All hemorrhagic c117easPs with splanopathy are named by him ae�Merbue Werlhofill
(acute or chronic) and he indicates a spl-neetomy. He reports that inasurgical
hospital of the Medial School in SvierUlovsk in two years there were ten
splenectomies performed. The hospitals of medical schools in the Soviet Union are
the largest having the best specialists and equipment and 50X1
that in other hoapitals splenectomies were performed in the
any at all.
5. This article show that the knowledge of hemorrhagic diseases and indications
for splenectomies by this author are behind modern medicine for many years.
The diagnostic facilities are poor and primitive.
same number - if
a few interesting
points:
6, Surgery in the Soviet Union does not use any of modern antibiotics except
penicillin which is given very .carefully, for example in amount from 100,000
to 300,000, and very rarely up to 500,000 units, �even in cases of severe
generalized infection like peritonitis and others.
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7. The sulfa drugs used are mostly of old type. From the new sulfa preparations they
use only sulfadiazine.
E. There is not any sign of using dihydro- and streptomycin, aureomycin, terramycin,
chloromycetin, tcythromycin, or some typical antibiotics such as bacitracin, :180-
wcin, polymyxin, fsracin etc ,etc. In my opinion, the top medical men in Soviet
Union Anow about all. modern antibiotics but they do not print anything about it
because they car est put those antibiotics on the market for general use.
9, The surgical, bacteriology is presented very poorly.
10. The pre- andpostmoperative treatment in many articles as old and primitive. Of
the parenterai fluids I found only physiological solution. No sign of Important
elactrolie fleide, plasma, parenteral nutrition, fluid balance etc.
11. In the journals through the whole year
anticoaculant6.
12 Thr e is very poor eurgical pathology (if any), especially microscopic.
13. The diseusaions in articles are very poorly illustrated by facts, especially
statistics.
14. These few remarks do not res.11yehowlatrgicai progress in the Soviet Uniou in 1952.
The impression these journals make is, however,
interesting, because they are official editions and published not in a sesell
provincial town of USSR, but in the center of Soviet Union and, therefore, ,
they are a, great authority for the whole Country.
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Declassified in Part - Sanitized Copy Approved for Release @ 50-Yr 2014/11/04: CIA-RDP82-00047R000200640005-3