6 курс / Скорая помощь / АЛГОРИТМЫ_ОКАЗАНИЯ_СКОРОЙ_И_НЕОТЛОЖНОЙ_МЕДИЦИНСКОЙ_ПОМОЩИ_БОЛЬНЫМ
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- ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ ɜ |
- ɉɪɨɤɚɢɧɚɦɢɞ ɦɝ ɜ ɜɟɧɧɨ ɜ ɬɟɱɟɧɢɟ ɦɢɧɭɬ |
4. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɚɧɚɦɧɟɡɟ ɂȻɋ ɋȺȾ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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! ɦɦ ɪɬ ɫɬ ɢ QRS |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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< ɫɟɤ ɜ ɬ ɱ ɩɪɢ |
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ɢɡɜɟɫɬɧɨɦ |
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ɩɨɥɨɠɢɬɟɥɶɧɨɦ ɷɮɮɟɤɬɟ |
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ɨɬ ɪɚɧɟɟ ɩɪɢɦɟɧɹɟɦɨɝɨ |
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ɉɪɨɤɚɢɧɚɦɢɞɚ |
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ɧɚ ɚɤɬɢɜɟ «103»: |
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Ⱥɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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- ɩɪɢ ɤɭɩɢɪɨɜɚɧɧɨɦ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
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ɩɚɪɨɤɫɢɡɦɟ ɮɢɛɪɢɥɥɹɰɢɢ |
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
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ɩɪɟɞɫɟɪɞɢɣ |
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ɉɪɢ ɭɞɥɢɧɟɧɢɢ QT(c ! ɫɟɤ ɢɥɢ ɭɞɥɢɧɟɧɢɢ |
1. Ⱥɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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QT(c) > ɨɬ ɢɫɯɨɞɧɨɝɨ - ɩɨɜɬɨɪɧɨɟ ɜɜɟɞɟɧɢɟ |
ɩɪɢ ɜɨɫɫɬɚɧɨɜɥɟɧɢɢ |
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ɥɸɛɨɝɨ ɚɧɬɢɚɪɢɬɦɢɱɟɫɤɨɝɨ ɩɪɟɩɚɪɚɬɚ |
ɫɢɧɭɫɨɜɨɝɨ ɪɢɬɦɚ |
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- ɩɪɢ ɩɪɨɞɨɥɠɚɸɳɟɦɫɹ |
ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɨ |
Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɜ ɛɨɥɶɧɢɰɭ ɩɪɢ |
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ɩɚɪɨɤɫɢɡɦɟ ɮɢɛɪɢɥɥɹɰɢɢ |
- Ⱥɦɢɨɞɚɪɨɧ - ɦɝ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ ɜ |
ɩɪɨɞɨɥɠɚɸɳɟɦɫɹ |
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ɩɪɟɞɫɟɪɞɢɣ ɜ ɫɥɭɱɚɟ |
ɪɚɡɜɟɞɟɧɢɢ Ⱦɟɤɫɬɪɨɡɵ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɩɚɪɨɤɫɢɡɦɟ |
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ɜɜɟɞɟɧɧɨɝɨ ɪɚɧɟɟ |
ɧɟ ɛɨɥɟɟ ɦɢɧɭɬ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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Ⱥɦɢɨɞɚɪɨɧɚ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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- ɩɪɢ ɩɪɨɞɨɥɠɚɸɳɟɦɫɹ |
- Ʉɚɥɢɹ ɢ ɦɚɝɧɢɹ ɚɫɩɚɪɚɝɢɧɚɬ ɦɥ ɜ ɜɟɧɨ ɤɚɩɟɥɶɧɨ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɜ |
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ɩɚɪɨɤɫɢɡɦɟ ɮɢɛɪɢɥɥɹɰɢɢ |
ɧɟ ɛɨɥɟɟ ɦɢɧɭɬ ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɢɣ |
ɈɇɆɉȼɢȾɇ |
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ɩɪɟɞɫɟɪɞɢɣ ɜ ɫɥɭɱɚɟ |
ɨɫɬɪɨɣ ɢ ɯɪɨɧɢɱɟɫɤɨɣ ɩɨɱɟɱɧɨɣ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɢ |
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ɜɜɟɞɟɧɧɨɝɨ ɪɚɧɟɟ |
ɝɢɩɨɬɨɧɢɢ ɝɢɩɨɜɨɥɟɦɢɢ ɧɚɪɭɲɟɧɢɣ ɩɪɨɜɨɞɢɦɨɫɬɢ |
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ɉɪɨɤɚɢɧɚɦɢɞɚ |
ɫɟɪɞɰɚ |
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ɉɚɪɨɤɫɢɡɦ ɞɚɜɧɨɫɬɶɸ |
ɇɟ ɤɭɩɢɪɨɜɚɬɶ ɩɪɢɫɬɭɩ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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ɛɨɥɟɟ ɱɚɫɨɜ ɢɥɢ |
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ɱɟɪɟɡ ɩɪɢɟɦɧɨɟ |
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ɧɟɭɬɨɱɧɟɧɧɨɣ ɞɚɜɧɨɫɬɢ |
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ɨɬɞɟɥɟɧɢɟ ɜ ɛɨɥɶɧɢɰɭ |
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ɩɪɢ ɩɪɨɞɨɥɠɚɸɳɟɦɫɹ |
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50 |
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- ɩɪɢ ɬɚɯɢɫɢɫɬɨɥɢɢ ɛɟɡ |
- Ɇɟɬɨɩɪɨɥɨɥ - ɦɝ ɫɭɛɥɢɧɝɜɚɥɶɧɨ ɢɥɢ - ɦɝ |
ɩɚɪɨɤɫɢɡɦɟ |
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ɩɪɢɡɧɚɤɨɜ ɫɟɪɞɟɱɧɨɣ |
ɜ ɜɟɧɧɨ ɢɥɢ ɉɪɨɩɪɚɧɨɥɨɥ - ɦɝ ɫɭɛɥɢɧɝɜɚɥɶɧɨ ɢɥɢ |
2 ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɢ |
ȼɟɪɚɩɚɦɢɥ ɦɝ ɜ ɜɟɧɧɨ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɜ |
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- ɩɪɢ ɬɚɯɢɫɢɫɬɨɥɢɢ ɫ |
- Ⱥɦɢɨɞɚɪɨɧ 150 - 300 ɦɝ ɜ ɜɟɧɧɨ ɦɟɞɥɟɧɧɨ |
ɩɨɥɢɤɥɢɧɢɤɭ |
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ɩɪɢɡɧɚɤɚɦɢ ɫɟɪɞɟɱɧɨɣ |
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ ɑɋɋ ɜ ɦɢɧɭɬɭ: |
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ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɢ |
- Ⱦɢɝɨɤɫɢɧ ɦɝ ɜ ɜɟɧɧɨ |
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Ⱦɨɩɨɥɧɢɬɟɥɶɧɨ ɫɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ |
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©Ɉɫɬɪɚɹ ɥɟɜɨɠɟɥɭɞɨɱɤɨɜɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶª ɫɬɪ 45 |
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- ɩɪɢ ɩɚɪɨɤɫɢɡɦɟ |
• ɉɪɟɦɟɞɢɤɚɰɢɹ ɞɥɹ ɗɂɌ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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ɨɫɥɨɠɧɢɜɲɟɦɫɹ |
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢɥɢ Ⱦɢɚɡɟɩɚɦ ɦɝ |
ɜ ɛɨɥɶɧɢɰɭ |
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ɝɢɩɨɬɨɧɢɟɣ ɨɬɺɤɨɦ |
ɜ ɜɟɧɧɨ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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ɥɺɝɤɢɯ ɢɥɢ ɡɚɬɹɠɧɵɦ |
- Ʉɟɬɚɦɢɧ 1 ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ ɉɪɨɩɨɮɨɥ - ɦɝ ɤɝ |
ɧɨɫɢɥɤɚɯ |
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ɚɧɝɢɧɨɡɧɵɦ ɩɪɢɫɬɭɩɨɦ |
ɩɨ ɦɝ ɤɚɠɞɵɟ ɫɟɤɭɧɞ ɞɨ ɷɮɮɟɤɬɚ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɗɥɟɤɬɪɨɢɦɩɭɥɶɫɧɚɹ ɬɟɪɚɩɢɹ ɪɚɡɪɹɞɨɦ Ⱦɠ ɩɪɢ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ – |
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ɧɟɷɮɮɟɤɬɢɜɧɨɫɬɢ ɭɜɟɥɢɱɢɬɶ ɦɨɳɧɨɫɬɶ ɡɚɪɹɞɚ ɞɨ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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Ⱦɠ |
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Ⱦɨɩɨɥɧɢɬɟɥɶɧɨ ɩɪɢ ɨɬɟɤɟ ɥɟɝɤɢɯ ɫɦ ɩɨɞɪɚɡɞɟɥ |
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ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ ©Ɉɫɬɪɚɹ ɥɟɜɨɠɟɥɭɞɨɱɤɨɜɚɹ |
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ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶª ɫɬɪ 45 |
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ɉɟɪɫɢɫɬɢɪɭɸɳɚɹ ɢɥɢ |
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Ɋɟɤɨɦɟɧɞɨɜɚɬɶ |
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ɩɨɫɬɨɹɧɧɚɹ ɮɨɪɦɚ |
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ɨɛɪɚɬɢɬɶɫɹ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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ɦɟɪɰɚɬɟɥɶɧɨɣ ɚɪɢɬɦɢɢ: |
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- ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
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ɫɢɦɩɬɨɦɚɬɢɤɢ |
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
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- ɩɪɢ ɬɚɯɢɫɢɫɬɨɥɢɢ |
- Ɇɟɬɨɩɪɨɥɨɥ - ɦɝ ɜ ɜɟɧɧɨ |
Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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ɫɨɩɪɨɜɨɠɞɚɸɳɟɣɫɹ |
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ɜ ɛɨɥɶɧɢɰɭ ɩɪɢ |
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ɚɧɝɢɧɨɡɧɵɦ ɩɪɢɫɬɭɩɨɦ |
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ɫɨɯɪɚɧɹɸɳɟɦɫɹ |
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ɚɧɝɢɧɨɡɧɨɦ ɩɪɢɫɬɭɩɟ |
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Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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ɧɨɫɢɥɤɚɯ |
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51 |
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ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɜ |
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ɈɇɆɉȼɢȾɇ |
I44.1 |
Ȼɪɚɞɢɚɪɢɬɦɢɢ |
ɗɄȽ ɗɄɉ |
1. Ⱥɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
I44.2 |
ɑɋɋ ɜ ɦɢɧɭɬɭ |
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I45.5 |
- ɩɪɢ ɑɋɋ ! ɜ ɦɢɧɭɬɭ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
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I45.6 |
ɫɬɚɛɢɥɶɧɨɣ ɝɟɦɨɞɢɧɚɦɢɤɟ |
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
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ɢ ɨɬɫɭɬɫɬɜɢɟ ɩɪɢɫɬɭɩɨɜ |
Ɉɬɦɟɧɢɬɶ ɜɫɟ ɩɪɟɩɚɪɚɬɵ ɭɪɟɠɚɸɳɢɟ ɪɢɬɦ |
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Ɇɗɋ |
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- ɩɪɢ ɑɋɋ ɜ |
ɗɄȽ ɦɨɧɢɬɨɪɢɧɝ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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ɦɢɧɭɬɭ ɫɬɚɛɢɥɶɧɨɣ |
ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ ɩɪɢ SpO2 90% |
ɜ ɛɨɥɶɧɢɰɭ |
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ɝɟɦɨɞɢɧɚɦɢɤɟ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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ɧɨɫɢɥɤɚɯ |
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ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɜ |
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ɩɨɥɢɤɥɢɧɢɤɭ |
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- ɩɪɢ ɑɋɋ ɜ |
ɗɄȽ ɦɨɧɢɬɨɪɢɧɝ |
ȼɵɡɨɜ ɛɪɢɝɚɞɵ ȺɢɊ ɢ |
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ɦɢɧɭɬɭ ɢ ɝɢɩɨɬɨɧɢɢ ɢɥɢ |
ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ ɩɪɢ SpO2 90% |
ɦɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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ɪɟɰɢɞɢɜɢɪɭɸɳɢɯ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɛɪɢɝɚɞɨɣ ȺɢɊ ɜ ɛɨɥɶɧɢɰɭ |
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ɩɪɢɫɬɭɩɚɯ Ɇɗɋ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɫ ɜɨɡɦɨɠɧɨɫɬɶɸ |
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- Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ |
ɭɫɬɚɧɨɜɤɢ ɩɨɫɬɨɹɧɧɨɝɨ |
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ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ ɢ ɪɟɰɢɞɢɜɢɪɭɸɳɢɯ Ɇɗɋ ɭ |
ɤɚɪɞɢɨɫɬɢɦɭɥɹɬɨɪɚ |
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ɛɨɥɶɧɵɯ ɛɟɡ ɂȻɋ: |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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- Ⱥɦɢɧɨɮɢɥɥɢɧ ɦɝ ɜ ɜ ɦɟɞɥɟɧɧɨ |
ɧɨɫɢɥɤɚɯ |
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ȼɪɟɦɟɧɧɚɹ ɤɚɪɞɢɨɫɬɢɦɭɥɹɰɢɹ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ ɢɥɢ ɧɟɜɨɡɦɨɠɧɨɫɬɢ ȼɗɄɋ ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ - |
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- ɗɩɢɧɟɮɪɢɧ ɦɝ ɜ ɜɟɧɧɨ ɢɥɢ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ |
ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
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ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ - ɦɤɝ ɜ ɦɢɧ ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ - |
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(18 - ɤɚɩ ɜ ɦɢɧ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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52 |
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I21.9 |
Ɉɫɬɪɵɣ ɢɧɮɚɪɤɬ |
ɗɄȽ |
ɗɤɫɬɪɟɧɧɚɹ |
I22.9 |
ɦɢɨɤɚɪɞɚ ɫ ɩɨɞɴɺɦɨɦ |
ɉɟɪɟɞɚɜɚɬɶ ɗɄɉ ɩɪɢ ɩɨɞɴɺɦɟ ɫɟɝɦɟɧɬɚ 67 ɬɨɥɶɤɨ ɜ |
ɦɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɫɟɝɦɟɧɬɚ ST |
ɢɫɤɥɸɱɢɬɟɥɶɧɵɯ ɫɥɭɱɚɹɯ |
ɛɨɥɶɧɢɰɭ ɧɟ ɬɪɚɬɢɬɶ |
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ɧɟɨɫɥɨɠɧɟɧɧɵɣ |
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
ɜɪɟɦɹ ɧɚ ɫɛɨɪ ɜɟɳɟɣ ɢ |
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ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
ɞɨɤɭɦɟɧɬɨɜ . |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ ɩɪɢ SpO2 |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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- Ⱥɰɟɬɢɥɫɚɥɢɰɢɥɨɜɚɹ ɤɢɫɥɨɬɚ ɦɝ |
ɧɨɫɢɥɤɚɯ |
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- Ɍɢɤɚɝɪɟɥɨɪ ɦɝ ɢɥɢ Ʉɥɨɩɢɞɨɝɪɟɥ 600 ɦɝ ɜɧɭɬɪɶ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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- ɩɪɢ ɚɧɝɢɧɨɡɧɨɣ ɛɨɥɢ |
- Ɇɨɪɮɢɧ ɞɨ ɦɝ ɜ ɜɟɧɧɨ ɦɟɞɥɟɧɧɨ ɞɪɨɛɧɨ ɜ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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ɦɢɧɢɦɚɥɶɧɨ ɷɮɮɟɤɬɢɜɧɨɣ ɞɨɡɟ |
ɱɟɪɟɡ ɱɚɫɚ |
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- ɂɲɟɦɢɱɟɫɤɨɟ ɩɪɟɤɨɧɞɢɰɢɨɧɢɪɨɜɚɧɢɟ ɞɥɹ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɜɪɚɱɟɛɧɵɯ ɛɪɢɝɚɞ ɧɚɥɨɠɢɬɶ ɦɚɧɠɟɬɭ ɬɨɧɨɦɟɬɪɚ ɧɚ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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ɩɥɟɱɨ ɩɚɰɢɟɧɬɚ ɪɚɡɞɭɬɶ ɦɚɧɠɟɬɭ ɞɨ ɦɦ ɪɬ ɫɬ ɧɚ |
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ɦɢɧɭɬ ɡɚɬɟɦ ɫɞɭɬɶ ɦɚɧɠɟɬɭ ɢ ɱɟɪɟɡ ɦɢɧɭɬ ɫɧɨɜɚ |
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ɪɚɡɞɭɬɶ ɧɚ ɦɢɧɭɬ ɞɨ ɦɦ ɪɬ ɫɬ ɩɪɨɜɟɫɬɢ |
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ɦɚɤɫɢɦɚɥɶɧɨ ɞɨ -ɯ ɰɢɤɥɨɜ «ɦɚɧɠɟɬɚ ɪɚɡɞɭɬɚ-ɫɞɭɬɚ». |
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ȼɟɫɶ ɤɨɦɩɥɟɤɫ ɩɪɨɜɨɞɢɬɫɹ ɩɨɫɥɟ ɨɤɚɡɚɧɢɹ |
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ɧɟɨɛɯɨɞɢɦɨɣ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ ɜɨ ɜɪɟɦɹ |
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ɬɪɚɧɫɩɨɪɬɢɪɨɜɤɢ ɛɟɡ ɡɚɬɪɚɬ ɞɨɩɨɥɧɢɬɟɥɶɧɨɝɨ ɜɪɟɦɟɧɢ |
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ɞɥɹ ɩɪɟɤɨɧɞɢɰɢɨɧɢɪɨɜɚɧɢɹ Ʉɨɥɢɱɟɫɬɜɨ ɩɪɨɜɟɞɺɧɧɵɯ |
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ɰɢɤɥɨɜ ɡɚɜɢɫɢɬ ɨɬ ɜɪɟɦɟɧɢ ɬɪɚɧɫɩɨɪɬɢɪɨɜɤɢ |
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- ɩɪɢ ɧɟɜɨɡɦɨɠɧɨɫɬɢ |
- Ⱥɰɟɬɢɥɫɚɥɢɰɢɥɨɜɚɹ ɤɢɫɥɨɬɚ ɦɝ ɪɚɡɠɟɜɚɬɶ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ |
- Ʉɥɨɩɢɞɨɝɪɟɥ ɦɝ ɜɧɭɬɪɶ ɫɬɚɪɲɟ ɥɟɬ - ɦɝ |
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ɛɨɥɶɧɨɝɨ ɜ ɛɨɥɶɧɢɰɭ ɜ |
ɉɪɢ ɩɪɢɟɦɟ ɚɧɬɢɤɨɚɝɭɥɹɧɬɧɵɯ ɩɪɟɩɚɪɚɬɨɜ - |
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ɬɟɱɟɧɢɢ ɦɢɧɭɬ ɢ |
Ƚɟɩɚɪɢɧ ɧɟ ɜɜɨɞɢɬɶ |
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ɞɚɜɧɨɫɬɶɸ ɛɨɥɢ ɦɟɧɟɟ |
- Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ Ɇȿ ɜ ɜɟɧɧɨ ɢɥɢ ɗɧɨɤɫɚɩɚɪɢɧ |
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ɱɚɫɨɜ |
ɧɚɬɪɢɹ ɦɝ ɤɝ ɩɨɞɤɨɠɧɨ |
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Ɍɪɨɦɛɨɥɢɬɢɱɟɫɤɚɹ ɬɟɪɚɩɢɹ |
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53 |
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I21.9 |
Ɉɫɬɪɵɣ ɢɧɮɚɪɤɬ |
ɋɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ «Ɉɫɬɪɵɣ ɢɧɮɚɪɤɬ |
I22.9 |
ɦɢɨɤɚɪɞɚ |
ɦɢɨɤɚɪɞɚ ɧɟɨɫɥɨɠɧɟɧɧɵɣ» ɫɬɪ 53 |
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ɫ ɩɨɞɴɺɦɨɦ ɫɟɝɦɟɧɬɚ ST |
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(ɨɫɥɨɠɧɟɧɧɵɣ) |
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ɇɚɪɭɲɟɧɢɹɦɢ |
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ɫɟɪɞɟɱɧɨɝɨ ɪɢɬɦɚ |
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- ɬɚɯɢɚɪɢɬɦɢɟɣ ɛɟɡ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
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ɧɚɪɭɲɟɧɢɹ |
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
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ɝɟɦɨɞɢɧɚɦɢɤɢ |
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- ɬɚɯɢɚɪɢɬɦɢɟɣ ɫ |
ɉɪɟɦɟɞɢɤɚɰɢɹ ɞɥɹ ɗɂɌ |
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ɧɚɪɭɲɟɧɢɹɦɢ |
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢɥɢ Ⱦɢɚɡɟɩɚɦ ɦɝ |
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ɝɟɦɨɞɢɧɚɦɢɤɢ |
ɜ ɜɟɧɧɨ |
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- Ʉɟɬɚɦɢɧ ɦɝ ɤɝ ɜ ɜɟɧɧɨ ɢɥɢ ɉɪɨɩɨɮɨɥ 2,0 - ɦɝ ɤɝ |
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ɩɨ ɦɝ ɤɚɠɞɵɟ ɫɟɤɭɧɞ ɞɨ ɷɮɮɟɤɬɚ ɞɥɹ ɛɪɢɝɚɞ |
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ȺɢɊ |
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ɗɥɟɤɬɪɨɢɦɩɭɥɶɫɧɚɹ ɬɟɪɚɩɢɹ ɜɵɛɨɪ ɦɨɳɧɨɫɬɢ ɡɚɪɹɞɚ |
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ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɜɢɞɚ ɚɪɢɬɦɢɢ ɫɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ |
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ɪɚɡɞɟɥɚ «Ɍɚɯɢɚɪɢɬɦɢɢª ɫɬɪ 47) |
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- ɛɪɚɞɢɚɪɢɬɦɢɟɣ ɛɟɡ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
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ɧɚɪɭɲɟɧɢɣ |
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
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ɝɟɦɨɞɢɧɚɦɢɤɢ ɢ ɑɋɋ |
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! ɜ ɦɢɧɭɬɭ |
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- ɛɪɚɞɢɚɪɢɬɦɢɟɣ ɛɟɡ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ |
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ɧɚɪɭɲɟɧɢɣ |
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ɝɟɦɨɞɢɧɚɦɢɤɢ ɢ ɑɋɋ |
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ɜ ɦɢɧɭɬɭ |
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- ɛɪɚɞɢɚɪɢɬɦɢɟɣ ɩɪɢ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ |
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ɧɚɪɭɲɟɧɢɹɯ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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ɝɟɦɨɞɢɧɚɦɢɤɢ |
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ ɨɬ ɚɬɪɨɩɢɧɚ ɢ ɧɟɜɨɡɦɨɠɧɨɫɬɢ |
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ɩɪɢɦɟɧɟɧɢɹ ɜɪɟɦɟɧɧɨɣ ɤɚɪɞɢɨɫɬɢɦɭɥɹɰɢɢ: |
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- Ⱦɨɩɚɦɢɧ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - |
1.Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ ɧɨɫɢɥɤɚɯ
2.ɉɪɢ ɨɬɤɚɡɟ ɨɬ
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103»
ɱɟɪɟɡ ɱɚɫɚɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ
4.ȼɵɡɨɜ ɛɪɢɝɚɞ ȺɢɊ
ɩɪɢ ɛɪɚɞɢɚɪɢɬɦɢɢ ɫ ɤɚɪɞɢɨɝɟɧɧɵɦ ɲɨɤɨɦ ɬɪɟɛɭɸɳɟɣ ɩɪɨɜɟɞɟɧɢɹ ɜɪɟɦɟɧɧɨɣ ɷɥɟɤɬɪɨɤɚɪɞɢɨɫɬɢɦɭɥɹɰɢɢ
54
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ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ - ɦɤɝ ɤɝ ɦɢɧ |
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ɫɦ ©ɉɪɢɥɨɠɟɧɢɹ 7, 28ª ɫɬɪ 78, 279) |
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• ȼɪɟɦɟɧɧɚɹ ɤɚɪɞɢɨɫɬɢɦɭɥɹɰɢɹ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ |
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- ɨɬɺɤɨɦ ɥɺɝɤɢɯ |
ɋɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ ©Ɉɫɬɪɚɹ |
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ɥɟɜɨɠɟɥɭɞɨɱɤɨɜɚɹ ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɶª ɫɬɪ 45 |
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R57.0 |
Ʉɚɪɞɢɨɝɟɧɧɵɣ ɲɨɤ |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ ɩɪɢ SpO2 90% |
ɜ ɛɨɥɶɧɢɰɭ |
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Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɜ ɜɟɧɧɨ ɫɨ ɫɤɨɪɨɫɬɶɸ |
ɧɨɫɢɥɤɚɯ |
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ɦɥ ɜ ɦɢɧɭɬɭ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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- ɇɨɪɷɩɢɧɟɮɪɢɧ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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0,9% - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ - ɦɤɝ ɤɝ ɦɢɧ |
ɱɟɪɟɡ ɱɚɫɚ |
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ɫɦ ©ɉɪɢɥɨɠɟɧɢɹ 3, 34ª ɫɬɪ 84, 285) |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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- ɩɪɢ ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɢ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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ɢɧɮɚɪɤɬɚ ɦɢɨɤɚɪɞɚ |
ɛɵɫɬɪɨ |
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ɧɢɠɧɟɣ ɫɬɟɧɤɢ ɢ ɡɚɞɧɟ- |
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ɛɚɡɚɥɶɧɨɣ ɥɨɤɚɥɢɡɚɰɢɢ |
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ɧɚ ɩɪɚɜɵɣ ɠɟɥɭɞɨɱɟɤ |
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I20.0 |
Ɉɫɬɪɵɣ ɤɨɪɨɧɚɪɧɵɣ |
ɗɄȽ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
I21.9 |
ɫɢɧɞɪɨɦ ɛɟɡ ɩɨɞɴɺɦɚ |
ɗɄȽ - ɦɨɧɢɬɨɪɢɧɝ |
ɜ ɛɨɥɶɧɢɰɭ. |
I22.9 |
ɫɟɝɦɟɧɬɚ ST |
ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ ɩɪɢ SpO2 90% |
ɧɨɫɢɥɤɚɯ |
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- Ⱥɰɟɬɢɥɫɚɥɢɰɢɥɨɜɚɹ ɤɢɫɥɨɬɚ ɦɝ ɪɚɡɠɟɜɚɬɶ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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- ɩɪɢ ɚɧɝɢɧɨɡɧɨɣ ɛɨɥɢ |
- ɇɢɬɪɨɝɥɢɰɟɪɢɧ ɫɩɪɟɣ ɦɝ ɫɩɪɟɣ ɢɥɢ ɂɡɨɫɨɪɛɢɞ |
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ɞɢɧɢɬɪɚɬ ɦɝ ɫɩɪɟɣ - ɞɨɡɵ ɪɚɫɩɵɥɢɬɶ ɜ ɩɨɥɨɫɬɢ |
ɱɟɪɟɡ ɱɚɫɚ |
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ɪɬɚ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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55 |
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ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚɄɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ
-ɂɡɨɫɨɪɛɢɞɚ ɞɢɧɢɬɪɚɬ ɦɝ ɢɥɢ ɇɢɬɪɨɝɥɢɰɟɪɢɧ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ ɫɨ ɫɤɨɪɨɫɬɶɸ - ɤɚɩ ɜ ɦɢɧɫɦ ©ɉɪɢɥɨɠɟɧɢɟ 39ª ɫɬɪ 90) ɉɪɢ ɧɟɷɮɮɟɤɬɢɜɧɨɫɬɢ ɧɢɬɪɚɬɨɜ
-Ɇɨɪɮɢɧ ɞɨ ɦɝ ɜ ɜɟɧɧɨ ɞɪɨɛɧɨ ɜ ɦɢɧɢɦɚɥɶɧɨ ɷɮɮɟɤɬɢɜɧɨɣ ɞɨɡɟ
-Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ 000 Ɇȿ ɜ ɜɟɧɧɨ ɢɥɢ ɗɧɨɤɫɚɩɚɪɢɧ ɧɚɬɪɢɹ ɦɝ ɤɝ ɩɨɞɤɨɠɧɨ ɩɪɢ ɧɟɜɨɡɦɨɠɧɨɫɬɢ ɜ ɬɟɱɟɧɢɢ ɦɢɧɭɬ ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɛɨɥɶɧɨɝɨ ɜ ɛɨɥɶɧɢɰɭ ɢ ɞɚɜɧɨɫɬɶɸ ɛɨɥɢ ɦɟɧɟɟ ɱɚɫɨɜ)
ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɨ ɜɜɟɞɟɧɢɟ Ƚɟɩɚɪɢɧɚ ɩɪɢ ɚɧɟɦɢɢ, ɜɵɫɨɤɨɦ ɪɢɫɤɟ ɪɚɡɜɢɬɢɹ ɢ ɞɢɚɝɧɨɫɬɢɪɨɜɚɧɧɨɦ ɤɪɨɜɨɬɟɱɟɧɢɢ
-ɩɪɢ ɧɚɪɭɲɟɧɢɹɯ ɋɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ ©Ɉɫɬɪɵɣ ɢɧɮɚɪɤɬ ɝɟɦɨɞɢɧɚɦɢɤɢ ɢɥɢ ɦɢɨɤɚɪɞɚ ɫ ɩɨɞɴɺɦɨɦ ɫɟɝɦɟɧɬɚ ST ɨɫɥɨɠɧɟɧɧɵɣª
ɚɪɢɬɦɢɹɯ |
ɫɬɪ 54 |
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I26.9 Ɍɪɨɦɛɨɷɦɛɨɥɢɹ ɥɟɝɨɱɧɨɣ ɗɄȽ ɗɄɉ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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ɚɪɬɟɪɢɢ |
Ɉɤɫɢɝɟɧɨɬɟɪɚɩɢɹ ɨɬ ɢɧɝɚɥɹɰɢɢ ɱɟɪɟɡ ɦɚɫɤɭ ɞɨ ȼȼɅ ɢ ɜ ɛɨɥɶɧɢɰɭ |
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ɂȼɅ ɜ ɡɚɜɢɫɢɦɨɫɬɢ ɨɬ ɫɚɬɭɪɚɰɢɢ ɰɟɥɟɜɨɣ ɭɪɨɜɟɧɶ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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SpO2 > 90%) |
ɧɨɫɢɥɤɚɯ |
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- Ƚɟɩɚɪɢɧ ɧɚɬɪɢɹ Ɇȿ ɜ ɜɟɧɧɨ ɢɥɢ ɗɧɨɤɫɚɩɚɪɢɧ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɧɚɬɪɢɹ ɦɝ ɤɝ ɩɨɞɤɨɠɧɨ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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ɱɟɪɟɡ ɱɚɫɚ |
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ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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56 |
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- ɩɪɢ ɪɚɡɜɢɬɢɢ ɲɨɤɚ |
ɋɦ ɩɨɞɪɚɡɞɟɥ ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ ©Ʉɚɪɞɢɨɝɟɧɧɵɣ ɲɨɤª |
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ɫɬɪ 55 |
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I71.0 |
Ɋɚɫɫɥɚɢɜɚɸɳɚɹ |
ɗɄȽ ɗɄɉ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ |
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ɚɧɟɜɪɢɡɦɚ ɚɨɪɬɵ |
Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɜ ɛɨɥɶɧɢɰɭ. |
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• ɉɨɞɞɟɪɠɚɧɢɟ ɦɟɞɢɤɚɦɟɧɬɨɡɧɨɣ ɝɢɩɨɬɨɧɢɢ ɋȺȾ ɧɚ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ |
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ɭɪɨɜɧɟ ɧɟ ɜɵɲɟ ɦɦ ɪɬ ɫɬ ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ ɩɪɢɡɧɚɤɨɜ |
ɧɨɫɢɥɤɚɯ |
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ɝɢɩɨɩɟɪɮɭɡɢɢ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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- ɂɡɨɫɨɪɛɢɞɚ ɞɢɧɢɬɪɚɬ ɦɝ ɢɥɢ ɇɢɬɪɨɝɥɢɰɟɪɢɧ ɦɝ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ ɫɨ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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ɫɤɨɪɨɫɬɶɸ - ɤɚɩ ɜ ɦɢɧ ɢɥɢ Ⱥɡɚɦɟɬɨɧɢɹ ɛɪɨɦɢɞ 1 - |
ɱɟɪɟɡ ɱɚɫɚ |
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ɦɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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0,9% - ɦɥ ɜ ɜɟɧɧɨ ɦɟɞɥɟɧɧɨ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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(ɫɦ «ɉɪɢɥɨɠɟɧɢɟ 9» ɫɬɪ 90) |
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- ɗɫɦɨɥɨɥ ɦɝ ɤɝ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɞɨ ɞɨɫɬɢɠɟɧɢɹ |
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ɷɮɮɟɤɬɚ ɩɨɞ ɩɨɫɬɨɹɧɧɵɦ ɤɨɧɬɪɨɥɟɦ ȺȾ ɢɥɢ |
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Ɇɟɬɨɩɪɨɥɨɥ - ɦɝ ɜ ɜɟɧɧɨ |
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- ɩɪɢ ɛɨɥɢ |
- Ɇɨɪɮɢɧ ɞɨ ɦɝ ɜ ɜɟɧɧɨ ɞɪɨɛɧɨ ɜ ɦɢɧɢɦɚɥɶɧɨ |
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ɷɮɮɟɤɬɢɜɧɨɣ ɞɨɡɟ |
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- ɩɪɢ ɲɨɤɟ |
ɋɦ ɪɚɡɞɟɥ «Ⱥɧɟɫɬɟɡɢɨɥɨɝɢɹ ɢ ɪɟɚɧɢɦɚɬɨɥɨɝɢɹ» |
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Ƚɟɦɨɪɪɚɝɢɱɟɫɤɢɣ ɲɨɤ ɫɬɪ 5 |
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57
Ɋɚɡɞɟɥ ɇȿȼɊɈɅɈȽɂə
58
Ʉɨɞ |
Ⱦɢɚɝɧɨɡ |
Ɉɛɴɟɦ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
Ɍɚɤɬɢɤɚ |
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ɆɄȻ ; |
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E51 |
Ɉɫɬɪɚɹ ɷɧɰɟɮɚɥɨɩɚɬɢɹ |
- Ɍɢɚɦɢɧ ɦɝ ɜ ɜɟɧɧɨ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ |
Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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Ƚɚɣɟ-ȼɟɪɧɢɤɟ |
0,9% - ɦɥ ɜ ɜɟɧɧɨ – ɜɜɨɞɢɬɶ ɦɟɞɥɟɧɧɨ |
ɛɨɥɶɧɢɰɭ |
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- ɉɢɪɢɞɨɤɫɢɧ ɦɝ ɜ ɜɟɧɧɨ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ |
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ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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G00- |
ȼɨɫɩɚɥɢɬɟɥɶɧɵɟ ɛɨɥɟɡɧɢ |
• ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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G08 |
ɰɟɧɬɪɚɥɶɧɨɣ ɧɟɪɜɧɨɣ |
• ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ |
ɛɨɥɶɧɢɰɭ. Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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ɫɢɫɬɟɦɵ ɦɟɧɢɧɝɢɬ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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ɷɧɰɟɮɚɥɢɬ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
2. ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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ɷɧɰɟɮɚɥɨɦɢɟɥɢɬ ɦɢɟɥɢɬ |
ɗɯɨ - ɗɋ ɞɥɹ ɷɤɫɬɪɟɧɧɵɯ ɤɨɧɫɭɥɶɬɚɬɢɜɧɵɯ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɬɪɨɦɛɨɮɥɟɛɢɬ |
ɧɟɜɪɨɥɨɝɢɱɟɫɤɢɯ ɢ ɧɟɣɪɨɯɢɪɭɪɝɢɱɟɫɤɢɯ ɛɪɢɝɚɞ) |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ © ª |
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ɜɧɭɬɪɢɱɟɪɟɩɧɵɯ |
Ʌɸɦɛɚɥɶɧɚɹ ɩɭɧɤɰɢɹ ɜ ɭɫɥɨɜɢɹɯ ɦɟɞɢɰɢɧɫɤɨɣ |
ɱɟɪɟɡ ɱɚɫɚ |
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ɜɟɧɨɡɧɵɯ ɫɢɧɭɫɨɜ |
ɨɪɝɚɧɢɡɚɰɢɢ ɬɨɥɶɤɨ ɩɨɫɥɟ ɗɯɨ-ɗɋ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɜɧɭɬɪɢɱɟɪɟɩɧɨɣ ɢ |
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ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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ɜɧɭɬɪɢɩɨɡɜɨɧɨɱɧɵɣ |
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ɚɛɫɰɟɫɫ ɨɫɬɪɵɣ |
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ɢɧɮɟɤɰɢɨɧɧɵɣ |
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ɩɨɥɢɧɟɜɪɢɬ |
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- ɩɪɢ ɦɟɧɢɧɝɢɬɟ |
ɋɦ ɪɚɡɞɟɥ ©ɂɧɮɟɤɰɢɨɧɧɵɟ ɡɚɛɨɥɟɜɚɧɢɹª ɫɬɪ 91 - 92 |
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- ɩɪɢ ɫɭɞɨɪɨɝɚɯ |
- Ⱦɢɚɡɟɩɚɦ ɦɝ ɜ ɜɟɧɧɨ |
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ɋɦ ɩɨɞɪɚɡɞɟɥ «ɗɩɢɥɟɩɫɢɹ» ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ ɫɬɪ 62 |
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- ɩɪɢ ɤɨɦɟ |
ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ: |
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- ɩɪɢ ɧɚɪɭɲɟɧɢɢ ɞɵɯɚɧɢɹ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ |
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Ⱦɇ III - IVɫɬ |
ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
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- ɩɪɢ ɛɵɫɬɪɨ |
ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ ! 4 ɛɚɥɥɨɜ ɩɨ |
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ɩɪɨɝɪɟɫɫɢɪɭɸɳɟɦ |
ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ |
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ɭɝɧɟɬɟɧɢɢ ɫɨɡɧɚɧɢɹ |
- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ɏɟɧɬɚɧɢɥ |
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59