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PACA OCAPCTBEHHA MEHCA AAEM OOHTEHOO OPAOBAH EHCOE OTEEHE OMEH POCCCO AAEM ECTECTBEHHX HA OECTBEHHOE OEHEHE EHC-TAOMA HTEHCBHA TEPA

B HEOHATOO ( aax cxeax) B.A. POMAHEHO .opp. PAEH, poeccop, a.aepo Heooo eap MAO, .ec ec, 1997 OETB ABTOPOB:

.Bep ocya o eoaoo, eoaooec o ocyaoo cy ecoo a yea eco Baoco o cecep Baocoo yepcea, e-pe e Txooeacoo ceepo-aaoo oe e aoao accoa eoaax cecep, .Bao, .Taoa, CA.

.Bxa eoaoo, oop e, accce poec copa aep eap Baoco e co o Baocoo yepcea, .Bao, .Taoa, CA.

B..yeo oe aep eooo eap MAO, .ec.

B..oap oe aep eooo eap MAO, .ec B.A.Poaeo.opp. PAEH, poeccop, a.aepo eo oo eap MAO, .ec, peceae e ec-Taoa.

Cpao peaae cyeo, epo, pae eoaooo, eapo, ayepo, aeceooo-peaa ooo.

Hacmoee uaue cmao oo aoap uaco o noepe npoeo-uacoo pynn Apaue ao paa (npeuem B.A.ao, . euc) u o ecmeoo ueu euc-Taoa (coupemop u Cnapu - omop euu, accucmem npoeccopa aep neuampuu Baumoco o euu Ba umocoo yuepcumema, m.Baumo, .Taoa, CA).

PAE 1. ECOE PABTE Taua 1. acca oopoex ecao opac Heooe < 37 ee ooe 37-42 ee epeoe > 42 ee Cooece ecaooy Macca ea opacy oe > 90 epe Cooecye 10-90 epe Maee < 10 epe Taua 1. Ocoe apaep ecoo pa oopoex acoc o ecaooo opaca (.M.eeea, E.B.opoa, 1981) eca. Macca a Opy- Opy- Ooe opac ea, ea, c oc oc e acc e. oo, py, c ea, c pocy, c 28 1124183 35,91,8 26,61,9 23,91,9 31,23, 29 1381172 37,92,0 28,01,5 25,71,7 36,33, 30 1531177 38,91,7 28,91,2 26,41,4 39,43, 31 1695212 40,41,6 29,51,5 26,71,6 41,94, 32 1827267 41,31,9 30,21,6 27,91,9 44,15, 33 2018241 42,71,8 30,61,2 28,11,7 46,44, 34 2235263 43,61,7 31,31,3 28,91,7 49,94, 35 2324206 44,41,5 31,91,3 29,61,6 51,74, 36 2572235 45,31,7 32,31,4 30,11,9 53,64, 37 2771418 47,62,3 33,71,5 31,71,7 57,96, 38 3145441 49,62,0 34,71,2 33,11,6 63,66, 39 3403415 50,81,6 35,50,9 34,31,2 66,96, 40 3546457 51,52,1 35,71,3 35,01,7 68,87, 41-42 3500469 51,52,0 35,31,2 34,61,9 67,87, Taua 1. Oeoa aa ecoo pa oopoex (.H., 1975) a ae epee acc ea, ea, P3 P10 P25 P50 P75 P90 P c 47 2480 2500 2570 2720 2880 3070 48 2560 2620 2730 2880 3050 3220 49 2650 2750 2890 3050 3230 3410 50 2760 2890 3050 3220 3410 3600 51 2880 3030 3210 3380 3590 3780 52 2990 3150 3340 3530 3760 3960 53 3080 3270 4360 3670 3910 4120 54 3160 3380 3570 3800 4050 4280 55 3240 3450 3690 3930 4210 4460 56 3310 3520 3810 4040 4380 4640 57 3370 3550 3930 4150 4580 4840 Taua 1. Oeoa aa acc ea eooeoo peea c yeo eo (o.M.eeeo) a ae epee acc ea, ea, c. P3 P10 P25 P50 P75 P90 P 34,1-35 843 898 906 1040 1123 1205 35,1-36 972 1038 1119 1199 1283 1370 36,1-37 1099 1178 1265 1349 1432 1526 37,1-38 1208 1300 1397 1483 1569 1662 38,1-39 1304 1403 1508 1600 1694 1791 39,1-40 1423 1523 1634 1737 1839 1936 40,1-41 1544 1645 1961 1871 1977 2072 41,2-42 1645 1762 1890 2008 2128 2219 42,1-43 1751 1885 2026 2149 2259 2359 43,1-44 1843 2002 2161 2289 2396 2488 44,1-45 1959 2131 2299 2430 2536 2627 45,1-46 2069 2236 2409 2552 2666 2761 46,1-47 2171 2325 2498 2657 2786 2893 Taua 1. o-aocece pa ypypoo opo y oopoex (H..aao, 1991) pa Cee ec I cee II cee III cee (ea (cpee ec) (ea) opa) Coooe- P25-P10 P10-P3 He P e acc ea Tpoec- epeo ea, cyxa, Mopca, oe apye- ea, co eyaac ea, c ac e o ceo a ey ac- ee, pe oc coee epeoe Oeoe, ye- aeoe, oooo peo oyppy- oeo oy pooo c pepa, ppyc pepa, co cyca cyca Cee epeoe aeo, Peoe, ca ypopa pe ca o a oax, ae o a oe- e, yoe ocx, ee eee epeoe opeec, Bpaea yo- ea opeec, aoo oo ea coco co Hapyee eee oee coco eaop- epo-pee oeocaa oo ca, opo oe, oyoc oa e eee cyo yoo- oye eco , cee pea- coepa oc JgCj y oao aoc oo epoo Taua 1. Oea peoc coe ae p 01 2 o p c , , oepxoc - Tpe , ep - To c c o e , poo , oe e e- ee e , op pop e/c, - c , oe pe e ec- ec- pe , o o e o o e coc e o O c c- O oe Peoe eo o- p e cc e ec e c p eo opo O c c- Hee e Bp e opo opo oo - p ce o o e- p e op eo o- o oc pe oe- o o c c o epxoc pe epex c o opo 2/3 c o p e E Coco e Apeo e o Apeo Apeo e e opee - p e, oepe, o e o oc c peo e p c coppo oc coc 1-2 op - , e o e e p coc e p 5-10 c- 3-4 e p - p - Bc epx Xp p o o o p o- c o p o o p o oc , c e- p o coppo- o o oc , o - c , o p, e p, , c- ep p cp - o p, o po p c e c , , p e c p cp - p cp e c e- e c xopo o eo H p e Mo o p co- o - co o oe c o e e oo o op xoo o- o o, e e ( ) o, c o o, e p e- e xopo- e o eco o o p - p e c o e oe c H p e M e o- o e o e o e o oe oe - e o- o oe o oe op - oe - c- o (eo) op e p- o - o o- oc o p oo - p p o p e e e o o o oe op Taua 1.6 a Oea peoc p -1 0 1 2 3 4 o C o p oo o P e oo e o ocoe ee o e x Taua 1.6 Oea peoc Hee 10 15 20 25 30 35 40 45 50 Taua 1. oep acc ea poeax (.B.oca, P..Beep, 1996) ec o op c o ep ec poe x o cc e 26 15- 30 10- 34 oo e Puc.1.

Oeoe epee (P) a ecoo pa oopoeoo ) a ea;

a) acca ea;

1 ) opyoc oo;

) opyoc py;

) pacpeeee oopoex c yeo acc ea ecaooo opaca.

Pc.2. Hoopaa opeeee Pc.3. Hoopaa opeee acc. ea acc.

1 PAE 2. TAHE HOBOPOEHHOO Taua 2. Eeee epeece apa y pacyeo eooeoo oopoeoo (.B.oca, P..Beep, 1996) o e //c P cxo oep e 40- ee e oc ec oc 15- Xo ooo c pecc 10- e oc o ep c o p poc Bceo Taua 2. opeoc oopoeoo aex eecax ep (T..oea, 1989, .B.oca, P..Beep, 1996) pe- / % o o e pe e e o poc e- 11-16 40- o e 2,25-3,5 7- p 4-6 ep- 50-60 //c Hec peccooe e - op ee epe ec po o pe 60-70 //c pe ep o oc 100-120 e e- //c- cc e 15 30,0 e Taua 2. Peoeyea cyoa opeoc aax B Peoe- Polyvysol (1 pe e e ) c o.o per os B A (ME) 500 B D (ME) 400(800) 400 p cce < 1. B E (ME) 4(25) 5 <1500 c 2-3 e ME/c o cc1.800 2.000 B () 15... p po e p cce:

< 1,500 0,5 , > 1,500 1 B C () 20(60) T () 0,2 0, Po () 0,4 0, poc () 0,4 0, H () B B () (1,5) o e 50(60)...

c o () peae: B coax yaa opeoc eooex ee, ec o o ac o opeoce oopoex.

oco - 1 paec 3 paa oo, oa p 80 a/.

1 Taua 2. Cyoa opeoc oopoex c o acco ea epax eecax Mep e e ec C o o peoc o 200 / Me 100-200 / e eo 2 / ( cc e >1500 ) M 5-6 / M p e 10-20 / ocop o 113 / 1-3 / H p 3-8 / (o 3 ee ) 1-3 / (oc e 3 ee ) 800-1200 / Taua 2. pep opeee cpoo epoo ope (T..oea, 1989) p ep o e pe coc o o Hop p o o Rnt-p Meo Mo e ep o 24 co, eoo ex o x e e o e e po B pee x e ec o po . He O ee coc oe op op , ec o e C oe pe c , o?

c epe 6 co .. = 60 - 1 epe o 60-80 /- Acc < 5 o He op 3-5 e e ep ox c o coc x op e Oe e - He o ee 30% o ooo co- oe ep oo epe op e op ee peae ae 2.5:

- y eooex aa co cepo o 2-3 paa oe 2-3 /;

- epexo a ooy cec, ec ycaae;

- oa aopoc p 50% ooeco ope oc;

- y ooex pyx eooex aa c 5- / yea cpee.

Taua 2. oeco ooa, oyaeoe e, poc pae cpo ypypooo pa, /( x cy) (E.E.a, .A.T, 1979) ec o op c, e 28-31 32-33 34-35 36-37 38- 1- 9,8 12,5 15,4 19,4 20, 2- 16,8 20,1 28,0 33,5 37, 3- 15,9 30,0 41,7 53,2 56, 5- 29,1 57,6 75,8 96,6 105, 7- 44,2 80,1 107,5 127,5 138, 10- 69,9 112,7 137,8 155,8 164, 14- 113,1 152,6 149,2 173,4 184, I. Haa a oooo a c p oe pooe (7-8 p c ) e epc o oo: oe oo epx 2-3 op e coc o cxoo cc e oopo eoo (eee 2,5 - 5 , 2,5-3,5 - 10 , o ee 3,5 - ), e e e oe - o 10 e 6 .

c p oe pooe e Oe o ep oc Heepeococ oe (cp , Heepeococ coc e oo- eoo po, c o e e, e ( o oec x p ep p epe 9-12 o ) c, ep cpo) c p oe epepoe e Oe o ep oc Heepeococ Heepeococ Xopo o ep oc e oo- eoo oe coc o oo oe p epe 9-12 / coc oooo oe oe epepoe e e epcoo o o ee o cec Oe o ep oc Heepeococ Heepeococ poo e e oo- eoo oop o pe e, oe coc p epe 9-12 e oe o o peoc oopo eoo oe o oe pe ep oe e Aop oooo a pec ox oopoex ee (A..c, 1987) Cxea 2. II. a ooo (caacpoaoo) oooo a Oeceee op c x ep x o peoc e ep ocox ex pee x c e o ocoeoc e oc pe ooo e o O c c e c o p cc o o e po cc e e epe ec / e o o poo oop o pe e, ep oo oee coc e e o cec Ce e o cec A e p ope p, ee coc o o oo.

ce oe oc eo e o oo Boo oc e oc coc e oo III. a oe oooo a po ee coc e o cec, e o pe oc eeoe p e pee coc po (oo e oe oooe e) c cc eoe c p e 2 Taua 2. oaa oooy a (T..oea, 1989):

1. Ocyce cocaeoo peeca c c epeoc p aoea peea.

2. Cpa, poa p a accaa o ey.

3. Xpoece paccpoca a (opo) III c.

4. Cpo aacop.

5. Cocoe oce xpypecx oepa y oopoex a T.

Taua 2. poooaa oooo a (H..aao c coa. 1990):

1. eo-epoec epoo.

2. ape ea.

3. Meea.

4. Tea oc, e oppapyea B.

5. pye apye OC BO.

6. cooae opeacao p B.

Taua 2. oaa apeepaoy a:

1. epaoe ae e ooe ooc op o peoc oopoeoo.

2. Macca < 1.500, p coea epaoo a y oo epa epeeca apya < 90 a//cy.

3. Bce oopoee cape 1 e., ec p coea e paoo a yoo epa epeeca apya < 80-90 a//cy.

4. ace oaa:

1. opo pa 2. Meoa eyc 3. ea epoxooc ( .. aeca) 4. eo-epoec epoo 5. eoecpoae ca OH OCH 6. Maacop 7. yoa eooeoc.

Taua 2. opeoc ocox peeax acoc o apeepaoo a (T..oea, 1989, .B.oca, P..Beep, 1996) pe- e Oa e aopoc a//c 1 2 3 4 5 Ao- eoo- 0,5 1 1,5 2 2,5 co, e //c0,5-3.

oo- 1,5 2,5 e p, 0,5 1 1,5 2 2,5 3 80- //c 0,5- eo, eoo- 6,5-7 p xopoe //11- e 6- 8,5-9 epeococ 20 //c oo- 8 yea e a 0,5- // ee eo, e o ee 12- //.

ooe apeepaoe ae aa c 3-4 .

Taua 2. epeeca eoc pax aex eec, a/ (T..oea, 1989) 1. oa (cyxoe eeco) 3, 2. eo 3. p 4. 10-poea poa yc 1, 5. 20-poea poa yc Taua 2. Peoeyee oa poeeo (/cy) pacop apeepaoo a (T..oea, 1989) ooee Heooee oopoee oopoee 100-200 400- Me 10-20 Xpo 0,14-0,2 0,14-0, Mapae 2-10 2- op 1 1* o 3-5 3-5* * eooex oopoex oa oa e yca oea epo. x o cooec c ya opeoc oopoex, o, a pao, ocee yoeopc p cooa caapx pacopo oopoex c o acco ea (c. a.13).

Taua 2. epo coca pacopa (aoa) acoc o coepa e aoco oopoex c o acco ea (T..oea, 1989) epo,* oepa aoco,% / 1 2 2,5 Hap 20 20 20 Xop 20 20 20 a 15 15 15 Ma 11 11 11 a 15 15 15 Aea 17,2 24,4 43 51, ocop 9,6 8,7 8,4 8, Cya 11 11 11 * ocop a o/.

Cxea 2. PACET AOPAA p epao a oecee poca oopo e oe oya 100-120 a//cy, p o o peyec ee ep (80-90 a//cy). Heoop e c oe eaoo oecee poca o e opeoac > 120 a//cy. pacea aopaa p epao a oyc cey opya .

a) Cec oopoex. oco x coep 0,67 a/. pacea cyooo aopaa pe ce yee ypaee:

/ oe cec, /.c = cc pee, ) oa. Ec oo oyae oo oy, cyo aopa pacca cey opao:

. p - p 24 p - pe /.c = cc pee, ) eo. opeee oeo oeca a, oo poe peeo oyae c eo, peec aoe e ypae e, a o, o eo oca ae a. ) poe yc. 10-poea poa yc ( pa) coep 1,1 a/;

20-poea - 2 a/. pacea cyooo aopaa pee ceyy opyy:

oe p - p, /c 1,1 / /.c = cc pee, Taua 2. epeeca eoc pax pacopo apeepaoo a Pacop % epeeca eoc, a/ oa (cyxoe 50, eeco) 7,5 0, 10 0, 12,5 0, 15 0, 20 0, 25 0, eo* 0,5 0, 10, 1,5 0, 20, 2,5 0, 30, * 0,5 -poe pacop (100 /cy) oeceae ocy ee opa 0,5 ea cy.

Taua 2. Coepae o peex pacopax ypeoo ee Pacop,% Coepae o, / 7,5 10 12,5 15 ooeca opeoc oe - 6 / x . pacea eoxooo peey oeca o pee c ceya opya:

Coepae o 1 p-pa ( a.16) x o.o.p-pa :

60 = acca ea peea, = o / ..

Taua 2. Moop oopoex, oyax * Macca ea Eeeo a Eeeeo Opyoc oo Eeeeo O aa po 1-2 paa ee a po 1 pa ee, ec e H pH po Eeeo, p N pH 2 paa e.

oa Eeeo epo (K, Na) Eeeo epe 3 , a ae 2 paa ee eaop epe e eee ee, ae eeeeo a Caaa 2 paa ee, ae eeeeo ocop Ao oe po pea Ma Eeeeo py O eo Ay ACT Tpep Eeeeo, ec ypeo oc p Moa e ec ccey ao op eee ee, ae o oaa eo oa pH Taua 2. ee oa, peoeyee eooeoo oopoeoo (1.500), oyaeo epaoe ae oaa Peoea o pee oco, peec, oa epaoe opee 1 oeceae o 80 a//cy Ba E, Haa peee a 2-7 cy .

25 ME/cy. Haaaec a 8 ee o ex op, oa ec oopoeoo e oce 1800-2000 .

oea Haa peee a 2-3 cy .

coa,50 Haaaec o ex op, oa ec /cy. oopoeoo e oce 1800-2000 .

eeo, 2 Haaaec a 4-6 eee peec //cy. o ex op, oa e yaec epeec oopoeoo a ceay cec, ooaey eeo a Ec epaoe ae e oeceae oa, opeee a oe 15-200 //cy., 50-150 aae ooeo a, oa eo //cy. cec pyoe ooo. Haaaec o ex op, oa ec peea e oce 1500-2000 .

peae: p cooa e coepax a D cece oaa oa aa D (D3) pacea 400 ME/ cy.

PAE 3. XAHE Taua 3. oaae e ex pao xa (M..Aox, 1974) oaae e opace 1 ee 1 eca acoa xa ():

opcoae 35-48 35- co 28-40 27- My oe:

opcoae, 0,2-0,7 0,5-1, / 0,2 0, co, 0,2-0,7 0,5-1, / 0,2 0, eoc oxa oxa, c 1,2-2,0 1,2-1, Oe ex yoaa ocaoa 0,07-0,11 0,1-0, eoc, Apoaecoe copoee, 30-50 25- c o.c/. c Pacoc ex, /c o.c. 0,004- 0,005 0,007 0, Taua 3. oaae y xa y ooex oopoex epe ac (..oc, .A.Xoo,1989, B.A.Mxeco c coa., 1989) apaep eeo xa oaae acoa xa, 31- Bpe oxa, c 0,1-0, oxa, c 0,5-0, xae oe, 15- (11-13% E) My oe xa, / 0,49-0, yoaoe epoe pocpaco, xaeoe epoe pocpaco, Ooee yoaoo epoo 2, pocpaca xaeoy oey ea eoc ex, 120- Eoc oxa, 95- Peep oe oxa, 80- oxa, 25- yoaa ocaoa eoc ex, 55- Ocao oe ex, 30- Oa eoc ex, 150- Ooee ocaooo oea oe eoc ex, % Aeopa e, / Aeopa e, / Aeopa oepxoc, 2 Macca ex, Pacoc ex, /c o.c. 3,5-5, a 1 eoo 0, yoao ocaoo eoc ex 0, a 1 Copoee xa a oxe oxe, 22- c o.c/c oyoy ooy, c o.c/ c 7- Bypeooe aee, c o.c.

(cooecye yp-epaoy ae) Byppyoe aee, c o.c. -30 - - Paoa xa o peooe 4, acecoo copoe a oxe, /c eacecoo copoe, /c 3, Cpeee "eoo-apoe aee", 7- .p.c.

eo pooo, / 10- Copoc poooa, c opeee O a 1 oepxoc ea, 150- O (.2 ) 7- p eepaype cpe 20 / 5- p eepaype cpe 30 / Paa ace po O ey 2, epxe e o ea, % Taua 3. oaae y eeo xa y eooex oopoex (A..P, 1993) oaae 48 aco 7 cyo M m M m 1. acoa xa 66 2,9 53,8 2, 2. xae oe / 7,5 0,6 9,5 0, 3. eoa e // 514,9 47,8 512,2 35, 4. Aeopa e, // 172,8 30,6 193,2 19, 5. Coepae CO xaeo 2 1,72 0,13 1,82 0, oyxe, a 6. Coooee oeo copoc 0,92 0,05 0,8 0, oxa oxy, /c 7. Bpe oxa, (ce) 0,46 0,03 0,67 0, 8. Bpe oxa, (ce) 0,39 0,04 0,48 0, 9. oaae eoc 0,68 0,03 0,06 0, e 10. e aeop 31,3 2,6 37,8 2, oe Taua 3. oo apye xa (o Rudolt, Desmond, Pinedy) co, aop, eae paey aay eoxoe xa aee eo aaa e eoo pooe e Hopaoe oc, poo o cocoe HC, (paaece, accece), oe oa, xeo- apoece cpeca, yopeee appopeeopo epeeo, e, eyxa, yoa eooeoc, ape apaaoo epa, paa eoo oea oooa Cocooc Heooeoc, poea aoo, xaex ape apa, myastenia gravis o co y poxooc Ape, ceo, c, apoocc, xaex ye poa, c, oyxo, ea, cpo Poea, acpa (aooecoe coepoe xaex yx), poe cpop Cpyypo Aee oa ex, aeea, yoao epeoc, ocpy ax poxo eeee aeo, eo, eoppa, opecc ee - ex yp- eeo poecca Cocooc Meeooe, ae, oe eooa epeoc copo Heapyea Bpoee opo cepa, cepea y cepeo- eocaooc cocyco cce Taua 3. aop pee a pyooco epeao aoc apye xa Cpay oce epe ecoo oee poe aco oce poe Accec pexoee axo Cpo Bcoa cpo oopoex M epoe epaoe ao Cpo acco oaeca poxoeo acpa xaea oc ca oooox o Aeeaece Acpaoe popeee eo poxo-eo poxo-eo pece eo, eocoa poee opo ae eo apopao Aeea Hapye eocepo eaoa Myoco Taua 3. T apye, ece pa p paccpoc xa oopoex T ece pa p apye opaee Ao Hapo HC aeeoc, epey- Bypypoa epa poc p oe aa oc caocoeoo Bypepeoe poo xa e pooa paa Aoa HC epep- acoe xae ep aeea ece - eee aco Cepea eocaooc xaee xa aepa oe aox epa paccpo- xa Acpa aoeco ca Bee epeepx oc, coepae poeyo opee ee Bee opeep eo Bee eeoo apaaa pa opoca eoe c oyce oea ea paa eoopac, acpa Xp a oxe c, oe, pooe ece ee Taua 3. epea p oc (.B.pac, .P.eo,1977) ee Bx e Bo x c opo PaO2 pCO2 PaO oe Beo pec (eoo p ep ) - yeee, cee, ocyce ee o ooe ope Taua 3. aa ayaca oe ec pecpaopx apye y oopoex (Downes I.,1968) pa Oea aax 01 ao He Too p xa- p xa oyxo 40% co poo Cacece - He epeo Tee e, cyopo Xp p He C p C a xa aycya pacco ceocoo p o- yxo He ee ce acoa xa Meee 60-80 oee 80 60 epoec oe ao peae: 4 aa eee ecox aco - ea cee xaex paccpoc;

5-6 - cpee ec;

7-10 ea.

Taua 3. eca aa oe cee ec H y eoecx eooex ee (A..P, 1993) pa a CC <60 - >180 <100 - >160 100- Xapaep apao- Hapee pe oa xa caoe oca, pyo e ecoe <70 - >80 <30 - >60 30 - Ao (ce) >30 >20 < 10 - 12 e ao Ocycye p xa 40% Boyxo p xa 100% O aea Ae, e ec, pa ae aoc ao e opae aa Cooe He Ec cocaee, e Coxpae peec oaex Moeo He Ec co Mapo I oa oa a Toyc Poc oo Cooecy e B Cyopo oe Mae He Taua 3. Taa oceoepa acoc o cee H (A..P, 1993) Oe- H eee: pe oceoepa a o ae 15 > 13 - 14 H1 copoa aaa, coaoe xae o oe aee oe oxa 11 - 12 H2 C, B < 10 H3 B Taua 3. pooceca aa opa eco epa xaeo eocaooc p CP (C.I.Peckham, 1979) p ep Oe x 0 1 M cc e, < 2000 1500- > 2000 Oe o e c 4- 3 oe p O2 50- 49 oep op oo e o , % PCO2 oep eoo < 70 70-75 > po pH 7,34-7, 7,35 7, p cyapo oee 3 aa peyec oo oceo epa, p 4-5 ao - pe epepoo ooeoo a e, p oee 6 ao opeyec B.

Taua 3. oaa pee coaoo xa o oe aee y oopoex ee (B.A.Mxeco c coa., 1981) 1. oe aox epa.

2. Acpao cpo.

3. Oe ex.

4. oce pepae B a epo aaa peea caocoeoy xa.

5. oce ceaco epapeco ocea.

poooaa:

1. Bpaea epaa, ooe.

2. Tea cepeo-cocyca eocaooc.

3. poxoepae c.

4. Hape eoopac.

Taua 3. poeoe coepae copoa o xaeo cec p pax eoax ocea (..cao c coa., 1973) Hocooo aeep 25-30% Hocoa aca 25-50% Pooocoa aca 30-100% aaa 30-70% ye 20-50% Taua 3. oepa copoa aoo cec, oopy oyae peeo p ocea epe ocoo aeep (T..oea, 1989) oo, / oepa O, % 100 80 60 0,25 34 31 26 0,5 44 37 31 0,75 60 42 35 1 66 49 38 Taua 3. Paep opaxeax pyo oopoex (L.Wille, M.Obcaden, 1981) Macca, Opopaxeae o 1000 2-2, 1001 - 2000 2001 - 3000 3, Ce 3000 3,5- a py (c) = a ea x 0, Taua 3. aa oe cee apye aooo oeocaa opa cocoa e (Lough Mdetal, 1979, I.P.Goldsmith, E.U.Karotkin 1981) pep Oea aax 0 1 2 PaO a 100% O > 70 70-60 59-50 < 2 PaCO p.c. < 50 50-60 61-70 > pH > 7,3 7,29-7,2 7,19-7,1 <7, epexo a B oaa ceyx cyax:

1 - oea o ae 3 aa oee 2 - PaO2 40 p.c.

3 - oae 2 oee oo ao pooeoc c e 45 cey.

Ocyce epaeecoo ea (oea oee 2 a o) oop o eecoopaoc B pee eppy eo ooeoo ae cooacoo e .

Taua 3. oaa cycceo e ex 1. Heea e:

(1) Ao. eee aa c apaooecx pea pao epe ocoe a. Ec eo e a ea, oaaa exaeca e ex.

(2) aepa CO2, PCO2 > 60 p.c. eoecpo a xae ao ycpa c oo a apao e ex.

(3) epoece pcy ao c paape ca o epepecx cocyo. Meaoec ao (pH<7,2).

2. Heea ocea. p PaO2 < 50 p.c.

Taua 3. Cpaee paoo cooacoo e ex o ooe aee (T..oea, 1991) acoa T , c M ., C, xa c H O ., c c H O 2 -1 H O Tpaoa < 60 0,4 - 1 15 - 45 2 - 6 10 - Bcooacoa 60 - 150 15- < 0,4 < 3 < Taua 3. Capoe pe B (T..oea, 1991) peae acoa xa, (f) 40-60 oepa copoa 21-100 Maoe (F iO ), % oepa aeao e Macaoe aee C 1000 - a oxe, (Pin), c. H O 1000-2000 - > 2000 - ooeoe aee 2ac o oe oxa (PEEP),c aoo ex H O Bpe oxa (Tin), ce 0,4 - Taua 3. apaep e ex p eoopx aoeax(T..oea,1991) f, Pin c H2O Tin, ce FiO2 PEEP c H2O o e 30-60 18-30 0,4-0,75 oc o ox ep oep e o O Cpo >60 oc ooe oc o epcc - oep- oep p eo e oo e o e o O pooop e epc - 60-150 He 0,1-0,2 oc o 0- e oep e e o O Ao 20-40 10-15 0,5-0,7 Hoe Acp 40-60 oc ooe PaO2>80 2- e o c p c p o e Taua 3. ee oaaee ao po p cee apaepo e (T..oea, 1991) F Pin PEEF Tin FiO ye- e- e- HM* HM* HM* e PaCO ye- e- e- HM* HM* HM* e PaCO ye- HM e- e- e- e e PaO ye- HM e- e- HM e e PaO *HM - e e ** e oo p oo ee T: T.

Taua 3. opo poee B epe 10-15 oce aaa B (T..oea, 1991) 1. Opaca o, oeoce 2. Hepooec cayc 3. Aycya 4. eoaa (CC, A), ypoe ypea 5. epcaa T 6. ao coca po 7. OC po 8. Caxap po, Hb Taua 3. poooaa c c B (T..oea, 1991) 1. Hecaoc eoa 2. ape T, aco eye 3. Cyopo cpo 4. Hb e opaco op 5. oe 6. Ao Taua 3. oaa epeoy peea a caocoeoe xae (T..oea, 1991) a po apaep e PO, PaCO FiO, % Pin, c o.c.

2 2 p.c. p.c, > 2000 1000 - 2000 < >70 <45 - 50 20 - 25 15 - 20 12- Taua 3. Meoa oe B y oopoex (Coe ae) epe 48-72 aca oea B, cea peo epe 4-6 aco.

eee apaepo p caa coco, ao, OC, aeoo eaoa:

1. Ca FiO o 0,3 o 0,1 a a 2. Ca PEEP o 2 c H O a a 3. Ca Pin o 2 c a a Pe JMV 1. 30 .

2. tin o 0,8 ce. ca o 0,1 ce a a 3. Ca Pin o 15 c o 2 c H O a a 4. Ca o 20 ., o 5 a a. C 20 o 2 , o 10-12 .

ae pe H (CPAP). PEEP 4-6 c. H O. ae cya CPAP 3-4 c. H O FiO 2 2 -0,5, PEEP 3c, ae oceoepa - ye.

Taua 3.25. Meoa oe B (T..oea, 1991) 1. e o 5 o 2-5 oxo a a;

cya 2. e o 5 o 2-5 oxo a a;

aee eee aca, p cao coco coaoe xae epe yaoy pyy c CPAP 3 4 c. H O 8 aco, cya HE BEBAT BPEM BOXA p 5-15 , Tin = 0, p yxye coco a oe PEEP:

1. ea o 1-2 oxa ae 12-24 aca o 2 , ae cypoa 2. CPAP ee 5 ;

ae 55 pyea e ex. a ocey ac yea eoc ceaco CPAP a 5 ;

p eoc CPAP ee 60 xopoe epeococ, epeo a coaoe xae CPAP 6-8 aco, p xopoe ee cya POTOO EEH HOBOPOEHHX C PC (eoece peoea. p ee ox c cpeccpecpaop cpoo. 1997) 1. Oceoepa copoo aae oaa:

- ea opa PC (oea o ae Cepa 2-4 a a);

- pooee oceoepa oce C B Oopoae:

- co copoa;

- coeee a;

- copoa aaa c epoepo;

- yae a Fishr & Paykel;

- poaep.

Meoa oceoepa copoo aae 1. oey aaa oceoepa peeo oe a xoc poae c oopeo yee.

2. Paec copoy aay po.

3. ao yae oo, coe c copoo aao o coy copoa.

4. B yae ce;

aa eepaypy 32,0 34,5OC ypoe aoc 70-80%;

p oo po aepa oece oay 100% copoa co copoc e eee 2/.

5. oca copoy aay a ooo peea.

6. p eoxooc (apaca PC) yea co poc oa copoa;

cyae pa oce (PaO2<60 p.c. SaO2<90%) oaa epeo a .

2. Coaoe xae c ooe aee xae x yx () oaa - cpeeea opa PC (oea o ae Cepa 4-6 ao);

- eeoc oceoepa copoo aae (PaO2<60 p.c. SaO2<90% p a 60% copo o).

poooaa - acca ea eee 1250 pao;

- epa;

- ooe;

- o.

Oopyoae poee epe ocoe a:

- co copoa;

- coeee a;

- yae a Fishr & Paykel;

- poaep;

- paaae a.

Paep paaax a:

Macca ea paep(N) eee 700 700-1250 1250-2000 2000-3000 oee 3000 - ccea ;

- yae (oa a);

- eyo o;

- cea paea aoa poee epe opaxeay pyy:

- co acopoa;

- coeee a;

- yae a Fishr & Paykel;

- poaep;

- caopacpac peaao eo eo apooo aapaa, oee coy copoa;

- ea aca cooecyeo paepa;

- ayy ococ;

- cepe aeep ocaca c;

- apoco c p o (paep 0 1 o M epy);

- cepe yaoe py ( 2,5;

3,0;

3,5;

4,0);

- poo opoxao py (eoaeo);

- ye ooc acp ca py;

- pecpaop c oeceee ocooo ooeoo ae xaex yx.

Meoa poee epe paaae a 1. Ococa c epxx xaex ye eya.

2. a ec ocoe xo.

3. ape a c oo paeo ao ea ceaoo a a ooe aea.

4. pcoe ccey pecpaop ( pe e CPAP) c apaee ycaoe apaepa.

5. Bec op eyo o ape eo e oacpe.

Meoa poee epe opaxeay pyy 1. poec ya paxe (c. pooo ya paxe).

2. ocoe pecpaop ( pee CPAP) c apaee yc aoe apaepa.

3. Bec op eyo o ape eo e oacpe.

Oe p C:

1. aee copeae oyo-copoo cec ec oae:

- p 1- eoe eepaypa oyo-copoo ce c oa oepac aaoe 32,0-34,5 OC, a oc 70-80%;

- p 2- eoe aaoe 36,5-37,0 OC, aoc 95-100%.

2. poeee eo aa c ae 3-4 c o.c., oepa O2 50-60%, p ooe e eee 3 /.

3. p coxpae oce epe 30 y o aaa yea aee a 1-2 c o.c.

4. p coxpae oce epe 30 oce oce =6 c o.c. oepa O2 80% p apaca epa (PaCO2>50 c o.c.) aoe (pH eee 7,2) oaaa B 5. p epoce:

- epy oepe oceeo ca oepa O2 xaeo cec o 40% ( o 5-10% a o a);

- ae oceeo yea (o 1-2 c o.c. a o a);

- p ae +2 c o.c. oepa O2<40% pepaa;

oceoepa pooa copoo a ae ye oa oyo-copoo cec c oepa e O2 a 5-10% oee coo, e p poee .

3. ya paxe Opopaxeaa ya coyec cpex c yax oa apyec poeee B eee e pooeoo pee.

Haopaxeaa ya peec ex cyax, o a apaee peoaaec ea B. He ee cyece x peyec epe opopaxeao yae.

Oopyoae - co copoa;

- poaep;

- coeee a;

- caopacpac peaao eo eo apooo aapaa;

- ea aca cooecyeo paepa;

- ayy ococ;

- cepe aeep ocaca c;

- apoco c p o (paep 0 1 o Me py);

- cepe yaoe py ( 2,5;

3,0;

3,5;

4,0);

- ye ooc acp ca py;

- Ma (eoxo oo aopaxeao T).

Paep yaox pyo ya x ee Macca ea Paep ya ee o y peea () py (c) ( opopaxeao T) o 750 2,5 6,0-6, 750-999 2,5 7, 1000-1999 3,0 8, 2000-2999 3,5 9, 3000-3999 3,5 9,0-10, oee 4000 4,0 10,0-11, oooa 1. Acppye coepoe epxx xaex ye eya.

2. Ec peeo caocoeo, a 2-3 y o y a ee ypeo eeo 20% pacop ap ocypaa (OM) oe 1 /. p CC eee 110 1 yy ee ypeo 0,1% pacop apoa oe 0,02 /. p paeo oye oe eoo oyca y peea eocpeceo epe yae ec .

3. poee accoy e 90-100% copoo e ee 1-2 y.

Meoa opopaxeao ya 1. oe peea a cy a opao, o ooa, e yoe axoc a oo . e oa cea paoya, e epepaa.

2. epa pe ep aa eo py apoc o, eep cpye ec peea, a cea aae a epce xp (ye, o a oceee eae accce).

3. o apocoa ee pa yo pa. ae, ce a , ce o cepee, poee a opa epx, e e p o yo ey o apocoa ope a.

4. pao pyo oe yaoy pyy ee e y ooco ca peea a 1,0-1,5 c.

5. ocoee yaoy pyy oeopy pecpa opa ey Ay.

6. poepe ooee py p oo aycya. xae oo oaoo xopoo cyac a ep xya paoo eoo ex. B coex cyax oaao peeooecoe cceoae.

7. cpye pyy y ooca eoacp ee.

Meoa aopaxeao ya 1. Bee pyy pay op poe poooy.

2. Byapye pyy p oo apocoa.

3. axae pyy a Ma peo a pac co 1 c o ee eo oa ee oocoy e.

4. cpye pyy y ooca eoacp ee.

pea p poee ya paxe ec oyc cooae cepoo ecoo pooa, caeo o yaoy pyy. Oao eo oe oe pacooe a 0,5-1,0 c e eo oa ya oo py.

poeypa ya paxe e oa pea 20 ce y. Ec ya aaec ceye cea epep a 1-2 y, o pe oopoo poec accoy e 90-100% copoo.

4. Capoe pe B p x oa 1. o aaa B a pecpaope ycaaa cey e ae apaepo e:

- oepa copoa / FiO2 - 50-60% (0,5-0,6) - oo oyo-copoo cec (Flow) - 5-6 / - pe oxa (Ti) - 0,4-0,6 ce - pe oxa (Te) - 0,6-0,8 ce - acoa xa (R) - 40-60 1 - coooee pee oxa oxa (Ti:Te) - 1:1, - ooe aee oxa (PIP) - 20-25 c o.c.

- ooeoe aee oe oxa (PEEP) - +3-4 c o.c.

2. o peea pecpaopy, oeec yoe opeo cypc pyo e cxpoa xa peea c paoo pecpaopa (c. poo o Cxpoa).

3. epe 15-20 oce aaa B poopopye ao coca po peea a e a eoa.

4. Ha ocoa oyex peyao poee oppe peyao o ceyey aopy:

a) p oce (PaO2<50 p.c., SaO2<90%):* - ye PEEP a 2 c o.c.;

- ye Ti a 0,1-0,2 ce;

- ye PIP a 2 c o.c. (p ee o e);

- ye Flow a 2 /;

- ye FiO2 a 0,1 (oepa O2 a 10%).

) p epa (PaCO2>50 p.c., PetCO2>40 p.c.):* - ye acoy xa (R) a 5-15 oxo 1 yy (ye Te a 0,1-0,2 ce);

- ye PIP a 2 c o.c. (p ee oce );

- ye Ti a 0,2 ce;

- ye Flow a 2 /.

) p oce (PaO2<80 p.c., SaO2<96%):

- ye FiO2 a 0,05-0,1 (oepa O2 a 5 10%).

) p oa (PaCO2>35 p.c., PetCO2>30 p.c.):

- ye PIP a 1-2 c o.c.;

- ye acoy xa (R) a 5 oxo yy;

- ye Ti a 0,1 ce;

- ye Flow a 1-2 /.

5. opopye ao coca po epe 15-20 oc e aoo ee pea B;

p eex apaepax B opo aooo cocaa pooe 4 paa cy.

Coca PaO2 - apaoe aee copoa apepao po;

PaCO2 - apaoe aee yecoo aa apepao po;

SaO2 - acee eooa copoo apepaopo, epeoe eoo ycocep;

PetCO2 - apaoe aee CO2 oeo op xaeoo aa.

5. Cxpoa xa peea c paoo pecpaopa oaa Cxpoa oaaa, ec p eoxooc poee opopyeo B acoa xa peea ( pee a) oaec o aco xaex o pecpaopa (R) ay cycceoo oxa peeo eae a ox.

Meoa 1. eec cpaoc pao pecpaopa, epeoc paoc cop xaeoo oypa. cpa e ecpaoc.

2. eec paoc co xopoe poxooc yaoo py (ee ooee py, poe e acpa opo, aee pyy).

3. Oecee peey oopoe cocoe, ycpa ee papae (pepae ay, e p ce, oecee epa eepayp pe, yco oe peea c oo eoo oaa).

4. oaec cxpopoa xae peea ye ye e aco xaex o pecpaopa.

5. p a eoecpoaoo eaoecoo ao a poee oeaay epa.

6. p eeoc eepecex epop po ee ypeoe eee ocypaa ap (OM) oe 200 / peaya oe 0,5 /. B cyae oce ooeoo ea epe 15 y o oea ee aee oope o epe eoxooc, o e oee 4-x pa cy. p ocyc ea epee oe ya 7.

7. p ocyc cxpoa epe 15 y o oea ypeoo ee OM+peay ee y peo poeo oe 0,2-0,4 / op oe 0,05-0,1 /. B cyae ooeoo ea a ee oope o epe eoxooc, o e oee 4-x pa cy. (Oa eoc epa yaa pe apaa e oa pea 3 e). p ocyc ea epee oe ya 8.

8. p ocyc cxpoa epe 15 y o oea ypeoo ee poeoa opa p ec x peax B (PIP>30 p.c.) ee ypeo o eopyx opeacao:

- apya ypoy oe 0,04-0,06 /;

- apaypy (papy) oe 0,3-0,6 /;

- yoypap oe 0,15-0,2 /.

p paopeeo ee opeacao oyco x oopoe eee. Oao ceye o, o aoe x oceyee eee yeae pc ayy pea pao, cococye ocec ea ye cpoa B.

6. cya oopoeoo peea peoc:

Peea c acco ea oee 2500, axoeoc a cycc eo e ex pee IMV, oo cypoa p yco ec eee 12 aco p R=<10 FiO2=<0, (oepa O2=<35%):

- acoa caocoeoo xa cocae e eee e oee 60 oxo yy;

- e oeaec yac cooaeo ycyayp ae xa;

- aycyao xae ee pooc paoepo;

- opeec opae oaae C aooo cocaa po.

Oopyoae - caopacpac peaao eo;

- ac cooecyx paepo;

- ccea coa ;

- cep aeep opaxeaoo ocaca (apy aep aeepa e oe pea 1/3 ype eo aepa yaoo py);

- ayy ococ;

- cepe epa;

- cep ooec pacop;

- cep p 2 ;

- ooc eoacp, eo/yo, ae ap, 50% cp.

Meoa 1. ae eyo o.

2. pee paoee cocoe ayy ococ po oe aeep opaxeaoo ocaca (e ea eo cepo yao).

3. Haee cepe epa (oyco oy a pay pyy).

4. Haepe p 2 ooecoo pacopa.

5. ee oepa copoa o xaeo cec a 10%.

6. Ocoee oyp pecpaopa o yaoo py;

ee pe 0,5 ooecoo pacopa y aooy pyy;

pcoee oyp. Ocaeec pe oeco ooecoo pacopa ee ocoe xo ooc pa.

7. ee aeep opaxeaoo ocaca ya o;

ocoee oyp pecpaopa o yaoo py;

acppye coepoe yaoo py;

pcoee oyp pecpaopa;

acppye coepoe ocox xoo ooc pa.

8. Ce epa.

9. pooe ccey epe ocoe a copoy aay.* 10. Coe eoacp, oop cpoaa ya oa pya, apo co cpo.

11. Oee eoacp;

opaoae axoec o eoacpe yac o a eoo yoe;

ee pyy paxe.

12. cooe peea (eee ceax peapao po ooaao);

epee ocea p oo oco x a pee p oo copoo aa (c. cooecye pooo).

13. Opaye epepoe aee a cocoe pee a;

cee a oo oee coo xae o eocaooc.

14. epe 30 y poopopye OC ao coca po.

15. epe 4 aca, o oooc, poee peeopa ex.

Coca oce cya e c acco ea oee 2500 pa oy epeee a ocea p oo copoo a a. eooex c acco ea 1250-2500 pao pe oee epeo a p oo ocox a.

Taua 3. Mepop oce yceo cya (T..oea, 1991) 1. copoa aaa 2. Macca 3. ocypa pea 4. a Taua 3. a po (T..oea, 1991) oaae Apep ap Bea pH 7,35-7,45 7,30-7,35 7,25-7, pO2 55-65 40-60 30- pCO2 35-45 40-45 45- Taua 3. Hacee apepao po copoo a y PaO2 pH* (T..oea, 1991) pH PaO2 7,30 7,35 7,40 7,45 7, SaO 120 98 98 98 98 100 97 97 97 98 90 96 96 97 97 80 95 95 96 96 70 92 93 94 95 65 91 92 93 94 60 88 90 91 92 55 85 87 89 90 50 81 83 85 87 45 76 78 80 83 40 69 71 74 77 35 61 63 66 69 30 51 54 57 60 20 29 32 34 36 10 7 8 9 10 * - Taa oa cy opepo;

ee e c ooa opeee ox ae PaO2 pH, c xo oaaee ace po copoo a aapae Ohmeda Biox. p eepaype 37o C, opao ypoe 2,3 , PaCO2 40 p.c. eooe pocoo.

Taua 3. oaa copo-pacopo y po y oopoex (10-30 e) (B.A.Poaeo, A.B.epeo, 1987 .) N o e epee p ce Bop c 10-30 E / e epe 1 C p p ep SaO2 epee 92,85.0,29 % 2 C p e SvO2 epee 74,35.0,42 % 3 H p ee O2 PaO2 epee p.c.

p ep 4 H p ee O2 e PvO2 epee p.c.

5 Coep e O2 CaO2 HB x 1,34 x SaO2 257,6.7,73 O2/ p ep +(PaO2 x 0,003) 6 Coep e O2 ee CvO2 HB x 1,34 x SvO2 193,75,4 O2/ +(PvO2 x 0,003) 7 Ap epoeo O2 CaO2 -CvO2 63,972,6 O2/ p o O 8 oc O2 DO2 CaO2 x C 1047,586,5 O2// (oc O2) 9 c opo o o CaO2 x CB / (Po.A.) 10 o pe ee O2 (TO2) ? O2 x C 259,221,0 O2 // (pe p cop O2) 5 11 c p O2 O2 CaO2 - CvO2 24,80,4 % 100% CaO 12 He po O2 HO2 CvO2 x CH 788,365,9 O2// 13 Bpoc Hb B Hb x CH 789,864,1 Hb// 14 p po. poc B Htc x CH 2,670,17 c.e.

Coo o ee o o p. C 15 ec eo HTO2 O2 /B 24,012,42 c.e c p O 16 o pe ee O2 /B VO2 VO2/B 0,328 /B 5 Taua 3. acca p coo ya (.A.Po, 1988) poe p pa ya ya oo- aooecoo ecoo Beeo- He a- Bpoe opo cepa aec ox cocyo c ypoae cpaa aeo eo Pacpe- CPB, cpo apoo e po- pocaa, aeea, e xax o, eoe apepoe e, aee- oe c, eoe oo a opaoa, a ea oo oy, pooopaee epe opeeoe eoe oeoe eoe, cpo BC Taua 3. Coepae copoa po (.A.Po, 1988) copo Apepa- Ceaa a po eoa po oeco pacopeoo 31, ae, / apaoe apee, 100 p.c. (P O ) Oeoe coepae, / 190 Hacee, % 95-98 Coepae copoa, epeocoo po, oe ceo cey opao:

St O C tO2 = (Hb) 1,39 + P O2 0, e C tO2 - coepae copoa, a 100 po;

(Hb) - oepa eooa, a 100 po;

St O2 - acee eooa copoo, %;

0,0031 - oe yea, opaa pacopoc copoa ae p caapx ycox.

Taua 3. eee ape copoa (.A.Po, 1988) Opyaa Hapee O, a/ p ce cpea p.c. ape oyxa 100 % O Bxaea 21/158 98,4/ cec Tpaxe 19,7/148 93,1/700 eaec xaex yx Aeopoe 14/105 81,1/610 Ceaec c o pocpaco paoa aa eo 79,8/600 yo ap pae Apepaa 12,6/95 78,5/590 y ooe O po a y ex ap ecoc ae 10,6 - 2,7 26,6 - 5, ae oo eaoa 80 - 20 200 - Taua 3. Be yo cpaa aeo poeax cepeoo poca p eco ape copoa o xaeo aeopo oyxe apepao po (I.Johnston, C.Shirley, 1974) O2 o x eo 35 39 42 45 49 53 56 60 63 o xe, % PO2 o x eo 250 275 300 325 350 375 400 425 450 o xe, p.c.

PO2 eo po 200 225 250 275 300 325 350 375 400 o xe p.c.

eo PO2 p ep o po, p.c.

30 65 65 65 65 66 66 66 66 66 40 53 53 54 54 55 55 55 56 56 50 41 42 43 43 44 45 45 46 46 60 34 34 35 36 37 38 38 39 40 70 26 27 28 29 30 31 32 33 34 80 23 24 26 27 28 29 30 31 32 90 19 20 21 22 24 25 26 27 28 O2 o x eo 35 39 42 45 49 53 56 60 63 o xe, % PO2 o x eo 250 275 300 325 350 375 400 425 450 o xe, p.c PO2 eo po 200 225 250 275 300 325 350 375 400 o xe, p.c.

5 eo 100 15 17 18 19 20 22 23 24 25 120 10 11 13 14 15 17 18 19 21 140 10 11 13 14 15 17 18 19 21 160 7 9 11 12 14 15 16 18 19 180 5 7 9 10 12 13 15 16 17 200 5 7 9 10 12 13 15 16 17 220 2 4 5 7 9 10 12 250 0 1 3 5 7 8 10 275 0 1 3 4 6 8 300 1 3 4 6 8 325 2 4 6 350 2 3 375 1 O2 o x eo 70 74 77 81 84 88 91 95 98 o xe, % PO2 o x eo 500 525 550 575 600 625 650 675 700 o xe, p.c.

PO2 eo po 450 475 500 525 550 575 600 625 650 o xe, p.c.

5 eo PO2 p ep o po, p.c.

30 67 67 67 68 68 68 68 68 69 40 57 57 58 58 58 59 59 59 60 50 47 48 48 49 49 50 50 51 52 60 41 42 42 43 44 44 45 45 46 70 35 36 37 38 39 39 40 41 41 80 33 34 35 36 37 37 38 39 40 90 30 31 32 33 33 34 35 36 37 100 27 28 29 30 31 32 33 34 35 120 23 24 25 26 27 28 29 30 31 140 23 24 25 26 27 28 29 30 31 160 21 22 24 25 26 27 28 29 30 O2 o x eo 70 74 77 81 84 88 91 95 98 o xe, % PO2 o x eo 500 525 550 575 600 625 650 675 700 o xe, p.c.

PO2 eo po 450 475 500 525 550 575 600 625 650 o xe, p.c.

6 eo 180 20 21 22 23 25 26 27 28 29 200 20 21 22 23 25 26 27 28 29 220 15 16 18 19 20 21 22 24 25 250 13 14 16 17 18 20 21 22 23 275 11 13 14 15 17 18 19 21 22 300 11 13 14 15 17 18 19 21 22 325 9 11 12 14 15 16 18 19 20 350 7 9 10 12 13 15 16 17 19 375 5 6 8 10 11 13 14 16 17 400 2 4 6 8 12 14 15 Taua 3. peapa a (.B.oca, P..Beep, 1996) peapa y ee* opoa oeap Ayepo opaxeao 0,05-0,2 2 peec e0,5% p-pa. 0,083% e (Beo/po oa pacopa paoc. p pee per os e) a oa yeaec. oa pyec acoc o eca, ea oox eo Apoa opaxeao 0,05-0,1/ Moe a yeee oc cya (1% ae 4-6 ac. opo, pacpee paa, pacop) oepye - axoepecy b2 eecy cy HC opo opaxeao 1 (10)4 paa eae e ocaec ap (a) oa e eee 4-x ee. Coeaec c a py poxoopa 6 papoya opoaa 10-18 (1-2 Moe pec epe po a aa) opaxeay pyy c oo (Apoe) ceaoo oeopa. ecye peyeceo a pye pox.

Axoepec peapa.

oepye b2 cy. Mao oox eo Meapoepeo opaxeao 0,05-0,2 2 p pee per os oa a cya oa pacopa yeaec. oa pyec (Aye) a acoc o eca, ea oox eo Aece opaxeao 0,5-1 2 Ec p pee peapaa 10% oa pacopa paaec poxoca, oo (Myoc) a coea c poxoaopa Paeec Oa 0,1-0,2 2 peec p ocyaox pacop a - pacopa ceoax. oa pyec acoc apeaa o acc ea, ea oooo ec Tepyaa opaxeao 0,2-0,5/ He papee F DA a.

cya oa peec eoa opa (pa) a / * - a pooc epe oyp pecpaopa c oo ooo a opa.

6 PAE 4. POBOOPAEHE Taua 4. oaae apepaoo ae y eooex ee epe (coe ae) M acca ea, 12 2-3 > A, p.c. 45/35 50/40 60/40 70/ Taua 4. oaae apepaoo ae y eooex ee epe (B.B.apo p., 1982) Macca aee, Bopac ea, a, 0,3 6 12 1 cy 2 cy 3 cy 4 cy 5 cy 6 cy ( p.c).

2500- Cco- 6,2 6,6 7,7 7,9 7,3 8,2 8,7 9,8 9, 2000 ecoe (47) (50) (58) (60) (55) (62) (66) (74) (72) Cpeee 4,6 4,2 5,9 7,9 5,5 5,9 6,6 6,9 7, (49,5) (35) (32) (45) (60) (42) (45) (52) (55) aco- 2,2 2,3 4,6 3,7 3,1 3,4 4,1 4,5 4, ecoe (17) (18) (35) (28) (24) (26) (31) (34) (32) 2000- Cco- 6,6 6,6 6,7 7,7 7,3 7,7 8,5 8,9 8, 1500 ecoe (50) (50) (51) (58) (55) (58) (64) (67) (66) Cpeee 4,6 4,5 5,3 5,9 5,3 5,3 5,5 6,2 5, (35) (43) (40) (45) (40) (40) (42) (47) (45) aco- 2,6 2,6 3,3 2,6 3,4 3,3 3,7 3,5 3, ecoe (20) (20) (25) (20) (26) (25) (28) (27) (28) 1500- Cco- 5,3 6,9 6,2 7,7 6,7 6,2 10,1 7,9 8, 1000 ecoe (40) (52) (47) (58) (51) (47) (76) (60) (63) Cpeee 4,1 5,1 4,3 5,3 5,3 5,0 7,7 5,9 5, (31) (39) (33) (40) (40) (38) (58) (35) (42) aco- 2,6 3,3 3,1 3,3 3,7 3,3 5,3 3,7 3, ecoe (20) (25) (24) (25) (28) (25) (40) (28) (25) Taua 4. oaae apepaoo ae y opox oopoex (B..yo,1980, B.B.apo c coa.,1982, B.A.Poaeo,1982) oaae- Cpay e A, oce 1 3-4 5-6 7- p.c. poe M- 39,50,67 42,70,65 45,30,56 48,10,69 55,50, aoe 32,09,5x 37,21,8x Cpeee 68,21,54 78,91,97 84,11,69 84,11,69 86,1 0, 44,31,6x 47,31,8x oooe 75,61,74 80,1 2,0 85,11,7 92,11,89 84,60, Mac- 88,41,8 83,12,15 91,11,83 97,11,47 86,3 1, aoe 73,02,5x 68,21,5x x- oaae apepaoo ae y eooex e e, B.B.apo c coa.

6 . - oaae apepaoo ae y ooex, B..yo.

7-30 e - oaae apepaoo ae y ooe x, B.A.Poaeo.

Taua 4. oaae eoa y oopoex (B..Copo,1979, B.B.apo,1982, B.A.Poaeo,1984) Bo- ap- ap- My- Cepe- acoa e pac, cepex oe oe, ec, oe, ec, copae- epe / / / pecoe /2 (y/) copo ee yc.e 1 5,3 0,4 27,52,4 732,012,0 3,5 0,2 138,014,0 - + 5,5 0,17 657,924,0 117,73,3 x 3 4,7 0,5 23,13,3 612,014,0 3,0 0,3 130,014,0 - + 6,4 0,4 825,118,0 127,56,9 - x 5 4,3 0,3 21,22,5 565,09,0 2,8 0,1 128,011,0 - + 6,8 0,8 815,921,0 117,11,7 - x 8 5,0 0,4 25,12,4 794,017,0 3,6 0,2 158,01 - x 2, 9-30 5,6-8,3 23,3-37,5 540-1020 3,0-4,64 120-142 5,8-28, peae ae 4.4: + - oaae y ooex ee, B..Copo (eo epao peopa);

x - oaae y eooex, B.B.apo c coa. (e o peopa o A.A.epoy);

9-30 e - ooee e, B.A.Poaeo, eo epa opo peopa M + 1 Taua 4. eppea y oopoex (.B.oca, P..Beep, 1996) I. E P A. ye P ope e o I,II,aVF oeex.

epc ya P ceecye o o pecepoo oe pa ecpoap.

. Ocpooe ye P oe 2,5 ceecye o yee paoo pecep.

B. po aype P ee 0,08 ce. ceecye o epepye eoo pecep.

II. HTEPBA PR A. epa PR e oe pea 0,11 ce.

. ee epaa PR ceecye o apye pecepoeyooo poooc, eeax oapa, oca aco paap.

III. QRS A. pooeoc: eee 0,09 ce.

. poaa oc aya: pecae a. IV. HTEPBA QTc-TOHEHH HTEPBA QT A. QTc=QT/SQ R(R-R) ope e peae 0,44 ce.

. ee QTc aaec p oae, oae, pee a, eaoecx apyex oa cao c ap eoop cya yxo.

V. E T A. O poe o 5 cyo ope e o V1 V2 eppoa V5 V6.

. O 5 e o pocoo coco eppoa V1 V2 e o V5 V6.

Taua 4. eppo eyoo (.B.oca, P..Beep, 1996) y oopoex ope xapaepyec peoaae paoo eyoa.

A. eppo paoo eyoa 1. Aya ya R pax pyx oeex aya ya S ex pyx oeex e op.

2. ye T e o oee V oe 5 e ye Q pax pyx oeex.

. eppo eoo eyoa 1. Aya ya R ex pyx oeex aya ya S pax pyx oeex e op.

2. epc ya T ex pyx oeex o e , yo ye Q pax pyx oeex V5 V6 oa aya caapx oeex Taua 4. Hapye poooc (.B.oca, P..Beep, 1996) A. A-V OA 1. A-V oaa 1 cee-epa PR oee 0,12 ce.

2. A-V oaa 2 cee a. I (Beeaxa) - ocoo yc epa PR o oo oa ae copae. P oo caec epoec.

. II - copaee eyoo aae p ocoo epae PR.

3. oa A-V oaa. yc cycooo ya e pacpocpac ae pecep. acoa copae pecep e, e acoa copae eyoo. P eyoo A-V ya oepyp.

OA HOE A CCA . OA HOE A CCA peo cpeaec y oopoex.

1. oa oaa eo o.

a. pooeoc QRS oee 0,10 ce.

. oc ooa ye R I oee po ye S V1 V2.

. Ooee epeco oc cepa eo.

2. oa oaa pao o.

a. pooeoc QRS oee 0,10 ce.

. oec iSR' pax pyx oeex.

. oc ye S oeex I, V5 V6.

. Ooee epeco oc cepa pao.

Taua 4. Paccpoca pa (.B.oca, P..Beep, 1996) A. PEEBPEMEHHE COPAEH 1. peepeee copae pecep aco cpeac y opox oopoex. peepee yc oe pooc opoac pooe cceo cepa.

Copae cece peepeex yco oy aooec.

2. Cpo peepeeoo copae, cxo pecepo-eyoooo ya, xapaepyec peepee oeco QRS epce ya P. o cpo ae aco cpeaec y opox oopoex.

3. Cpo peepeeoo copae eyoo xapaepyec aeo pacpe oeco QRS epe yo P (oae copaee pecep).

Copaee oe oo yoa (paa opoo ya QRS). oce copae oo oae oeca aya, pooeoc oopo cooecye 2- epaa RR.

. PAAPTM. peee aco cepex copae.

1. Cycoa ap. Mopoo ooee ya P e ee, o a epao R-R eec, oo a c po xa. p oxe cyco p yaaec, a p oxe ypeaec. Taa ap cooecye ope.

2. Cycoa paap. Mopoo ooee ya P e eeo, o acoa cepex copae ee, e opaca opa. po cycoo paap oy a apae, a eapae aop.

3. oaa cycooo ya ocaoa cepa cpeaec y oopoex pae peo.

B. TAXAPTM. He pee axap, peye ceao epa.

1. Cypaepypa (CBT) - y oec QRS.

a. apocaa CBT. Ec po cepeo eocaooc oy, oaa peee peeooo apocyopa apoepc, a ae oepae opo oca. Ec poeae eccoo, oo cooa poy c aepo xa peeo apocyop. poa pcyo oo pe oc.

. Tpeeae p pecep. Ec ec co cepeo eocaooc, oaaa apoepc, a ae oc popaoo o oaa.

2. eyooa.

a. eyooy axap ceye epepoa o cypaepypo axap c aepa copae. eyooa axap xapaepyec ce copae, cao copae pecepo-eyooo ccoae. Ec cepe poc e ce, oo ec oco oa pacea 1 /. Ec o oaec eo, aa y oaa pacea 1-3 //. Ec y aea eec a cepeo eocaooc, peec apoepc, a ae eee oaa.

. p eyoo - oacoe cocoe.

oaaa ep pacea 1-2 a ce/lb.

Taua 4. Hopae apaep epoapopa oopoeoo peea (.B.oca, P..Beep, 1996) Bo- CC poaa Aya QRS pyx oeex () pac (y. oc QRS (cy.) ) (payc) Pa- Cpe- Oee V1 - V2 Oee V5 - V ax ee ye R ye S ye R ye S ae 0-1 100-120 60-180 135 4.3-21.0 1.1-19.1 3.2-16.6 2.4-18. 1-7 100-180 80-160 125 3.3-18.7 0.0-15.0 3.8-24.2 2.8-16. 8-30 120-180 60-160 110 3.3-18.8 0.0-15.0 3.8-24.6 2.8-16. Taua 4. xoapopa (.B.oca, P..Beep, 1996) I. xoapopa M-pee A. Paep aep cepa 1. aep eoo pecep y oopoex c op apepa pooo. oe ypoa po cea apao epec a aco paep eoo pecep, a coooee eoe pecepe/Aopa (/Ao). Coooee /Ao oee, e 1.2, ceecye o paeo ypoa.

2. oe acoec paep eoo eyoa yeaec p epepye eoo eyoa oeo, apep, p opo apepao pooe oe oa p cy oapa, apep p aceco apooa.

3. Toa ae ce eoo eyoa eeyooo epeopo yeaec y oopoex c apye ooa po eoo eyoa, apep, p poeo aopao ceoe eppoeco apooa y oopoex o aepe, ox caxap aeo.

. Oea y oapa 1. Copaoc eoo eyoa oeaec a aop copaoc, pae poeax (C%):

C% = (P CP)/P* -e P - oe acoec paep eoo eyoa, CP oe ccoec paep eoo eyoa.

B ope C% cocae o 27% o 40%.

B. ao aa cco. Ccoa coco epoa pea () epoa a (). poe oo, oeaec coooee / paoo eoo eyoa 1. ao aa cco eoo eyoa ooae oee y eoo eyoa. Coooee / eoo eyoa oaec p cy oapa ( ope 0,31 0,05).

2. ao aa cco paoo eyoa. ooae oe copoee cocyo aoo pya aee eoo apep. Coooee / paoo eyoa oaec p eoo epe ( ope y ee ae 5 cyo - 0,26-0,35, cape 5 cyo - 0,21-0,32).

Taua 4. Hopae apaep xoapopa oopoeoo peea (.B.oca, P..Beep, 1996) Macca aep Aopa oe a- To- Toa ea eoo (c) aco- ep a e- ae () pe- ec pao- ey- ce cep aep o oo- () (c) eoo pe- o eyoa cep epeo (c) po () <2 0,5-1,1 >0,5 0,9-1,6 - - 2-4,9 0,6-1,3 0,7-1,2 1,2-2,4 0,6-1,1 1,8-4,5 1,6-4, Taua 4. ee opo cepa y oopoex HT CEBA HAPABO * 1. ee eeyooo epeopo 2. ee epecepo epeopo 3. Op apepa poo OCTPTBHE HAPEH** 1. Aoppa ceo 2. oapa aop 3. Ceo eoo apep PEPTA*** 1. Tpycaa peypa 2. Mpaa peypa 3. Peypa aao eoo apep 4. Aopaa peypa pea:

* - opae, a pao, copooac ooee paac epe ecoo ee oce poe. aeo eec a acoo cepeo eoca ooc peeooece pa pacpe pa cepa ycee cocycoo pcya.

** - p eaeo ocpy y aeo ec o o y cepe. p paeo aoppao ceoe oapa aop oe paac oe ex, a p ce oe eoo apep - pa oee eooo p cya.

*** - opo cea copooac ya cepe. p aoa ea, oopa ae pycay peypa, oe cpeac ao.

Taua 4. Ce opo cepa C yce eo poooo* C yce eo poooo 1 Cpo oa eoo cepa 2 oa aoa eooo eooo opaca C yce apepa poooo 1 Tpaco acpax apep 2 Apepa co 3 Cpo ooo eyoa Co ce eo poooo** 1 Tepaa ao 2 Ape eoo apep 3 Bpae eoo ceo 4 Tpycaa ape 5 Aoa ea 6 Coe ce opo cepa pea:

* - y aeo eec oa, ee ycyx ec py o e, yce epxye oo eoope p a acoo cepeo eocaooc ** - y aeo eec axo ocae epxye oo.

Taua 4. oo yo cepe y oopoex A. oec cpay oce poe 1. Ceo oyyx aao a. Ceo eoo apep . Ceo aop 2. epepec ceo eoo apep 3. Heocaooc pecepo-eyoox aao a. Mpaa peypa . Tpycaa peypa 4. epaece coco a. Ae . Heopae apepoeooo pyca . oec a 1-6 eee 1. ee eeyooo epeopo 2. Op apepa poo Taua 4. Tec c epoce B oe o ox c aoeae ex, y oopo ex c c opoo cepa po, opaaac e x, ooc acea copoo. Ceoaeo, ec oopoeoo c c opoo cepa oec cpey co 100% copoo, o ao oe a ccey caypa.

Tec c epoce aaec c peapeoo cceo a ao po p xa oa oyxo p e c ao oo FiO2. oce oo pee o oeaec cpey co 100% copoo a 10-15 . a e apaec poa cceoa ao po, pe oo e eca, o peya poa. aoeae cepa caec, ec:

a. pO2 oaec oee, e a 30 p.c.

. pO2 oee, e a 100 p.c.

Oe aco pxoc epepoa epccpy y eoy epe opo cepa. p eoo epe epe, poa oeaa a , ypye epe pO2 opacae oee 100. Ec oce oo eca pooaee oopea opo cepa, oaaa ocya ecoo apooa xoapopa .

Taua 4. aa oe ec oa (L.A.Cabal, B.Siassi, 1994) o e Oe 01 e o x H e Mp op opoo pooop ee H He e Bp e o e op op Teep p o H epep epepec H Oc e He c p e c Ap ep oe H < H eee e < H o ee e ee 20% 20% H - opa, - cee 1-3 aa - ea cee;

3-7 aa - cpe ea cee;

8-10 ao - ea cee.

Taua 4. oaae eoa p oe (coe ae) oaae ooc- ooe o o ec o Cyapa peceoc Ha Bcoa epepecx cocyo Cepe poc H, H opa, co epaoe eooe B opax Hoe aee peeax Taua 4. p ooeecoo oa (L.A.Cabal, B.Siassi, 1994) Aeaaa oep po:

-caoe pooeee ocee pecpe epeeoc -peeae ae -ocoa ae -eoeaa pacy -pacy o oa aep -eaooe ecapeo ceee paaaa oep po:

-acc poax -pooa paa -pap yox cocyo -pap ceee -pap ee oep po oce poe:

-poea -ccepoaoe ypcocycoe cepae -e aa oep oc epoo:

-ape -poa -eoo cpecc -oa aoo -eyoo-ea cy -poea Taua 4. ooeec o (Aop epa) (.B.oca, P..Beep, 1996) Pecp op oep pc o 10 / eee A, B Cepe 30 eoc ooc ep A, B, oe pe, Ht A-, B- Ht < 40 p. cc 5-10 A<, B<.< poo 5 / 30-40. e o oc 10% o o .

Ht>50% o 1-5 // ce e opo e // o 5-10 / //, ec e e e e o pec 2 10// o // p A < 50 B e e poop o 35 50 / epe 4- c. 50 150//c. oppe: e o ecoo o, o e, o e, o ep Taua 4. p apoeoo oa (L.A.Cabal, B.Siass, 1994) 1. Cpo CH 2. cy oapa 3. eppoeca apooa c ocpye 4. Hapye cepeoo pa 5. eaooece apye 6. Bpoee opo cepa 7. Mexaecoe pece paoe cepa eooy opay Taua 4. epe oopoex (.B.oca, P..Beep, 1996) p:

1. Cocyce poo, ceo oeo apep, oapa, oa aop 2. oea OH, oco, ca, oa oe, oyxo, epoao, ocpya ypoa 3. pye eppaa, AC, oeoe p ypepeoe aee, cyopo, eo, eoopac.

Taua 4. p epe oopoex (R.Adelman, 1984) Cocyce oee Tpoo, o, ceo ca oe oeo apep oa oe Tpoo oeo e Ocpya ypoa oapa pyo aop aa oca oee apepoeoe oe cy oea eocaooc oa aop Oyxo oe Tpa oe epae Oepa a eoypapo pae pye p oee ypepeoo ae ooe eee oc epoo (ap) Apeoea cpo oe ya eppeo ep epaecepo eoxpoooa Oepa o ooy oaoee Oo eoopac ao eapca: oopo, eocopocepo, eo, aaae aa eaoa Taua 4. epe (Aop epa) (.B.aca, P..Beep, 1996) EPTEH p ce, (epo o!) 1 //c o 8 //c e e op c 0,05/ o 1,5/ e 6-8 c.

H pop cc p 1-5 // o op A Taua 4. Cpo eoo epe p FiO2 90%, pH < 7,3 Ce , pe c B-epe oppe o e, o e, cc eo ep e, o eo oc , o (copoc co 0,5-1/ c) p o oec o oc o ;

o 1-2 / eee 15 . e o // c;

p o e o 5-10 //.;

pop cc p Pucyo 4.25.

Hoopaa opeee apepaoo ae epe 12 aco (.p.c.) Apepaoe aee epe 12 aco (.p.c.) Cc o ecoe 80 c o ecoe ee ee 60 0 1 2 3 4 0 1 2 3 4 M cc e () cooe Cpeee p ep oe p ep oe ee ee 0 1 2 3 4 0 1 2 3 4 M cc e () Taua 4. o ace oca, peoeyee pea yp oopoe ( /)* A op oo e- Heoo ee e oopo ee, cc oopo- e, ee eee 1,5 1,5 - 2, L.Nyberg, G.Wettrell, (1978) 20-30 15-20 15- M.Serrato (1985) 45 (30-60) 15 (10-20) 30 (20-40) M.Park (1986) 30 20 T.Young, O.Mangum, (1988) 40 15-20 H.Mofenson (1990) 25-35 20 20- * - ypeo oa oa ace paa 3/4 o, aaaeo yp.

PAE 5. HEPBHA CCTEMA Taua 5. apaep coooo oc y opox oopoex (.B.oca, P..Beep, 1996) oaae Bopac 0 - 24 ac 2 cy. 7 cy e popa popa popa 3 cao- cao- cao xpo xpo xpo ppo,( ) 9(0-1070) 23(6-630) 3(0-48) Hepo, % 3(0-70) 7(0-26) 2(0-5) o, % 2(0-20) 5(0-16) eo 0,63(0,32-3,4) 0,73(0,4-1,48) 0,47(0,27-0,65) Caxap 0,51(0,32-0,78) 0,48(0,38-0,64) 0,55(0,48-0,6) Taua 5. acca ypeyoox poo (.B.oca, P..Beep, 1996) Hepocoopaeca 1 cee - cyaoe pooe 2 cee - B e pacpe eyoo 3 cee - B c pacpee eyoo 4 cee - B c pooe a oa Taua 5. p cyopo 1. Tpaa oc 2. Bpoee aoa 3. Meaoece apye 4. e 5. Cpo ace 6. Hapye oea poca 7. Hapye oea aoco 8. epa eyxa 9. Tocece eeca 10. Ceee cyopo Taua 5. AOPTM TEPA COPO 25% o 2-4 /, / 10% o 2 /, / 50% MgSO4 / 0,2 /, / e e Ce ce 0,3-0,5 / oc p p 100 / / p o c c e - o op eee p o c c e eo p e o e e Mope c , B Taua 5. poocyopoe peapa (M..aep coa., 1988) peapa Hapyoa oep- Maca oa /, aa a epae / oa, /( eca oepa cy) co poe po, / eoap- 20 3,4 / a yp eo 20 3,4 / Cao 0, PAE 6. BOHO-ETPOTH OMEH Taua 6. Pacpeeee o opae, a poe acc ea (coe ae) Hee Oee oeco eca Bo, % Beeoo Bypeoo o, % o, % 24 86 60 28 84 57 30 83 55 32 82 53 34 81 51 36 80 49 ooe- 78 45 Taua 6. poe oep acc ea acoc o ecaooo opaca (.B.oca, P..Beep, 1996) ecao opac poe o acc ea 26 15- 30 10- 34 ooe Taua 6. O eo ooe y opox ooex eooex oopoex (..yea,1976) py O, O, O, / ee / / oo- 1- 90,4 3,13 48,6 1,8 41,8 1, ee 2- 88,1 2,46 50,0 1,4 38,1 1, 3- 87,2 2,33 50,7 1,36 36,5 1, Heoo- 1- 101,1 4,6 49,8 1,8 51,6 3, ee 2- 106,0 4,3 56,2 2,1 49,7 3, 3- 105,5 5,1 58,9 2,5 46,6 3, Taua 6. O eo ooe acoc o acc ea y opox oopoex (B.A.Mxeco c coa., 1980) Macca ea eao- O O O p / / / / 2500-3000 0,55 329,8 113,0 148,8 50,9 181,3 61, 3005-3500 0,53 327,0 98,4 148,9 46,6 171,8 51, 3505-4000 0,52 366,5 96,2 175,6 61,1 190,6 60, 4005-4500 0,56 498,6 94,9 171,7 40,8 226,9 54, 10-30 . 0,52 81,2 49,1 33,0* * - ae Poaeo B.A. c coa., 1984 .

Taua 6. oepa epoo ae ppoax y opox ooex oopoex (M m) (coe ae) Bopac oepa ae, o/ oepa cy. ppoax, o/ Hap a Xop Hap a 1-e 138,7 2,0 5,07 0,24 107,2 1,6 27,8 1,48 78,2 2, 2-e 143,5 2,2 5,40 0,25 103,0 1,9 24,2 1,11 81,4 2, 3-e 140,0 3,1 4,74 0,25 106,0 1,6 25,7 1,61 85,0 4, 4-e 138,0 2,3 4,14 0,27 105,0 2,9 24,8 1,05 82,5 3, 5-e 138,0 2,8 4,96 0,38 99,0 2,2 24,1 1,07 82,5 5, 6-e 137,5 3,7 4,21 0,52 106,0 2,3 23,6 1,52 84,0 4, 7-e 135,0 2,3 4,80 0,44 106,0 2,3 24,4 1,43 82,0 4, Taua 6. Ocopa oepa a, coepae ea ap y eooex (M m) (coe ae) eca- Ocop- eo Hap o- - a o- a, / a, epa o/ op., a, e. oc/ 31-38 1- 269,5 8,6 51,6 1,4 153 3, 2- 269,5 1,8 55,0 1,8 154 3, 3- 276,8 2,6 52,0 1,4 156 7, 5- 262,5 6,8 50,0 1,1 148 1, 7- 266,0 6,9 52,7 1,7 152 4, 34-37 1- 258,0 5,7 58 1,6 143 2, 2- 255,0 5,7 52 1,1 148 2, 3- 260,0 6,5 53 0,7 148 2, 5- 257,0 6,6 52 0,8 149 2, 7- 258,0 6,6 52 0,8 150 1, Taua 6. Coepae epoo ocopoc ooecx oce y oopoex pocx (..oc p., 1989) oaae oopo- pocx ex HATP:

po, o/ 70-82,5 41, a, o/ 130-150 135- ppoo, o/ 12,5-19 16,3- o, /cy 0-0,008 3- A:

po, o/ 34,4-44,1 46, a, o/ 3,5-7 4- ypeoo oc, o/ 140 110- ppoo, o/ 83-112 103- o, /cy 0,009-0,31 1,5-3, XOP XOP:

po, o/ 47-49,7 31, a, o/ 99-124 96- o, o/ 30-50 170- pH:

o, e. 5,2-5,9 5,5-6, OCMOPHOCT:

a, oc/ 260-295 o, oc/ 400-780 1200- Oocea ooc o 1,001-1,020 1,017-1, Taua 6. pee oea ocox oo, o/ (coe ae) Bopac Hap a Ma a Hoopoe- 135-150 3,5-7,4 0,5-2,5 1,2-2, e Taua 6. ype, oepa epoo o x cyoa cpe (M m) y opox ooex oopoex (..y, 1981) Bo- pe, H p X op p c /( o / o /( o / o /( o / o /( c. c ) c ) c ) c ) 1-e 8,751,7 31,64,7 0,230,04 32,62,2 0,280,05 42,13,0 0,360, 2-e 8,91,0 22,12,5 0,190,02 27,02,9 0,240,03 24,12,6 0,240, 3-e 19,23,0 19,41,9 0,280,04 23,02,5 0,330,04 18,22,5 0,350, 4-e 28,92,8 15,72,3 0,370,05 14,71,7 0,320,03 16,02,2 0,400, 5-e 49,04,3 10,71,9 0,480,09 8,61,3 0,330,05 11,21,8 0,450, 6-e 64,35,7 11,21,9 0,660,11 8,11,1 0,490,08 13,71,6 0,810, 7-e 60,87,6 16,64,3 0,900,30 6,71,1 0,420,08 20,03,2 1,260, Taua 6. Heoope oaae y oe y eooex (M m) (.A.T, 1976) eca- ype, Ocop- cpe- U/P o - / a o- a opac, epa- p c o e. o, o, oc/ o/ 31-33 1- 0,0100,001 271 30,8 232,7 1,0 0, 2- 0,0320,003 260 32,6 245,7 1,1 0, 3- 0,0410,004 302 32,7 4214,4 0,980, 5- 0,0580,007 227 26,1 378,9 0,780, 7- 0,0740,008 186 13,8 4011,5 0,670, 34-37 1- 0,0150,002 235 23,4 222,7 0,930, 2- 0,0400,003 186 12,6 181,7 0,760, 3- 0,0520,003 168 12,0 263,5 0,640, 5- 0,0790,005 135 10,4 322,8 0,560, 7- 0,0980,006 126 2,0 322,1 0,490, Taua 6. Cyo ype y oopoex (T.M.Caeea, 1981, .oe, 1977) Bopac Oee a () /ac oeco () 1 cy 0,0240,00160 0,0068 0, 3 cy 0,0386 0,00386 0,018 0,0002 2- 5 cy 0,0786 0,00419 0,0246 0,00024 5- 7 cy 0,1220,00234 0,0325 0,0006 10- 10 .- ec. 250-450 - 15- Taua 6. oep perspiratio (Carre, 1964, Paulsen, 1964) Bopac Macca, oepx- oep oc /2/ /cy // ea, cy cy Hoopoe. 3-4 0,20-0,25 300 160-200 2 ec.-2 . 5-15 0,30-0,64 1150 345-750 3 .-8 e 16-30 0,7-1,1 950 665-1050 8 e 30 1,2-1,55 700 840-1100 Taua 6. Cyoe oep oc oopoex Aop Bopac oep oc, oopoeoo epe epe epe Bceo o - ee oy A..Typ 1- e 48 51 98 2- e 53 26 79 3- e 172 3 85 4- e 226 13 92 epe- Hoopoe 120-240 10-60 120-300 300- poyc Bpoc 1000-2000 50-100 500-1000 1550- (1964) co Hoopoe 30-100 96- 109 126- (1971) Taua 6. Cyoe opeoc ooex oopoex oc, epoax, ee (H..aao p., 1990) oc, Hap, a, eo,/ / o/ o/ ac . ac . ac .

1- 50 0 1 0 0 0 0, 2- 70 25 1 0,5 0,5 0,5 0, 3- 90 40 1,5 0,7 1,5 1 4- 110 60 1,5 1 1,5 1,5 5- 120 90 1,8 1,2 1,5 1,5 1, 6- 130 110 1,8 1,5 1,5 1,5 1,,,,,, 7- 140 130 2 1,8 1,5 1,5 8-14- 150 140 2 2 1,5 1,5 2-2, Taua 6. opeoc oopoex oc (//cy) (.B.oca, P..Beep, 1996) Bopac Bec p poe < 1000 1000-1500 1500-2000 1 cy 100-150 80-100 60- 2 cy 120-150 110-130 90- > 48 ac. 140-180 140-180 120- Taua 6. opeoc oe epoax (T..oea, 1991) e ooee Na K Heooee P-p 10% o, M//c 5% oa, / / 1 80 100- 2 100 2-3 1-2 120- 3 120 140- 4 140- Taua 6. ooee opeoc oc y oopoex, axoxc o coo ycoo ea oyax ooepa (T..oea, 1991) co ycoo ea Macca ooe ea, oe oc, /ac ooepa* < 1 2, 1 - 1,5 2, 1,5 - 2,0 1, > 2,0 1, < 1,5 0, > 1,5 1, *- ooeoe eee oc peyec oo p cooa yopecex a. a Tungcten e a yee oep oc.

Taua 6. op apye ooo aaca (coe ae) 1. ce (aeape) apye ooo aaca A. epaa: . eppaa:

1) eeoa 1) eeoa 2) eoa 2) eoa 3) oa 3) oa 2. Coe (accopoae) apye ooo oea Beeoa eeoa epaa eppaa c eoo c eoo eppaae epaae Taua 6. paa xapaepca pacopo peapao yoo epa apeepaoo a * (B.A.Mxeco c coa., 1989) H e o- oe p oo o / epe- Oco p c op co-e e- Na+ K+ Ca2+ Mg2+ Cl- HCO3 - oc- ec ec pe p o- p e., oe oo- oe p-o e o p pe p - oc/ o 1 2 3 4 5 6 7 8 9 10 11 12 I. Oece e oppe O APBC 1.1. pe p oecee c p e p e O o oec- NaCl 8,5-9,0 145 - - - 145 - - - - p-p x op- p 5% p-p x op NaCl 50 855 - - - 855 - - - - p 10% p-p NaCl 100 1710 - - - 1710 - - - - x op p 7,5% p-p KCl 75 - 1000 - - 1000 - - - x op 10% p-p CaCl2 100 - - 898 - 898 - - - - x op 25% p-p MgSO4 250 - - - 2078 - - - - - c 9 P-p oc 28,07% 27,2 - 1000 - - - - 600 - (P) KH2PO 71,93% 69, K2HPO P-p oc 23,35% 23,1 1000 - - - - - 600 p (P) NaH2PO 76,65% 75, NaHPO 10%, 5% p-p o 50 - - - - - - - - 200 400 o 100 10% p-p M - 100 - - - - - - - - - o o 20% M - 175 - - - - - - - - - oco o (P) Cop- o P c op NaCl 8 140 4 6 150 Pep KCl 0, CaCl2 0, 1.2. pe p c p e p e coc o APBC 4% p-p NaHCO3 40,0 476 - - - - 476 - - - po po p 8% p-p -"- NaHCO3 80,0 952 952 9 8% p-p -"- NaHCO3 80,0 952 952 1,87% p-p NaC3H5O3 18,7 167 - - - - - 167 - - p 11,2% p-p -"- NaH3C5O3 112,1 1000 1000 (P) 10,01% p-p KHCO3 100,1 - 1000 - 1000 - po po (P) 12,82 % p-p KC3H5O3 128,2 - 1000 - - - 1000 (P) P-p ppo- Tppo 36,0 ce - ce oe oe (THAM) II. C c p e pe p 2.1. pe p c ecx c c p o 10% o Ao- 100 95 - - - - - - - ( ) c o 10% oo Ao- 100 160 - - - 130 - - - 340 (1,45) (e) c o (NaCl) 5% e Ao- 50 - - - - - - - - 400 (CA - )c o (1,7) o 9 5% o - Ao- 50 50 25 2,5 15 Ae- - - 200 e p- c o - (0,85) ec (P) Ae p NaCl, MgCl2, KCl Ao- 100 48 25 2,5 62 Ae- 9 400 10% o - c o - (1,7) (P) M 7, NaCl 0, NaH2PO4 1, Ae 3, p Ae 2, Ae 0, e pex o o 1, c o 9 6% oee- Ao- 60,20 - - - - - - 250 400 (1,25) e pec c o (P) L- o-1, - 10% o -Ao- 100 5 - - - 62 - - - 400 (P) c o (1,7) 9% oc e- Ao 90 - - - - - - - - 360 p -II ( - c o ) 2.2. pe p epo c ecx c c p o o Ao- - - - - - - - - - - c o Cop o e -70 Ao- 70,0 - 20 - 4 75 Ae- 20 400 ( ) c o Cop o 50, MgCl2 0, Ae 1, Ao - 16, c c - Ao Ao- 100, C-10 (P) c o Cop o 100,0 48 25 2,5 62 Ae- 9 800 9 NaCl 0,20 M 7, NaH2PO4 1, Ae 3, p Ae 2, Ae 0, e pex o o 1, c- B Ao- 70 50 20 2,5 1,5 55 650 (2,76) (e) c o p o Na,K,Ca, Mg,Cl Tp 1000 Ao- 60 - - - - - - - - 1000 (p ) c o (4,17) Cop o Coeoe c o 9 H p Ao- 60 - - - - - - - 6 1016 (P) c o (4,31) c o Coeoe c o 2.3. epe ece c c p P c op 20% o 200 - - - - - - - - 820 (3,44) o 40% -"- 400 - - - - - - - - 1640 (6,88) 50% -"- 500 - - - - - - - - 2050 (8,6) 10% p-p p o 100 - - - - - - - - 380 (1,6) p o 10% p-p ep o- 100 - - - - - - - - 375 (1,6) ep o 25% o 100 70 25 2,5 94 0,08 6 1000 c epo (4,25) opec c p o 100 Ae e po (P) 0,15 c o 10% Coeoe 100 - - - - - - - - 1100 p c o (4,68) (e) 9 20% 200 - - - - - - - - 2000 (8,2) p oco- (e) oo e epo 20% o - Coeoe 200 - - - - - - - 16 2035 (8,6) (P, c o ) oco- 15, co ( e ) epo 25, (P) Cop o ( ) 20% o C po- 200 2100 (CA) ooe (8,75) c o 37,5% c epo- o 150, op- p o 150,0 - - - - - - - - 1500 ec (P) (6,38) c o 75, III. eopeoc p e pe p o - o ep 60,0 154 - - - 154 - - - - o NaCl 9, 9 Peoo o ep 100 154 - - - 154 - - - - o cpee MM NaCl 9, Peoo o ep 100 - - - - - - - - - o cpee MM o 60 154 - - - 154 - - - - IV. e oc oe eoe o - 60 96,6 5,6 4,5 0,04 104,1 2,74 - - - p po o NaCl 5, KCL 0, CaCL2 0, MgCL2 0, NaHCO3 0, Heooec o - 60 - - - - - - - - - (Ac p) p po o o * - oeco eec e yaao.

9 Taua 6. pep pace ea o epoo e + a=(a ope - a ooo) accy%Be e Na+ a=(ap ope - ap ooo) accy%Be e + ppo.=(a ope - a ooo) accy%B e Na+ pp.=(ap ope - ap ooo) accy%B poe eeoo oc:

oopoe - 50 % pyo - 40 % o 2 o 5 e - 30 % cape 5 e - 20 % eamopum ooo - eamopum ope euum H O = accy % Be eamopum ope ampu ooo - ampu ope euum H O = accy % Be ampu ope ec npu poeuu () euum H O = (euum acc % - 6) Taua 6. Coepae ap poo coyex pacopax ypeoo ee (T..oea, 1991) Pacop, / Coepae ap, / P: 154* 0, 1/2 P:75 0, 1/4 P: 37 0, 1/8 P: 19 0, P ooec pacop xopa ap Taua 6. Coepae epoo 1 pacopa (T..oea, 1991) Haae pacopa Coepae oa, o 10% NaCl 1, 10% CaCl 0, 25% MgSO 2, 7,5% Kcl P-p Pepa 0,14 Na+ 4% NaHCO 0,476 Na+ a 0,05 Na+ - (0,02 K+) 0,65 a pyoe ooo 0,02 Na+ Puc.1. Hoopaa Puc.2. Hoopaa opeee oeca - opeee ea a oc ap ae.

Puc.3. Hoopaa o peee ea a ppoax.

Pc.4. Hoopaa opeee ea Ca.

Puc.5.

Hoopaa opeee ea po Puc.6. Hoopaa opeee ocopoc po.

opeee ocopoc ee, oyeo o epe cee ae oe ap, pa ey a e o, opeeeo o pao ac oopa.

Puc.7.

Hoopaa opeee copoc ee o c.

PAE 7. COTHO-OCHOBHE COCTOH Taua 7. oaae coo-ocooo coco y opox oopoex (coe ae) oaae yo e a po 1 3 - 4 5 - pH 7,240,05 7,390,005 7,400,005 7,390, BB o/ 45,300,73 54,900,8 54,30,75 53,20, BE -"- -11,40,48 -2,8 0,36 -1,8 0,36 -2,3 0, B -"- 16,90,24 22,20,26 22,90,27 22,40, SB -"- 16,80,46 19,30,36 20,20,34 20,50, PCO p.c. 39,80,108 32,50,54 32,50,48 34,20, a 5,30,01 4,30,07 4,30,06 4,550, PO p.c. 84,12,8 77,43,9 79,08, a 11,20,37 10,30,5 10,51, Taua 7. oaae OC a, ppoaa aooo cocaa po y ooex eooex oopoex epx 5 e (A..Aoo c coa., 1984) o e p e e P oo ee Heoo e (n=16) e (n=26) pH:

7,3590,001 7,3130,008 < 0, p po 7,1840,006 7,1580,007 < 0, SB, o / :

18,560,29 18,220,38 > 0, p po 13,110,18 12,950,21 > 0, BE, o / :

-8,555,51 -5,0110, -7,030,38 -7,560,5 > 0, p po -16,90,35 -17,480,34 > 0, BB, o / :

38,620,3 39,130,48 > 0, p po 36,060,39 35,830,47 > 0, AB, o / :

17,560,29 17,050,39 > 0, p po 12,10,19 11,940,15 > 0, p CO2, 4,170,13 4,760,17 < 0, p O2, 9,30,18 8,30,21 < 0, HbO2, % 93,750,39 890,85 < 0, Taua 7. Ocoe p eaoecoo aoa (.B.oca, P..Beep, 1996) 1. OCTP AO 1. oc 2. o oepy (cecc, ooe, cepea eocaooc, eo-epoec epoo) 3. Bpoee ee eaoa (aao, opaeca aee) 2. OOCTP XPOHEC AO 1. Hepo oex aae (oo cece epeoc oe) 2. oepy poee ee eaoa oy po yepeoy epccpyey aoy 3. eo ao eooex Taua 7. Ocoe p xaeoo aoa (.B.oca, P..Beep, 1996) 1. OCTP AO 1. Acc 2. Ao 3. Ocpy opaxeao py 4. eoopac 5. poxoca 2. OOCTP XPOHEC AO 1. Oe ex 2. epaa oe 3. Xpoece aoea ex Taua 7. Hapaee co oaaee coo-ocooo coco po (..Aao, 1968) pH, p CO2, BE, BB, SB, e. p.c. / / / AO:

e o ec < < < < pecp op < > > AAO:

e o ec > > > > pecp op > < < Taua 7. acca apye coo-ocooo coco (Thiele, 1967) Ao Aao exae xae exae xae pH BE pCO pH BE pCO pH BE pCO pH BE pCO 2 2 2 A. POCTE Heo- < < H < H > > > H > H < ecpo a ac- < < < < > > > > > > < < oo ecpo a oo- H < < H > > H > > H < < c oe cpoa OMHPOBAHHE Ooa- < < > < < > > > < > > < pae e poo pa > > pa > > pa > < Pa > < ooo apa- ee H - opa > - oe op < - ee op Taua 7. Aop epa aoa AO (pH < 7,15 - 7,2 - 7,25) c p p Ae e p pH < 7,15 PCO2 > 60 B p o c c e o oec p c op co (NaHCO3 3 4,2% p-p 10 c ep o o) NaHCO3 = cc e () 0,3 BE / V = 0,5 / p CO2 > 65 p.c. Na > 150 / Tpc 0,3 M p-p = M cc e () 1.1 BE / V < 0,1 // PAE 8. EMATOOECE POEM HOBOPOEHHX Taua 8. Hopae ae oaaee paco po y oopoex (coe ae) Bopac eo- ppo- ea- MCV o o 12 op (cpe eco (/) (10 /) oe pey ppo- oo a) (%) yo- 146-196 5,40 56,6 106 3, a po 1-e cy 212(182) 5,6(4,7) 56,1 106(115) 3, 7-e cy 196(163) 5,3(4,4) 52,7 101(110) 0, 14-e cy 180(145) 5,1(4,1) 49,6 96(106) 0, 21-e cy 166(129) 4,9(3,7) 46,6 96(102) 0, 28-e cy 156(109) 4,7(3,2) 44,6 91(100) 0, (-) - ae oopoex c pec a eco.

Taua 8. oaa eopacy (Coe ae) 1. p H oep Ht pee x 35-40% 2. Ec oe p o po > 10% O p po cc 10-15 / / eee 30-60 .

Taua 8. pa oe (Coe ae) pa:

1. oo, epoyc, oc, poa, H, CH, eyxa, ape ea 2. apoea, ycee cocycoo pcya ex 3. Ht eoo po > 65% Taua 8. Aop epa oe Ht > 65% e c e p c o H ee Ht epepeco po 50% Oe eo p c = [O (Htep.-55)]/Htep.

e ep oo, e p o e, p ep op e o ee 10 Opee Ht e ee 5% , o oec p-p, ce e opo e Opee e op Taua 8. Hopae oaae eocaa y ooex eooex (.B.oca, P..Beep, 1996) Bopac Apoaoe TB (c) B (c) TB (c) e 30-40 10-12 10- ooee yoa po 70 12-17 10- 48 aco 60 12-20 10- Heooee (31 e) yoa po 105 15-22 15- 48 aco 75 15-22 15- oeco pooo cex opaco - 180.000 300.000 TB - acoe pooacooe pe B - popoooe pe TB - poooe pe Taua 8. eppea ocox cpox eco (.B.oca, P..Beep, 1996) pa A B C D E F co Ce- Hopa Hopa Hopa Hopa Hopa poo- o o TB Hopa e- Hopa Hopa Hopa e eo eo B Hopa Hopa e- Hopa Hopa e eo eo TB Hopa Hopa Hopa e- Hopa Hopa eo p- Hopa Hopa Hopa Hopa Ce- Hopa oe o A - oope oce pooo, a paep po oo, ao epepeco po, oce pooo y aep, opeee apooape IgG, oyae o y ocoo oa.

B - opeeee aopo VII, IX, XI.

C - opeeee aopo X, V, II.

D - opeeee poyo epaa poea pee cepa c poao.

E - ee a , a ae oop. epe 4 aca ope ee TB B, ec oaae ocac ee - o peee aop V, VII X poe.

Ec ce ec oa peeax op oee pe po oee, pacopoc oe pe ca yoy a.

1. ee pee pooee ceecye o oe Bo-Bepaa.

2. Hapyee pacopoc oe ceecye o ee XIII aopa.

3. Hapyee pee ca yoya - ee aa-2-aaa.

Taua 8. aopaopa aoca p oeo pooooc oopoex (aa A.., aao H.., 1982 .) oe Tpoo TB B B cpo eoppaec- Hopa e- "opo- e- Hopa a oe eo e e" eo oopoe- Hopa x eo -"- -"- Ceo Hopa Hopa Tpooo- Ceo Hopa Heco- Hopa Hopa eece o ypyp ceo oe Cpo Ceo "o- Ceo e- oe BC** e" eo .e. pe e ca e- yopoe eo o Heocao- Hopa "o- Ceo e- Ce, oc eoo- e" eo .e. pe ceeco e ca y e- yeeo ee eo Tpooo- Ceo Hopa Heco- Hopa Hopa e ope- o e, o e ceo cpoa BC eepao- Ceo e- Ceo e- aco ae e- eo eo ce c ea o poo oee, o e cpoa BC oae Hopa Hopa Hopa Hopa Hopa poo pooee -a opae cocyo Tpoo - opa y opox oopoex 200x10 9 400x10 9 / - opeee popoa - opa 95-100% TB - acoe pooacooe pe - opa 45-65 ce.

B - popoooe pe - opa 13-20 ce B - pe ca yoyoo pa - opa 65- Taua 8. aopaopa aoca BC-cpoa (Coe ae) aopaope Hopa I ca II ca IIIca pa Bpe cepa- 4-8 4-2 < 4 20-30 po o - 8-15 > ay, oeco 200-300 300-400 opa < pooo < (109/) oepa 2,0-4,0 > 4,0 < 2,0 < 0, poea / Tpoooe 15 + 1 yee yeeo yeeo pe (ce) o popoo- 12-16 5-10 10-15 30- oe pe (c) Bpe po- 180-240 150-180 < 180 < a () oepa 0-3 > 3 > 3-5 > (/) popoo- 90-100 opa opa ce ec (%) > < Apo III 70-120 70-120 70-60 H 60- (%) aoo ec opa oo. oo. opa.

poacy- opa oo. oo. opa.

a ec Bpe pea- 106 20,4 ceo ceo oeo a a oeo Toepaoc 6,6 1,8 oe- oeo oeo a o opa eapy () Apoaoe 45-55 oeo oeo oeo ap. poo- opa acooe pe (ce) Tpooec 4-6 > 6 eee 4 < > aop V (%) 90,78,5 opa ce ce opa oe aop VII (%) 694,5 13, opa ce ce 4 opa oe aop VIII (%) 103,4 11, opa ce ce 5 opa oe aop XIII - 80-100 opa ce ce pca opa py (%) oe Taua 8. Aop epa eopp ec cpo Ce e opo e 10 / poo < poo , poe / poe H c e p c , 1 o poo o* popee (10-15 /5) * - 1 oa oepaa pooo coep 40-50x10 9 po oo 30-50 a.

Taua 8. Aop aoc eyx e x poe p Hepo po eo ec e x : pex o e x. Mex ec e x.

o eo ec e: TORCH-cpo, H p ee o o, o e, po e e A, B;

epop c, o eoe oc ee o o ep oc , cecc;

o, p p po, p ee e o ece p e, opo o p po, c ec e o e: cecc, TORCH cpo;

e o ece p e. p e Taua 8.11. oaa aeoo epea po p ppoacoe Bce ae py yoo po > 120 o/ eoo yoo po < 80 / ppoc pya > 8,5 o//ac eee 12- aco Heocoea oe aox epa Hepo py > 340 o/ Heca c ayo py 85-340 o/ (p pH apepao po 7,3-7,5) Ocaee a ee 1+ Ocoea oe aox epa (M, oa oa ..) Heca c ayo py 170-255 o/ (p pH apepao po 7,1-7,3) Ocaee a ee 1+ Peoe yxyee coco Boc, oyoc, oee aoax ax oeao coa oa Taua 8.11. oaa aeoo epea po (.B.oca, P..Beep, 1996) pa > 2500 < 2500 < 2500 yoeo- eo peo coco coco Hepo 340-680 255-340 170- py (o/) Heca c a- >340 >340 > yo py Ocaee a ee 1+ 1+ 1+ a Ec Ec xyee co co coco Bae oe- aoo- xyee xyee a coa oa ece coco coco Taua 8. pe oaa oeo pacy p oya o peyc-aopy cee ABO (o Polvcek) POATA EPPHEM A. OTOTEPA 1. ooepa ae opaoae cpyypoo ( py) eoepecoo oepa pya, oop pa cop oe oc ee e aa. Heo oe oeco pya oc oa ee e poyo oooca.

2. He cyecye ex oaa pee ooe pa (a. 8.13). ooepa e ec aepao a eo pacy, ec ec co epo eyx.

Taua 8. oaa poee ooepa (.B.oca, P..Beep, 1996) pa >2500 <2500 <2500 yoeop- eo eo coco coco Hepo py 255 170 120- (o/) Heca c 155 120 ayo py Taua 8. oooa po O ee c eco pyoo paeoc po (.B.oca, P..Beep, 1996) pya po epeaec peey Maep peea A A A Rh-ea po O O O Rh - ea po O A O Rh - ppo c A AB ao O B O Rh - ppo c B AB ao AB A A Rh - ea po AB B B Rh - ea po Taua 8. Oe oopao aeeo po p aeo pacy y oopoex (T..oea, 1995) Macca ea Oe oopao aeeo po () oee 3 2-3 1-2 850 - 1 eee 850 1- Taua 8. Aop O* Opee ee oe oo o po V=2 O (80 / oo ee), O (90-100 /-eoo ee) 1 - e ep oo e, e o o e (epe epepec ) 2 - e ep e - / p ep - c eopecc e , c oe e o!

op 1 op po o 5 o 20 - p , Ht, p.

Boe ee 100-150 po 0,5-1,0 10% o O ee o ec o e eo po 2 O Opee ee p p > 2/3 ooeoo p 1/2 ooeoo o op O o po p epe 4 c, c x p * - Bpe O 1-2 aca.

PAE 9. MOEBETEHA CCTEMA. OCTPA OEHA HEOCTATOHOCT (OH) Taua 9. Hopae apaep y oe y oopoex ee (coe ae) pa Heoo- oo- B o- B opace ee ee pace 2 2 eca (<32 ee ee) Copoc yooo 102 205 4010 70 pa (//1,73 ) oe pooo 5010 8515 140 20 240 (/) Macaa >600 >800 >1000 > oepaoa cocooc (Oc/) pa ee 3-8 <1 <1 < pyeoo ap (%) Taua 9. pep OH 1. Oyp - ype < 1 //ac 2. oe - ypoe ocaooo aoa > 10,7 o/ (>15 /) ypoe peaa > 61,8 o/ (0,7 /) Taua 9. Peaa pepeaa oea eocaooc y oopoex (.B.oca, P..Beep, 1996) p pepe Pe Oco poc o(Oc/H O) >400 < p ooo p <3%* >3%* (U NaSkr)/(S NaUkr) U Na - oepa ap oe Skr - oepa peaa ae Ukr - oepa peaa oe S Na - oepa ap ae * - y oopoex cape 32 ee eca Taua 9. epeae aocece pep oeo eocaooc y oopoex c oype (o P.Me, 1980) oaae B oeo eocaooc OH H Ocopoc o (Oc/) <400 > oepao oe () 0,4-0,3 0,2-0, ap oe 5-6 29- peaa 9-10 29- ec oeo eocaooc (H) 11-12 1-1, ec cpe ap ( Na%) 4-5 6- - coooee oepa oo ap aocx poyo po oe oempa Na oe/ oempa Na nae u Na % = oempa peamuua oe/ oempau peamuua pou u oempau Na oe H = oempau peamuua oe/ oempau peamuua nae Bce oepa o/ Taua 9. Aop ee OH O p pe < 1 // c < 1 // c >1 // c OH Oc o o >10,7 o / (>15/ / ) pe >18 o / (> 0,7 / ) p ce p > K+,p < Ca++ 0,5-1 / o o ceoe c oo. Co o 0,5-1 / 0,25 e/ / / o + c , V= pe pH > 7,3 e eo / oo e 50- / - eoo e.

o po : cc e 3 p e, K, Ca, Na, pH, po, oe, oco poc ep e > 7,5 /, eoecpo o BE < 12 /, oc o o 53,5o / epo e c o e , ep e ep oe .

eo PAE 10. OMEHHE HAPEH Taua 10. acca oe 1. Tpaopa (epe 48 aco) - oopoee o aepe, ox caxap aeo - BP - acc - oe - cecc - cpo oe o - eooee 2. Coa (aa) - ee eaoa yeoo - ee eaoa aoco - pye oopoee - cpo Beya-Beaa Taua 10. pep aoc oe - oyee - cooc - oo - ao - xaea eocaooc - cyopo - cee caxapa po: ooee < 1,4 o/ (30 /), eooee < 0,9 o/ (20 /) Taua 10. Aop epa oe o e: c x p < 1,4-1,6 o / epe 72 c < 2, o / oc e 72 co o 2 / 25% p-p c p o o e o c p.copoc 5-7 // epe 1 c opee poe c x p < 2,2 o / > 2,2 o / e copoc 2 // C o o o o 12 // c o po e // e 24 c p po c x p poe 3,8 o / c po p poe 5,5 o / p o c c e eee 6 co poop o 5-7 / Taua 10. Hoopoee py pca o pae oae (.B.oca, P..Beep, 1996) pya ac- Bpe o- Mexa pa oa oo- poa.

e a Heooe- 30% epe Oo oe ao e cy ce , cea pea a apaopo, ce ay Hoopoe 50% Bope Oo aoaa pea e o ae- cy y ce a apaopo, pe c caxap- ooe- oe a, ae- x oe oca o Poec 30% < 12 aco Bappye Peo oe acc c ao Taua 10. T eoaao oae (J.Senterre, B.Salle, 1987) X p epc - Heo o e P o Bop c () 0-2 3- e Heoo ee oo ee pep co - C x p e c cc eoe c p e ep, ep - e, ep p peo, op cc ep o p peo , o e Ceo o He co o oe - p ec ceo c o +++ + ece + +++ c o oc e Hop > < p opo <> po o >> Hop oee Hoe oc ee o p peo, o Ca, ep o- o D, ooe e oc ee oc o peae:

+ yepea, +++ eca acoa paeoc e;

> oee, < cee ypo o cpae c op o.

Taua 10. aee o a 1 o 10% = 100 o 1 o 10% = 9 1 o e 10% = 18 1 = 20 Taua 10. pep oppe Ca Mg Hoopoee Ca Mg o/ / o/ / ooee 1,5-1,7 6- Heooee 1,25-1,7 5-6 0,72 1, p a coo oae 10% oa a 1-2 / eee 5-10 .

oppe 50% pacopa MgSO4 0,1-0,2 / / /.

PAE 11. HEOHHE AOEBAH Taua 11. Boye e, epeaaee o aep peey (.B.oca, P..Beep, 1996) po e pocxo p- ep - TROCH- e o poo epo cpo oc Bp c p c x +... + 1,8, oe op c + + + 1,2,3, Bp c poc oo + + + 1,2,3, epec e A ??... e B peo +... epec oc ep + + + 1,2, pop c B19, + + + 1, epop c e peoe +... + 2,8, T ep e + +... 1,2, X ... +... 1,2, oope... +... c ep + + + 1,2, ep eo... +... p Hemophilus influezae... +... 1,5, eo ec... +... 1,5, c pe oo p B Candida albicans peo +...1, M p......... 1, Toco +... + 1,2,8, pea: 1) oce, 2) ao, 3) epoa poco , 4) yoopece aa, 5) aec-aa , 6) yoepoope, 7) A, 8) opeeee ce ecx Ig M, 9) opeeee po ceecx pax oxIg G, 10) pye cepooece ec Taua 11. Ocoeoc pax ox cpeooox e (coe ae) Pa opa oaa Bpe epx 3-x cyo 7-e, 10-e cy o 4-x ooe . aco ee epe ac ece yaoe Meeoe pae, poe eee: ao, aco cpee ec, axo, xa- aco e ea eoca ooc, o ce, o, e peo Ocoee aco Peo po ocepo oe ocoe y aep Cepo Bce 5 cepoo Cepo III cpeaec py B 90% cyae poo Heaop aop, cep 50-70% oc10% (peyec cepoc eo oo c eo) y e poa o O aep, ypo aep e e, o yo- ae y Taua 11. Oea oopoex c ypoo pa paaao aepao e (Xaaoa T.A., Mpoaoa.., 1981)* apaep oe a apaep oe a po oopoeoo o o pe 3 xyee coco epeeoc epe ac Ooe ayep- 2,5 Co e c aae (coopo- p poe (pa oe , e eoppa epopoe, pe- ec cpo, e epeee po, pa- e opac o eoaaa ce- x opoo, o p, apeae e opae o, aop c ocoee) ye oa, eaoceoea Ocoee poax 2,5 Heooeoc (epaoe ooe- aooecoe e oa, ayepce coepoe eye oco, oep, Oea o ae ecoepeeoe - Aap eee5 ao 0, e o, ayycpa ) Bocaee 1, eooece aoea aaee Moooe 0, * Oea oopoeoo e 7 ao e ooe c ypypooe aepaoe aoeae cy oaae cpooo aae aoa.

Taua 11.4. epeao-aoceca aa pacoa cpoa cceoo ocaeoo oea p oo-ocaex aoeax oopoex (Poaeo B.A., 1987) N paa pao N paa pao / / 12 3 4 5 1 Peec: 6 Xapaep xa:

opae -6 ypoe - e + 1 ecoe + e ac + 6 ocaeoe + 2 Toyc : 7 ao:

opa -5 e - ce +1 epopa oe +1 apoao + ao +6 pao, c. "eoo 3 To cepa: a" oo + opae -4 8 Xapaep yca:

yxe +2 yoe.aoe - 4 ype: a, e + opa -1 9 Opaca o:

ce +8 opaa - 5 Hapyee oyoc ea HC: eo-cepa + opa -4 ea c eop. c + oee +1 ea c paop oee +2 pcyo + oa +5 16 epaa:

10 P xa: ec + opa -1 e - aooece +1 17 eoe epepecoe coyee +7 copoee:

11 Teepaypa ea: e op - 36,0 e +6 opa - 36,1-37,0 -1 e op + 37,1-38,0 -1 18 Mya paoa eoo eyoa:

38,1 e +1 e op + 12 acoa xa: opa - ee 30 +2 e op - 30-50 -1 19 ap ec 51-60 +4 e op + 61 oe +1 opa - 13 Cyopo: e op - ec +6 20 Cepe ec e -1 e op + 14 Bae xp ex: opa - e -1 e op - ec +5 23 a a:

15 Teepaypa oeoce: e op + opaa -1 opa - xooe +3 e op + 21 pCO : 24 Ocopoc a:

e op -2 e op - opa -1 opa - e op +4 e op + 22 Moea po:

e op + opa - e op + Pacoaae cee CCBO p a ooo oaa pooc ye cy poa aocecx oeo () c yeo x ao. B ao pae yaec oo oa paa o .

Taua 11.4. Bepooc pa cecca Cya Bepooc cecca Cee CCBO -4 ee < 10% -3 - +27 80% +28 oe 100% Taua 11. eee oopoex c peoaae aocpoa cco (.B.oca, P..Beep, 1996) Cayc Cayc aep Oea eee oopoe oo He co- He coo, oooo- eee e o, oo- ooe ee pey- peyec ee pea- peao a y aep oe ec, ec, opa- peea opae- e TA ec a- AC ec, a cop o- e oyaa pecpyx eee peoex ae (TA AC) He co- He coo, Cc y a- Maep oaao o, oo- ooe ep, ooe eee. oopo ee pea- peao cc y o- eoo: a.) oe ec, ec, oo- opoeoo poec TA ooe- e TA- AC ec. Ec ec TA-AC AC ec oo. - oopo.

ec oaa ypc ce eco epa , ec op. oaa cepoo ec opo (aea o cey). ). Ec e oooc e oooc o TA AC ec, oo po.- oaao eee He co- He coo, poeea ae- eee e pe o, oo. oo. pea- aa epa- yec. oaa peaoe o ec, o- cca y cepooec ec, oo. o. TA- aep, oo- opo aep TA-AC ec AC ec, a poe. oy- oopoeoo oya ypc aeaoe ee e- eee o, p ypypoo peao caec He co- He coo, Tepa ae- Maep e pey o, oo. oo. pea- aa a- ec eee, o peaoe o ec, oea a- opo. oaa ec, oo- oo. TA- ep, o oe ypc ceec . TA- AC ec, a eae- o epa AC ec oya ypc aa y- cepooec ee p- pypooo opo poo, ee oa p peo caec Ec co- He coo, Cc y a- oaao eee aoea- oo. ep y oo- a aep, a , oo. peao poeoo oopo. c peaoe ec, oo. ocey ec, o TA-AC ec cepooec o. TA- opoe AC ec Taua 11. eee oopoex c peoaae aocpoa yepyeo (.B.oca, P..Beep, 1996) Cayc Cayc Tepa oopo- aep eoo Ec c- Aa e- 1.Haa epa oao o ao- poeea 2.opoa peea o aep ea opa 3.Oe cocoe aep aa aeay epa yepyea He Aa e- 1.opoa peea o aep, ocoy o e coo poeea poa opa 2.Haa poay oao 1 pa e oe 10/ yepyea poec yepyoe po. Ec po opae., poo poaecoe eee eee oa. Ec ec oo., aa eee oao pao eee 1 oa.

3.Peea oo epy aep oce opaa cepooecx eco(6-8ee) He Ma oya- 1.opoa peea o aep.

coo e eee o 2.poec yepyo ec 5 T.E. Ec peya oo.

ooy yep- aa cooecyee eee, ec op. - oop ec yea ex 6 ece He Ma 1opoa peea o aep e oaeo coo oya 2.poec yepyo ec 3 eca.

aeaoe 3.Ec y aep coxpac ooee yepyoe eee po, oya o poae oao PAE 12. AOPATOPHE OAATE Taua 12. apaep ppoo y oopoex (.B.oca, P..Beep, 1996) eca- eoo ppo eao- Cpe- Cpe Pey o- p(%) oe- o (/) (1012/) oe pa (%) opac ppo- eoo (ee) a a (m3) pp.(%) 12 80-100 1,5 33 180 34 16 100 2 35 140 33 10- 20 110 2,5 37 135 33 10- 24 140 3,5 40 123 31 5- 28 145 4 45 120 31 5- 34 150 4,5 47 118 32 3- Taua 12. oaae eoapo opy y oopoex epe 4 ee (M.H.ayc, A.A.oapoop, 1993) Bop c e- He po o- o- - Moo o- o ee ce- - o- o- -o e- oo o o- ep ep- e e p po e o ee o -o 18100 11000 9400 1600 400 100 550 o 9,3-30 6-26 20-850 0-64 2-11 0,4-3, % eo- 61 52 9 2,2 0,6 31 5, po op e 7 e o ee o -o 12000 5500 4700 830 500 50 5000 o 5-210 1,5-10 70- 0-250 2-17 0,3-2, % eo- 45 6 11,8 4,1 0,4 41 9, po op e 14 e o ee o -o 11400 4500 3900 630 350 50 5500 o 5-20 1-9,5 70- 0-230 2-17 0,2-2, % eo- 40 5,5 3,1 3,1 0,4 48 8, po op e Taua 12. eo opya y eooex ee (M.H.ayc, A.A.oapo, 1993) Macca p < 1500 p 1500-2500 p poe:

Bopac 1 2 4 1 2 eex Oee oeco 109/ Cpeee 16,8 15,4 12,1 13,0 10,0 8, oeae 6,1-32,8 10,4-21,3 8,7-17,2 6,7-14,2 7,0-14,1 5,8-12, poe o oeo(%) Cee 54 45 40 55 43 ao 7 6 5 8 8 oo 2 3 3 2 3 ao 1 1 1 1 1 Moo 6 10 10 5 9 o 30 35 41 9 36 Taua 12. Hopae eaooece oaae (M.H.ayc, A.A.oapo, 1993) oaae ecao- po H p opac poe (ee) 28 34 1 3 7 eoo 145 150 168 184 178 170 (/) eaop (%) 45 47 53 58 55 54 ppo, 4,0 4,4 5,25 5,8 5,6 5,2 5, 1012/ Cpe oe 120 118 107 108 99 98 ppoo, Cpeee 40 38 34 35 33 32,5 31, coepae Hb, Cpe 31 32 31,7 32,5 33 33 oepa Hb (%) Peyo 5-10 3-10 3-7 3-7 1-3 0-1 0- (%) Tpoo, 290 192 213 248 109/ Taua 12. eoo (/) Mm acoc o acc cpoa eca (M.H.ayc, A.A.oapo, 1993) Hee 3 1 2 3 4 6 8 < 1500 17,5 15,5 13,5 11,5 10,0 8,5 8,5 9, 28-32 ee (1,5) (1,5) (1,1) (1,0) (0,9) (0,5) (0,5) (0,5) 1500-2000 19,0 16,5 14,5 13,0 12,0 9,5 9,5 9, 32 36 (2 0) (1 5) (1 1) (1 1) (1 0) (0 8) (0 5) (0 5),,,,,,,, 32-36 ee (2,0) (1,5) (1,1) (1,1) (1,0) (0,8) (0,5) (0,5) 2000-2500 19,0 16,5 15,0 14,0 12,5 10,5 10,5 11, 36-40 ee (2,0) (1,5) (1,5) (1,1) (1,0) (0,9) (0,9) (1,0) > 2500 19,0 17,0 15,5 14,0 12,5 11,0 11,5 12, Cpo (2,0) (1,5) (1,5) (1,1) (1,0) (1,0) (1,0) (1,0) Taua 12. eaop (% ) Mm acoc o acc cpoa eca (M.H.ayc, A.A.oapo, 1993) Hee 3 1 2 3 4 6 8 < 1500 54 48 42 35 30 25 25 28-32 ee (5) (5) (4) (4) (3) (2) (2) (3) 1500-2000 59 51 44 39 36 28 28 32-36 ee (6) (5) (5) (4) (4) (3) (3) (3) 2000-2500 59 51 45 43 37 31 31 36-40 ee (6) (5) (5) (4) (4) (3) (3) (3) > 2500 59 51 46 43 37 33 34 Cpo (6) (5) (5) (4) (4) (3) (3) (3) Taua 12. co peyoo (M1,8) (M.H.ayc, A.A.oapo, 1993) Hee 3 1 2 4 6 8 < 1500 p 8,0 3,0 3,0 6,0 11,0 8,5 7, 28-32 ee (3,5) (1,0) (1,0) (2,0) (3,5) (3,5) (3,0) 1500-2000 p 6,0 3,0 2,5 3,0 6,0 5,0 4, 32-36 ee (2,0) (1,0) (1,0) (1,0) (2,0) (1,5) (1,5) 2000-2500 p 4,0 3,0 2,5 2,0 3,0 3,0 3, 36-40 ee (1,0) (1,0) (1,0) (1,0) (1,0) (1,0) (1,0) > 2500 p 4,0 3,0 2,0 2,0 2,0 2,0 2, Cpo (1,5) (1,0) (1,0) (1,0) (0,5) (0,5) (0,5) Taua 12. poe aopo cepa po, opoe cceoa pe poa c yeo ecaooo opaca (M.H.ayc, A.A.oapo, 1993) op I II V VII VIII IX XI XIII Tpoo- p- po- Tpo- X - po- o- po oe o- oe oe pe oe pe % Cpeee T p Ce <1500 215 21 64 42 50 - - - 300(70) 117 21 - 28-32.

1500-2000 220 25 67 37 44 - - 1/8 260 (60) 113 18 14 32-36.

2000-2500 240 35 66 48 67 - - 1/8 325 (75) 77 17 10 36-40.

>2500 210 60 92 56 67 26 42 1/8 325 (70) 71 16 9 520 92 110 178 - - - - 225 (45) 73 14 7 500 92 110 206 196 130 69 1/16 215 (41) 75 14 8 Taua 12. oaae po y eooex epe 7 ee (ec p poe 1500-1700) (M.H.ayc, A.A.aapo, 1993) oaae Hee 1 3 5 Hap, / 133-146 129-142 133-148 133- a, o/ 1,52-2,9 2,02-2,7 2,1-2,6 2,1-2, Moea, o/ O eo,/ 44-62,6 42,8-67 41,4-69 40,2-58, Ay, / 32,8-45 31,6- 32-43,4 34- 52, oy, / 8,8-22 6,2-29 4,8-14,8 5- a, / 4,6-6,7 4,5-7,1 4,5-6,6 4,6-7, ocop Taua 12. oaae epeao aoc ae y oopoex (.B.oca, P..Beep, 1996) epe Bopac ME/ ca ocaaa Poee - 1 ec. 7,4-19, Aaaopacaepaa Poee - 1 ec. 1,31-10, Aoaa Poee - 1 ec. 4- yapyapacaaa Poee - 1 ec. 0- eoa ocaaa Poee - 1 ec. 20- 1-3 ec. 73- Acapaaopacepaa Poee - 10 6- e yaaocaoeapaca- Poee - 1 ec. 0- aa peaocoaa Heooee 0- o 3-x e. 22- 3 e. - 3 ec. 15- aayapaceaa Heooee 56- o 3-x e 0- 3 e. - 3 ec 4- 0 10 1 0 aaepoeaa 0-10 e 150- o 1 ec. 185- 1 ec.- 2 oa 110- eaoeaa 0-1 ec. 29- > 1 ec. 15- Taua 12. Hopae apaep coooo oc y oopoex (.B.oca, P..Beep, 1996) oaae ooee e Heooee e o-o eoo eo/3) 0-32 0- Hepo (%) 60% 60% eo (/) 20-170 65- oa (/) 34-119 24- Coooee caxapa 44-248 55- ope/po % Taua 12. Aoocoepae poy oea po ee pao cee peoc epe (T..oea, 1989) oaae, ooee Heooee o/ (M + m) (M + m) Ocao- 1- 23,0 1,1 30,2 2, ao 3- 29,2 1,2 34,5 2, 5- 24,5 1,5 24,3 2, Ao 1- 1,6 0,06 1,55 0, oe 3- 1,9 0,10 2,16 0, 5- 1,6 0,12 2,00 0, Ao 1- 0,14 0,01 0,19 0, oeo 3- 0,13 0,01 0,19 0, co 5- 0,10 0,01 0,16 0, Heopee- 1- 21,3 1,0 28,5 1, e 3- 27,2 1,1 32,2 1, ao 5- 22,8 1,4 22,1 1, PAE 13. EAPCTBEHHE CPECTBA Taua 13. eapcee cpeca, coyee epee oecye a o peapa Boooe ece a o poee eo y oopoex Apo Taxap, eeoace p ee ox o apao Cpya, oa opeo;

eee epx e oe acpoa peooco, a LATS ecpa oape, oe oa ox oecax aa oo, oe oop- pea pexoa eocaooc aoeo o Xopa Tpoooe Aa Oee cpapae pa Xoppoa- pea pooea oe 131J Te opeo o o apeoa peapa Cpya oa, o ce o a oe Cac c ayo, cooae py pya Pc cx pooee, yeee yapa popoooo pee ae p opax oaaex eo y aep Ha- ao, oo (?) coa coa ypao eo p ee oo-6 ocaepoea eae Meeooe eoap- y epeo eaoo (poaa a eppye) e, eee popoooo pee, cpo, eca cxo c eoeco oe oopoex oc- pexoa ea caoc (epe aey poxo ee, e eoc) peo- Pc peepeex poo oc o p eo aae Aap aepa aaa coaoo xa, ao Peep oo, caoc, paap, cooc oxae, yoee cco ooo oca (?) Caa apyee ca pya c ayo, pc epo eyx p ox oax;

yeee popoooo pee, eo p eocaooc oo-6-ocaepoea, aeee aa pooo Cy- Pc ao y ee c eo ceoxocepa xo Cya- oe pc epo eyx, eo p a ee oo-6-ocaepoea eoo ec T3 pea opeo Ba D Oeo, cyecye aoc ey o oa oaee oopoeoo Ba eo p pee ox o epe poa (oopaco p) Taua 13. eapcee cpeca, poae aepcoe ooo oecye a oopoeoo (o Windorfen - Gasteiger) peapa poee ec y oopoeoo eoe- eee ocoo oa Mepoa- aepoeoe ece o Cya- eo p ee oo-6 a ocaepoea ypao Haco a coa A- ape, ao 131J ecye a oy eey oopoeoo T3, T4 Cpya oo, oep, ao, ee a Aa Cooc Ao- eee y ocoo oa ece peapa Taua 13. Pacpeeee opaax yoaoe aee apeopeeopo (B.M.Bopao, 1978) oaa Aa-apeo- ea yoaoe peeop apeopeeop aee Cocy: ooc o cc- Ceex , peeopo x, oe, opa- opoape, o po o- ex, opao oc, ceex po ooc, , ex, oa oa yoaoe cyee pacpee aee Cepe:

acoa copae -- oee ca copae -- oee poooc -- oee pox: oyc -- opoee e:

epcaa, oee oyc cep copaee Moeo yp:

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