4 курс / Акушерство и гинекология / Лекарственные_средства,_применяемые_в_акушерстве_и_гинекологии,

102

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɡɚ 30 ɦɢɧ ɞɨ

ɬɟɥɶɧɵɟ

ɟɞɵ 10–30 ɝ ɧɚ

ɫɪɟɞɫɬɜɚ

½ ɫɬɚɤɚɧɚ ɜɨɞɵ

ɜɧɭɬɪɶ

ɋɟɧɧɨɡɢɞɵ Ⱥ

Ɍɨ ɠɟ

ɢ ȼ 1 –2 ɬɚɛ-

ɥɟɬɤɢ ɜɧɭɬɪɶ

Ɉ70.0 Ɋɚɡɪɵɜ ɩɪɨ-

Ʌɢɞɨɤɚɢɧ —

ɉɪɨɢɡɜɨɞɧɨɟ

Ɇɟɫɬɧɵɣ

ɉɪɢ ɪɚɡɪɵɜɚɯ ɩɪɨɦɟɠɧɨ-

ɦɟɠɧɨɫɬɢ I ɫɬɟɩɟɧɢ

ɢɧɮɢɥɶɬɪɚɰɢ-

ɚɰɟɬɚɧɢɥɢɞɚ

ɚɧɟɫɬɟɬɢɤ

ɫɬɢ ɞɥɹ ɜɨɫɫɬɚɧɨɜɥɟɧɢɹ

ɜ ɩɪɨɰɟɫɫɟ ɪɨɞɨɪɚɡ-

ɨɧɧɚɹ ɚɧɟɫɬɟ-

ɰɟɥɨɫɬɢ. Ɂɚɲɢɜɚɧɢɟ ɪɚɡ-

ɪɟɲɟɧɢɹ

ɡɢɹ, 5–300 ɦɝ

ɪɵɜɨɜ ɲɟɣɤɢ ɦɚɬɤɢ ɢ

Ɉ70.1 Ɋɚɡɪɵɜ ɩɪɨ-

ɫɬɟɧɨɤ ɜɥɚɝɚɥɢɳɚ. ɉɪɨ-

ɦɟɠɧɨɫɬɢ II ɫɬɟɩɟɧɢ

ɬɢɜɨɩɨɤɚɡɚɧɢɹ:

ɜ ɩɪɨɰɟɫɫɟ ɪɨɞɨɪɚɡ-

ɫɥɚɛɨɫɬɶ ɫɢɧɭɫɨɜɨɝɨ ɭɡ-

ɪɟɲɟɧɢɹ

ɥɚ, ɚɬɪɢɨɜɟɧɬɪɢɤɭɥɹɪɧɚɹ

Ɉ70.2 Ɋɚɡɪɵɜ ɩɪɨ-

ɛɥɨɤɚɞɚ, ɜɵɪɚɠɟɧɧɚɹ

ɦɟɠɧɨɫɬɢ III ɫɬɟɩɟ-

ɛɪɚɞɢɤɚɪɞɢɹ, ɬɹɠɟɥɵɟ

ɧɢ ɜ ɩɪɨɰɟɫɫɟ ɪɨɞɨ-

ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɱɟɧɢ, ɧɚ-

ɪɚɡɪɟɲɟɧɢɹ

ɥɢɱɢɟ ɜ ɚɧɚɦɧɟɡɟ ɷɩɢ-

Ɉ70.3 Ɋɚɡɪɵɜ ɩɪɨ-

ɥɟɩɬɢɮɨɪɦɧɵɯ ɫɭɞɨɪɨɝ,

ɦɟɠɧɨɫɬɢ IY ɫɬɟɩɟ-

ɩɨɜɵɲɟɧɧɚɹ ɢɧɞɢɜɢɞɭ-

ɧɢ ɜ ɩɪɨɰɟɫɫɟ ɪɨɞɨ-

ɚɥɶɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

ɪɚɡɪɟɲɟɧɢɹ

Ɇɟɬɚɦɢɡɨɥ ɧɚ-

Ⱥɧɚɥɶɝɟ-

ȼɵɪɚɠɟɧɧɨɟ ɚɧɚɥɶɝɟɡɢ-

Ɉ71.3 Ⱥɤɭɲɟɪɫɤɢɣ

ɬɪɢɹ 250–500 ɦɝ

ɬɢɤ–

ɪɭɸɳɟɟ, ɫɩɚɡɦɨɥɢɬɢɱɟ-

ɪɚɡɪɵɜ ɲɟɣɤɢ ɦɚɬ-

ɜ/ɦ

ɚɧɬɢɩɢɪɟ-

ɫɤɨɟ ɞɟɣɫɬɜɢɟ. ɉɪɢ ɞɥɢ-

ɤɢ. ɐɢɪɤɭɥɹɪɧɨɟ

ɬɢɤ, ɩɪɨ-

ɬɟɥɶɧɨɦ ɩɪɢɦɟɧɟɧɢɢ —

ɪɚɫɫɥɨɟɧɢɟ ɲɟɣɤɢ

ɢɡɜɨɞɧɨɟ

ɢɫɫɥɟɞɨɜɚɧɢɟ ɤɪɨɜɢ

ɦɚɬɤɢ

ɩɢɪɚɡɨɥɨ-

Ɉ71.4 Ⱥɤɭɲɟɪɫɤɢɣ

ɧɚ

ɪɚɡɪɵɜ ɬɨɥɶɤɨ ɜɟɪɯ-

Ⱥɧɟɫɬɟɡɢɨɥɨɝɢ-

ɧɟɝɨ ɨɬɞɟɥɚ ɜɥɚɝɚ-

ɱɟɫɤɨɟ ɩɨɫɨɛɢɟ

ɥɢɳɚ

(ɫɦ. ɪɚɡɞɟɥ ɚɧɟ-

ɫɬɟɡɢɨɥɨɝɢɹ)

Ʉɚɥɢɹ ɩɟɪɦɚɧ-

Ⱥɧɬɢɫɟɩ-

Ⱦɥɹ ɨɛɪɚɛɨɬɤɢ ɲɜɨɜ

ɝɚɧɚɬ 0,1–0,5%

ɬɢɱɟɫɤɨɟ

ɪ-ɪ ɦɟɫɬɧɨ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

ȼɨɞɨɪɨɞɚ ɩɟ-

Ⱦɟɡɢɧɮɢ-

Ɍɨ ɠɟ

ɪɨɤɫɢɞ 3% ɪ-ɪ

ɰɢɪɭɸɳɟɟ

ЛС, используемые при проведении родов

103

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɦɟɫɬɧɨ

ɢ ɞɟɡɨɞɨ-

ɪɢɪɭɸɳɟɟ

ɫɪɟɞɫɬɜɨ,

ɨɤɢɫɥɢ-

ɬɟɥɶ

Ɉɤɬɟɧɢɫɟɩɬ

Ⱥɧɬɢɫɟɩ-

» »

ɚɷɪɨɡɨɥɶɧɵɣ

ɬɢɱɟɫɤɨɟ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɪɟɞɫɬɜɨ

ɫɬɧɨ

ɇɚɤɫɨɥ ɫɩɪɟɣ

Ɍɨ ɠɟ

» »

ɚɷɪɨɡɨɥɶɧɵɣ

ɩɪɟɩɚɪɚɬ, ɦɟ-

ɫɬɧɨ

Ɇɟɬɪɨɧɢɞɚɡɨɥ

Ʉɨɦɛɢɧɢ-

ɇɟɚɤɬɢɜɟɧ ɜ ɨɬɧɨɲɟɧɢɢ

0,25–0,5 ɝ ɬɚɛ-

ɪɨɜɚɧɧɵɟ

ɚɷɪɨɛɧɵɯ ɛɚɤɬɟɪɢɣ ɢ

ɥɟɬɤɢ, 0,5 ɝ

ɩɪɨɬɢɜɨ-

ɝɪɢɛɨɜ. ɉɪɨɬɢɜɨɩɨɤɚɡɚ-

ɜɥɚɝɚɥɢɳɧɵɟ

ɦɚɥɹɪɢɣ-

ɧɢɹ:

ɫɜɟɱɢ, ɦɟɫɬɧɨ

ɧɵɟ ɩɪɟ-

ɧɚɪɭɲɟɧɢɹ ɤɪɨɜɟɬɜɨɪɟ-

ɩɚɪɚɬɵ

ɧɢɹ, ɚɤɬɢɜɧɵɟ ɡɚɛɨɥɟɜɚ-

ɧɢɹ ɐɇɋ. ɇɟɫɨɜɦɟɫɬɢɦ ɫ

ɚɥɤɨɝɨɥɶɧɵɦɢ ɧɚɩɢɬɤɚ-

ɦɢ

Ʉɟɬɨɪɨɥɚɤ

ɇɟɫɬɟɪɨ-

Ⱥɧɚɥɶɝɟɬɢɱɟɫɤɨɟ, ɩɪɨɬɢ-

30 ɦɝ ɜ/ɦ Ɇɚɤ-

ɢɞɧɵɣ

ɜɨɜɨɫɩɚɥɢɬɟɥɶɧɨɟ ɞɟɣɫɬ-

ɫɢɦɚɥɶɧɚɹ ɫɭ-

ɩɪɨɬɢɜɨ-

ɜɢɟ. ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ:

ɬɨɱɧɚɹ ɞɨɡɚ

ɜɨɫɩɚɥɢ-

ɝɢɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

90 ɦɝ

ɬɟɥɶɧɵɣ

«ɚɫɩɢɪɢɧɨɜɚɹ» ɚɫɬɦɚ,

Ⱦɢɚɡɟɩɚɦ 10–

ɩɪɟɩɚɪɚɬ

ɛɪɨɧɯɨɫɩɚɡɦ, ɝɢɩɨɜɨɥɟ-

20 ɦɝ ɜ/ɜ, ɜ/ɦ

ɋɟɞɚɬɢɜ-

ɦɢɹ, ɞɟɝɢɞɪɚɬɚɰɢɹ. ɉɪɢ

ɧɨɟ ɫɪɟɞ-

Ɉ70.2 ɢ Ɉ70.3 — 1–2 ɞɧɹ

ɫɬɜɨ, ɩɪɨ-

ɩɨɫɥɟ ɪɨɞɨɜ. Ⱥɧɤɫɢɨɥɢ-

ɢɡɜɨɞɧɨɟ

ɬɢɱɟɫɤɨɟ, ɦɢɨɪɟɥɚɤɫɢ-

ɛɟɧɡɨɞɢɚ-

ɪɭɸɳɟɟ, ɫɟɞɚɬɢɜɧɨ-

ɡɟɩɢɧɚ

ɝɢɩɧɨɬɢɱɟɫɤɨɟ ɞɟɣɫɬɜɢɟ.

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɦɢɚ-

ɫɬɟɧɢɹ. ɉɪɢ Ɉ70.2 ɢ

Ɉ70.3 — 1–2 ɞɧɹ ɩɨɫɥɟ

ɪɨɞɨɜ

Ɍɪɢɦɟɩɟɪɢ-

Ɉɩɢɨɢɞ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɞɢɧ 10–40 ɦɝ

ɧɵɣ ɫɢɧ-

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

104

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɜ/ɜ, ɜ/ɦ

ɬɟɬɢɱɟ-

ɬɹɠɟɥɚɹ ɫɟɪɞɟɱɧɨ-

ɫɤɢɣ

ɫɨɫɭɞɢɫɬɚɹ ɩɚɬɨɥɨɝɢɹ,

ɚɧɚɥɶɝɟ-

ɦɢɚɫɬɟɧɢɹ, ɭɝɧɟɬɟɧɢɟ

ɬɢɤ

ɞɵɯɚɧɢɹ. ɉɪɢ Ɉ70.2 ɢ

Ɉ70.3 — 1–2 ɞɧɹ ɩɨɫɥɟ

ɪɨɞɨɜ

Ȼɭɬɨɪɮɚɧɨɥ, 2

Ⱥɝɨɧɢɫɬ–

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɦɝ ɜ/ɦ, ɜ/ɜ

ɚɧɬɚɝɨ-

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɧɢɫɬ

ɦɢɚɫɬɟɧɢɹ. ɉɪɢ Ɉ70.2 ɢ

ɨɩɢɨɢɞ-

Ɉ70.3 — 1–2 ɞɧɹ ɩɨɫɥɟ

ɧɵɯ ɪɟ-

ɪɨɞɨɜ

ɰɟɩɬɨɪɨɜ

Ɇɚɝɧɢɹ ɫɭɥɶɮɚɬ

ɋɥɚɛɢ-

ɉɪɢ Ɉ70.2 ɢ Ɉ70.3 — ɫ

ɡɚ 30 ɦɢɧ ɞɨ

ɬɟɥɶɧɵɟ

6-ɝɨ ɞɧɹ ɩɨɫɥɟ ɪɨɞɨɜ

ɟɞɵ 10–30 ɝ ɧɚ

ɫɪɟɞɫɬɜɚ

½ ɫɬɚɤɚɧɚ ɜɨɞɵ

ɜɧɭɬɪɶ

ɋɟɧɨɡɢɞɵ Ⱥ ɢ

Ɍɨ ɠɟ

ȼ 1–2 ɬɚɛɥɟɬ-

ɤɢ ɜɧɭɬɪɶ

ɐɟɮɚɡɨɥɢɧ 1 ɝ

ɐɟɮɚɥɨɫ-

3–5 ɞɧɟɣ ɜ ɩɨɫɥɟɪɨɞɨɜɨɦ

ɜ/ɜ, ɜ/ɦ, 2–

ɩɨɪɢɧɵ III

ɩɟɪɢɨɞɟ. ɉɪɢ Ɉ70.2 ɢ

4 ɝ/ɫɭɬ

ɩɨɤɨɥɟɧɢɹ

Ɉ70.3

ɐɟɮɨɬɚɤɫɢɦ 1 ɝ

ɜ/ɦ, ɜ/ɜ, 2–

4 ɝ/ɫɭɬ

ɐɟɮɨɩɟɪɚ-

Ɍɨ ɠɟ

Ɍɨ ɠɟ

ɡɨɧ+ɫɭɥɶɛɚɤɬɚɦ

2 ɝ ɜ/ɜ, ɜ/ɦ,

4–6 ɝ/ɫɭɬ

Ɇɟɪɨɩɟɧɟɦ

Ʉɚɪɛɚɩɟ-

» »

0,5–1 ɝ ɜ/ɜ,

ɧɟɦɵ

1,5–3 ɝ/ɫɭɬ

Ɇɟɬɪɨɧɢɞɚɡɨɥ

ɇɢɬɪɨ-

3–5 ɞɧɟɣ ɜ ɩɨɫɥɟɪɨɞɨɜɨɦ

500 ɦɝ ɜ/ɜ,

ɢɦɢɞɚɡɨ-

ɩɟɪɢɨɞɟ. ɉɪɢ Ɉ70.2 ɢ

1000–

ɥɵ

Ɉ70.3

1500 ɦɝ/ɫɭɬ

Ⱥɦɨɤɫɢɰɢɥ-

Ⱥɦɨɤɫɢ-

Ɍɨ ɠɟ

ɥɢɧ+ɤɥɚɜɭɥɚ-

ɰɢɤɥɢɧɵ

ɧɨɜɚɹ ɤɢɫɥɨɬɚ

ЛС, используемые при проведении родов

105

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

1,2 ɝ ɜ/ɜ, 2,4–

7,2 ɝ/ɫɭɬ

Ʉɥɟɦɚɫɬɢɧ 2 ɦɝ

Ⱥɧɬɢɝɢɫ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɭɝɧɟ-

ɜ/ɦ 2 ɪ/ɫɭɬ

ɬɚɦɢɧɧɵɟ

ɬɟɧɢɟ ɢɥɢ ɜɨɡɛɭɠɞɟɧɢɟ

ɩɪɟɩɚɪɚɬɵ

ɐɇɋ, ɞɢɫɩɟɩɫɢɹ, ɢɧɞɢ-

ɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪɱɭɜɫɬ-

ɜɢɬɟɥɶɧɨɫɬɶ

ɏɥɨɪɩɢɪɚɦɢɧ

Ɍɨ ɠɟ

ɍɫɢɥɢɜɚɟɬ ɭɝɧɟɬɟɧɢɟ

20 ɦɝ ɜ/ɦ, ɜ/ɜ

ɐɇɋ

ɇɢɫɬɚɬɢɧ

ɉɪɨɬɢɜɨ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɩɨ-

500 000 ȿȾ,

ɝɪɢɛɤɨɜɵɟ

ɜɵɲɟɧɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶ-

ɜɧɭɬɪɶ,

ɚɧɬɢɛɢɨ-

ɧɨɫɬɶ ɤ ɩɪɟɩɚɪɚɬɭ ɢɥɢ

2 000 000–

ɬɢɤɢ ɩɨ-

ɛɥɢɡɤɢɦ ɩɨ ɫɬɪɭɤɬɭɪɟ

3 000 000 ɜ

ɥɢɟɧɨɜɨɣ

ɫɨɟɞɢɧɟɧɢɹɦ

ɫɭɬɤɢ

ɝɪɭɩɩɵ

Ɏɥɭɤɨɧɚɡɨɥ

ɉɪɨɬɢɜɨ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɩɨ-

150 ɦɝ ɜ/ɜ ɢɥɢ

ɝɪɢɛɤɨɜɵɟ

ɜɵɲɟɧɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶ-

150 ɦɝ ɜɧɭɬɪɶ

ɩɪɟɩɚɪɚ-

ɧɨɫɬɶ ɤ ɩɪɟɩɚɪɚɬɭ ɢɥɢ

1 ɪɚɡ ɧɚ ɤɭɪɫ

ɬɵ, ɩɪɨɢɡ-

ɛɥɢɡɤɢɦ ɩɨ ɫɬɪɭɤɬɭɪɟ

ɚɧɬɢɛɢɨɬɢɤɨɬɟ-

ɜɨɞɧɵɟ

ɚɡɨɥɶɧɵɦ ɫɨɟɞɢɧɟɧɢɹɦ

ɪɚɩɢɢ

ɬɪɢɚɡɨɥɚ

ɂɧɬɪɚɤɨɧɚɡɨɥ

ɉɪɨɬɢɜɨ-

Ɍɨ ɠɟ

100 ɦɝ 1 ɪ/ɫɭɬ

ɝɪɢɛɤɨɜɵɟ

ɜɧɭɬɪɶ

ɩɪɟɩɚɪɚ-

ɬɵ, ɩɪɨɢɡ-

ɜɨɞɧɵɟ

ɢɦɢɞɚɡɨɥɚ

ɢ ɬɪɢɚɡɨɥɚ

Ɉ82.0 ɉɪɨɜɟɞɟɧɢɟ

Ⱥɧɟɫɬɟɡɢɨɥɨɝɢ-

ɷɥɟɤɬɢɜɧɨɝɨ ɤɟɫɚɪɟ-

ɱɟɫɤɨɟ ɩɨɫɨɛɢɟ

ɜɚ ɫɟɱɟɧɢɹ

(ɫɦ. ɪɚɡɞɟɥ ɚɧɟ-

Ɉ82.1 ɉɪɨɜɟɞɟɧɢɟ

ɫɬɟɡɢɨɥɨɝɢɹ)

ɫɪɨɱɧɨɝɨ ɤɟɫɚɪɟɜɚ

Ʉɟɬɨɪɨɥɚɤ

ɇɟɫɬɟɪɨ-

Ⱥɧɚɥɶɝɟɬɢɱɟɫɤɨɟ, ɩɪɨɬɢ-

ɫɟɱɟɧɢɹ

30 ɦɝ ɜ/ɦ, ɡɚɬɟɦ

ɢɞɧɵɣ

ɜɨɜɨɫɩɚɥɢɬɟɥɶɧɨɟ ɞɟɣɫɬ-

Ɉ82.2 ɉɪɨɜɟɞɟɧɢɟ

ɩɨ 10–30 ɦɝ ɤɚ-

ɩɪɨɬɢɜɨ-

ɜɢɟ. ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ:

ɫɪɨɱɧɨɝɨ ɤɟɫɚɪɟɜɚ

ɠɞɵɟ 4–6 ɱ.

ɜɨɫɩɚɥɢ-

ɝɢɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɫɟɱɟɧɢɹ ɫ ɝɢɫɬɟɪɷɤ-

Ɇɚɤɫɢɦɚɥɶɧɚɹ

ɬɟɥɶɧɵɣ

«ɚɫɩɢɪɢɧɨɜɚɹ» ɚɫɬɦɚ,

ɬɨɦɢɟɣ

ɫɭɬɨɱɧɚɹ ɞɨɡɚ

ɩɪɟɩɚɪɚɬ

ɛɪɨɧɯɨɫɩɚɡɦ, ɝɢɩɨɜɨɥɟ-

90 ɦɝ

ɦɢɹ, ɞɟɝɢɞɪɚɬɚɰɢɹ. ɉɪɢ

Ɉ70.2 ɢ Ɉ70.3 — 1–2 ɞɧɹ

106

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɩɨɫɥɟ ɪɨɞɨɜ

Ⱦɢɚɡɟɩɚɦ 10–

ɋɟɞɚɬɢɜ-

Ⱥɧɤɫɢɨɥɢɬɢɱɟɫɤɨɟ, ɦɢɨ-

20 ɦɝ ɜ/ɜ, ɜ/ɦ

ɧɨɟ ɫɪɟɞ-

ɪɟɥɚɤɫɢɪɭɸɳɟɟ, ɫɟɞɚ-

ɫɬɜɨ, ɩɪɨ-

ɬɢɜɧɨ-ɝɢɩɧɨɬɢɱɟɫɤɨɟ

ɢɡɜɨɞɧɨɟ

ɞɟɣɫɬɜɢɟ. ɉɪɨɬɢɜɨɩɨɤɚ-

ɛɟɧɡɨɞɢɚ-

ɡɚɧɢɹ: ɦɢɚɫɬɟɧɢɹ. ɉɪɢ

ɡɟɩɢɧɚ

Ɉ70.2 ɢ Ɉ70.3 — 1–2 ɞɧɹ

ɩɨɫɥɟ ɪɨɞɨɜ

Ɍɪɢɦɟɩɟɪɢ-

Ɉɩɢɨɢɞ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɞɢɧ 10–40 ɦɝ

ɧɵɣ ɫɢɧ-

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

1–2 ɦɥ ɜ/ɜ, ɜ/ɦ

ɬɟɬɢɱɟ-

ɬɹɠɟɥɚɹ ɫɟɪɞɟɱɧɨ-

ɫɤɢɣ

ɫɨɫɭɞɢɫɬɚɹ ɩɚɬɨɥɨɝɢɹ,

ɚɧɚɥɶɝɟ-

ɦɢɚɫɬɟɧɢɹ, ɭɝɧɟɬɟɧɢɟ

ɬɢɤ

ɞɵɯɚɧɢɹ. ɉɪɢ Ɉ70.2 ɢ

Ɉ70.3 — 1–2 ɞɧɹ ɩɨɫɥɟ

ɪɨɞɨɜ

Ȼɭɬɨɪɮɚɧɨɥ

Ⱥɝɨɧɢɫɬ–

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

1–2 ɦɝ ɜ/ɜ, ɜ/ɦ

ɚɧɬɚɝɨ-

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɧɢɫɬ

ɦɢɚɫɬɟɧɢɹ. ɉɪɢ Ɉ70.2 ɢ

ɨɩɢɨɢɞ-

Ɉ70.3 — 1–2 ɞɧɹ ɩɨɫɥɟ

ɧɵɯ ɪɟ-

ɪɨɞɨɜ

ɰɟɩɬɨɪɨɜ

Ɇɟɬɚɦɢɡɨɥ ɧɚ-

Ⱥɧɚɥɶɝɟ-

ȼɵɪɚɠɟɧɧɨɟ ɚɧɚɥɶɝɟɡɢ-

ɬɪɢɹ 250–500 ɦɝ

ɬɢɤ–

ɪɭɸɳɟɟ, ɫɩɚɡɦɨɥɢɬɢɱɟ-

ɜ/ɜ, ɜ/ɦ

ɚɧɬɢɩɢɪɟ-

ɫɤɨɟ ɞɟɣɫɬɜɢɟ. ɉɪɢ ɞɥɢ-

ɬɢɤ, ɩɪɨ-

ɬɟɥɶɧɨɦ ɩɪɢɦɟɧɟɧɢɢ —

ɢɡɜɨɞɧɨɟ

ɢɫɫɥɟɞɨɜɚɧɢɟ ɤɪɨɜɢ

ɩɢɪɚɡɨɥɨ-

ɧɚ

Ⱦɪɨɬɚɜɟɪɢɧ 40–

ɋɩɚɡɦɨɥɢ-

ɂɧɞɢɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪ-

80 ɦɝ ɜ/ɦ

ɬɢɤ

ɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

Ɇɟɬɨɰɢɧɢɹ

ɋɢɧɬɟɬɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɣɨɞɢɞ 0,1%

ɱɟɫɤɢɣ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɪ-ɪɚ 0,5–1 ɦɝ

ɯɨɥɢɧɨɥɢ-

ɜɵɪɚɠɟɧɧɚɹ ɫɟɪɞɟɱɧɚɹ,

ɜ/ɜ, ɜ/ɦ

ɬɢɤ

ɩɟɱɟɧɨɱɧɚɹ ɢɥɢ ɩɨɱɟɱɧɚɹ

ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ, ɚɬɪɢɨ-

ɜɟɧɬɪɢɤɭɥɹɪɧɚɹ ɛɥɨɤɚɞɚ

II–III ɫɬɟɩɟɧɢ

0,9% ɪ-ɪ ɧɚɬɪɢɹ

Ʉɪɢɫɬɚɥ-

Ɉɛɟɫɩɟɱɢɜɚɟɬ ɩɨɫɬɨɹɧɫɬ-

ɯɥɨɪɢɞɚ — 500–

ɥɨɢɞ

ɜɨ ɨɫɦɨɬɢɱɟɫɤɨɝɨ ɞɚɜɥɟ-

ЛС, используемые при проведении родов

107

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

1200 ɦɥ ɜ/ɜ ɤɚ-

ɧɢɹ ɤɪɨɜɢ

ɩɟɥɶɧɨ

Ɋ-ɪ ɞɟɤɫɬɪɨɡɵ

Ʉɪɢɫɬɚɥ-

Ʉɨɪɪɟɤɰɢɹ ɜɨɞɧɨ-

5% 400 ɦɥ, ɜ/ɜ

ɥɨɢɞ

ɷɥɟɤɬɪɨɥɢɬɧɨɝɨ ɛɚɥɚɧɫɚ

ɤɚɩɟɥɶɧɨ

ɤɪɨɜɢ

Ƚɢɞɪɨɤɫɢɷɬɢɥ-

Ʉɨɥɥɨɢɞ

Ɍɨ ɠɟ

ɤɪɚɯɦɚɥ 6% ɢɥɢ

10% 500–1000

ɦɥ ɜ/ɜ, ɤɚɩɟɥɶ-

ɧɨ

ɀɟɥɚɬɢɧ 500 –

Ʉɨɥɥɨɢɞ

» »

1000 ɦɥ ɜ/ɜ

ɤɚɩɟɥɶɧɨ

ɇɚɬɪɢɹ ɝɢɞɪɨ-

ɋɨɥɟɜɨɣ

ɍɥɭɱɲɚɟɬ ɦɢɤɪɨɰɢɪɤɭ-

ɤɚɪɛɨ-

ɪɚɫɬɜɨɪ

ɥɹɰɢɸ

ɧɚɬ+ɧɚɬɪɢɹ

ɯɥɨɪɢɞ+ɤɚɥɢɹ

ɯɥɨɪɢɞ 400–800

ɦɥ ɜ/ɜ, ɤɚɩɟɥɶ-

ɧɨ

ɇɚɬɪɢɹ ɚɰɟɬɚɬ+

Ɍɨ ɠɟ

Ɍɨ ɠɟ

ɧɚɬɪɢɹ ɯɥɨɪɢɞ

400–800 ɦɥ ɜ/ɜ

ɤɚɩɟɥɶɧɨ

ɇɚɬɪɢɹ ɚɰɟ-

ɬɚɬ+ɧɚɬɪɢɹ

ɯɥɨɪɢɞ+ɤɚɥɢɹ

ɯɥɨɪɢɞ 400–800

ɦɥ ɜ/ɜ ɤɚɩɟɥɶɧɨ

» »

» »

Ɉɤɫɢɬɨɰɢɧ —

ɍɬɟɪɨɬɨ-

ɋɢɧɬɟɬɢɱɟɫɤɢɣ ɚɧɚɥɨɝ

ɜ/ɜ ɤɚɩɟɥɶɧɨ 5–

ɧɢɱɟɫɤɨɟ

ɨɤɫɢɬɨɰɢɧɚ. ɋ ɨɫɬɨɪɨɠ-

10 Ɇȿ ɧɚ 500

ɫɪɟɞɫɬɜɨ

ɧɨɫɬɶɸ ɛɨɥɶɧɵɦ, ɩɨɥɭ-

ɦɥ 0,9% ɪ-ɪɚ

ɱɚɸɳɢɦ ɫɢɦɩɚɬɨɦɢɦɟ-

ɧɚɬɪɢɹ ɯɥɨɪɢɞɚ

ɬɢɤɢ (ɤɪɨɦɟ Ɉ82.2)

ɐɟɮɚɡɨɥɢɧ 1 ɝ

ɐɟɮɚɥɨɫ-

3–5 ɞɧɟɣ ɜ ɩɨɫɥɟɨɩɟɪɚ-

ɜ/ɜ, ɜ/ɦ,

ɩɨɪɢɧɵ III

ɰɢɨɧɧɨɦ ɩɟɪɢɨɞɟ

2–4 ɝ/ɫɭɬ

ɩɨɤɨɥɟɧɢɹ

ɐɟɮɨɬɚɤɫɢɦ 1 ɝ

108

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɜ/ɦ, ɜ/ɜ,

2–4 ɝ/ɫɭɬ

ɐɟɮɨɩɟɪɚ

Ɍɨ ɠɟ

Ɍɨ ɠɟ

ɡɨɧ+ɫɭɥɶɛɚɤɬɚɦ

2 ɝ ɜ/ɜ, ɜ/ɦ,

4–6 ɝ/ɫɭɬ

Ɇɟɪɨɩɟɧɟɦ

Ʉɚɪɛɚɩɟ-

» »

0,5–1 ɝ ɜ/ɜ,

ɧɟɦɵ

1,5–3 ɝ ɜ ɫɭɬɤɢ

Ɇɟɬɪɨɧɢɞɚɡɨɥ

ɇɢɬɪɨ-

3 ɞɧɹ ɜ ɩɨɫɥɟɨɩɟɪɚɰɢɨɧ-

500 ɦɝ ɜ/ɜ,

ɢɦɢɞɚɡɨ-

ɧɨɦ ɩɟɪɢɨɞɟ

1000–

ɥɵ

1500 ɦɝ/ɫɭɬ

Ⱥɦɨɤɫɢɰɢɥ-

Ⱥɦɨɤɫɢ-

3–5 ɞɧɟɣ ɜ ɩɨɫɥɟɨɩɟɪɚ-

ɥɢɧ+ɤɥɚɜɭɥɚ-

ɰɢɤɥɢɧɵ

ɰɢɨɧɧɨɦ ɩɟɪɢɨɞɟ

ɧɨɜɚɹ ɤɢɫɥɨɬɚ

1,2 ɝ ɜ/ɜ, 2,4–

7,2 ɝ/ɫɭɬ

Ʉɥɟɦɚɫɬɢɧ 2 ɦɝ

Ⱥɧɬɢɝɢɫ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɭɝɧɟ-

ɜ/ɦ 2 ɪ/ɫɭɬ

ɬɚɦɢɧɧɵɟ

ɬɟɧɢɟ ɢɥɢ ɜɨɡɛɭɠɞɟɧɢɟ

ɩɪɟɩɚɪɚɬɵ

ɐɇɋ, ɞɢɫɩɟɩɫɢɹ, ɢɧɞɢ-

ɜɢɞɭɚɥɶɧɚɹ ɝɢɩɟɪɱɭɜɫɬ-

ɜɢɬɟɥɶɧɨɫɬɶ

ɏɥɨɪɩɢɪɚɦɢɧ

Ɍɨ ɠɟ

ɍɫɢɥɢɜɚɟɬ ɭɝɧɟɬɟɧɢɟ

2 ɦɝ ɜ/ɦ, ɜ/ɜ

ɐɇɋ

ɇɢɫɬɚɬɢɧ

ɉɪɨɬɢɜɨ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɩɨ-

500 000 ȿȾ,

ɝɪɢɛɤɨɜɵɟ

ɜɵɲɟɧɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶ-

ɜɧɭɬɪɶ,

ɚɧɬɢɛɢɨ-

ɧɨɫɬɶ ɤ ɩɪɟɩɚɪɚɬɭ ɢɥɢ

2 000 000–

ɬɢɤɢ ɩɨ-

ɛɥɢɡɤɢɦ ɩɨ ɫɬɪɭɤɬɭɪɟ

3 000 000 ɜ ɫɭ-

ɥɢɟɧɨɜɨɣ

ɫɨɟɞɢɧɟɧɢɹɦ

ɬɤɢ

ɝɪɭɩɩɵ

ɂɧɬɪɚɤɨɧɚɡɨɥ

ɉɪɨɬɢɜɨ-

100 ɦɝ 1 ɪ/ɫɭɬ

ɝɪɢɛɤɨɜɵɟ

ɜɧɭɬɪɶ

ɩɪɟɩɚɪɚɬɵ

ɩɪɨɢɡɜɨɞ-

ɧɵɟ ɢɦɢ-

ɞɚɡɨɥɚ ɢ

ɬɪɢɚɡɨɥɚ

Ɏɥɭɤɨɧɚɡɨɥ

ɉɪɨɬɢɜɨ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɩɨ-

ЛС, используемые при проведении родов

109

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

50 ɦɥ ɜ/ɜ ɢɥɢ

ɝɪɢɛɤɨɜɵɟ

ɜɵɲɟɧɧɚɹ ɱɭɜɫɬɜɢɬɟɥɶ-

150 ɦɝ ɜɧɭɬɪɶ

ɩɪɟɩɚɪɚɬɵ

ɧɨɫɬɶ ɤ ɩɪɟɩɚɪɚɬɭ ɢɥɢ

1 ɪɚɡ ɧɚ ɤɭɪɫ

ɩɪɨɢɡɜɨɞ-

ɛɥɢɡɤɢɦ ɩɨ ɫɬɪɭɤɬɭɪɟ

ɚɧɬɢɛɢɨɬɢɤɨ-

ɧɵɟ ɬɪɢɚ-

ɚɡɨɥɶɧɵɦ ɫɨɟɞɢɧɟɧɢɹɦ

ɬɟɪɚɩɢɢ

ɡɨɥɚ

ɀɟɥɟɡɚ >III@

Ⱥɧɬɢɚɧɟ-

ɉɪɢ ɚɧɟɦɢɢ. ɉɪɨɬɢɜɨɩɨ-

ɝɢɞɪɨɤɫɢɞ ɫɚ-

ɦɢɱɟɫɤɨɟ

ɤɚɡɚɧɢɹ: ɢɧɞɢɜɢɞɭɚɥɶɧɚɹ

ɯɚɪɨɡɧɵɣ

ɞɟɣɫɬɜɢɟ

ɝɢɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

ɤɨɦɩɥɟɤɫ 5 ɦɥ

ɜ/ɜ ɧɚ 100 ɦɥ

0,9% ɪ-ɪɚ ɧɚ-

ɬɪɢɹ ɯɥɨɪɢɞɚ,

1 ɪɚɡ ɜ 3 ɞɧɹ

ɉɨɥɢɜɢɬɚɦɢɧ+

Ʉɨɦɩɥɟɤɫ

ɉɪɢ ɚɧɟɦɢɢ. ɉɪɨɬɢɜɨɩɨ-

ɦɭɥɶɬɢɦɢɧɟɪɚɥ

ɜɢɬɚɦɢɧɨɜ

ɤɚɡɚɧɢɹ: ɢɧɞɢɜɢɞɭɚɥɶɧɚɹ

ɩɨ 1 ɤɚɩɫɭɥɟ

ɢ ɠɟɥɟɡɚ

ɝɢɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ

2 ɪ/ɫɭɬ ɜɧɭɬɪɶ

ɀɟɥɟɡɚ >III@

Ⱥɧɬɢɚɧɟ-

Ɍɨ ɠɟ

ɝɢɞɪɨɤɫɢɞ ɩɨ-

ɦɢɱɟɫɤɨɟ

ɥɢɦɚɥɶɬɨɡɚɬ

ɞɟɣɫɬɜɢɟ

25–50 ɦɝ 3 ɪ/ɫɭɬ

ɜɧɭɬɪɶ

ɇɟɨɫɬɢɝɦɢɧɚ

ɋɢɧɬɟɬɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɷɩɢ-

ɦɟɬɢɥɫɭɥɶɮɚɬ

ɱɟɫɤɨɟ ɚɧ-

ɥɟɩɫɢɹ, ɛɪɨɧɯɢɚɥɶɧɚɹ ɚɫ-

0,5 ɦɝ ɩ/ɤ 2

ɬɢɯɨɥɢɧɷ-

ɬɦɚ, ɫɬɟɧɨɤɚɪɞɢɹ, ɝɢɩɟɪ-

ɪ/ɫɭɬ

ɫɬɟɪɚɡɧɨɟ

ɤɢɧɟɡ

ɜɟɳɟɫɬɜɨ

ɞɥɹ ɫɬɢ-

ɦɭɥɹɰɢɢ

ɦɨɬɨɪɧɨɣ

ɮɭɧɤɰɢɢ

ɤɢɲɟɱɧɢ-

ɤɚ

Ⱦɨɫɬɢɝɦɢɧɚ

Ɍɨ ɠɟ

ɋɥɚɛɢɬɟɥɶɧɨɟ ɫɪɟɞɫɬɜɨ

ɛɪɨɦɢɞ 0,5–1 ɦɝ

ɜ/ɦ

Ɇɚɝɧɢɹ ɫɭɥɶɮɚɬ

» »

Ɍɨ ɠɟ

ɡɚ 30 ɦɢɧ ɞɨ

ɟɞɵ 10–30 ɝ ɧɚ

½ ɫɬɚɤɚɧɚ ɜɨɞɵ

110

Раздел 4

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɜɧɭɬɪɶ

ɋɟɧɨɡɢɞɵ Ⱥ ɢ ȼ

» »

1–2 ɬɚɛɥɟɬɤɢ

ɜɧɭɬɪɶ

Ɇɚɬɨɱɧɨɟ ɦɨ-

ɋɭɯɨɟ ɜɟ-

ɉɪɢ ɧɚɪɭɲɟɧɢɢ ɥɚɤɬɚɰɢɢ

ɥɨɱɤɨ 0,01 ɝ 3

ɳɟɫɬɜɨ

ɜ ɩɨɫɥɟɪɨɞɨɜɨɦ ɩɟɪɢɨɞɟ.

ɪ/ɫɭɬ ɩɨɞ ɹɡɵɤ

ɧɚɬɢɜɧɨɝɨ

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɛɨ-

10–15 ɞɧɟɣ

ɩɱɟɥɢɧɨɝɨ

ɥɟɡɧɶ Ⱥɞɞɢɫɨɧɚ, ɢɞɢɨ-

ɦɚɬɨɱɧɨɝɨ

ɫɢɧɤɪɚɡɢɹ ɤ ɩɪɟɩɚɪɚɬɭ

ɦɨɥɨɱɤɚ

(ɫɟɤɪɟɬɚ

ɚɥɥɨɬɪɨ-

ɮɢɱɟɫɤɢɯ

ɠɟɥɟɡ ɪɚ-

ɛɨɱɢɯ

ɩɱɟɥ)

Ɉɤɫɢɬɨɰɢɧ ɡɚ

ɉɟɩɬɢɞ-

ɉɨɜɵɲɚɟɬ ɫɟɤɪɟɰɢɸ ɦɨ-

1–2 ɦɢɧ ɞɨ

ɧɵɣ ɝɨɪ-

ɥɨɤɚ, ɭɫɢɥɢɜɚɹ ɜɵɪɚɛɨɬ-

ɤɨɪɦɥɟɧɢɹ ɪɟ-

ɦɨɧ ɡɚɞ-

ɤɭ ɩɪɨɥɚɤɬɢɧɚ. ɉɪɨɬɢɜɨ-

ɛɟɧɤɚ ɩɨ 1,5–2

ɧɟɣ ɞɨɥɢ

ɩɨɤɚɡɚɧɢɹ: ɢɧɞɢɜɢɞɭɚɥɶ-

ȿȾ 2 ɪ/ɫɭɬ ɜ/ɦ

ɝɢɩɨɮɢɡɚ

ɧɚɹ ɩɨɜɵɲɟɧɧɚɹ ɱɭɜɫɬ-

ɜɢɬɟɥɶɧɨɫɬɶ

ɉɪɨɬɢɪɟɥɢɧ 500

Ɋɟɥɢɡɢɧɝ-

ɉɨɜɵɲɚɟɬ ɤɨɧɰɟɧɬɪɚɰɢɸ

ɦɤɝ ɜ/ɜ

ɮɚɤɬɨɪ,

ɩɪɨɥɚɤɬɢɧɚ. ɉɪɨɬɢɜɨɩɨ-

ɞɟɣɫɬɜɭɟɬ

ɤɚɡɚɧɢɹ: ɷɩɢɥɟɩɫɢɹ, ɨɪ-

ɧɚ ɩɟɪɟɞ-

ɝɚɧɢɱɟɫɤɢɟ ɩɨɪɚɠɟɧɢɹ

ɧɸɸ ɞɨɥɸ

ɐɇɋ, ɝɢɩɟɪɱɭɜɫɬɜɢɬɟɥɶ-

ɝɢɩɨɮɢɡɚ

ɧɨɫɬɶ ɤ ɩɪɟɩɚɪɚɬɭ

ɉɨɥɢɜɢɬɚ-

ȼɢɬɚɦɢɧ-

ɍɥɭɱɲɚɟɬ ɨɛɦɟɧɧɵɟ

ɦɢɧ+ɦɭɥɶɬɢɦ

ɧɨ-

ɩɪɨɰɟɫɫɵ. ɉɪɨɬɢɜɨɩɨɤɚ-

ɢɧɟɪɚɥ 1 ɬɚɛ-

ɦɢɧɟɪɚɥɶ-

ɡɚɧɢɹ: ɢɧɞɢɜɢɞɭɚɥɶɧɚɹ

ɥɟɬɤɚ 1 ɪ/cɭɬ

ɧɵɣ ɤɨɦ-

ɧɟɩɟɪɟɧɨɫɢɦɨɫɬɶ, ɝɢɩɟɪ-

ɩɥɟɤɫ

ɮɭɧɤɰɢɹ ɳɢɬɨɜɢɞɧɨɣ

ɠɟɥɟɡɵ

ɇɢɤɨɬɢɧɨɜɚɹ

ȼɢɬɚɦɢɧ

ȼɯɨɞɢɬ ɜ ɫɨɫɬɚɜ ɤɨɞɟ-

ɤɢɫɥɨɬɚ 0,05 ɝ

ɊɊ

ɝɢɞɪɚɡ I ɢ II, ɹɜɥɹɸɳɢɯɫɹ

ɡɚ 15–30 ɦɢɧ ɞɨ

ɩɟɪɟɧɨɫɱɢɤɚɦɢ ɜɨɞɨɪɨɞɚ

ɤɨɪɦɥɟɧɢɹ ɪɟ-

ɢ ɨɫɭɳɟɫɬɜɥɹɸɳɢɯ

ɛɟɧɤɚ (ɧɟ ɦɟɧɟɟ

ɨɤɢɫɥɢɬɟɥɶɧɨ-

ɱɟɦ ɡɚ 30–40

ɜɨɫɫɬɚɧɨɜɢɬɟɥɶɧɵɟ ɩɪɨ-

ЛС, используемые при проведении родов

111

Ɂɚɛɨɥɟɜɚɧɢɟ,

ɉɪɟɩɚɪɚɬɵ, ɞɨ-

Ⱥɥɶɬɟɪɧɚ-

Ʉɥɚɫɫ

ɉɪɢɦɟɱɚɧɢɹ

ɫɨɫɬɨɹɧɢɟ, ɨɫɥɨɠ-

ɡɵ, ɦɟɬɨɞ ɜɜɟ-

ɬɢɜɧɵɟ ɫɯɟ-

ɩɪɟɩɚɪɚɬɚ

ɧɟɧɢɹ; ɟɝɨ ɤɨɞ

ɞɟɧɢɹ

ɦɵ ɥɟɱɟɧɢɹ

ɦɢɧ ɞɨ ɩɪɢɟɦɚ

ɰɟɫɫɵ. ɉɪɨɬɢɜɨɩɨɤɚɡɚ-

ɩɢɳɢ ɦɚɬɟɪɶɸ)

ɧɢɹ: ɹɡɜɟɧɧɚɹ ɛɨɥɟɡɧɶ

4 ɪ/ɫɭɬ

ɠɟɥɭɞɤɚ ɢ ɞɜɟɧɚɞɰɚɬɢ-

Ɇɚɤɫɢɦɚɥɶɧɨ

ɩɟɪɫɬɧɨɣ ɤɢɲɤɢ (ɨɛɨɫɬ-

0,4 ɝ/ɫɭɬ

ɪɟɧɢɟ), ɩɨɞɚɝɪɚ, ɧɚɪɭɲɟ-

ɧɢɟ ɮɭɧɤɰɢɢ ɩɟɱɟɧɢ, ɝɢ-

ɩɟɪɭɪɢɤɟɦɢɹ, ɫɚɯɚɪɧɵɣ

ɞɢɚɛɟɬ

Ƚɥɭɬɚɦɢɧɨɜɚɹ

Ɂɚɦɟɧɢɦɚɹ

ɋɬɢɦɭɥɢɪɭɟɬ ɨɤɢɫɥɢ-

ɤɢɫɥɨɬɚ 1 ɝ

ɧɟɣɪɨɦɟ-

ɬɟɥɶɧɵɟ ɩɪɨɰɟɫɫɵ, ɩɟɪɟ-

2–3 ɪ/ɫɭɬ ɱɟɪɟɡ

ɞɢɚɬɨɪɧɚɹ

ɞɚɱɭ ɜɨɡɛɭɠɞɟɧɢɹ ɜ ɫɢ-

20 ɦɢɧ ɩɨɫɥɟ

ɚɦɢɧɨɤɢɫ-

ɧɚɩɫɚɯ ɐɇɋ, ɫɩɨɫɨɛɫɬɜɭ-

ɟɞɵ

ɥɨɬɚ

ɟɬ ɨɛɟɡɜɪɟɠɢɜɚɧɢɸ ɫɜɨ-

ɛɨɞɧɵɯ ɪɚɞɢɤɚɥɨɜ ɢ ɩɨ-

ɜɵɲɟɧɢɸ ɭɫɬɨɣɱɢɜɨɫɬɢ

ɨɪɝɚɧɢɡɦɚ ɤ ɝɢɩɨɤɫɢɢ.

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɥɢ-

ɯɨɪɚɞɨɱɧɵɟ ɫɨɫɬɨɹɧɢɹ,

ɡɚɛɨɥɟɜɚɧɢɹ ɩɟɱɟɧɢ, ɩɨ-

ɱɟɤ, ɠɟɥɭɞɨɱɧɨ-

ɤɢɲɟɱɧɨɝɨ ɬɪɚɤɬɚ, ɤɪɨ-

ɜɟɬɜɨɪɧɵɯ ɨɪɝɚɧɨɜ, ɩɨ-

ɜɵɲɟɧɧɚɹ ɜɨɡɛɭɞɢɦɨɫɬɶ.

ȼɨ ɜɪɟɦɹ ɩɪɢɟɦɚ ɩɪɟɩɚ-

ɪɚɬɚ — ɤɨɧɬɪɨɥɶ ɚɧɚɥɢ-

ɡɨɜ ɦɨɱɢ ɢ ɤɪɨɜɢ

ȼɢɬɚɦɢɧ ȿ 0,1–

ɋɢɧɬɟɬɢ-

Ⱥɧɬɢɨɤɫɢɞɚɧɬ, ɬɨɪɦɨɡɢɬ

0,2 ɝ ɜɧɭɬɪɶ 2–4

ɱɟɫɤɢɣ

ɉɈɅ.

ɪ/ɫɭɬ ɞɨ 2 ɦɟɫ

ɩɪɟɩɚɪɚɬ

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ:

ɜɢɬɚɦɢɧɚ

ɤɚɪɞɢɨɫɤɥɟɪɨɡ, ɢɧɮɚɪɤɬ

ȿ

ɦɢɨɤɚɪɞɚ, ɝɢɩɟɪɱɭɜɫɬɜɢ-

ɬɟɥɶɧɨɫɬɶ

Ɉ92.1 Ɍɪɟɳɢɧɚ

Ɇɟɬɨɤɥɨɩɪɚɦɢɞ

ɋɩɟɰɢɮɢ-

ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɢɹ: ɝɢ-

ɫɨɫɤɚ, ɫɜɹɡɚɧɧɚɹ ɫ

(ɰɟɪɭɤɚɥ) 10 ɦɝ

ɱɟɫɤɢɣ

ɩɟɪɱɭɜɫɬɜɢɬɟɥɶɧɨɫɬɶ,

ɞɟɬɨɪɨɠɞɟɧɢɟɦ

(1 ɬɚɛɥɟɬɤɚ)

ɛɥɨɤɚɬɨɪ

ɮɟɨɯɪɨɦɨɰɢɬɨɦɚ, ɠɟɥɭ-

3 ɪ/ɫɭɬ ɞɨ ɟɞɵ

ɞɨɮɚɦɢ-

ɞɨɱɧɨ-ɤɢɲɟɱɧɵɟ ɤɪɨɜɨ-

ɢɥɢ 2 ɦɥ (10 ɦɝ)

ɧɨɜɵɯ, ɚ

ɬɟɱɟɧɢɹ, ɩɪɨɥɚɤɬɢɧɨɡɚ-

ɜ/ɦ, ɜ/ɜ ɦɟɞɥɟɧ-

ɬɚɤɠɟ ɫɟ-

ɜɢɫɢɦɵɟ ɨɩɭɯɨɥɢ, ɷɩɢ-

ɧɨ 1–3 ɪ/ɫɭɬ

ɪɨɬɨɧɢɧɨ-

ɥɟɩɫɢɹ ɢ ɩɨɜɵɲɟɧɧɚɹ

ɜɵɯ ɪɟ-

ɫɭɞɨɪɨɠɧɚɹ ɝɨɬɨɜɧɨɫɬɶ