6 курс / Скорая помощь / АЛГОРИТМЫ_ОКАЗАНИЯ_СКОРОЙ_И_НЕОТЛОЖНОЙ_МЕДИЦИНСКОЙ_ПОМОЩИ_БОЛЬНЫМ
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0,05 - ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ⱦɢɚɡɟɩɚɦ ɦɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ - ɦɝ |
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ɜ ɜɟɧɧɨ |
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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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- ɩɪɢ ɨɬɟɤɟ ɝɨɥɨɜɧɨɝɨ |
• ɉɪɢɞɚɬɶ ɩɨɥɨɠɟɧɢɟ ɫ ɩɪɢɩɨɞɧɹɬɵɦ ɧɚ ɢɡɝɨɥɨɜɶɟɦ |
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ɦɨɡɝɚ |
ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
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- ɩɪɢ ɧɚɪɚɫɬɚɸɳɟɦ |
ɂȼɅ ȼȼɅ ɜ ɪɟɠɢɦɟ ɝɢɩɟɪɜɟɧɬɢɥɹɰɢɢ |
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ɞɢɫɥɨɤɚɰɢɨɧɧɨɦ |
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ɫɢɧɞɪɨɦɟ |
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I63, |
ɂɧɫɭɥɶɬ ɧɟɭɬɨɱɧɟɧɧɵɣ |
• ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
I64 |
ɤɚɤ ɤɪɨɜɨɢɡɥɢɹɧɢɟ ɢɥɢ |
• ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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ɢɧɮɚɪɤɬ ɦɨɡɝɚ |
• ɗɄȽ ɗɄɉ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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ɂɧɮɚɪɤɬ ɦɨɡɝɚ |
• Ƚɥɸɤɨɦɟɬɪɢɹ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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• Ɍɟɪɦɨɦɟɬɪɢɹ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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• Ɉɰɟɧɤɚ ɧɟɜɪɨɥɨɝɢɱɟɫɤɨɝɨ ɞɟɮɢɰɢɬɚ ɩɨ ɲɤɚɥɟ LAMS |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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ɫɦ ©ɉɪɢɥɨɠɟɧɢɟ 18ª ɫɬɪ 62) |
ɱɟɪɟɡ ɱɚɫɚ |
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• ɗɯɨ-ɗɋ ɞɥɹ ɷɤɫɬɪɟɧɧɵɯ ɤɨɧɫɭɥɶɬɚɬɢɜɧɵɯ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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ɧɟɜɪɨɥɨɝɢɱɟɫɤɢɯ ɢ ɧɟɣɪɨɯɢɪɭɪɝɢɱɟɫɤɢɯ ɛɪɢɝɚɞ) |
ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
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- ɗɬɢɥɦɟɬɢɥɝɢɞɪɨɤɫɢɩɢɪɢɞɢɧɚ ɫɭɤɰɢɧɚɬ ɦɝ |
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ɜ ɜɟɧɧɨ ɢ Ɇɚɝɧɢɹ ɫɭɥɶɮɚɬ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ - ɤɚɩɟɥɶ ɜ ɦɢɧ ɢɥɢ ɂɧɨɡɢɧ ɧɢɤɨɬɢɧɚɦɢɞ ɪɢɛɨɮɥɚɜɢɧ
ɹɧɬɚɪɧɚɹ ɤɢɫɥɨɬɚ ɦɥ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ 0,9% - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ ɞɨ ɤɚɩ ɜ ɦɢɧ
Ⱥɧɬɢɝɢɩɟɪɬɟɧɡɢɜɧɚɹ ɬɟɪɚɩɢɹ ɩɪɨɜɨɞɢɬɫɹ ɬɨɥɶɤɨ ɩɪɢ ȺȾ ɜɵɲɟ ɦɦ ɪɬ ɫɬ
70
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- ɩɪɢ ɋȺȾ ! ɦɦ ɪɬ ɫɬ |
- ɍɪɚɩɢɞɢɥ 2,5 - 25 ɦɝ ɜ ɜɟɧɧɨ ɋɦ ɪɚɡɞɟɥ |
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©Ʉɚɪɞɢɨɥɨɝɢɹª ɫɬɪ 46 |
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- ɩɪɢ ɋȺȾ ɦɦ ɪɬ ɫɬ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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- ɭ ɞɟɬɟɣ ɩɪɢ ɋȺȾ ɧɚ |
ɉɪɢ ɨɬɫɭɬɫɬɜɢɢ ɷɮɮɟɤɬɚ ɋȺȾ ɦɦ ɪɬ ɫɬ |
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ɧɢɠɟ ɜɨɡɪɚɫɬɧɨɣ |
- ɇɨɪɷɩɢɧɟɮɪɢɧ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ |
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ɧɨɪɦɵ |
0,9% - ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ - ɦɤɝ ɤɝ ɦɢɧ ɢɥɢ |
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Ⱦɨɩɚɦɢɧ ɦɝ ɜ ɪɚɡɜɟɞɟɧɢɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞɚ - |
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ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ - ɦɤɝ ɤɝ ɦɢɧ |
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ɫɦ ©ɉɪɢɥɨɠɟɧɢɹ 27 - 31, 33 - 37ª ɫɬɪ 278 - 282, 284 - |
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288) |
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- ɩɪɢ ɫɭɞɨɪɨɝɚɯ |
- Ⱦɢɚɡɟɩɚɦ ɦɝ ɢ ɢɥɢ ȼɚɥɶɩɪɨɟɜɚɹ ɤɢɫɥɨɬɚ - |
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ɦɝ ɜ ɜɟɧɧɨ |
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ɋɦ ɩɨɞɪɚɡɞɟɥ ©ɗɩɢɥɟɩɫɢɹª ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ ɫɬɪ 62 |
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- ɩɪɢ ɪɜɨɬɟ |
• ɋɚɧɚɰɢɹ ɪɨɬɨɝɥɨɬɤɢ |
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ɉɪɢɞɚɬɶ ɭɫɬɨɣɱɢɜɨɟ ɩɨɥɨɠɟɧɢɟ ɧɚ ɛɨɤɭ |
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- Ɇɟɬɨɤɥɨɩɪɚɦɢɞ ɦɝ ɜ ɜɟɧɧɨ |
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- ɩɪɢ ɝɢɩɨɝɥɢɤɟɦɢɢ |
- Ⱦɟɤɫɬɪɨɡɚ - 20 - ɦɥ ɜ ɜɟɧɧɨ |
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ɦɦɨɥɶ ɥ |
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- ɩɪɢ ɝɢɩɟɪɝɥɢɤɟɦɢɢ |
- ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 25 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
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> ɦɦɨɥɶ ɥ |
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- ɩɪɢ ɬɟɦɩɟɪɚɬɭɪɟ ɬɟɥɚ |
- Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɜ ɜɟɧɧɨ |
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> 37,5 °ɋ |
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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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0,05 - ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ⱦɢɚɡɟɩɚɦ ɦɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ - ɦɝ |
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ɜ ɜɟɧɧɨ |
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71
•ɋɚɧɚɰɢɹ ɜɟɪɯɧɢɯ ɞɵɯɚɬɟɥɶɧɵɯ ɩɭɬɟɣ
•ɂɧɬɭɛɚɰɢɹ ɬɪɚɯɟɢ ɢɥɢ ɩɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ ɬɪɭɛɤɢɂȼɅ ȼȼɅ
-ɩɪɢ ɨɬɟɤɟ ɝɨɥɨɜɧɨɝɨ ɉɪɢɞɚɬɶ ɩɨɥɨɠɟɧɢɟ ɫ ɩɪɢɩɨɞɧɹɬɵɦ ɧɚ ɢɡɝɨɥɨɜɶɟɦ
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ɦɨɡɝɚ |
ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
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- ɩɪɢ ɧɚɪɚɫɬɚɸɳɟɦ |
ɂȼɅ ȼȼɅ ɜ ɪɟɠɢɦɟ ɝɢɩɟɪɜɟɧɬɢɥɹɰɢɢ |
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ɞɢɫɥɨɤɚɰɢɨɧɧɨɦ |
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ɫɢɧɞɪɨɦɟ |
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I67.4 Ɉɫɬɪɚɹ ɝɢɩɟɪɬɟɧɡɢɜɧɚɹ |
• ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɷɧɰɟɮɚɥɨɩɚɬɢɹ |
• ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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• ɗɄȽ ɗɄɉ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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• Ƚɥɸɤɨɦɟɬɪɢɹ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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• Ɍɟɪɦɨɦɟɬɪɢɹ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɧɚ «103» |
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- ɍɪɚɩɢɞɢɥ 2,5 - 25 ɦɝ ɜ ɜɟɧɧɨ ɋɦ ɪɚɡɞɟɥ |
ɱɟɪɟɡ ɱɚɫɚ |
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©Ʉɚɪɞɢɨɥɨɝɢɹª ɫɬɪ 46 |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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- Ɇɚɝɧɢɹ ɫɭɥɶɮɚɬ - ɦɝ ɜ ɜɟɧɧɨ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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- ɗɬɚɦɡɢɥɚɬ ɦɝ ɜ ɜɟɧɧɨ |
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• ɗɯɨ - ɗɋ ɞɥɹ ɷɤɫɬɪɟɧɧɵɯ ɤɨɧɫɭɥɶɬɚɬɢɜɧɵɯ |
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ɧɟɜɪɨɥɨɝɢɱɟɫɤɢɯ ɢ ɧɟɣɪɨɯɢɪɭɪɝɢɱɟɫɤɢɯ ɛɪɢɝɚɞ |
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- ɩɪɢ ɬɚɯɢɤɚɪɞɢɢ 100 |
- Ɇɟɬɨɩɪɨɥɨɥ - ɦɝ ɢɥɢ ɉɪɨɩɪɚɧɨɥɨɥ - ɦɝ |
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ɭɞɚɪɨɜ ɜ ɦɢɧ |
ɩɪɢ ɨɬɫɭɬɫɬɜɢɢ ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɢɣ ɫɭɛɥɢɧɝɜɚɥɶɧɨ |
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- ɩɪɢ ɯɪɨɧɢɱɟɫɤɨɣ |
- Ɇɨɤɫɨɧɢɞɢɧ ɦɝ ɫɭɛɥɢɧɝɜɚɥɶɧɨ |
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ɩɨɱɟɱɧɨɣ |
ɉɪɨɬɢɜɨɩɨɤɚɡɚɧɵ: ɢɧɝɢɛɢɬɨɪɵ ȺɉɎ ɢ ɞɢɭɪɟɬɢɤɢ |
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ɧɟɞɨɫɬɚɬɨɱɧɨɫɬɢ |
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- ɫɜɹɡɚɧɧɚɹ ɫ ɨɬɦɟɧɨɣ |
- Ʉɥɨɧɢɞɢɧ ɦɝ ɜ ɜɟɧɧɨ |
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Ʉɥɨɧɢɞɢɧɚ |
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- ɩɪɢ ɫɭɞɨɪɨɝɚɯ |
- Ⱦɢɚɡɟɩɚɦ ɦɝ ɢ ɢɥɢ ȼɚɥɶɩɪɨɟɜɚɹ ɤɢɫɥɨɬɚ - |
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ɦɝ ɜ ɜɟɧɧɨ |
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ɋɦ ɩɨɞɪɚɡɞɟɥ ©ɗɩɢɥɟɩɫɢɹª ɞɚɧɧɨɝɨ ɪɚɡɞɟɥɚ ɫɬɪ 62 |
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72
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- ɩɪɢ ɪɜɨɬɟ |
ɋɚɧɚɰɢɹ ɪɨɬɨɝɥɨɬɤɢ |
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ɉɪɢɞɚɬɶ ɭɫɬɨɣɱɢɜɨɟ ɩɨɥɨɠɟɧɢɟ ɧɚ ɛɨɤɭ |
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- Ɇɟɬɨɤɥɨɩɪɚɦɢɞ ɦɝ ɜ ɜɟɧɧɨ |
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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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0,05 - ɦɝ ɜ ɜɟɧɧɨ |
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ɢɥɢ - Ⱦɢɚɡɟɩɚɦ ɦɝ ɜ ɜɟɧɧɨ ɢ Ɏɟɧɬɚɧɢɥ - ɦɝ |
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ɜ ɜɟɧɧɨ |
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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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- ɩɪɢ ɨɬɟɤɟ ɝɨɥɨɜɧɨɝɨ |
ɉɪɢɞɚɬɶ ɩɨɥɨɠɟɧɢɟ ɫ ɩɪɢɩɨɞɧɹɬɵɦ ɧɚ ɢɡɝɨɥɨɜɶɟɦ |
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ɦɨɡɝɚ |
ɉɪɢ ɧɟɞɨɫɬɚɬɨɱɧɨɦ ɷɮɮɟɤɬɟ |
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- ɩɪɢ ɧɚɪɚɫɬɚɸɳɟɦ |
ɂȼɅ ȼȼɅ ɜ ɪɟɠɢɦɟ ɝɢɩɟɪɜɟɧɬɢɥɹɰɢɢ |
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ɞɢɫɥɨɤɚɰɢɨɧɧɨɦ |
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ɫɢɧɞɪɨɦɟ |
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I67 |
Ⱦɢɫɰɢɪɤɭɥɹɬɨɪɧɚɹ |
ɉɪɢ ɜɵɹɜɥɟɧɧɨɣ ɫɨɦɚɬɢɱɟɫɤɨɣ ɩɚɬɨɥɨɝɢɢ ɫɦ |
Ɋɟɤɨɦɟɧɞɨɜɚɬɶ |
I69 |
ɷɧɰɟɮɚɥɨɩɚɬɢɹ |
ɫɨɨɬɜɟɬɫɬɜɭɸɳɢɣ ɪɚɡɞɟɥ ©Ⱥɥɝɨɪɢɬɦɨɜª |
ɨɛɪɚɬɢɬɶɫɹ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
ɉɨɫɥɟɞɫɬɜɢɹ |
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ɰɟɪɟɛɪɚɥɶɧɵɯ ɛɨɥɟɡɧɟɣ |
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T90 |
ɩɨɫɥɟɞɫɬɜɢɹ ɈɇɆɄ |
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ɉɨɫɬɬɪɚɜɦɚɬɢɱɟɫɤɚɹ |
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ɷɧɰɟɮɚɥɨɩɚɬɢɹ |
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73
R55 |
Ɉɛɦɨɪɨɤ ɫɢɧɤɨɩɟ |
• ɗɄȽ ɗɄɉ |
Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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• Ƚɥɸɤɨɦɟɬɪɢɹ |
ɛɨɥɶɧɢɰɭ |
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• ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ |
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• ɉɪɢ ɜɵɹɜɥɟɧɧɨɣ ɫɨɦɚɬɢɱɟɫɤɨɣ ɩɚɬɨɥɨɝɢɢ ɫɦ |
ɦɟɞɢɰɢɧɫɤɨɣ ɷɜɚɤɭɚɰɢɢ ɜ |
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ɫɨɨɬɜɟɬɫɬɜɭɸɳɢɣ ɪɚɡɞɟɥ ©Ⱥɥɝɨɪɢɬɦɨɜª |
ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ ɜ |
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ɩɨɥɢɤɥɢɧɢɤɭ |
74
Ɋɚɡɞɟɥ ɂɇɎȿɄɐɂɈɇɇɕȿ ɁȺȻɈɅȿȼȺɇɂə
75
Ʉɨɞ |
Ⱦɢɚɝɧɨɡ |
Ɉɛɴɟɦ ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
Ɍɚɤɬɢɤɚ |
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ɆɄȻ X |
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Ⱥ |
ɏɨɥɟɪɚ |
ɋɦ ɉɪɢɥɨɠɟɧɢɟ 25, 26 ɫɬɪ 76, 277 |
1. Ⱦɟɣɫɬɜɢɹ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ |
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ɞɨɥɠɧɨɫɬɧɵɦɢ |
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- ɩɪɢ ɨɛɟɡɜɨɠɢɜɚɧɢɢ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɨɛɹɡɚɧɧɨɫɬɹɦɢ ɢ ɩɪɢɤɚɡɨɦ ɩɨ |
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I ɫɬɟɩɟɧɢ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɋɬɚɧɰɢɢ ɨɬ 26.12.2017 ɝ |
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ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
ʋ 3200 ©Ɉɛ ɨɛɟɫɩɟɱɟɧɢɢ |
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ɯɥɨɪɢɞ 5 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɦɟɪɨɩɪɢɹɬɢɣ ɩɨ |
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II ɫɬɟɩɟɧɢ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɩɪɟɞɭɩɪɟɠɞɟɧɢɸ ɡɚɧɨɫɚ ɢ |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ 400 - |
ɪɚɫɩɪɨɫɬɪɚɧɟɧɢɹ |
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8 ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
ɢɧɮɟɤɰɢɨɧɧɵɯ |
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ɯɥɨɪɢɞ 500 - 1000 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɩɚɪɚɡɢɬɚɪɧɵɯ ɛɨɥɟɡɧɟɣ |
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III - IV ɫɬɟɩɟɧɢ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
ɬɪɟɛɭɸɳɢɯ ɩɪɨɜɟɞɟɧɢɹ |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ 400 - |
ɦɟɪɨɩɪɢɹɬɢɣ ɩɨ ɫɚɧɢɬɚɪɧɨɣ |
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8 ɦɥ ɜ ɜɟɧɧɨ ɫɬɪɭɣɧɨ ɡɚɬɟɦ 800 - 12 ɦɥ ɜ ɜɟɧɧɨ |
ɨɯɪɚɧɟ ɬɟɪɪɢɬɨɪɢɢ ɝɨɪɨɞɚ |
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ɤɚɩɟɥɶɧɨ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
Ɇɨɫɤɜɵ ɧɚ ɋɋɢɇɆɉ |
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ɯɥɨɪɢɞ 500 - 10 ɦɥ ɜ ɜɟɧɧɨ ɫɬɪɭɣɧɨ ɡɚɬɟɦ 1000 - |
ɢɦ Ⱥ ɋ ɉɭɱɤɨɜɚª |
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15 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
2. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɨɞɧɨɜɪɟɦɟɧɧɨ ɜɨ ɜɬɨɪɭɸ ɜɟɧɭ |
ɛɨɥɶɧɢɰɭ ɧɟɡɚɜɢɫɢɦɨ ɨɬ |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ 400 |
ɫɬɟɩɟɧɢ ɨɛɟɡɜɨɠɢɜɚɧɢɹ. |
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ɦɥ ɜ ɜɟɧɧɨ ɫɬɪɭɣɧɨ, ɡɚɬɟɦ ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ ɧɨɫɢɥɤɚɯ |
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ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɩɪɢ ,,ǿ - ǿ9 ɫɬɟɩɟɧɢ |
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5 ɦɥ ɜ ɜɟɧɧɨ ɫɬɪɭɣɧɨ ɡɚɬɟɦ 5 ɦɥ ɜ ɜɟɧɧɨ |
ɨɛɟɡɜɨɠɢɜɚɧɢɹ. |
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ɤɚɩɟɥɶɧɨ |
Ɂɚɛɨɪ ɦɚɬɟɪɢɚɥɚ ɨɬ |
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ɛɨɥɶɧɨɝɨ ɞɥɹ ɥɚɛɨɪɚɬɨɪɧɨɝɨ |
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ɢɫɫɥɟɞɨɜɚɧɢɹ ɩɪɨɜɨɞɢɬ |
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ɜɪɚɱ ɷɤɫɬɪɟɧɧɨɣ |
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ɤɨɧɫɭɥɶɬɚɬɢɜɧɨɣ |
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ɢɧɮɟɤɰɢɨɧɧɨɣ ɜɵɟɡɞɧɨɣ |
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ɛɪɢɝɚɞɵ ɋɆɉ ɩɪɢ ɧɚɥɢɱɢɢ |
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ɟɫɬɟɫɬɜɟɧɧɵɯ ɜɵɞɟɥɟɧɢɣ |
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76 |
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Ⱥ |
ɑɭɦɚ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
1. Ⱦɟɣɫɬɜɢɹ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ |
ȼ |
Ɉɫɩɚ ɨɛɟɡɶɹɧ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɞɨɥɠɧɨɫɬɧɵɦɢ |
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ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
ɨɛɹɡɚɧɧɨɫɬɹɦɢ |
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ɯɥɨɪɢɞ 5 ɦɥ ɢɥɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞ 0,9% - ɦɥ |
ɢ ɩɪɢɤɚɡɨɦ ɩɨ ɋɬɚɧɰɢɢ ɨɬ |
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ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɝ ʋ |
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- Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɜ ɜɟɧɧɨ |
2. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɛɨɥɶɧɢɰɭ ɧɟɡɚɜɢɫɢɦɨ ɨɬ |
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- ɩɪɢ ɧɚɪɭɲɟɧɢɢ |
ɉɟɪɟɞ ɢɧɬɭɛɚɰɢɟɣ |
ɮɨɪɦɵ ɛɨɥɟɡɧɢ |
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ɞɵɯɚɧɢɹ Ⱦɇ III-IV ɫɬ |
- Ⱥɬɪɨɩɢɧ - ɦɝ ɜ ɜɟɧɧɨ ɩɨ ɩɨɤɚɡɚɧɢɹɦ |
Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɜ |
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ȼɜɨɞɧɚɹ ɚɧɟɫɬɟɡɢɹ ɤɨɦɛɢɧɚɰɢɟɣ ɩɪɟɩɚɪɚɬɨɜ |
ɬɪɚɧɫɩɨɪɬɢɪɨɜɨɱɧɨɦ |
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ɩɪɨɢɡɜɨɞɢɬɫɹ ɩɪɢ ɭɪɨɜɧɟ ɫɨɡɧɚɧɢɹ > 4 ɛɚɥɥɨɜ ɩɨ |
ɢɡɨɥɢɪɭɸɳɟɦ ɦɨɞɭɥɟ ɞɥɹ |
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ɲɤɚɥɟ ɤɨɦɵ ȽɅȺɁȽɈ |
ɷɤɫɬɪɟɧɧɨɣ ɤɨɧɫɭɥɶɬɚɬɢɜɧɨɣ |
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- Ɇɢɞɚɡɨɥɚɦ ɦɝ ɜ ɜɟɧɧɨ ɞɥɹ ɛɪɢɝɚɞ ȺɢɊ ɢ Ʉɟɬɚɦɢɧ |
ɢɧɮɟɤɰɢɨɧɧɨɣ ɜɵɟɡɞɧɨɣ |
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1 - ɦɝ ɤɝ ɜ ɜɟɧɧɨ |
ɛɪɢɝɚɞɵ |
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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 - 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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- ɩɪɢ ɢɧɮɟɤɰɢɨɧɧɨ- |
ɋɦ ɪɚɡɞɟɥ ©Ⱥɧɟɫɬɟɡɢɨɥɨɝɢɹ ɢ ɪɟɚɧɢɦɚɬɨɥɨɝɢɹª - ɫɬɪ 16 |
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ɬɨɤɫɢɱɟɫɤɨɦ ɲɨɤɟ |
ɋɦ ɪɚɡɞɟɥ ©ɉɟɞɢɚɬɪɢɹª - ɫɬɪ 215 |
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77
Ⱥ - |
ȼɢɪɭɫɧɵɟ ɥɢɯɨɪɚɞɤɢ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
1. Ⱦɟɣɫɬɜɢɹ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ |
Ⱥ |
ɩɟɪɟɞɚɜɚɟɦɵɟ |
- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ 400 - |
ɞɨɥɠɧɨɫɬɧɵɦɢ |
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ɱɥɟɧɢɫɬɨɧɨɝɢɦɢ ɚ |
8 ɦɥ ɢɥɢ Ʉɚɥɢɹ ɯɥɨɪɢɞ ɤɚɥɶɰɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ |
ɨɛɹɡɚɧɧɨɫɬɹɦɢ |
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ɬɚɤɠɟ ɜɢɪɭɫɧɵɟ |
ɯɥɨɪɢɞ 500 - 10 ɦɥ ɢɥɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞ - 500 - |
ɢ ɩɪɢɤɚɡɨɦ ɩɨ ɋɬɚɧɰɢɢ ɨɬ |
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ɝɟɦɨɪɪɚɝɢɱɟɫɤɢɟ |
1000 ɦɥ ɜ ɜɟɧɧɨ ɤɚɩɟɥɶɧɨ |
ɝ ʋ |
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ɥɢɯɨɪɚɞɤɢ |
- Ɇɟɬɚɦɢɡɨɥ ɧɚɬɪɢɹ ɦɝ ɜ ɜɟɧɧɨ |
2. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɏɥɨɪɨɩɢɪɚɦɢɧ ɦɝ ɜ ɜɟɧɧɨ |
ɛɨɥɶɧɢɰɭ ɧɟɡɚɜɢɫɢɦɨ ɨɬ |
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ɫɬɟɩɟɧɢ ɬɹɠɟɫɬɢ. |
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Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɜ |
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ɬɪɚɧɫɩɨɪɬɢɪɨɜɨɱɧɨɦ |
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ɢɡɨɥɢɪɭɸɳɟɦ ɛɨɤɫɟ ɞɥɹ |
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ɷɤɫɬɪɟɧɧɨɣ ɤɨɧɫɭɥɶɬɚɬɢɜɧɨɣ |
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ɢɧɮɟɤɰɢɨɧɧɨɣ ɜɵɟɡɞɧɨɣ |
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ɛɪɢɝɚɞɵ |
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- ɩɪɢ ɢɧɮɟɤɰɢɨɧɧɨ- |
ɋɦ ɪɚɡɞɟɥ ©Ⱥɧɟɫɬɟɡɢɨɥɨɝɢɹ ɢ ɪɟɚɧɢɦɚɬɨɥɨɝɢɹª - ɫɬɪ 16 |
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ɬɨɤɫɢɱɟɫɤɨɦ ɲɨɤɟ |
ɋɦ ɪɚɡɞɟɥ ©ɉɟɞɢɚɬɪɢɹª - ɫɬɪ 215 |
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Ⱥ |
ɉɨɥɢɨɦɢɟɥɢɬ |
ɇɟ ɬɪɟɛɭɟɬ ɥɟɱɟɧɢɹ ɧɚ ɷɬɚɩɟ ɨɤɚɡɚɧɢɹ ɫɤɨɪɨɣ |
Ⱦɟɣɫɬɜɢɹ ɜ ɫɨɨɬɜɟɬɫɬɜɢɢ ɫ |
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ɜɵɡɜɚɧɧɵɣ ɞɢɤɢɦ |
ɦɟɞɢɰɢɧɫɤɨɣ ɩɨɦɨɳɢ |
ɞɨɥɠɧɨɫɬɧɵɦɢ |
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ɜɢɪɭɫɨɦ |
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ɨɛɹɡɚɧɧɨɫɬɹɦɢ |
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ɢ ɩɪɢɤɚɡɨɦ ɩɨ ɋɬɚɧɰɢɢ ɨɬ |
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ɝ ʋ |
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2. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɛɨɥɶɧɢɰɭ ɧɟɡɚɜɢɫɢɦɨ ɨɬ |
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ɫɬɟɩɟɧɢ ɬɹɠɟɫɬɢ |
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Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ ɧɚ ɧɨɫɢɥɤɚɯ |
Ⱥ |
Ⱦɢɮɬɟɪɢɹ |
ɗɄȽ ɗɄɉ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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- ɩɪɢ ɥɨɤɚɥɢɡɨɜɚɧɧɵɯ |
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ɛɨɥɶɧɢɰɭ |
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ɮɨɪɦɚɯ |
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ɉɪɢ ɨɬɤɚɡɟ ɨɬ ɦɟɞɢɰɢɧɫɤɨɣ |
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ɷɜɚɤɭɚɰɢɢ ɜ ɛɨɥɶɧɢɰɭ |
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- ɜɡɪɨɫɥɵɟ – ɚɤɬɢɜ ɜ |
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ɩɨɥɢɤɥɢɧɢɤɭ |
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78 |
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- ɞɟɬɢ – ɚɤɬɢɜ ɧɚ «103» ɱɟɪɟɡ |
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ɱɚɫɚ ɩɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ |
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– ɚɤɬɢɜ ɜ ɩɨɥɢɤɥɢɧɢɤɭ |
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- ɩɪɢ ɬɨɤɫɢɱɟɫɤɢɯ |
• Ʉɚɬɟɬɟɪɢɡɚɰɢɹ ɜɟɧɵ ɢɥɢ ɜɧɭɬɪɢɤɨɫɬɧɵɣ ɞɨɫɬɭɩ |
1. Ɇɟɞɢɰɢɧɫɤɚɹ ɷɜɚɤɭɚɰɢɹ ɜ |
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ɮɨɪɦɚɯ |
- ɉɪɟɞɧɢɡɨɥɨɧ - ɦɝ ɜ ɜɟɧɧɨ |
ɛɨɥɶɧɢɰɭ Ɍɪɚɧɫɩɨɪɬɢɪɨɜɤɚ |
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- Ʉɚɥɢɹ ɯɥɨɪɢɞ ɧɚɬɪɢɹ ɚɰɟɬɚɬ ɧɚɬɪɢɹ ɯɥɨɪɢɞ |
ɧɚ ɧɨɫɢɥɤɚɯ |
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ɦɥ ɢɥɢ ɇɚɬɪɢɹ ɯɥɨɪɢɞ - ɦɥ ɜ ɜɟɧɧɨ |
ɉɪɢ ɨɬɤɚɡɟ ɨɬ ɦɟɞɢɰɢɧɫɤɨɣ |
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ɉɭɥɶɫɨɤɫɢɦɟɬɪɢɹ |
ɷɜɚɤɭɚɰɢɢ ɜ ɛɨɥɶɧɢɰɭ – ɚɤɬɢɜ |
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ɂɧɝɚɥɹɰɢɹ ɤɢɫɥɨɪɨɞɚ FiO2 0.5 |
ɧɚ «103» ɱɟɪɟɡ ɱɚɫɚ |
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- ɩɪɢ ɫɬɟɧɨɡɟ ɝɨɪɬɚɧɢ |
ɉɪɢɦɟɧɟɧɢɟ ɥɚɪɢɧɝɟɚɥɶɧɨɣ ɬɪɭɛɤɢ |
ɉɪɢ ɩɨɜɬɨɪɧɨɦ ɨɬɤɚɡɟ – |
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III - ,9 ɫɬ |
ɩɪɨɬɢɜɨɩɨɤɚɡɚɧɨ |
ɚɤɬɢɜ ɜ ɈɇɆɉȼɢȾɇ |
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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 - 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 |
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• ɂȼɅ ȼȼɅ |
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ɉɨɩɵɬɤɚ ɢɧɬɭɛɚɰɢɢ ɬɪɚɯɟɢ ɞɨɥɠɧɚ ɛɵɬɶ |
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ɨɞɧɨɤɪɚɬɧɨɣ |
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79