6 курс / Скорая помощь / Алгоритмы_оказания_скорой_и_неотложной_медицинской_помощи
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ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
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- Ⱥɦɢɨɞɚɪɨɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ ɜ ɬɟɱɟɧɢɟ ɧɟ |
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ɦɟɧɟɟ ɦɢɧɭɬ ɜɨ ɜɪɟɦɹ ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
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ɫɦ «ɉɪɢɥɨɠɟɧɢɟ 40» ɫɬɪ 91) |
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ɉɚɪɨɤɫɢɡɦɚɥɶɧɚɹ |
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 |
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ɬɚɯɢɤɚɪɞɢɹ ɫ ɲɢɪɨɤɢɦ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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QRS ɦɨɧɨɦɨɪɮɧɚɹ |
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
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ɋɨɫɬɨɹɧɢɟ ɬɹɠɟɥɨɟ |
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ |
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ɝɟɦɨɞɢɧɚɦɢɤɚ |
Ɏɟɧɬɚɧɢɥ - ɦɤɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɧɟɫɬɚɛɢɥɶɧɚɹ - ɩɪɢ |
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ - 4 |
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ɫɧɢɠɟɧɢɢ ɋȺȾ |
ɦɤɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɨɬ ɜɨɡɪɚɫɬɧɨɣ |
ɢɥɢ - ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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ɧɨɪɦɵ |
ɋɢɧɯɪɨɧɢɡɢɪɨɜɚɧɧɚɹ ɷɥɟɤɬɪɨɤɚɪɞɢɨɜɟɪɫɢɹ - 2 |
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Ⱦɠ ɤɝ |
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ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
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ɋɢɧɯɪɨɧɢɡɢɪɨɜɚɧɧɚɹ ɷɥɟɤɬɪɨɤɚɪɞɢɨɜɟɪɫɢɹ Ⱦɠ ɤɝ |
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ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
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- Ⱥɦɢɨɞɚɪɨɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ ɜ ɬɟɱɟɧɢɟ ɧɟ |
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ɦɟɧɟɟ ɦɢɧɭɬ ɜɨ ɜɪɟɦɹ ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
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ɫɦ «ɉɪɢɥɨɠɟɧɢɟ 40» ɫɬɪ 91) |
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ɀɟɥɭɞɨɱɤɨɜɚɹ ɬɚɯɢɤɚɪɞɢɹ |
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 |
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ɩɨɥɢɦɨɪɮɧɚɹ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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ɋɨɫɬɨɹɧɢɟ ɫɪɟɞɧɟɣ |
- Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ ɜ ɦɵɲɟɱɧɨ |
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ɬɹɠɟɫɬɢ ɝɟɦɨɞɢɧɚɦɢɤɚ |
- Ɇɚɝɧɢɹ ɫɭɥɶɮɚɬ ɦɝ ɦɥ - ɦɥ ɜ ɪɚɡɜɟɞɟɧɢɢ |
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ɫɬɚɛɢɥɶɧɚɹ |
ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ - 3 |
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ɤɚɩ ɤɝ ɜ ɦɢɧ ɦɝ ɤɝ - ɫɬɪɨɝɨ ɦɢɧɭɬ ɜɨ ɜɪɟɦɹ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
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230 |
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ɀɟɥɭɞɨɱɤɨɜɚɹ ɬɚɯɢɤɚɪɞɢɹ |
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 |
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ɩɨɥɢɦɨɪɮɧɚɹ ɬɢɩɚ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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ɩɢɪɭɷɬ |
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
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ɋɨɫɬɨɹɧɢɟ ɬɹɠɟɥɨɟ |
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ |
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ɝɟɦɨɞɢɧɚɦɢɤɚ |
Ɏɟɧɬɚɧɢɥ - ɦɤɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɧɟɫɬɚɛɢɥɶɧɚɹ - ɩɪɢ |
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ - 4 |
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ɫɧɢɠɟɧɢɢ ɋȺȾ |
ɦɤɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɨɬ ɜɨɡɪɚɫɬɧɨɣ |
ɢɥɢ - ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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ɧɨɪɦɵ |
ɋɢɧɯɪɨɧɢɡɢɪɨɜɚɧɧɚɹ ɷɥɟɤɬɪɨɤɚɪɞɢɨɜɟɪɫɢɹ 1 - 2 |
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Ⱦɠ ɤɝ |
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ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ |
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ɋɢɧɯɪɨɧɢɡɢɪɨɜɚɧɧɚɹ ɷɥɟɤɬɪɨɤɚɪɞɢɨɜɟɪɫɢɹ Ⱦɠ ɤɝ |
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I49 |
Ȼɪɚɞɢɫɢɫɬɨɥɢɱɟɫɤɢɟ |
ɗɄȽ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɧɚɪɭɲɟɧɢɹ ɫɟɪɞɟɱɧɨɝɨ |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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ɪɢɬɦɚ |
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 - 1.0 |
ɧɚ ɧɨɫɢɥɤɚɯ |
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Ⱦɥɹ ɨɛɳɟɩɪɨɮɢɥɶɧɵɯ |
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ɋɢɧɞɪɨɦ ɫɥɚɛɨɫɬɢ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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ɛɪɢɝɚɞ – ɜɵɡɨɜ ɛɪɢɝɚɞ ȺɢɊ |
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ɫɢɧɭɫɨɜɨɝɨ ɭɡɥɚ ɫ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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3. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɩɪɢɫɬɭɩɨɦ Ɇɗɋ |
ɉɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ ɛɪɚɞɢɤɚɪɞɢɢ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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- ɗɩɢɧɟɮɪɢɧ ɦɝ ɤɝ ɤɚɠɞɵɟ - ɦɢɧɭɬ |
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ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
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ɦɚɤɫɢɦɚɥɶɧɚɹ ɫɭɦɦɚɪɧɚɹ ɞɨɡɚ - ɞɨ ɦɝ ɜ ɜɟɧɧɨ |
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ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɫɦ ©ɉɪɢɥɨɠɟɧɢɟ 38» ɫɬɪ 289) |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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ɉɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ Ɇɗɋ: |
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• Ʉɨɦɩɪɟɫɫɢɹ ɝɪɭɞɧɨɣ ɤɥɟɬɤɢ |
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ȼɪɟɦɟɧɧɚɹ ɤɚɪɞɢɨɫɬɢɦɭɥɹɰɢɹ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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I44 |
Ⱥȼ ɛɥɨɤɚɞɵ I - II ɫɬ ɢ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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Ⱥȼ ɛɥɨɤɚɞɚ III ɫɬ |
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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ɜɪɨɠɞɟɧɧɚɹ ɢɥɢ |
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ɧɚ ɧɨɫɢɥɤɚɯ |
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ɩɪɢɨɛɪɟɬɟɧɧɚɹ |
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ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɋɨɫɬɨɹɧɢɟ ɫɪɟɞɧɟɣ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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231 |
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ɫɬɟɩɟɧɢ ɬɹɠɟɫɬɢ ɛɟɡ |
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ɚɤɬɢɜ ɧɚ © ª ɱɟɪɟɡ ɱɚɫɚ |
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ɧɚɪɭɲɟɧɢɣ ɫɨɡɧɚɧɢɹ |
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ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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Ⱥȼ ɛɥɨɤɚɞɚ III ɫɬ |
• Ʉɨɦɩɪɟɫɫɢɹ ɝɪɭɞɧɨɣ ɤɥɟɬɤɢ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɋɨɫɬɨɹɧɢɟ ɬɹɠɟɥɨɟ ɫ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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ɩɪɢɫɬɭɩɨɦ Ɇɗɋ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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ɉɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ Ɇɗɋ |
Ⱦɥɹ ɨɛɳɟɩɪɨɮɢɥɶɧɵɯ |
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ȼɪɟɦɟɧɧɚɹ ɤɚɪɞɢɨɫɬɢɦɭɥɹɰɢɹ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
ɛɪɢɝɚɞ - ɜɵɡɨɜ ɛɪɢɝɚɞ ȺɢɊ |
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3. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
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ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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ɂɧɮɟɤɰɢɨɧɧɵɟ ɡɚɛɨɥɟɜɚɧɢɹ ɭ ɞɟɬɟɣ |
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J05.0 |
Ɉɫɬɪɵɣ ɨɛɫɬɪɭɤɬɢɜɧɵɣ |
ɉɪɢɦɟɧɟɧɢɟ ɧɟɛɭɥɚɣɡɟɪɚ |
1. Ⱥɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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ɥɚɪɢɧɝɢɬ ɤɪɭɩ |
- Ȼɭɞɟɫɨɧɢɞ 0,5 ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ |
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I ɫɬɟɩɟɧɶ |
ɞɨ 3 ɦɥɢɧɝɚɥɹɰɢɹ ɱɟɪɟɡ ɧɟɛɭɥɚɣɡɟɪ |
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ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
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• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 |
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II ɫɬɟɩɟɧɶ |
ɉɪɢɦɟɧɟɧɢɟ ɧɟɛɭɥɚɣɡɟɪɚ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- Ȼɭɞɟɫɨɧɢɞ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - |
ɛɨɥɶɧɢɰɭ |
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2 ɦɥɢ ɗɩɢɧɟɮɪɢɧ ɦɝ ɤɝ ɧɟ ɛɨɥɟɟ 3 ɦɝ - |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɨɞɧɨɜɪɟɦɟɧɧɨ ɫ ɛɭɞɟɫɨɧɢɞɨɦ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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• ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 - 1.0 |
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ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ ɨɬ ɧɟɛɭɥɚɣɡɟɪɧɨɣ ɬɟɪɚɩɢɢ |
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- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ 0,2 - |
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ɦɝ ɤɝ ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
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232 |
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III ɫɬɟɩɟɧɶ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɉɪɟɞɧɢɡɨɥɨɧ ɦɝ ɤɝ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ ɦɝ ɤɝ |
ɛɨɥɶɧɢɰɭ |
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ɜ ɜɟɧɧɨ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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- Ȼɭɞɟɫɨɧɢɞ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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2 ɦɥɢ ɗɩɢɧɟɮɪɢɧ ɦɝ ɤɝ ɧɟ ɛɨɥɟɟ 3 ɦɝ - |
ɚɤɬɢɜ ɧɚ © ª ɱɟɪɟɡ ɱɚɫɚ |
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ɨɞɧɨɜɪɟɦɟɧɧɨ ɫ ɛɭɞɟɫɨɧɢɞɨɦ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 - 1.0 |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
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IV ɫɬɟɩɟɧɶ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 10 - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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- ɉɪɟɞɧɢɡɨɥɨɧ - 10 ɦɝ ɤɝ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ - 1,2 |
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ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ |
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- Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ |
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ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
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ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ |
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ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ |
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- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ - |
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ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ - 2 |
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ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - ɉɪɨɩɨɮɨɥ 2 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɬɪɭɛɤɚ ɞɢɚɦɟɬɪɨɦ ɧɚ ɨɞɢɧ |
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ɪɚɡɦɟɪ ɦɟɧɶɲɟ ɜɨɡɪɚɫɬɧɨɣ ɧɨɪɦɵ ɢɥɢ |
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ɤɨɧɢɤɨɬɨɦɢɹ |
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• ɂȼɅ ȼȼɅ ɫ FiO2 1.0 |
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ɉɨɩɵɬɤɚ ɢɧɬɭɛɚɰɢɢ ɞɨɥɠɧɚ ɛɵɬɶ ɨɞɧɨɤɪɚɬɧɨɣ |
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ɉɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ ɬɪɭɛɤɢ |
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ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɨ |
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233
J20 |
Ɉɫɬɪɵɣ ɛɪɨɧɯɢɬ, |
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Ⱥɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
J21.9 |
ɛɪɨɧɯɢɨɥɢɬ |
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2. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɩɪɢ ɬɟɦɩɟɪɚɬɭɪɟ ɬɟɥɚ |
- ɉɚɪɚɰɟɬɚɦɨɥ - ɦɝ ɤɝ ɜɧɭɬɪɶ ɢɥɢ ɫɜɟɱɢ ɪɟɤɬɚɥɶɧɨ |
ɛɨɥɶɧɢɰɭ: |
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! ɋ |
ɢɥɢ Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɤɝ ɜ ɦɵɲɟɱɧɨ |
- ɞɟɬɢ ɞɨ ɥɟɬ |
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- ɫ ɹɜɥɟɧɢɹɦɢ |
• ɉɪɢɦɟɧɟɧɢɟ ɧɟɛɭɥɚɣɡɟɪɚ |
- ɩɪɢ ɧɟɤɭɩɢɪɭɸɳɟɦɫɹ |
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ɛɪɨɧɯɨɨɛɫɬɪɭɤɰɢɢ |
- ɂɩɪɚɬɪɨɩɢɹɛɪɨɦɢɞ+ ɮɟɧɨɬɟɪɨɥ - ɞɨ ɥɟɬ - ɤɚɩ ɧɚ |
ɩɪɢɫɬɭɩɟ ɛɪɨɧɯɨɨɛɫɬɪɭɤɰɢɢ |
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1 ɤɝ ɦɚɫɫɵ ɬɟɥɚ ɫɬɚɪɲɟ ɥɟɬ - ɞɨ ɤɚɩ ɢɥɢ |
3. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɋɚɥɶɛɭɬɚɦɨɥ , ɦɝ ɜɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹɯɥɨɪɢɞɚ 0,9% |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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ɞɨ 3 ɦɥ |
ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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- Ȼɭɞɟɫɨɧɢɞ 0,5 - 1 ɦɝɱɟɪɟɡ ɦɢɧ ɩɨɫɥɟ ɢɧɝɚɥɹɰɢɢ |
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ɛɪɨɧɯɨɥɢɬɢɤɚɞɨɛɚɜɢɬɶɜɧɟɛɭɥɚɣɡɟɪ |
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• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 |
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ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
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ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
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ɉɨɜɬɨɪɢɬɶ ɚɧɚɥɨɝɢɱɧɭɸ ɢɧɝɚɥɹɰɢɸ ɱɟɪɟɡ 15 - 20 |
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ɦɢɧɭɬ |
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ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
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- Ⱦɟɤɫɚɦɟɬɚɡɨɧ 0,2 - ɦɝ ɤɝ ɢɥɢ ɉɪɟɞɧɢɡɨɥɨɧ - 5 |
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ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
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- Ⱥɦɢɧɨɮɢɥɥɢɧ - 5 ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɦɟɞɥɟɧɧɨ ɫ |
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ɨɫɬɨɪɨɠɧɨɫɬɶɸ |
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J05 |
ɗɩɢɝɥɨɬɬɢɬ |
ɇɟ ɭɤɥɚɞɵɜɚɬɶ ɧɚ ɫɩɢɧɭ ɇɟ ɨɫɦɚɬɪɢɜɚɬɶ ɡɟɜ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɲɩɚɬɟɥɟɦ |
ɛɨɥɶɧɢɰɭ. Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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Ɉɛɟɫɩɟɱɢɬɶ ɩɨɥɨɠɟɧɢɟ ɫɢɞɹ ɫ ɧɚɤɥɨɧɨɦ ɬɭɥɨɜɢɳɚ |
ɫɬɪɨɝɨ ɜ ɩɨɥɨɠɟɧɢɢ ɫɢɞɹ |
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ɜɩɟɪɟɞ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
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- ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɞɵɯɚɧɢɹ |
ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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- Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ |
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234 |
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ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ - Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ 1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ - 2 ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ - ɉɪɨɩɨɮɨɥ 2 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ
ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɬɪɭɛɤɚ ɞɢɚɦɟɬɪɨɦ ɧɚ ɨɞɢɧ ɪɚɡɦɟɪ ɦɟɧɶɲɟ ɜɨɡɪɚɫɬɧɨɣ ɧɨɪɦɵ ɢɥɢ ɤɨɧɢɤɨɬɨɦɢɹ
• ɂȼɅ ȼȼɅ ɫ FiO2 0.5 - 1.0
ɉɨɩɵɬɤɚ ɢɧɬɭɛɚɰɢɢ ɞɨɥɠɧɚ ɛɵɬɶ ɨɞɧɨɤɪɚɬɧɨɣ ɉɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ ɬɪɭɛɤɢ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɨ
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ɉɨɜɪɟɠɞɚɸɳɟɟ |
ɜɨɡɞɟɣɫɬɜɢɟ ɮɚɤɬɨɪɨɜ ɫɪɟɞɵ ɢ ɧɟɫɱɚɫɬɧɵɟ ɫɥɭɱɚɢ |
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T48.5 |
Ɉɬɪɚɜɥɟɧɢɟ ɩɪɟɩɚɪɚɬɚɦɢ |
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɧɚɮɚɡɨɥɢɧɚ ɢɥɢ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
ɛɨɥɶɧɢɰɭ. |
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ɤɫɢɥɨɦɟɬɚɡɨɥɢɧɚ |
- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ ɦɝ ɤɝ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
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ɉɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ ɛɪɚɞɢɤɚɪɞɢɢ ɱɟɪɟɡ ɦɢɧɭɬ |
– ɤɨɧɫɭɥɶɬɚɰɢɹ ɬɨɤɫɢɤɨɥɨɝɚ |
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- Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
– ɚɤɬɢɜ ɧɚ ©1 ª ɱɟɪɟɡ |
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- ɩɪɢ ɫɧɢɠɟɧɢɢ ɋȺȾ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɱɚɫɚ |
|
! ɨɬ ɜɨɡɪɚɫɬɧɨɣ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 10 - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɧɨɪɦɵ |
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ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
Ɍ |
Ɉɬɪɚɜɥɟɧɢɟ ɤɚɥɢɟɦ |
- Ɍɪɚɦɚɞɨɥ 1 - ɦɝ ɤɝ ɢɥɢ Ɏɟɧɬɚɧɢɥ - ɦɤɝ ɤɝ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɩɟɪɦɚɧɝɚɧɚɬɨɦ |
ɜ ɜɟɧɧɨ ɢɥɢ ɜ ɦɵɲɟɱɧɨ |
ɛɨɥɶɧɢɰɭ |
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- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ ɦɝ ɤɝ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
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- Ⱥɫɤɨɪɛɢɧɨɜɚɹ ɤɢɫɥɨɬɚ ɦɝ ɦɥ ɜ ɪɚɡɜɟɞɟɧɢɢ - |
– ɤɨɧɫɭɥɶɬɚɰɢɹ ɬɨɤɫɢɤɨɥɨɝɚ |
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235 |
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ɨɛɪɚɛɨɬɤɚ ɫɥɢɡɢɫɬɨɣ ɪɨɬɨɝɥɨɬɤɢ ɫɚɥɮɟɬɤɨɣ ɫɦɨɱɟɧɧɨɣ – ɚɤɬɢɜ ɧɚ © ª ɱɟɪɟɡ |
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ɪɚɫɬɜɨɪɨɦ |
ɱɚɫɚ |
ɉɪɨɦɵɜɚɧɢɟ ɠɟɥɭɞɤɚ ɱɟɪɟɡ ɡɨɧɞ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ - |
ɫɦ ©ɉɪɢɥɨɠɟɧɢɟ 10» ɫɬɪ 54) |
ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
Ⱥɤɬɢɜɢɪɨɜɚɧɧɵɣ ɭɝɨɥɶ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧ
- Ⱥɫɤɨɪɛɢɧɨɜɚɹ ɤɢɫɥɨɬɚ 5 - ɦɝ ɤɝ ɦɝ ɦɥ ɜ ɪɚɡɜɟɞɟɧɢɢ - ɜɜɟɫɬɢ ɜ ɡɨɧɞ ɩɪɢ ɢɡɜɥɟɱɟɧɢɢ ɡɨɧɞɚ ɞɨ ɞɥɢɧɵ)
-ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɝɥɨɬɚɧɢɹ - Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɝɢɩɟɪɫɚɥɢɜɚɰɢɟɣ
-ɩɪɢ ɨɠɨɝɟ ɜɟɪɯɧɢɯ ɋɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ ©Ɍɟɪɦɢɱɟɫɤɢɟ ɢ
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ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
ɯɢɦɢɱɟɫɤɢɟ ɨɠɨɝɢª ɫɬɪ. 237 |
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Ɍ - |
Ɍɟɪɦɢɱɟɫɤɢɟ ɢ |
Ɉɩɪɟɞɟɥɟɧɢɟ ɩɥɨɳɚɞɢ ɨɠɨɝɨɜ ɫɦ ©ɉɪɢɥɨɠɟɧɢɟ ª 1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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Ɍ |
ɯɢɦɢɱɟɫɤɢɟ ɨɠɨɝɢ |
ɫɬɪ 55) |
ɛɨɥɶɧɢɰɭ: |
Ɍ |
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ɏɢɦɢɱɟɫɤɢɟ ɨɠɨɝɢ ɩɪɨɦɵɜɚɬɶ ɩɪɨɬɨɱɧɨɣ ɜɨɞɨɣ |
- ɞɟɬɢ ɞɨ ɝɨɞɚ - |
Ɍ |
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ɤɪɨɦɟ ɨɠɨɝɚ ɧɟɝɚɲɟɧɨɣ ɢɡɜɟɫɬɶɸ |
ɧɟɡɚɜɢɫɢɦɨ ɨɬ ɫɬɟɩɟɧɢ, |
Ɍ |
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• Ɉɛɪɚɛɨɬɤɚ ɨɠɨɝɨɜ - ɚɩɩɥɢɤɚɰɢɹ ɫɩɟɰɢɚɥɶɧɵɦɢ |
ɩɥɨɳɚɞɢ ɢ ɥɨɤɚɥɢɡɚɰɢɢ |
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ɫɚɥɮɟɬɤɚɦɢ (ɬɨɥɶɤɨ ɩɪɢ I ɫɬɟɩɟɧɢ ɨɠɨɝɨɜ |
ɨɠɨɝɚ; |
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ɩɥɨɳɚɞɶɸ ɦɟɧɟɟ ) |
- ɞɟɬɢ ɫɬɚɪɲɟ 1 ɝɨɞɚ - III ɫɬ |
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• Ⱥɫɟɩɬɢɱɟɫɤɚɹ ɩɨɜɹɡɤɚ ɢ ɢɥɢ ɨɛɟɪɬɵɜɚɧɢɟ ɫɬɟɪɢɥɶɧɨɣ ɧɟɡɚɜɢɫɢɦɨ ɨɬ ɩɥɨɳɚɞɢ |
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ɩɪɨɫɬɵɧɟɣ |
I ɫɬ 5 %, II ɫɬ 3 % |
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- ɞɟɬɢ ɝɨɞɚ ɩɪɢ ɨɠɨɝɚɯ |
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ɥɢɰɚ ɝɥɚɡ ɭɲɟɣ ɧɨɫɚ |
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- ɩɪɢ ɨɠɨɝɚɯ I ɫɬɟɩɟɧɢ |
- Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɤɝ ɢɥɢ Ɍɪɚɦɚɞɨɥ - ɦɝ ɤɝ |
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10 % |
ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
ɤɢɫɬɟɣ ɫɬɨɩɵ |
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ɩɪɨɦɟɠɧɨɫɬɢ |
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- ɏɥɨɪɨɩɢɪɚɦɢɧ ɦɥ ɝɨɞ ɠɢɡɧɢ ɜ ɜɟɧɧɨ |
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ɩɨɥɨɜɵɯ ɨɪɝɚɧɨɜ ɤɪɭɩɧɵɯ |
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ɫɭɫɬɚɜɨɜ |
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2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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236 |
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- ɩɪɢ ɨɠɨɝɚɯ II, III ɫɬɟɩɟɧɢ Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
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ɩɨɜɟɪɯɧɨɫɬɢ ɬɟɥɚ |
- Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɤɝ ɢɥɢ Ɍɪɚɦɚɞɨɥ - ɦɝ ɤɝ |
3. ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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- ɏɥɨɪɨɩɢɪɚɦɢɧ ɦɥ ɝɨɞ ɠɢɡɧɢ ɜ ɜɟɧɧɨ |
Ⱦɨɫɬɚɜɤɚ ɜ |
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ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
ɬɪɚɜɦɚɬɨɥɨɝɢɱɟɫɤɢɣ ɩɭɧɤɬ |
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- Ɏɟɧɬɚɧɢɥ - ɦɤɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ ɜ ɦɵɲɟɱɧɨ |
- ɞɟɬɢ ɫɬɚɪɲɟ 1 ɝɨɞɚ |
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- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 10 - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
I ɫɬ 5 % |
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ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɯɥɨɪɢɞ ɉɪɢ ɨɬɤɚɡɟ - ɚɤɬɢɜ |
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10 - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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- ɩɪɢ ɨɠɨɝɚɯ I ɫɬɟɩɟɧɢ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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10 %, |
- Ɏɟɧɬɚɧɢɥ - ɦɤɝ ɤɝ ɜ ɜɟɧɧɨ |
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II, III ɫɬɟɩɟɧɢ |
ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ: |
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ɩɨɜɟɪɯɧɨɫɬɢ ɬɟɥɚ |
- Ʉɟɬɚɦɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 10 - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
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10 - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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•ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ
•Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5
-ɩɪɢ ɨɠɨɝɨɜɨɦ ɲɨɤɟ ɋɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ «Ɍɪɚɜɦɚɬɢɱɟɫɤɢɣ
(ɝɢɩɨɜɨɥɟɦɢɱɟɫɤɢɣ ɲɨɤ» ɫɬɪ 212
- ɩɪɢ ɨɠɨɝɟ ɜɟɪɯɧɢɯ |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
• Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɩɪɢ SpO2 - FiO2 0.5 - 1.0 |
ɛɨɥɶɧɢɰɭ |
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• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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- Ɏɟɧɬɚɧɢɥ - ɦɤɝ ɤɝ ɜ ɜɟɧɧɨ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
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ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
- ɤɨɧɫɭɥɶɬɚɰɢɹ ɬɨɤɫɢɤɨɥɨɝɚ |
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- Ʉɟɬɚɦɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
- ɚɤɬɢɜ ɧɚ © ª ɱɟɪɟɡ ɱɚɫɚ |
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237 |
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-ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 10 - ɦɥ ɤɝ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ –ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ ɛɨɥɸɫɧɨ ɜ ɬɟɱɟɧɢɟ 10 - ɦɢɧ ɩɨɜɬɨɪ ɩɨ ɩɨɤɚɡɚɧɢɹɦ ɞɨ ɦɥ ɤɝ ɱɚɫ
-ɉɪɟɞɧɢɡɨɥɨɧ ɦɝ ɤɝ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ ɦɝ ɤɝ
ɜ ɜɟɧɧɨ ɉɪɢ ɧɚɪɚɫɬɚɸɳɟɣ ɚɫɮɢɤɫɢɢɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ
ɉɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ ɬɪɭɛɤɢ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɨ
ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ
-Ⱥɬɪɨɩɢɧ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ
-Ɇɢɞɚɡɨɥɚɦ ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ 1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ - 2
ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ - ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ
• ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ
• ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɤɨɧɢɤɨɬɨɦɢɹ
• ɂȼɅ ȼȼɅ ɫ )L22 1.0
ɉɨɩɵɬɤɚ ɢɧɬɭɛɚɰɢɢ ɞɨɥɠɧɚ ɛɵɬɶ ɨɞɧɨɤɪɚɬɧɨɣ
238
ɋɨɫɬɨɹɧɢɹ ɢ ɨɬɤɥɨɧɟɧɢɹ ɨɬ ɧɨɪɦɵ
R59.9 |
Ʌɢɯɨɪɚɞɤɚ ɧɟɭɬɨɱɧɟɧɧɚɹ |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɩɪɢ ɩɨɜɵɲɟɧɢɢ |
- ɉɚɪɚɰɟɬɚɦɨɥ - ɦɝ ɤɝ ɜɧɭɬɪɶ ɢɥɢ ɫɜɟɱɢ ɪɟɤɬɚɥɶɧɨ |
ɛɨɥɶɧɢɰɭ |
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ɬɟɦɩɟɪɚɬɭɪɵ ɬɟɥɚ ! °ɋ |
ɢɥɢ Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɤɝ ɜ ɦɵɲɟɱɧɨ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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Ɉɬɞɟɥɶɧɵɟ ɫɨɫɬɨɹɧɢɹ, ɜɨɡɧɢɤɚɸɳɢɟ ɜ ɩɟɪɢɧɚɬɚɥɶɧɨɦ ɩɟɪɢɨɞɟ |
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Ɋ |
Ɉɦɮɚɥɢɬ |
Ɉɛɪɚɛɨɬɤɚ ɩɭɩɨɱɧɨɣ ɪɚɧɤɢ ɚɧɬɢɫɟɩɬɢɤɨɦ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɩɪɢ ɤɪɨɜɨɬɟɱɟɧɢɢ ɢɡ |
• Ⱥɫɟɩɬɢɱɟɫɤɚɹ ɩɨɜɹɡɤɚ |
ɛɨɥɶɧɢɰɭ |
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ɩɭɩɨɱɧɨɣ ɪɚɧɤɢ |
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ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
Ɋ |
Ɇɚɫɬɢɬ ɧɨɜɨɪɨɠɞɟɧɧɨɝɨ |
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Ⱥɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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- ɩɪɢ ɬɟɦɩɟɪɚɬɭɪɟ ɬɟɥɚ |
- ɉɚɪɚɰɟɬɚɦɨɥ - ɦɝ ɤɝ ɜɧɭɬɪɶ ɢɥɢ ɫɜɟɱɢ ɪɟɤɬɚɥɶɧɨ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɋ |
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ɛɨɥɶɧɢɰɭ |
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ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
Ɋ .4 |
ɉɢɨɞɟɪɦɢɹ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
ɛɨɥɶɧɢɰɭ |
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ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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Ƚɟɦɨɥɢɬɢɱɟɫɤɚɹ ɛɨɥɟɡɧɶ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
Ɋ |
ɧɨɜɨɪɨɠɞɟɧɧɨɝɨ |
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
ɛɨɥɶɧɢɰɭ |
Ɋ |
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ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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239 |
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