6 курс / Скорая помощь / АЛГОРИТМЫ_ОКАЗАНИЯ_СКОРОЙ_И_НЕОТЛОЖНОЙ_МЕДИЦИНСКОЙ_ПОМОЩИ_БОЛЬНЫМ
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ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
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ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
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ɬɪɭɛɤɢ |
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ɂȼɅ ȼȼɅ |
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Ⱥ ɋɬɨɥɛɧɹɤ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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- Ⱦɢɚɡɟɩɚɦ - ɦɝ ɜ ɜɟɧɧɨ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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ɉɪɢ ɫɨɯɪɚɧɟɧɢɢ ɫɭɞɨɪɨɝ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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- Ⱦɢɚɡɟɩɚɦ - ɦɝ ɜ ɜɟɧɧɨ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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- Ɍɢɨɩɟɧɬɚɥ ɧɚɬɪɢɹ - ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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ȺɢɊ |
ɱɟɪɟɡ ɱɚɫɚ ɩɪɢ ɩɨɜɬɨɪɧɨɦ |
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ɉɪɢ ɫɨɯɪɚɧɟɧɢɢ ɫɭɞɨɪɨɝ |
ɨɬɤɚɡɟ – ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ, |
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- ɉɢɩɟɤɭɪɨɧɢɹ ɛɪɨɦɢɞ ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
ɛɟɪɟɦɟɧɧɵɦ – ɞɨɩɨɥɧɢɬɟɥɶɧɨ |
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ɡɚɬɟɦ |
ɜ ɀɄ |
•ɂȼɅ ȼȼɅ
-ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ
ɞɵɯɚɧɢɹ ɢ ɢɥɢ 6S22 - Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ
ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ - Ɇɢɞɚɡɨɥɚɦ ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ
Ɏɟɧɬɚɧɢɥ - ɦɝ ɜ ɜɟɧɧɨ ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ -ɦɝ ɜ ɜɟɧɧɨ
ɢɥɢ - ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ
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ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
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ɬɪɭɛɤɢ |
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ɂȼɅ ȼȼɅ |
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Ⱥ |
ɋɟɪɨɡɧɵɣ ɦɟɧɢɧɝɢɬ ɢ |
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1 Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
Ⱥ |
ɦɟɧɢɧɝɨɷɧɰɟɮɚɥɢɬ |
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ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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- ɩɪɢ ɬɟɦɩɟɪɚɬɭɪɟ ɬɟɥɚ |
Ɏɢɡɢɱɟɫɤɢɟ ɦɟɬɨɞɵ ɨɯɥɚɠɞɟɧɢɹ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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! ɋ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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400 ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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ɯɥɨɪɢɞ 5 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɱɟɪɟɡ ɱɚɫɚ ɩɪɢ ɩɨɜɬɨɪɧɨɦ |
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- ɉɚɪɚɰɟɬɚɦɨɥ ɦɝ ɜɧɭɬɪɶ ɢɥɢ Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ |
ɨɬɤɚɡɟ – ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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ɦɝ ɜ ɜɟɧɧɨ |
ɛɟɪɟɦɟɧɧɵɦ – ɞɨɩɨɥɧɢɬɟɥɶɧɨ |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ FiO2 0.5 |
ɜ ɀɄ |
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- ɩɪɢ ɝɨɥɨɜɧɨɣ ɛɨɥɢ |
- Ʉɟɬɨɪɨɥɚɤ ɦɝ ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
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- ɩɪɢ ɨɬɟɤɟ ɝɨɥɨɜɧɨɝɨ |
ɉɪɢɞɚɬɶ ɩɨɥɨɠɟɧɢɟ ɫ ɩɪɢɩɨɞɧɹɬɵɦ ɧɚ |
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ɦɨɡɝɚ |
ɢɡɝɨɥɨɜɶɟɦ ɜ ɬ ɱ ɩɪɢ ɬɪɚɧɫɩɨɪɬɢɪɨɜɤɟ |
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ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ FiO2 0.5 |
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• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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- Ⱦɟɤɫɚɦɟɬɚɡɨɧ - ɦɝ ɜ ɜɟɧɧɨ |
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- ɩɪɢ ɨɫɬɪɨ |
ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ |
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ɧɚɪɚɫɬɚɸɳɟɣ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ |
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ɞɢɫɥɨɤɚɰɢɨɧɧɨɣ |
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
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ɫɢɦɩɬɨɦɚɬɢɤɟ |
ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ |
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- ɩɪɢ ɛɵɫɬɪɨ |
ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ |
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ɩɪɨɝɪɟɫɫɢɪɭɸɳɟɦ |
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ |
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ɭɝɧɟɬɟɧɢɢ ɫɨɡɧɚɧɢɹ |
Ɏɟɧɬɚɧɢɥ - ɦɝ ɜ ɜɟɧɧɨ |
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- ɩɪɢ ɤɨɦɟ |
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ - |
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91 |
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ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
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ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
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ɬɪɭɛɤɢ |
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ɂȼɅ ȼȼɅ |
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Ⱥ |
Ɇɟɧɢɧɝɨɤɨɤɤɨɜɚɹ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɢɧɮɟɤɰɢɹ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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ɧɟɭɬɨɱɧɟɧɧɚɹ |
400 ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
ɧɚ ɧɨɫɢɥɤɚɯ |
Ⱥ |
Ɇɟɧɢɧɝɨɤɨɤɤɨɜɵɣ |
ɯɥɨɪɢɞ 5 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ ɦɟɞɢɰɢɧɫɤɨɣ |
G00.9 |
ɦɟɧɢɧɝɢɬ |
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ɷɜɚɤɭɚɰɢɢ ɜ ɛɨɥɶɧɢɰɭ – |
Ȼɚɤɬɟɪɢɚɥɶɧɵɣ |
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ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
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ɦɟɧɢɧɝɢɬ |
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ɩɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – ɚɤɬɢɜ |
G03.8 |
ɧɟɭɬɨɱɧɟɧɧɵɣ |
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ɜ ɈɇɆɉȼɢȾɇ |
Ɇɟɧɢɧɝɢɬ ɜɵɡɜɚɧɧɵɣ |
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ɞɪɭɝɢɦɢ ɭɬɨɱɧɟɧɧɵɦɢ |
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ɜɨɡɛɭɞɢɬɟɥɹɦɢ |
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- ɭ ɞɟɬɟɣ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɤɝ ɢɥɢ Ⱦɟɤɫɬɪɨɡɚ 5% - 5- |
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ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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- Ⱦɟɤɫɚɦɟɬɚɡɨɧ ɦɝ ɤɝ ɢɥɢ ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɤɝ |
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ɜ ɜɟɧɧɨ |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ ɩɪɢ SpO2 4%, FiO2 0.5 |
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- ɩɪɢ ɬɟɦɩɟɪɚɬɭɪɟ ɬɟɥɚ |
- ɉɚɪɚɰɟɬɚɦɨɥ ɦɝ ɜɧɭɬɪɶ ɢɥɢ Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ |
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> ɋ |
ɦɝ ɜ ɜɟɧɧɨ |
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- ɩɪɢ ɝɨɥɨɜɧɨɣ ɛɨɥɢ |
- Ʉɟɬɨɪɨɥɚɤ ɦɝ ɜ ɦɵɲɟɱɧɨ ɢɥɢ ɜ ɜɟɧɧɨ |
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- ɩɪɢ ɫɭɞɨɪɨɝɚɯ ɢ ɢɥɢ |
- Ⱦɢɚɡɟɩɚɦ - ɦɝ ɜ ɜɟɧɧɨ |
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ɩɫɢɯɨɦɨɬɨɪɧɨɦ |
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ɜɨɡɛɭɠɞɟɧɢɢ |
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92 |
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- ɩɪɢ ɨɬɟɤɟ ɝɨɥɨɜɧɨɝɨ ɉɪɢɞɚɬɶ ɩɨɥɨɠɟɧɢɟ ɫ ɩɪɢɩɨɞɧɹɬɵɦ ɧɚ ɦɨɡɝɚ ɢɡɝɨɥɨɜɶɟɦ ɜ ɬ ɱ ɩɪɢ ɬɪɚɧɫɩɨɪɬɢɪɨɜɤɟɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ
ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ
•Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ
-Ⱦɟɤɫɚɦɟɬɚɡɨɧ - ɦɝ ɜ ɜɟɧɧɨ
-ɩɪɢ ɨɫɬɪɨ ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ
ɧɚɪɚɫɬɚɸɳɟɣ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ |
ɞɢɫɥɨɤɚɰɢɨɧɧɨɣ |
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
ɫɢɦɩɬɨɦɚɬɢɤɟ |
ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! ɛɚɥɥɨɜ ɩɨ |
- ɩɪɢ ɛɵɫɬɪɨ |
ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ |
ɩɪɨɝɪɟɫɫɢɪɭɸɳɟɦ |
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ |
ɭɝɧɟɬɟɧɢɢ ɫɨɡɧɚɧɢɹ |
1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
- ɩɪɢ ɤɨɦɟ |
ɢɥɢ - Ⱦɢɚɡɟɩɚɦ ɦɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ ɦɝ ɤɝ |
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ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ɇɢɞɚɡɨɥɚɦ ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ |
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Ɏɟɧɬɚɧɢɥ - ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ⱦɢɚɡɟɩɚɦ - ɦɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ - |
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ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
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ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
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ɬɪɭɛɤɢ |
|
ɂȼɅ ȼȼɅ |
93
Ⱥ |
Ɇɟɧɢɧɝɨɤɨɤɤɟɦɢɹ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɏɥɨɪɚɦɮɟɧɢɤɨɥ ɦɝ ɢɥɢ ɐɟɮɬɪɢɚɤɫɨɧ ɝ ɜ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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ɨɬɦɟɬɢɬɶ ɜɪɟɦɹ ɜɜɟɞɟɧɢɹ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɜ ɜɟɧɧɨ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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8 - ɦɝ ɜ ɜɟɧɧɨ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɱɟɪɟɡ ɱɚɫɚ ɩɪɢ ɩɨɜɬɨɪɧɨɦ |
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ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
ɨɬɤɚɡɟ – ɚɤɬɢɜ ɜ |
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ɯɥɨɪɢɞ - 5 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɈɇɆɉȼɢȾɇ |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ FiO2 0.5 |
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- ɭ ɞɟɬɟɣ |
- ɉɪɟɞɧɢɡɨɥɨɧ 5 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ Ⱦɟɤɫɚɦɟɬɚɡɨɧ |
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0,6 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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- ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɤɝ ɱɚɫ ɜ ɜɟɧɧɨ ɧɚ |
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ɩɟɪɢɨɞ ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
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ɏɥɨɪɚɦɮɟɧɢɤɨɥ ɞɟɬɹɦ ɞɨ ɦɟɫ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧ |
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- ɏɥɨɪɚɦɮɟɧɢɤɨɥ ɦɝ ɤɝ ɢɥɢ ɐɟɮɬɪɢɚɤɫɨɧ ɦɝ ɤɝ ɜ |
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ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ |
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ɨɬɦɟɬɢɬɶ ɜɪɟɦɹ ɜɜɟɞɟɧɢɹ |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ ɩɪɢ SpO2 4% |
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- ɩɪɢ ɬɟɦɩɟɪɚɬɭɪɟ ɬɟɥɚ |
- ɉɚɪɚɰɟɬɚɦɨɥ ɦɝ ɜɧɭɬɪɶ ɢɥɢ Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ |
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! ɋ |
ɦɝ ɜ ɜɟɧɧɨ |
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- ɩɪɢ ɢɧɮɟɤɰɢɨɧɧɨ- |
ɋɦ ɪɚɡɞɟɥ ©Ⱥɧɟɫɬɟɡɢɨɥɨɝɢɹ ɢ ɪɟɚɧɢɦɚɬɨɥɨɝɢɹª - ɫɬɪ 6 |
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ɬɨɤɫɢɱɟɫɤɨɦ ɲɨɤɟ |
ɋɦ ɪɚɡɞɟɥ ©ɉɟɞɢɚɬɪɢɹª - ɫɬɪ 215 |
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Ⱥ |
Ʉɥɟɳɟɜɨɣ ɷɧɰɟɮɚɥɢɬ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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ɯɥɨɪɢɞ 500 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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94 |
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- ɭ ɞɟɬɟɣ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 10 - ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɜ |
|
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ ɩɪɢ SpO2 4% |
ɩɨɥɢɤɥɢɧɢɤɭ |
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- ɩɪɢ ɬɟɦɩɟɪɚɬɭɪɟ ɬɟɥɚ |
- Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɜ ɜɟɧɧɨ |
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> ɋ |
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- ɩɪɢ ɨɬɟɤɟ ɝɨɥɨɜɧɨɝɨ |
ɋɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ «ɋɟɪɨɡɧɵɣ ɦɟɧɢɧɝɢɬ ɢ |
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ɦɨɡɝɚ ɫɭɞɨɪɨɝɚɯ ɤɨɦɟ |
ɦɟɧɢɧɝɨɷɧɰɟɮɚɥɢɬ» - ɫɬɪ 91 |
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Ⱥ |
Ȼɟɲɟɧɫɬɜɨ |
Ɂɚɳɢɬɚ ɩɟɪɫɨɧɚɥɚ ɨɬ ɡɚɪɚɠɟɧɢɹ ɦɚɫɤɚ ɩɟɪɱɚɬɤɢ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɨɱɤɢ |
ɛɨɥɶɧɢɰɭ |
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- Ⱦɢɚɡɟɩɚɦ - ɦɝ ɜ ɦɵɲɟɱɧɨ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ ɦɟɞɢɰɢɧɫɤɨɣ |
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ɷɜɚɤɭɚɰɢɢ ɜ ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ |
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ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
Ⱥ |
Ɉɫɬɪɵɟ ɤɢɲɟɱɧɵɟ |
- Ⱥɤɬɢɜɢɪɨɜɚɧɧɵɣ ɭɝɨɥɶ ɦɝ ɪɚɡɦɟɲɚɬɶ ɜ ɜɨɞɟ |
Ⱥɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
Ⱥ |
ɢɧɮɟɤɰɢɢ ɧɟɹɫɧɨɣ |
ɩɪɢɧɹɬɶ ɜɧɭɬɪɶ ɢɥɢ ɜɜɟɫɬɢ ɱɟɪɟɡ ɠɟɥɭɞɨɱɧɵɣ ɡɨɧɞ |
2. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
Ⱥ |
ɷɬɢɨɥɨɝɢɢ |
ɭ ɞɟɬɟɣ - Ⱥɤɬɢɜɢɪɨɜɚɧɧɵɣ ɭɝɨɥɶ ɚɥɸɦɢɧɢɹ ɨɤɫɢɞ |
ɛɨɥɶɧɢɰɭ: |
Ⱥ |
|
0,3 - 0,5 ɦɝ ɤɝ |
- ɩɪɢɛɵɜɲɢɯ ɢɡ ɷɧɞɟɦɢɱɧɵɯ |
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ɫɦ ɉɪɢɥɨɠɟɧɢɟ 25, 26 ɫɬɪ 76, 277) |
ɢ ɡɚɪɭɛɟɠɧɵɯ ɫɬɪɚɧ ɩɪɢ |
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ɧɚɥɢɱɢɢ ɩɪɨɹɜɥɟɧɢɣ |
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ɞɢɫɮɭɧɤɰɢɣ ɠɟɥɭɞɨɱɧɨ- |
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ɤɢɲɟɱɧɨɝɨ ɬɪɚɤɬɚ |
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- ɩɪɢ ɛɨɥɢ ɜ ɠɢɜɨɬɟ |
- Ⱦɪɨɬɚɜɟɪɢɧ ɦɝ ɜ ɦɵɲɟɱɧɨ |
- ɞɟɬɟɣ ɞɨ -ɯ ɥɟɬ |
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- ɩɪɢ ɦɧɨɝɨɤɪɚɬɧɨɣ |
- Ɇɟɬɨɤɥɨɩɪɚɦɢɞ ɦɝ ɜ ɦɵɲɟɱɧɨ |
- ɛɟɪɟɦɟɧɧɵɯ ɢ ɪɨɞɢɥɶɧɢɰ |
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ɪɜɨɬɟ |
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- ɥɢɰ ɢɡ ɨɪɝɚɧɢɡɨɜɚɧɧɵɯ |
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ɤɨɥɥɟɤɬɢɜɨɜ |
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- ɩɪɢ ɨɛɟɡɜɨɠɢɜɚɧɢɢ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
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, ɫɬɟɩɟɧɢ |
ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
- ɩɪɢ ɨɛɟɡɜɨɠɢɜɚɧɢɢ II,III,IV |
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ɯɥɨɪɢɞ ɞɨ 500 ɦɥ ɜɧɭɬɪɶ ɞɪɨɛɧɨ |
ɫɬɟɩɟɧɢ ɬɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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ɧɨɫɢɥɤɚɯ |
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- ɭ ɞɟɬɟɣ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ ɦɟɞɢɰɢɧɫɤɨɣ |
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50 ɦɥ ɤɝ ɜɧɭɬɪɶ ɞɪɨɛɧɨ ɩɨ - ɱɚɣɧɨɣ ɥɨɠɤɢ ɱɟɪɟɡ |
ɷɜɚɤɭɚɰɢɢ ɜ ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ |
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ɤɚɠɞɵɟ - ɦɢɧɭɬ |
ɜ ɩɨɥɢɤɥɢɧɢɤɭ, |
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ɛɟɪɟɦɟɧɧɵɦ ɢ ɪɨɞɢɥɶɧɢɰɚɦ – |
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95 |
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,, ɫɬɟɩɟɧɢ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ |
ɞɨɩɨɥɧɢɬɟɥɶɧɨ ɜ ɀɄ ɞɟɬɹɦ – |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ 400 - |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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800 ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
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ɯɥɨɪɢɞ 500 - 1000 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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- ɭ ɞɟɬɟɣ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
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ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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III - ,9 ɫɬɟɩɟɧɢ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ 800 - |
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1200 ɦɥ ɜ ɜɟɧɧɨ ɫɬɪɭɣɧɨ ɡɚɬɟɦ 800 - 1200 ɦɥ ɜ ɜɟɧɧɨ |
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ɤɚɩɟɥɶɧɨ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ |
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ɧɚɬɪɢɹ ɯɥɨɪɢɞ 1000 - 1500 ɦɥ ɜ ɜɟɧɧɨ ɫɬɪɭɣɧɨ ɡɚɬɟɦ |
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1000 - 1500 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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ɨɞɧɨɜɪɟɦɟɧɧɨ ɜɨ ɜɬɨɪɭɸ ɜɟɧɭ |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
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ɦɥ ɜ ɜɟɧɧɨ ɫɬɪɭɣɧɨ ɡɚɬɟɦ 400 ɦɥ ɜ ɜɟɧɧɨ |
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ɤɚɩɟɥɶɧɨ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ |
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ɧɚɬɪɢɹ ɯɥɨɪɢɞ 500 ɦɥ ɜ ɜɟɧɧɨ ɫɬɪɭɣɧɨ ɡɚɬɟɦ 500 ɦɥ |
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ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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- ɭ ɞɟɬɟɣ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɯɥɨɪɢɞ - |
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ɦɥ ɤɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ ɛɨɥɸɫɨɦ ɜ ɬɟɱɟɧɢɟ - 20 |
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ɦɢɧɭɬ ɞɨ ɪɚɡ |
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ȼ |
ȼɢɪɭɫɧɵɣ ɝɟɩɚɬɢɬ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
ɛɨɥɶɧɢɰɭ |
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- ɩɪɢ ɨɫɬɪɨɣ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ ɦɟɞɢɰɢɧɫɤɨɣ |
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ɩɟɱɟɧɨɱɧɨɣ |
- Ⱦɟɤɫɬɪɨɡɚ - ɦɥ ɢɥɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞ - |
ɷɜɚɤɭɚɰɢɢ ɜ ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ |
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ɷɧɰɟɮɚɥɨɩɚɬɢɢ |
ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɩɨɥɢɤɥɢɧɢɤɭ |
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ɡɚɬɨɪɦɨɠɟɧɧɨɫɬɶ |
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ɫɨɧɥɢɜɨɫɬɶ ɢɤɨɬɚ |
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96 |
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- ɩɪɢ ɤɨɦɟ |
ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ |
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- Ⱥɬɪɨɩɢɧ - ɦɝ 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 ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ |
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1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ⱦɢɚɡɟɩɚɦ ɦɝ ɜ ɜɟɧɧɨ ɢ Ʉɟɬɚɦɢɧ ɦɝ ɤɝ |
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ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ɇɢɞɚɡɨɥɚɦ ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ |
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Ɏɟɧɬɚɧɢɥ - ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ⱦɢɚɡɟɩɚɦ 10 - ɦɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ - |
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ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ |
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ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ |
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ɬɪɭɛɤɢ |
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ɂȼɅ ȼȼɅ |
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Ⱥ |
Ɋɨɠɚ |
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Ⱥɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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2. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɩɪɢ ɬɟɦɩɟɪɚɬɭɪɟ ɬɟɥɚ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɛɨɥɶɧɢɰɭ: |
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! ɋ ɢ ɜɵɪɚɠɟɧɧɵɯ |
- Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɜ ɜɟɧɧɨ ɢɥɢ ɉɚɪɚɰɟɬɚɦɨɥ |
- ɩɪɢ ɪɨɠɟ ɥɢɰɚ |
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ɹɜɥɟɧɢɹɯ |
ɦɝ ɜɧɭɬɪɶ |
- ɩɪɢ ɬɹɠɟɥɨɦ ɬɟɱɟɧɢɢ |
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ɢɧɬɨɤɫɢɤɚɰɢɢ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
- ɩɪɢ ɥɢɯɨɪɚɞɤɟ ɛɨɥɟɟ ɞɧɟɣ |
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ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
- ɛɟɪɟɦɟɧɧɵɯ |
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ɯɥɨɪɢɞ 5 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
- ɞɟɬɟɣ ɫ ɥɸɛɵɦɢ ɮɨɪɦɚɦɢ |
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ɡɚɛɨɥɟɜɚɧɢɹ |
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- ɧɚ ɮɨɧɟ ɬɹɠɟɥɵɯ |
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- ɩɪɢ ɛɭɥɥɟɡɧɨɣ ɮɨɪɦɟ |
Ⱥɫɟɩɬɢɱɟɫɤɚɹ ɩɨɜɹɡɤɚ |
ɫɨɩɭɬɫɬɜɭɸɳɢɯ ɡɚɛɨɥɟɜɚɧɢɣ |
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ɢ ɜɫɤɪɵɜɲɢɯɫɹ ɛɭɥɥɚɯ |
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- ɩɪɢ ɥɨɤɚɥɢɡɚɰɢɢ ɧɚ ɧɢɠɧɢɯ |
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97 |
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ɤɨɧɟɱɧɨɫɬɹɯ ɧɚ ɮɨɧɟ ɫɬɨɣɤɢɯ ɧɚɪɭɲɟɧɢɣ ɥɢɦɮɨɨɛɪɚɳɟɧɢɹ ɫ ɹɜɥɟɧɢɹɦɢ ɮɥɟɛɢɬɚ ɢ ɥɢɦɮɨɫɬɚɡɚɉɪɢ ɨɬɤɚɡɟ ɨɬ ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ ɛɟɪɟɦɟɧɧɵɦ
– ɞɨɩɨɥɧɢɬɟɥɶɧɨ ɜ ɀɄ
- ɩɪɢ ɢɧɮɟɤɰɢɨɧɧɨ- |
ɋɦ ɪɚɡɞɟɥ ©Ⱥɧɟɫɬɟɡɢɨɥɨɝɢɹ ɢ ɪɟɚɧɢɦɚɬɨɥɨɝɢɹª - ɫɬɪ 6 |
ɬɨɤɫɢɱɟɫɤɨɦ ɲɨɤɟ |
ɋɦ ɪɚɡɞɟɥ ©ɉɟɞɢɚɬɪɢɹª – ɫɬɪ 215 |
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Ɋɚɡɞɟɥ ɏɂɊɍɊȽɂə
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