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ПОМОЩИ БОЛЬНЫМ И ПОСТРАДАВШИМ БРИГАДАМИ СЛУЖБЫ СКОРОЙ МЕДИЦИНСКОЙ ПОМОЩИ ГОРОДА МОСКВЫ
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Ɉɛ ɭɬɜɟɪɠɞɟɧɢɢ ɩɹɬɨɝɨ ɢɡɞɚɧɢɹ Ⱥɥɝɨɪɢɬɦɨɜ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ ɢ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɛɨɥɶɧɵɦ ɢ ɩɨɫɬɪɚɞɚɜɲɢɦ ɛɪɢɝɚɞɚɦɢ ɫɥɭɠɛɵ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ
ȼ ɰɟɥɹɯ ɨɩɬɢɦɢɡɚɰɢɢ ɪɚɛɨɬɵ ɫɥɭɠɛɵ ɫɤɨɪɨɣ ɜ ɬɨɦ ɱɢɫɥɟ ɫɤɨɪɨɣ ɫɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɢ ɞɚɥɶɧɟɣɲɟɝɨ ɫɨɜɟɪɲɟɧɫɬɜɨɜɚɧɢɹ ɨɤɚɡɚɧɢɹ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɜɧɟ ɦɟɞɢɰɢɧɫɤɢɯ ɨɪɝɚɧɢɡɚɰɢɣ ɛɪɢɝɚɞɚɦɢ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɨɛɟɫɩɟɱɟɧɢɹ ɩɪɟɟɦɫɬɜɟɧɧɨɫɬɢ ɜ ɪɚɛɨɬɟ ɫ ɦɟɞɢɰɢɧɫɤɢɦɢ ɨɪɝɚɧɢɡɚɰɢɹɦɢ ɝɨɫɭɞɚɪɫɬɜɟɧɧɨɣ ɫɢɫɬɟɦɵ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ Ɏɟɞɟɪɚɥɶɧɵɦ ɡɚɤɨɧɨɦ ɨɬ ɧɨɹɛɪɹɝ ʋ -ɎɁ ©Ɉɛ ɨɛɹɡɚɬɟɥɶɧɨɦ ɦɟɞɢɰɢɧɫɤɨɦ ɫɬɪɚɯɨɜɚɧɢɢ ɜ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢª Ɏɟɞɟɪɚɥɶɧɵɦ ɡɚɤɨɧɨɦ ɨɬɧɨɹɛɪɹ ɝ ʋ -ɎɁ ©Ɉɛ ɨɫɧɨɜɚɯ ɨɯɪɚɧɵ ɡɞɨɪɨɜɶɹ ɝɪɚɠɞɚɧ ɜ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢª ɜɨ ɢɫɩɨɥɧɟɧɢɟ ɩɨɫɬɚɧɨɜɥɟɧɢɹ ɉɪɚɜɢɬɟɥɶɫɬɜɚ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢ ɨɬ ɫɟɧɬɹɛɪɹ ɝ ʋ ©Ɉɛ ɭɬɜɟɪɠɞɟɧɢɢ ɩɪɚɜɢɥ ɨɩɪɟɞɟɥɟɧɢɹ ɦɨɦɟɧɬɚ ɫɦɟɪɬɢ ɱɟɥɨɜɟɤɚ ɜ ɬɨɦ ɱɢɫɥɟ ɤɪɢɬɟɪɢɟɜ ɢ ɩɪɨɰɟɞɭɪɵ ɭɫɬɚɧɨɜɥɟɧɢɹ ɫɦɟɪɬɢ ɱɟɥɨɜɟɤɚ ɩɪɚɜɢɥ ɩɪɟɤɪɚɳɟɧɢɹ ɪɟɚɧɢɦɚɰɢɨɧɧɵɯ ɦɟɪɨɩɪɢɹɬɢɣ ɢ ɮɨɪɦɵ ɩɪɨɬɨɤɨɥɚ ɫɦɟɪɬɢ ɱɟɥɨɜɟɤɚª ɢ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ɩɪɢɤɚɡɚɦɢ Ɇɢɧɢɫɬɟɪɫɬɜɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢ ɨɬ ɹɧɜɚɪɹ ɝ ʋ ɧ ©Ɉ ɜɧɟɫɟɧɢɢ ɢɡɦɟɧɟɧɢɣ ɜ ɉɨɪɹɞɨɤ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ ɜ ɬɨɦ ɱɢɫɥɟ ɫɤɨɪɨɣ ɫɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɭɬɜɟɪɠɞɟɧɧɵɣ ɩɪɢɤɚɡɨɦ Ɇɢɧɢɫɬɟɪɫɬɜɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢ ɨɬ ɢɸɧɹ ɝ ʋ ɧª ɨɬ ɹɧɜɚɪɹ ɝ ʋ ɧ ©Ɉɛ ɭɬɜɟɪɠɞɟɧɢɢ ɬɪɟɛɨɜɚɧɢɣ ɤ ɤɨɦɩɥɟɤɬɚɰɢɢ ɥɟɤɚɪɫɬɜɟɧɧɵɦɢ ɩɪɟɩɚɪɚɬɚɦɢ ɢ ɦɟɞɢɰɢɧɫɤɢɦɢ ɢɡɞɟɥɢɹɦɢ ɭɤɥɚɞɨɤ ɢ ɧɚɛɨɪɨɜ ɞɥɹ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢª ɨɬ ɦɚɹ ɝ ʋ ɧ ©Ɉ ɜɧɟɫɟɧɢɢ ɢɡɦɟɧɟɧɢɣ ɜ ɩɪɢɥɨɠɟɧɢɟ ʋ ɤ ɉɨɪɹɞɤɭ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ ɜ ɬɨɦ ɱɢɫɥɟ ɫɤɨɪɨɣ ɫɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɭɬɜɟɪɠɞɟɧɧɨɦɭ ɩɪɢɤɚɡɨɦ Ɇɢɧɢɫɬɟɪɫɬɜɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢ ɨɬ ɢɸɧɹ ɝ ʋ ɧª ɉɨɪɹɞɤɚɦɢ ɢ ɋɬɚɧɞɚɪɬɚɦɢ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɜ ɬɨɦ ɱɢɫɥɟ ɫɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɨɣ ɛɨɥɶɧɵɦ ɢ ɩɨɫɬɪɚɞɚɜɲɢɦ ɪɚɡɥɢɱɧɨɝɨ ɩɪɨɮɢɥɹ ɭɬɜɟɪɠɞɟɧɧɵɦɢ ɩɪɢɤɚɡɚɦɢ Ɇɢɧɢɫɬɟɪɫɬɜɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢ ɚ ɬɚɤɠɟ
1
ɭɱɢɬɵɜɚɹ ɪɟɰɟɧɡɢɸ ɝɥɚɜɧɨɝɨ ɜɧɟɲɬɚɬɧɨɝɨ ɫɩɟɰɢɚɥɢɫɬɚ ɩɨ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ Ɇɢɧɢɫɬɟɪɫɬɜɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ Ɋɨɫɫɢɣɫɤɨɣ Ɏɟɞɟɪɚɰɢɢ ɚɤɚɞɟɦɢɤɚ ɊȺɇ ɞ ɦ ɧ ɩɪɨɮɟɫɫɨɪɚ ɋ Ɏ Ȼɚɝɧɟɧɤɨ ɝɥɚɜɧɨɝɨ ɚɧɚɥɢɬɢɤɚ Ƚɨɫɭɞɚɪɫɬɜɟɧɧɨɝɨ ɛɸɞɠɟɬɧɨɝɨ ɭɱɪɟɠɞɟɧɢɹ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ©ɇɚɭɱɧɨ-ɢɫɫɥɟɞɨɜɚɬɟɥɶɫɤɢɣ ɢɧɫɬɢɬɭɬ ɫɤɨɪɨɣ ɩɨɦɨɳɢ ɢɦ ɇ ȼ ɋɤɥɢɮɨɫɨɜɫɤɨɝɨ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵª ɞ ɦ ɧ ɩɪɨɮɟɫɫɨɪɚ Ɇ Ɇ Ⱥɛɚɤɭɦɨɜɚ ɢ ɪɟɲɟɧɢɟ ɗɤɫɩɟɪɬɧɨɝɨ ɫɨɜɟɬɚ ɩɨ ɧɚɭɤɟ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɩɪɨɬɨɤɨɥ ɨɬɢɸɥɹ ɝ ʋ ɉɊɂɄȺɁɕȼȺɘ
ɍɬɜɟɪɞɢɬɶ ɩɹɬɨɟ ɢɡɞɚɧɢɟ Ⱥɥɝɨɪɢɬɦɨɜ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ ɢ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɛɨɥɶɧɵɦ ɢ ɩɨɫɬɪɚɞɚɜɲɢɦ ɛɪɢɝɚɞɚɦɢ ɫɥɭɠɛɵ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɞɚɥɟɟ - Ⱥɥɝɨɪɢɬɦɵ ɫɨɝɥɚɫɧɨ ɩɪɢɥɨɠɟɧɢɸ
Ƚɥɚɜɧɨɦɭ ɜɪɚɱɭ Ƚɨɫɭɞɚɪɫɬɜɟɧɧɨɝɨ ɛɸɞɠɟɬɧɨɝɨ ɭɱɪɟɠɞɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ©ɋɬɚɧɰɢɹ ɫɤɨɪɨɣ ɢ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɢɦ Ⱥ ɋ ɉɭɱɤɨɜɚª Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɞɚɥɟɟ – ȽȻɍ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ©ɋɋɢɇɆɉ ɢɦ Ⱥ ɋ ɉɭɱɤɨɜɚª ȾɁɆ ɇ Ɏ ɉɥɚɜɭɧɨɜɭ
ȼɜɟɫɬɢ ɜ ɞɟɣɫɬɜɢɟ ȽȻɍ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ©ɋɋɢɇɆɉ ɢɦ Ⱥ ɋ ɉɭɱɤɨɜɚª ȾɁɆ Ⱥɥɝɨɪɢɬɦɵ ɫ ɞɟɤɚɛɪɹ ɝ ;Ɉɪɝɚɧɢɡɨɜɚɬɶ ɨɤɚɡɚɧɢɟ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɦɟɞɢɰɢɧɫɤɢɦɢ ɪɚɛɨɬɧɢɤɚɦɢ ɜɵɟɡɞɧɵɯ ɛɪɢɝɚɞ ɫɤɨɪɨɣ
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ ɭɬɜɟɪɠɞɟɧɧɵɦɢ ȺɥɝɨɪɢɬɦɚɦɢɈɛɟɫɩɟɱɢɬɶ ɧɚɥɢɱɢɟ ɷɤɡɟɦɩɥɹɪɚ Ⱥɥɝɨɪɢɬɦɨɜ ɜ ɤɚɠɞɨɣ ɜɵɟɡɞɧɨɣɛɪɢɝɚɞɟ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢɋɱɢɬɚɬɶ ɭɬɪɚɬɢɜɲɢɦɢ ɫɢɥɭ ɩɪɢɤɚɡɵ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ
-ɨɬ ɢɸɥɹ ɝ ʋ ©Ɉɛ ɭɬɜɟɪɠɞɟɧɢɢ ɱɟɬɜɟɪɬɨɝɨ ɢɡɞɚɧɢɹ Ⱥɥɝɨɪɢɬɦɨɜ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ ɢ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɛɨɥɶɧɵɦ ɢ ɩɨɫɬɪɚɞɚɜɲɢɦ ɛɪɢɝɚɞɚɦɢ ɫɥɭɠɛɵ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɝɨɪɨɞɚ Ɇɨɫɤɜɵª
-ɨɬ ɚɜɝɭɫɬɚ ɝ ʋ ©Ɉ ɜɧɟɫɟɧɢɢ ɢɡɦɟɧɟɧɢɣ ɜ ɩɪɢɤɚɡ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɨɬ
15.07.2016 ɝ ʋ ª
-ɨɬ ɧɨɹɛɪɹ ɝ ʋ ©Ɉ ɜɧɟɫɟɧɢɢ ɢɡɦɟɧɟɧɢɣ ɜ ɩɪɢɤɚɡ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɨɬ
15.07.2016 ɝ ʋ ª
Ʉɨɧɬɪɨɥɶ ɡɚ ɢɫɩɨɥɧɟɧɢɟɦ ɧɚɫɬɨɹɳɟɝɨ ɩɪɢɤɚɡɚ ɜɨɡɥɨɠɢɬɶ ɧɚ ɡɚɦɟɫɬɢɬɟɥɹ ɪɭɤɨɜɨɞɢɬɟɥɹ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ȿ ɘ ɏɚɜɤɢɧɭ.
Ɇɢɧɢɫɬɪ ɉɪɚɜɢɬɟɥɶɫɬɜɚ Ɇɨɫɤɜɵ |
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ɪɭɤɨɜɨɞɢɬɟɥɶ Ⱦɟɩɚɪɬɚɦɟɧɬɚ |
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ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ |
Ⱥ ɂ ɏɪɢɩɭɧ |
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ɉɪɢɥɨɠɟɧɢɟ
ɤ ɉɪɢɤɚɡɭ Ⱦɟɩɚɪɬɚɦɟɧɬɚ
ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɨɬ10.10.ɝ ʋ693
ȺɅȽɈɊɂɌɆɕ ɈɄȺɁȺɇɂə ɋɄɈɊɈɃ ɂ ɇȿɈɌɅɈɀɇɈɃ ɆȿȾɂɐɂɇɋɄɈɃ ɉɈɆɈɓɂ ȻɈɅɖɇɕɆ ɂ ɉɈɋɌɊȺȾȺȼɒɂɆ ȻɊɂȽȺȾȺɆɂ ɋɅɍɀȻɕ ɋɄɈɊɈɃ ɆȿȾɂɐɂɇɋɄɈɃ ɉɈɆɈɓɂ ȽɈɊɈȾȺ ɆɈɋɄȼɕ
ɇɚɫɬɨɹɳɢɟ Ⱥɥɝɨɪɢɬɦɵ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ ɢ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɛɨɥɶɧɵɦ ɢ ɩɨɫɬɪɚɞɚɜɲɢɦ ɛɪɢɝɚɞɚɦɢ ɫɥɭɠɛɵ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɩɨɞɝɨɬɨɜɥɟɧɵ ɤɨɥɥɟɤɬɢɜɨɦ ɋɬɚɧɰɢɢ ɫɤɨɪɨɣ ɢ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɢɦ Ⱥ ɋ ɉɭɱɤɨɜɚ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɩɪɢ ɭɱɚɫɬɢɢ ɝɥɚɜɧɵɯ ɜɧɟɲɬɚɬɧɵɯ ɫɩɟɰɢɚɥɢɫɬɨɜ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɩɨɞ ɨɛɳɟɣ ɪɟɞɚɤɰɢɟɣ ɝɥɚɜɧɨɝɨ ɜɧɟɲɬɚɬɧɨɝɨ ɫɩɟɰɢɚɥɢɫɬɚ ɩɨ ɫɤɨɪɨɣ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɢ ɦɟɞɢɰɢɧɟ ɤɚɬɚɫɬɪɨɮ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɝɥɚɜɧɨɝɨ ɜɪɚɱɚ Ƚɨɫɭɞɚɪɫɬɜɟɧɧɨɟ ɛɸɞɠɟɬɧɨɟ ɭɱɪɟɠɞɟɧɢɟ ©ɋɬɚɧɰɢɹ ɫɤɨɪɨɣ ɢ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɢɦ Ⱥ ɋ ɉɭɱɤɨɜɚª ɞɨɤɬɨɪɚ ɦɟɞɢɰɢɧɫɤɢɯ ɧɚɭɤ ɩɪɨɮɟɫɫɨɪɚ ɇ Ɏ ɉɥɚɜɭɧɨɜɚ
Ɋɟɰɟɧɡɟɧɬɵ: ɝɥɚɜɧɵɣ ɜɧɟɲɬɚɬɧɵɣ ɫɩɟɰɢɚɥɢɫɬ ɩɨ ɫɤɨɪɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ Ɇɢɧɢɫɬɟɪɫɬɜɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɊɎ ɪɟɤɬɨɪ ɎȽȻɈɍ ȼɈ ɉɟɪɜɨɝɨ ɋɚɧɤɬ-ɉɟɬɟɪɛɭɪɝɫɤɨɝɨ ɝɨɫɭɞɚɪɫɬɜɟɧɧɨɝɨ ɦɟɞɢɰɢɧɫɤɨɝɨ ɭɧɢɜɟɪɫɢɬɟɬɚ ɢɦ ɂ ɉ ɉɚɜɥɨɜɚ ɆɁ ɊɎ ɚɤɚɞɟɦɢɤ ɊȺɇ ɞɨɤɬɨɪ ɦɟɞɢɰɢɧɫɤɢɯ ɧɚɭɤ ɩɪɨɮɟɫɫɨɪ ɋ Ɏ Ȼɚɝɧɟɧɤɨ; ɝɥɚɜɧɵɣ ɚɧɚɥɢɬɢɤ ȽȻɍɁ ©ɇɚɭɱɧɨ-ɢɫɫɥɟɞɨɜɚɬɟɥɶɫɤɢɣ ɢɧɫɬɢɬɭɬ ɫɤɨɪɨɣ ɩɨɦɨɳɢ ɢɦ ɇ ȼ ɋɤɥɢɮɨɫɨɜɫɤɨɝɨ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵª Ɂɚɫɥɭɠɟɧɧɵɣ ɞɟɹɬɟɥɶ ɧɚɭɤɢ ɊɎ Ɂɚɫɥɭɠɟɧɧɵɣ ɜɪɚɱ ɊɎ ɞɨɤɬɨɪ ɦɟɞɢɰɢɧɫɤɢɯ ɧɚɭɤ ɩɪɨɮɟɫɫɨɪ Ɇ Ɇ Ⱥɛɚɤɭɦɨɜ
ɍɬɜɟɪɠɞɟɧɵ ɪɟɲɟɧɢɟɦ ɗɤɫɩɟɪɬɧɨɝɨ ɫɨɜɟɬɚ ɩɨ ɧɚɭɤɟ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵɩɪɨɬɨɤɨɥ ɨɬ ɝ ʋ
Ⱦɚɧɧɵɣ ɞɨɤɭɦɟɧɬ ɹɜɥɹɟɬɫɹ ɫɨɛɫɬɜɟɧɧɨɫɬɶɸ Ⱦɟɩɚɪɬɚɦɟɧɬɚ ɡɞɪɚɜɨɨɯɪɚɧɟɧɢɹ ɝɨɪɨɞɚ Ɇɨɫɤɜɵ ɢ ɧɟ ɩɨɞɥɟɠɢɬ ɬɢɪɚɠɢɪɨɜɚɧɢɸ ɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɸ ɛɟɡ ɫɨɨɬɜɟɬɫɬɜɭɸɳɟɝɨ ɪɚɡɪɟɲɟɧɢɹ
4
ɋɈȾȿɊɀȺɇɂȿ
ɋɩɢɫɨɤ ɫɨɤɪɚɳɟɧɢɣ |
|
6 - 7 |
|
Ɋɚɡɞɟɥ |
Ⱥɧɟɫɬɟɡɢɨɥɨɝɢɹ ɢ ɪɟɚɧɢɦɚɬɨɥɨɝɢɹ |
8 - 26 |
|
Ɋɚɡɞɟɥ |
Ɍɟɪɚɩɢɹ |
27 |
- 43 |
Ɋɚɡɞɟɥ |
Ʉɚɪɞɢɨɥɨɝɢɹ |
44 |
- 57 |
Ɋɚɡɞɟɥ |
ɇɟɜɪɨɥɨɝɢɹ |
58 |
- 74 |
Ɋɚɡɞɟɥ |
ɂɧɮɟɤɰɢɨɧɧɵɟ ɡɚɛɨɥɟɜɚɧɢɹ |
75 |
- 98 |
Ɋɚɡɞɟɥ |
ɏɢɪɭɪɝɢɹ |
99 |
- 110 |
Ɋɚɡɞɟɥ |
Ɍɪɚɜɦɚɬɨɥɨɝɢɹ |
111 - 130 |
|
Ɋɚɡɞɟɥ |
Ɍɨɤɫɢɤɨɥɨɝɢɹ |
131 - 159 |
|
Ɋɚɡɞɟɥ |
Ⱥɤɭɲɟɪɫɬɜɨ ɢ ɝɢɧɟɤɨɥɨɝɢɹ |
160 - 175 |
|
Ɋɚɡɞɟɥ |
ɍɪɨɥɨɝɢɹ |
176 - 180 |
|
Ɋɚɡɞɟɥ |
Ɉɮɬɚɥɶɦɨɥɨɝɢɹ |
181 - 184 |
|
Ɋɚɡɞɟɥ |
Ɉɬɨɪɢɧɨɥɚɪɢɧɝɨɥɨɝɢɹ |
185 - 193 |
|
Ɋɚɡɞɟɥ |
ɉɫɢɯɢɚɬɪɢɹ |
194 - 207 |
|
Ɋɚɡɞɟɥ |
ɉɟɞɢɚɬɪɢɹ |
208 - 241 |
|
Ɋɚɡɞɟɥ |
ɋɬɨɦɚɬɨɥɨɝɢɹ |
242 - 243 |
|
Ɋɚɡɞɟɥ |
ɉɪɢɥɨɠɟɧɢɹ |
244 - 310 |
|
5
|
ɋɉɂɋɈɄ ɋɈɄɊȺɓȿɇɂɃ |
|
|
ȺȽȻ |
Ⱥɤɭɲɟɪɫɤɨ-ɝɢɧɟɤɨɥɨɝɢɱɟɫɤɚɹ ɜɵɟɡɞɧɚɹ ɛɪɢɝɚɞɚ ɋɆɉ |
ȺȾ |
Ⱥɪɬɟɪɢɚɥɶɧɨɟ ɞɚɜɥɟɧɢɟ |
ȺɢɊ |
ɋɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɚɹ ɜɵɟɡɞɧɚɹ ɛɪɢɝɚɞɚ ɋɆɉ ɚɧɟɫɬɟɡɢɨɥɨɝɢɢ ɢ ɪɟɚɧɢɦɚɰɢɢ |
ȺɇȾ |
Ⱥɜɬɨɦɚɬɢɱɟɫɤɢɣ ɧɚɪɭɠɧɵɣ ɞɟɮɢɛɪɢɥɥɹɬɨɪ |
Ⱥɏɗɋ |
Ⱥɧɬɢɯɨɥɢɧɷɫɬɟɪɚɡɧɵɟ ɫɪɟɞɫɬɜɚ |
ȼȼɅ |
ȼɫɩɨɦɨɝɚɬɟɥɶɧɚɹ ɜɟɧɬɢɥɹɰɢɹ ɥɟɝɤɢɯ |
ȽɗɄ |
Ƚɢɞɪɨɤɫɢɷɬɢɥɤɪɚɯɦɚɥ |
Ⱦɇ |
Ⱦɵɯɚɬɟɥɶɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ |
ȾɈ |
Ⱦɵɯɚɬɟɥɶɧɵɣ ɨɛɴɟɦ |
ȾɌɉ |
Ⱦɨɪɨɠɧɨ-ɬɪɚɧɫɩɨɪɬɧɨɟ ɩɪɨɢɫɲɟɫɬɜɢɟ |
ɀɄ |
ɀɟɧɫɤɚɹ ɤɨɧɫɭɥɶɬɚɰɢɹ |
ɂȻɋ |
ɂɲɟɦɢɱɟɫɤɚɹ ɛɨɥɟɡɧɶ ɫɟɪɞɰɚ |
ɂȼɅ |
ɂɫɤɭɫɫɬɜɟɧɧɚɹ ɜɟɧɬɢɥɹɰɢɹ ɥɟɝɤɢɯ |
Ɇɗɋ |
ɋɢɧɞɪɨɦ Ɇɨɪɝɚɧɶɢ-ɗɞɚɦɫɚ-ɋɬɨɤɫɚ |
ɇȾ |
ɇɚɪɤɨɥɨɝɢɱɟɫɤɢɣ ɞɢɫɩɚɧɫɟɪ |
ɇɉȼɋ |
ɇɟɫɬɟɪɨɢɞɧɵɟ ɩɪɨɬɢɜɨɜɨɫɩɚɥɢɬɟɥɶɧɵɟ ɫɪɟɞɫɬɜɚ |
ɈȼȾ |
Ɉɬɞɟɥɟɧɢɟ ɜɧɭɬɪɟɧɧɢɯ ɞɟɥ |
ɈȾɇ |
Ɉɫɬɪɚɹ ɞɵɯɚɬɟɥɶɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ |
ɈɄɋ |
Ɉɫɬɪɵɣ ɤɨɪɨɧɚɪɧɵɣ ɫɢɧɞɪɨɦ |
ɈɇɆɉȼɢȾɇ |
Ɉɬɞɟɥɟɧɢɟ ɧɟɨɬɥɨɠɧɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɜɡɪɨɫɥɨɦɭ ɢ ɞɟɬɫɤɨɦɭ ɧɚɫɟɥɟɧɢɸ |
ɉȺȼ |
ɉɫɢɯɨɚɤɬɢɜɧɨɟ ɜɟɳɟɫɬɜɨ |
ɉȾɄȼ (PEEP) |
ɉɨɥɨɠɢɬɟɥɶɧɨɟ ɞɚɜɥɟɧɢɟ ɜ ɤɨɧɰɟ ɜɵɞɨɯɚ (positive end expiratory pressure) |
ɉɇȾ |
ɉɫɢɯɨɧɟɜɪɨɥɨɝɢɱɟɫɤɢɣ ɞɢɫɩɚɧɫɟɪ |
ɉɈɇɉ |
ɉɫɢɯɢɚɬɪɢɱɟɫɤɨɟ ɨɬɞɟɥɟɧɢɟ ɧɟɨɬɥɨɠɧɨɣ ɩɨɦɨɳɢ |
ɋȺȾ |
ɋɢɫɬɨɥɢɱɟɫɤɨɟ ɚɪɬɟɪɢɚɥɶɧɨɟ ɞɚɜɥɟɧɢɟ |
6
ɋɢɧɞɪɨɦ WPW |
ɋɢɧɞɪɨɦ ȼɨɥɶɮɚ-ɉɚɪɤɢɧɫɨɧɚ-ɍɚɣɬɚ |
ɋɆɉ |
ɋɤɨɪɚɹ ɦɟɞɢɰɢɧɫɤɚɹ ɩɨɦɨɳɶ |
ɌɗɅȺ |
Ɍɪɨɦɛɨɷɦɛɨɥɢɹ ɥɟɝɨɱɧɨɣ ɚɪɬɟɪɢɢ |
ɎɄ |
Ɏɭɧɤɰɢɨɧɚɥɶɧɵɣ ɤɥɚɫɫ |
ɏɋɇ |
ɏɪɨɧɢɱɟɫɤɚɹ ɫɟɪɞɟɱɧɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶ |
ɐɇɋ |
ɐɟɧɬɪɚɥɶɧɚɹ ɧɟɪɜɧɚɹ ɫɢɫɬɟɦɚ |
ɑȾȾ |
ɑɚɫɬɨɬɚ ɞɵɯɚɬɟɥɶɧɵɯ ɞɜɢɠɟɧɢɣ |
ɑɄȼ |
ɑɪɟɫɤɨɠɧɨɟ ɤɨɪɨɧɚɪɧɨɟ ɜɦɟɲɚɬɟɥɶɫɬɜɨ |
ɑɋɋ |
ɑɚɫɬɨɬɚ ɫɟɪɞɟɱɧɵɯ ɫɨɤɪɚɳɟɧɢɣ |
ɗɂɌ |
ɗɥɟɤɬɪɨɢɦɩɭɥɶɫɧɚɹ ɬɟɪɚɩɢɹ |
ɗɄȽ |
ɗɥɟɤɬɪɨɤɚɪɞɢɨɝɪɚɮɢɹ ɷɥɟɤɬɪɨɤɚɪɞɢɨɝɪɚɦɦɚ |
ɗɄɉ |
ɗɥɟɤɬɪɨɤɚɪɞɢɨɩɟɪɟɞɚɱɚ |
ɗɯɨ-ɗɋ |
ɗɯɨɷɧɰɟɮɚɥɨɫɤɨɩɢɹ |
6ɪɈ2 |
ɇɚɫɵɳɟɧɢɟ ɝɟɦɨɝɥɨɛɢɧɚ ɚɪɬɟɪɢɚɥɶɧɨɣ ɤɪɨɜɢ ɤɢɫɥɨɪɨɞɨɦ |
)LɈ2 |
Ɏɪɚɤɰɢɹ ɤɢɫɥɨɪɨɞɚ ɜɨ ɜɞɵɯɚɟɦɨɣ ɫɦɟɫɢ (fraction of Inspiratory oxygen) |
7
Ɋɚɡɞɟɥ ȺɇȿɋɌȿɁɂɈɅɈȽɂə ɂ ɊȿȺɇɂɆȺɌɈɅɈȽɂə
8
Ʉɨɞ |
Ⱦɢɚɝɧɨɡ |
Ɉɛɴɟɦ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
Ɍɚɤɬɢɤɚ |
|
ɆɄȻ X |
||||
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I46 |
Ɉɫɬɚɧɨɜɤɚ ɫɟɪɞɰɚ |
Ʉɨɦɩɪɟɫɫɢɢ ɝɪɭɞɧɨɣ ɤɥɟɬɤɢ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɂȼɅ |
Ⱦɥɹ ɮɟɥɶɞɲɟɪɫɤɨɣ |
|
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ɫɦ ©ɉɪɢɥɨɠɟɧɢɟ ª ɫɬɪ 45) |
ɛɪɢɝɚɞɵ – ɜɵɡɨɜ ɛɪɢɝɚɞ |
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Ɉɰɟɧɤɚ ɷɥɟɤɬɪɢɱɟɫɤɨɣ ɚɤɬɢɜɧɨɫɬɢ ɫɟɪɞɰɚ ɫ |
ȺɢɊ ɩɪɢ ɢɯ ɧɚɥɢɱɢɢ ɧɚ |
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ɢɫɩɨɥɶɡɨɜɚɧɢɟɦ ɷɥɟɤɬɪɨɞɨɜ ɞɟɮɢɛɪɢɥɥɹɬɨɪɚ |
ɬɟɪɪɢɬɨɪɢɢ ɨɛɫɥɭɠɢɜɚɧɢɹ |
|
|
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ɗɄȽ – ɦɨɧɢɬɨɪɢɧɝ |
ɢɥɢ ɜɪɚɱɟɛɧɨɣ ɛɪɢɝɚɞɵ |
|
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- ɩɪɢ ɦɟɥɤɨɜɨɥɧɨɜɨɣ |
Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɚ |
Ⱦɥɹ ɜɪɚɱɟɛɧɵɯ ɛɪɢɝɚɞ – |
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ɮɢɛɪɢɥɥɹɰɢɢ |
• Ʉɨɦɩɪɟɫɫɢɢ ɝɪɭɞɧɨɣ ɤɥɟɬɤɢ |
ɞɨɩɭɫɬɢɦ ɜɵɡɨɜ ɛɪɢɝɚɞ |
|
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ɠɟɥɭɞɨɱɤɨɜ ɚɦɩɥɢɬɭɞɚ |
• ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
ȺɢɊ ɬɨɥɶɤɨ ɟɫɥɢ ɨɫɬɚɧɨɜɤɚ |
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ɜɨɥɧɵ ɦɟɧɟɟ ɦȼ |
ɂȼɅ ɦɚɫɨɱɧɚɹ ɞɵɯɚɬɟɥɶɧɵɦ ɦɟɲɤɨɦ |
ɫɟɪɞɰɚ ɩɪɨɢɡɨɲɥɚ ɜ |
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ɚɫɢɫɬɨɥɢɢ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɩɪɢɫɭɬɫɬɜɢɢ ɛɪɢɝɚɞɵ |
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ɷɥɟɤɬɪɨɦɟɯɚɧɢɱɟɫɤɨɣ |
- ɗɩɢɧɟɮɪɢɧ ɦɝ ɜ ɜɟɧɧɨ ɤɚɠɞɵɟ - ɦɢɧɭɬ |
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ɞɢɫɫɨɰɢɚɰɢɢ ɚ ɬɚɤɠɟ |
ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
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ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ ɞɚɧɧɵɯ |
ɬɪɭɛɤɢ |
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ɨɛ ɷɥɟɤɬɪɢɱɟɫɤɨɣ |
• ɂȼɅ ɞɵɯɚɬɟɥɶɧɵɦ ɦɟɲɤɨɦ ɢɥɢ ɚɩɩɚɪɚɬɧɚɹ |
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ɚɤɬɢɜɧɨɫɬɢ ɫɟɪɞɰɚ |
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- ɩɪɢ ɤɪɭɩɧɨɜɨɥɧɨɜɨɣ |
• Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ ɪɚɡɪɹɞɨɦ Ⱦɠ ɛɢɮɚɡɧɵɣ ɢɦɩɭɥɶɫ |
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ɮɢɛɪɢɥɥɹɰɢɹ |
ɢɥɢ ɷɧɟɪɝɢɟɣ ɩɪɟɞɭɫɬɚɧɨɜɥɟɧɧɨɣ ɧɚ ȺɇȾ ɡɚɬɟɦ |
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ɠɟɥɭɞɨɱɤɨɜ ɚɦɩɥɢɬɭɞɚ |
Ʉɨɦɩɪɟɫɫɢɢ ɝɪɭɞɧɨɣ ɤɥɟɬɤɢ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɂȼɅ ɜ |
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ɜɨɥɧɵ ɦȼ ɢ ɛɨɥɟɟ) |
ɬɟɱɟɧɢɟ ɦɢɧɭɬ ɧɟɡɚɜɢɫɢɦɨ ɨɬ ɯɚɪɚɤɬɟɪɚ |
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ɢɥɢ ɠɟɥɭɞɨɱɤɨɜɨɣ |
ɷɥɟɤɬɪɢɱɟɫɤɨɣ ɚɤɬɢɜɧɨɫɬɢ ɫɟɪɞɰɚ |
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ɬɚɯɢɤɚɪɞɢɢ ɛɟɡ ɩɭɥɶɫɚ |
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- ɩɪɢ ɫɨɯɪɚɧɹɸɳɟɣɫɹ |
Ⱦɟɮɢɛɪɢɥɥɹɰɢɹ ɦɚɤɫɢɦɚɥɶɧɵɦ ɪɚɡɪɹɞɨɦ ɛɢɮɚɡɧɵɣ |
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ɤɪɭɩɧɨɜɨɥɧɨɜɨɣ |
ɢɦɩɭɥɶɫ) ɢɥɢ ɷɧɟɪɝɢɟɣ ɩɪɟɞɭɫɬɚɧɨɜɥɟɧɧɨɣ ɧɚ ȺɇȾ, |
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ɮɢɛɪɢɥɥɹɰɢɢ |
ɡɚɬɟɦ |
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ɠɟɥɭɞɨɱɤɨɜ ɢɥɢ |
Ʉɨɦɩɪɟɫɫɢɢ ɝɪɭɞɧɨɣ ɤɥɟɬɤɢ ɜ ɫɨɱɟɬɚɧɢɢ ɫ ɂȼɅ ɜ |
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ɠɟɥɭɞɨɱɤɨɜɨɣ |
ɬɟɱɟɧɢɟ ɦɢɧɭɬ ɧɟɡɚɜɢɫɢɦɨ ɨɬ ɯɚɪɚɤɬɟɪɚ |
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ɬɚɯɢɤɚɪɞɢɢ ɛɟɡ ɩɭɥɶɫɚ |
ɷɥɟɤɬɪɢɱɟɫɤɨɣ ɚɤɬɢɜɧɨɫɬɢ ɫɟɪɞɰɚ ɨɞɧɨɜɪɟɦɟɧɧɨ |
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• ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
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9 |
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