132015 01 4 000602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨｨｦ 03ｨｮ08ｨｪｨ 05 080304030905 2015
1303040300030508 ﾁ010407 06030204030606 ﾁ0305080607 06 010807 ﾁ0102-030408080606 ﾁ0305080607 040704010809 000601060506030405060008 02090204020104 04020505060705080207 080302030408000606 08ｨｮｨｪｨｺ02ｨｨ07 ｨｮ ﾂ080201ｨｨｨｰ020507 ｨC 0105ｨ 09ｨｪ0602 090602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ0602 ｨｮ0708ｨ 090502ｨｪｨｨ02 0002 0408 Non scholae, sed vitae discimus! 060401ｨ 02ｨｰ0907 09 1823 000601ｨ 040302080800060201010808 0802090903010608: 00.00.03060101ｨｮｨ ｨｪ04ｨｦ (0005ｨ 09ｨｪ04ｨｦ 080201ｨ ｨｺｨｰ0608) 06.06.0804ｨ 080609 08.01.090205ｨｹ09ｨｺｨｨ01 08.07.0005ｨ 090609 09.09.01ｨ 05ｨｨｨｪ (04ｨ ｨｬ0209ｨｰｨｨｨｰ0205ｨｹ 0005ｨ 09ｨｪ060006 080201ｨ ｨｺｨｰ0608ｨ ) 01.08.0300ｨｨｨｬ02ｨｪｨｺ06 00.00.0609ｨ ｨｪ0609 02.00.08ｨ 05ｨ ﾂ0009 08.08.08ｨ 05ｨｬ04ｨｺ0609 09.01.0806ｨｰｨｨ09 08.06.08ｨｮ0903ｨｨｨｪ0609 08.09.090206ｨｪｨｨ010609 07.00.00ｨｨ080603ｨｪｨｨ ﾂ02ｨｪｨｺ06 07.00.0209 ﾂｨｨｨｪｨｪｨｨｨｺ0609 01.01.040403ｨｬｨ ｨｪ 08.01.05ｨｰｨ 09ｨｨ05ｨ 02.00.0608ｨｨ03ｨｺｨｨｨｪ 08.08.08ｨｨ09ｨｮｨｪ 00.01.000400ｨ ｨｪ 00.08.01ｨ ｨｬ0802ｨｦ 08.00.01020502070609 040302080800060201010407 0502000306: 03.01.090806090609 (000609ｨｺ09ｨ ) 08.08.09ｨｮ01ｨｺ06 (05.-0302ｨｰ0208ｨ ｨｮ0800) 06.07.0904ｨｺ0609 (000609ｨｺ09ｨ ) 00.00.00ｨ 05020909ｨｺｨｨｨｦ (05.-0302ｨｰ0208ｨ ｨｮ0800) 05.08.0106ｨｪ ﾂｨ 080609 (000609ｨｺ09ｨ ) 00.00.0206ｨ 0803ｨ ｨｪ09ｨｺｨｨｨｦ (000609ｨｺ09ｨ ) 08.00.0309ｨｨ070609 (0808ｨ 09ｨｪ0600060809ｨｺ) 03.00.0609 ﾂ02ｨｪｨｺ06 (05.-0302ｨｰ0208ｨ ｨｮ0800) 03.03.0808ｨ ｨｦｨｪ06ｨｺ0609 (000609ｨｺ09ｨ ) 03.00.080806ｨｺ0609 (000609ｨｺ09ｨ ) 07.00.0906ｨ 04ｨｨｨｪ (05.-0302ｨｰ0208ｨ ｨｮ0800) 06.01.0006090700ｨｨｨｪ (05.-0302ｨｰ0208ｨ ｨｮ0800) 06.08.0102 ﾂｨ 0209 (000609ｨｺ09ｨ ) 05.00.03ｨ 07ｨｺ06 (040609ｨｰ0609-ｨｪｨ -0206ｨｪｨｮ) 03.00.03ｨｨｨｪ ﾂｨｮｨｺ (000609ｨｺ09ｨ ) 00.09.05ｨｨｨｬ06ｨｪ02ｨｪｨｺ06 (000609ｨｺ09ｨ ) 06.00. ﾁｨｨ03 (000609ｨｺ09ｨ ) 00.00.01ｨ 070706 (000609ｨｺ09ｨ ) 0801080209ｨ 080201ｨ ｨｺ02ｨｨｨｨ: 119160, 000609ｨｺ09ｨ, 080201ｨ ｨｺ02ｨｨ07 00000602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ060006 03ｨｮ08ｨｪｨ 05ｨ 03 060205./00ｨ ｨｺ09: (495) 656-33-41 194044, 05ｨ ｨｪｨｺｨｰ-0302ｨｰ0208ｨ ｨｮ0800, ｨｮ05. 08ｨｺｨ 0102ｨｬｨｨｨｺｨ 0902ｨ 02010209ｨ, 01. 6 060205. (812) 292-33-46 2015 * 080304030905 06. 336 * 01 4 05060902080302ｨｪ09ｨｰ090609ｨ ｨｪｨｨ02 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｨ 09 00060608ｨｮ0302ｨｪｨｪ0401 05ｨｨ05ｨ 01 0302080904ｨｦ 060704ｨｰ ｨｰ08ｨ ｨｪ09070608ｨｰｨｨ080609ｨｺｨｨ ｨ 0605ｨｹｨｪ060006 09 ｨｰ0703020506ｨｦ 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｹ06 09 ｨｮ09050609ｨｨ0701 05ｨｺ09ｨｰ08ｨ ｨｺ0608070608ｨ 05ｨｹｨｪ06ｨｦ ｨｬ02ｨｬｨ 08ｨ ｨｪｨｪ06ｨｦ 06ｨｺ09ｨｨ0002ｨｪｨ 02ｨｨｨｨ 02ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨ ｨｨ ｨ ｨｪｨｰｨｨｨｬｨｨｨｺ0806ｨ ｨｪｨ 07 ｨｰ0208ｨ 07ｨｨ07 ｨｰ0703020506ｨｦ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ06ｨｦ 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ 01ｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪｨ 07 09ｨｨ09ｨｰ02ｨｬｨ 010507 05ｨｪ0106070806ｨｰ0204ｨｨ080609ｨ ｨｪｨｨ07 ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ 0308ｨｨｨｬ02ｨｪ02ｨｪｨｨ02 09090702ｨｪ02ｨｪｨｪ06ｨｦ 0702ｨｪ06070605ｨｨｨｮ0802ｨｰｨ ｨｪ060906ｨｦ ｨｺ06ｨｬ070604ｨｨ02ｨｨｨｨ 010507 0609ｨｰｨ ｨｪ0609ｨｺｨｨ 09ｨｪｨｮｨｰ08ｨｨｨ 080603ｨｪ060006 ｨｺ08060906ｨｰ02 ﾂ02ｨｪｨｨ07 000201ｨｨ02ｨｨｨｪ09ｨｺｨ 07 ｨｪｨ ｨｮｨｺｨ 09 00060104 000205ｨｨｨｺ06ｨｦ 02ｨｰ02 ﾂ0209ｨｰ0902ｨｪｨｪ06ｨｦ 0906ｨｦｨｪ04 000205080008 0802 0008040805010808 05000305020803
1305ONTENTS 020800ｨ ｨｪｨｨ04ｨ 02ｨｨ07 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ060006 06ｨ 02090702 ﾂ02ｨｪｨｨ07 00060608ｨｮ0302ｨｪｨｪ0401 05ｨｨ05 05ｨ ｨｬ020609 08.00., 09ｨ ｨｦ08ｨｮｨｰ01ｨｨｨｪ0609 00.04. ｨC 05060902080302ｨｪ09ｨｰ090609ｨ ｨｪｨｨ02 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｨ 09 00060608ｨｮ0302ｨｪｨｪ0401 05ｨｨ05ｨ 01 4 Organization of medical support of the Armed Forces Samtsov A.V., Khairutdinov V.R. ｨC Improvement of dermatovenereologic care in the Armed Forces 000201ｨｨ02ｨｨｨｪｨ 05ｨｺ09ｨｰ0802ｨｬｨ 05ｨｹｨｪ0401 09ｨｨｨｰｨｮｨ 02ｨｨｨｦ 0005ｨ 090609 08.07., 02000006050209 08.00., 08ｨｮ08ｨｬｨ ｨｪ0902ｨｨｨｰ0609 00.00., 090603ｨｪｨｨｨｪ 07.00., 010205ｨｮ01ｨｨｨｪ 02.08., 08ｨｺｨｨ080209ｨｨ ﾂ 06.08., 01060506ｨｬｨｨ010609 08.08. ｨC 0302080904ｨｦ 060704ｨｰ ｨｰ08ｨ ｨｪ09070608ｨｰｨｨ080609ｨｺｨｨ ｨ 0605ｨｹｨｪ060006 09 ｨｰ0703020506ｨｦ 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｹ06 09 ｨｮ09050609ｨｨ0701 05ｨｺ09ｨｰ08ｨ ｨｺ0608070608ｨ 05ｨｹｨｪ06ｨｦ ｨｬ02ｨｬｨ 08ｨ ｨｪｨｪ06ｨｦ 06ｨｺ09ｨｨ0002ｨｪｨ 02ｨｨｨｨ 10 Medicine of extreme situations Vlasov A.Yu., Shchegolev A.V., Kurmanseitov M.M., Lyushnin Yu.V., Shelukhin D.A., Yakirevich I.A., Golomidov A.A. ｨC The first experience of transporting a patient with severe respiratory failure in conditions of extracorporeal membrane oxygenation 0902 ﾂ02ｨ ｨｪ06-07080600ｨｨ05ｨ ｨｺｨｰｨｨ ﾂ0209ｨｺｨｨ02 09060708060904 05ｨｨｨｪ0607ｨ 05ｨｹｨｪｨｨｨｺ0609 08.06., 05ｨ ｨｦ020209 08.08. ｨC 02ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨ ｨｨ ｨ ｨｪｨｰｨｨｨｬｨｨｨｺ0806ｨ ｨｪｨ 07 ｨｰ0208ｨ 07ｨｨ07 ｨｰ0703020506ｨｦ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ06ｨｦ 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ 0908ｨｨ03ｨ ｨｪｨｹ 09.08., 09ｨｮ0807 ﾂ02ｨｪｨｺ06 09.03., 00ｨ 0800060506ｨｬ020209 02.06., 02ｨ 0904010609 02.00. ｨC 0609070605ｨｹ040609ｨ ｨｪｨｨ02 ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪ06ｨｦ 09ｨｨ09ｨｰ02ｨｬ04 010507 05ｨｪ0106070806ｨｰ0204ｨｨ080609ｨ ｨｪｨｨ07 ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ 040209ｨ 00.08., 09ｨｨｨｰｨｨｨｪ09ｨｺｨｨｨｦ 00.08., 0202ｨｪｨｨ090609 08.00., 05060108ｨ ｨｪ0609 00.00., 060205ｨｨ02ｨｺｨｨｨｦ 05.07., 05ｨ ｨｬ060109ｨ 050609 06.00. ｨC 0302080904ｨｦ 060704ｨｰ 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨ07 09090702ｨｪ02ｨｪｨｪ06ｨｦ 0702ｨｪ06070605ｨｨｨｮ0802ｨｰｨ ｨｪ060906ｨｦ ｨｺ06ｨｬ070604ｨｨ02ｨｨｨｨ 000906ｨｺｨｮ0903 010507 0609ｨｰｨ ｨｪ0609ｨｺｨｨ 09ｨｪｨｮｨｰ08ｨｨｨ 080603ｨｪ060006 ｨｺ08060906ｨｰ02 ﾂ02ｨｪｨｨ07 0708ｨｨ 0706090802030102ｨｪｨｨｨｨ 0702 ﾂ02ｨｪｨｨ V 09ｨｰ020702ｨｪｨｨ (06ｨｺ09070208ｨｨｨｬ02ｨｪｨｰｨ 05ｨｹｨｪ0602 ｨｨ09090502010609ｨ ｨｪｨｨ02) 00ｨｮ09ｨ 0209 04.09., 0306ｨｬ0600ｨ ｨｦｨ 06 09.00., 0306070609 08.00., 05020800060902ｨｪ020209 08.08., 090608ｨｨ090609 08.01. ｨC 02ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨ 05020006 ﾂｨｪ06-0706 ﾂ02 ﾂｨｪ060006 09ｨｨｨｪ010806ｨｬｨ ｨｮ ｨ 0605ｨｹｨｪ0401 ｨｬ06050601060006 09060408ｨ 09ｨｰｨ 09 07060106040802ｨｪｨｨ02ｨｬ ｨｪｨ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪｨｮ06 07ｨｪ0209ｨｬ06ｨｪｨｨ06 16 25 32 39 Prophylaxis and treatment Sinopalnikov A.I., Zaitsev A.A. ｨC Diagnostics and antimicrobial therapy of severe community-acquired pneumonia Brizhan L.K., Buryachenko B.P., Varfolomeev D.I., Davydov D.V. ｨC The use of navigation system in the process of hip replacement Reva V.A., Litinskii M.A., Denisov A.V., Sokhranov M.V., Telitskii S.Yu., Samokhvalov I.M. ｨC First experience of a polyurethane foam composition 00Locus03 use to stop intra-abdominal hemmorage as a result of liver damage of V degree (An experimental study) Musaev R.B., Pomogaibo B.V., Popov A.V., Sergoventsev A.A., Borisov A.G. ｨC Diagnostics of pulmonary-renal syndrome in young patients with suspected community-acquired pneumonia 2 0607ｨｨ0102ｨｬｨｨ06050600ｨｨ07 ｨｨ ｨｨｨｪ0002ｨｺ02ｨｨ06ｨｪｨｪ0402 ｨ 06050204ｨｪｨｨ 0401ｨ ｨｪ0609 08.00., 01ｨｮ090209 02.08., 080604050609 08.00., 01ｨｨ03ｨｺｨｨｨｪ 00.08., 05ｨｮｨｺｨ ﾂ0209 00.05., 01ｨ 01ｨｬｨ ｨｪ0609 02.00., 04ｨ ｨ 080609 05.05. ｨC 06000002ｨｺｨｰｨｨ09ｨｪ0609ｨｰｨｹ ｨｨ ｨ 02040607ｨ 09ｨｪ0609ｨｰｨｹ 070806ｨｰｨｨ090609ｨｨ08ｨｮ09ｨｪ06ｨｦ ｨｰ0208ｨ 07ｨｨｨｨ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01, ｨ 0605ｨｹｨｪ0401 010806ｨｪｨｨ ﾂ0209ｨｺｨｨｨｬ 000207ｨ ｨｰｨｨｨｰ06ｨｬ 05 44 Epidemiology and infectious diseases Zhdanov K.V., Gusev D.A., Kozlov K.V., Shishkin M.K., Sukachev V.S., Shakhmanov D.M., Zhabrov S.S. ｨC Effectiveness and safety of antiviral therapy of military personnel suffering from chronic hepatitis C 08
130809ｨｨｨ 02ｨｨ06ｨｪｨｪｨ 07 ｨｨ 090602ｨｪｨｪ06-ｨｬ060809ｨｺｨ 07 ｨｬ0201ｨｨ02ｨｨｨｪｨ 00060806ｨｪｨ 08.08., 050408ｨｺｨｨｨｪ 09.02., 07090609 00.00. ｨC 0309ｨｨ01060902ｨｬｨ ｨｪｨｰｨｨ ﾂ0209ｨｺｨ 07 01ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨ 07080600020909ｨｨ06ｨｪｨ 05ｨｹｨｪ06ｨｦ 0708ｨｨ000601ｨｪ0609ｨｰｨｨ 0502ｨｰｨｪ060006 090609ｨｰｨ 09ｨ 50 Air and navy medicine Vorona A.A., Syrkin L.D., Usov V.M. ｨC Psychosemantic diagnostics of aircrew professional fitness 0808ｨ ｨｰｨｺｨｨ02 090606ｨ ｨｴ02ｨｪｨｨ07 57 Brief reports 0306 09ｨｰ08ｨ ｨｪｨｨ02ｨ ｨｬ 04ｨ 08ｨｮｨ 0203ｨｪ06ｨｦ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0702 ﾂｨ ｨｰｨｨ 69 From the foreign medical publications 0604 ｨｨ09ｨｰ0608ｨｨｨｨ 090602ｨｪｨｪ06ｨｦ ｨｬ0201ｨｨ02ｨｨｨｪ04 08ｨｪ06070609 00.01., 06ｨ 08ｨ ｨｪｨｮ01ｨ 00.08. ｨC 000201ｨｨ02ｨｨｨｪ09ｨｺｨ 07 ｨｪｨ ｨｮｨｺｨ 09 00060104 000205ｨｨｨｺ06ｨｦ 02ｨｰ02 ﾂ0209ｨｰ0902ｨｪｨｪ06ｨｦ 0906ｨｦｨｪ04 0808ｨ ｨｦｨｪ06ｨｺ0609 03.03., 0300ｨｨｨｬ02ｨｪｨｺ06 01.08., 08ｨ ｨ 03ｨｨｨｪ 00.01. ｨC 09ｨｨ08ｨｮ0800ｨｨ07 09 0002ｨｪｨｰ08ｨ 05ｨｹｨｪ06ｨｬ 090602ｨｪｨｪ06ｨｬ 00060907ｨｨｨｰｨ 0502 010802 ｨｪｨ ｨｺｨ ｨｪｨｮｨｪ02 000205ｨｨｨｺ06ｨｦ 02ｨｰ02- ﾂ0209ｨｰ0902ｨｪｨｪ06ｨｦ 0906ｨｦｨｪ04 02090608ｨｪｨｨｨｺ0609 00.00., 00020102ｨｪｨｺ0609 08.08. ｨC 000602ｨｪｨｪ06ｨｬ060809ｨｺ06ｨｦ ｨｨ ｨ 09ｨｨｨ 02ｨｨ06ｨｪｨｪ04ｨｦ 0908ｨ ﾂ, 0709ｨｨ0106050600 ｨｨ 00ｨｨ04ｨｨ06050600 (08 90-0502ｨｰｨｨ06 0906 01ｨｪ07 0806030102ｨｪｨｨ07 01.00.05ｨ 08ｨ ｨｺ060909ｨｺ060006 71 76 81 From the history of military medicine Knopov M.Sh., Taranukha V.K. ｨC Medical science during the Great Patriotic War Krainyukov P.E., Efimenko N.A., Abashin V.G. ｨC Surgical service at the Central Military Hospital of People ｯs Commissariat of Defence shortly before the Great Patriotic War Dvornikov M.V., Medenkov A.A. ｨC Marine, aviation and space physician, psychologist and physiologist (To the 90th anniversary of the birth of G.M.Zarakovskii) 0200ｨｨ02ｨｨｨ 05ｨｹｨｪ04ｨｦ 06ｨｰ010205 84 Official communications 0902ｨｪｨｰｨ ｨｪ06090609ｨｰ02ｨｦ 9,86 News feed 0808ｨｨｨｰｨｨｨｺｨ ｨｨ ｨ ｨｨｨ 05ｨｨ060008ｨ 00ｨｨ07 01ｨｨｨｺｨｨｨｰｨｨｨｪ 03.08. ｨC 01ｨ ｨｮ ﾂｨｪｨ 07 0905ｨ 09ｨ 000602ｨｪｨｪ06ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ ｨ ｨｺｨ 0102ｨｬｨｨｨｨ: ｨｰ0802ｨｰｨｨｨｦ 0902ｨｺ 06060801ｨ ｨｪｨｨ0309ｨｨ05ｨｨ 08.08. ｨC 00ｨ 0506ｨｨｨｪ09ｨ 04ｨｨ09ｨｪ04ｨｦ 0609ｨｰ020609ｨｨｨｪｨｰ0204 ｨｪｨｨ03ｨｪ02ｨｦ ﾂ02050609ｨｰｨｨ 0708ｨｨ 070208020506ｨｬｨ 01 89 90 Criticism and bibliography Nikitin E.A ｨC Scientific fame of the Military-Medical Academy: the third century Iordanishvili A.K. ｨC Minimally invasive osteosynthesis of the lower jaw bone in case of fracture 090806ｨｪｨｨｨｺｨ 92 Chronicle 05ONTENTS 3
130204010801060508000608 000302060006010508020102 020903050303 ﾁ03010608 0002020407040301010409 050609 08 08.00.050800000200, 00.04.0908070407060206010200, 2015 0702 616.5-082:355 05060902080302ｨｪ09ｨｰ090609ｨ ｨｪｨｨ02 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｨ 09 00060608ｨｮ0302ｨｪｨｪ0401 05ｨｨ05ｨ 01 4 050800000200 08.00., 04ｨ 0905ｨｮ0302ｨｪｨｪ04ｨｦ 0908ｨ ﾂ 0408, 070806000209090608, 0106ｨｺｨｰ0608 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ, 070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 09 06ｨｰ09ｨｰｨ 09ｨｺ02 0908070407060206010200 00.04., 0106ｨｺｨｰ0608 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ, 070601070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 04ｨ 07ｨ 09ｨ (haric03@list.ru) 000602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨ 07 ｨ ｨｺｨ 0102ｨｬｨｨ07 ｨｨｨｬ. 05.00.08ｨｨ080609ｨ, 05ｨ ｨｪｨｺｨｰ-0302ｨｰ0208ｨ ｨｮ0800 0308020109ｨｰｨ 090502ｨｪ04 01ｨ ｨｪｨｪ0402 06ｨ ｨｮ080609ｨｪ02 07020809ｨｨ ﾂｨｪ06ｨｦ 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ ｨ 06050204ｨｪ07ｨｬｨｨ ｨｺ0603ｨｨ ｨｨ 070601ｨｺ0603ｨｪ06ｨｦ ｨｺ0502ｨｰ ﾂｨ ｨｰｨｺｨｨ 09 00060608ｨｮ0302ｨｪｨｪ0401 05ｨｨ05ｨ 01 04060909ｨｨｨｦ09ｨｺ06ｨｦ 0802010208ｨ 02ｨｨｨｨ 04ｨ 070609050201ｨｪｨｨ02 6 0502ｨｰ, 0607080201020502ｨｪ04 0609ｨｪ0609ｨｪ0402 060906ｨ 02ｨｪｨｪ0609ｨｰｨｨ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ060006 06ｨ 02090702 ﾂ02ｨｪｨｨ07 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｹ06 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01 09 ｨｬｨｨ08ｨｪ0602 090802ｨｬ07. 0308ｨｨ09020102ｨｪ 07020802 ﾂ02ｨｪｨｹ 04ｨ ｨ 06050209ｨ ｨｪｨｨｨｦ 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ060006 07080600ｨｨ0507, 0502 ﾂ02ｨｪｨｨ02 ｨｺ06ｨｰ06080401 0609ｨｮｨｴ0209ｨｰ09050702ｨｰ0907 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 06ｨｦ 0906ｨｦ09ｨｺ0609060006 040902ｨｪｨ. 000407090502ｨｪ04 0609ｨｪ0609ｨｪ0402 00ｨ ｨｺｨｰ060804, 0905ｨｨ0706ｨｴｨｨ02 ｨｪｨ ｨｮ08060902ｨｪｨｹ ｨｺ0603ｨｪ06ｨｦ ｨｨ 0902ｨｪ0208ｨｨ ﾂ0209ｨｺ06ｨｦ 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ 09080201ｨｨ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01. 04ｨ 0909ｨｬ06ｨｰ0802ｨｪ04 ｨｰｨｨ0706090402 0603ｨｨｨ ｨｺｨｨ 06ｨｺｨ 04ｨ ｨｪｨｨ07 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｨ 060800ｨ ｨｪｨｨ04ｨ 02ｨｨ06ｨｪｨｪ060006 ｨｨ ｨｬ02ｨｰ0601ｨｨ ﾂ0209ｨｺ060006 01ｨ 08ｨ ｨｺｨｰ0208ｨ ｨ 0605ｨｹｨｪ04ｨｬ 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ060006 07080600ｨｨ0507 09 0906ｨｦ09ｨｺ060906ｨｬ 040902ｨｪ02. 08 05 06 ﾂ 02 09 04 02 09 05 06 09 ｨ : ｨ 06050204ｨｪｨｨ ｨｺ0603ｨｨ ｨｨ 070601ｨｺ0603ｨｪ06ｨｦ ｨｺ0502ｨｰ ﾂｨ ｨｰｨｺｨｨ, ｨｮ08060902ｨｪｨｹ 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ, 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺｨ 07 07ｨ ｨｰ06050600ｨｨ07, 0603ｨｨｨ ｨｺｨｨ 06ｨｺｨ 04ｨ ｨｪｨｨ07 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｨ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨｨｬ. Samtsov A.V., Khairutdinov V.R. ｨC Improvement of dermatovenereologic care in the armed forces. Authors presented data about primary incidence of diseases of the skin and subcutaneous tissue in the Armed Forces of the Russian Federation over the past 6 years and gave information about basic peculiarities of the delivery of medical dermatovenereologic care to servicemen in peacetime. A list of dermatovenereologic diseases, which have to be treated by the medical service at the troop level. Main factors affecting the level of skin and venereal diseases among servicemen are revealed. Authors considered typical errors occurring in the process of medical care delivery to patients suffering from dermatovenereologic diseases at the troop level. These errors are usually of organizational and methodical nature. K e y w o r d s: diseases of the skin and subcutaneous tissue, incidence, dermatovenereologic pathology errors care servicemen. 0604 000601ｨ 09 000601 ｨ 06050204ｨｪｨｨ ｨｺ0603ｨｨ ｨｨ 070601ｨｺ0603ｨｪ06ｨｦ ｨｺ0502ｨｰ ﾂｨ ｨｰｨｺｨｨ 05ｨｨ01ｨｨ08ｨｮ06ｨｰ 09 09ｨｰ08ｨｮｨｺｨｰｨｮ0802 06ｨ ｨｴ02ｨｦ 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ 09 00060608ｨｮ0302ｨｪｨｪ0401 09ｨｨ05ｨ 01 0408, 09ｨｰｨ ｨ ｨｨ05ｨｹｨｪ06 04ｨ ｨｪｨｨｨｬｨ 07 3ｨC4-02 ｨｬ0209ｨｰ06. 03020809ｨｨ ﾂｨｪｨ 07 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｹ ｨ 06050204ｨｪ07ｨｬｨｨ XII ｨｺ05ｨ 0909ｨ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01, 07080601060107ｨｴｨｨ01 090602ｨｪｨｪｨｮ06 0905ｨｮ03ｨ ｨｮ 0706 0708ｨｨ040409ｨｮ, 09 2014 00. 090609ｨｰｨ 09ｨｨ05ｨ 181,9 (09 2013 00. ｨC 181,0, 2012 ｨC 224,3, 2011 ｨC 168,0, 2010 ｨC 152,77, 2009 ｨC 176,24 ). 07 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01 0706 ｨｺ06ｨｪｨｰ08ｨ ｨｺｨｰｨｮ (09090201 ｨｺｨ ｨｰ02000608ｨｨｨｦ) 09 070208ｨｨ0601 2009ｨC2014 0000. ｨｪｨ ｨ 050601ｨ 05ｨ 09ｨｹ 09050201ｨｮ06ｨｴｨ 07 01ｨｨｨｪｨ ｨｬｨｨｨｺｨ 01ｨ ｨｪｨｪ060006 0706ｨｺｨ 04ｨ ｨｰ020507: 09 2014 00. ｨC 38,81, 2013 ｨC 33,03, 2012 ｨC 43,03, 2011 ｨC 29,04, 2010 ｨC 38,53, 2009 ｨC 35,53. 00 070609050201ｨｪ0202 01020907ｨｰｨｨ0502ｨｰｨｨ02 ｨｪｨ ｨ 050601ｨ 02ｨｰ0907 ｨｮ09ｨｰ06ｨｦ ﾂｨｨ09ｨ 07 ｨｰ02ｨｪ0102ｨｪ02ｨｨ07 ｨｺ 09ｨｪｨｨ0302ｨｪｨｨ06 ｨｮ080609ｨｪ07 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ ｨ 06050204ｨｪ07ｨｬｨｨ ｨｺ0603ｨｨ, 070601ｨｺ0603ｨｪ06ｨｦ ｨｺ0502ｨｰ- ﾂｨ ｨｰｨｺｨｨ ｨｨ ｨｰ08ｨｮ01060706ｨｰ0208ｨｹ 09080201ｨｨ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01, ﾂｨｰ06 0709050702ｨｰ0907 06ｨｰ08ｨ 0302ｨｪｨｨ02ｨｬ ｨｮ05ｨｮ ﾂ0302ｨｪｨｨ07 ｨｮ09050609ｨｨｨｦ 090602ｨｪｨｪ060006 ｨｰ08ｨｮ01ｨ ｨｨ 080204ｨｮ05ｨｹｨｰｨ ｨｰ06ｨｬ ｨｮ09ｨｨ0502ｨｪｨｨ07 08ｨ ｨ 06ｨｰ04 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ06ｨｦ 0905ｨｮ03ｨ 04, ｨｪｨ 0708ｨ 090502ｨｪｨｪ06ｨｦ ｨｪｨ 07080600ｨｨ05ｨ ｨｺｨｰｨｨｨｺｨｮ ｨｨ ｨ ｨｺｨｰｨｨ09ｨｪ0602 090407090502ｨｪｨｨ02 ｨ 0605ｨｹｨｪ0401 (0906 09ｨｰ0208ｨｰ04ｨｬｨｨ 000608ｨｬｨ ｨｬｨｨ ｨｬｨｨｨｺ06040609, 060008ｨ ｨｪｨｨ ﾂ02ｨｪｨｪ04ｨｬｨｨ 07ｨｨ06010208ｨｬｨｨｨｰｨ ｨｬｨｨ ｨｨ 0108.). 090605ｨｹ03ｨｨｨｪ09ｨｰ0906 04ｨ ｨ 06050209ｨ ｨｪｨｨｨｦ 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ060006 07080600ｨｨ0507 ｨｪ02 0708020109ｨｰｨ 09050706ｨｰ 090208ｨｹ0204ｨｪｨｮ06 ｨｮ00080604ｨｮ 010507 03ｨｨ04ｨｪｨｨ ｨｨ 040106080609ｨｹ07 ｨ 0605ｨｹｨｪ0401, ｨｪ06 ｨｨ01 090604ｨｪｨｨｨｺｨｪ060902ｨｪｨｨ02 ｨｨ 08ｨ 0907080609ｨｰ08ｨ ｨｪ02ｨｪｨｨ02 09 0906ｨｨｨｪ09ｨｺｨｨ01 ﾂｨ 09ｨｰ0701 09ｨｪｨｨ03ｨ 02ｨｰ ｨ 06020907060906ｨ ｨｪ0609ｨｰｨｹ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01, 09020102ｨｰ 09 04ｨ 07ｨｮｨｴ02ｨｪｨｪ0401 0905ｨｮ ﾂｨ 0701 ｨｺ 00060907ｨｨｨｰｨ 05ｨｨ04ｨ 02ｨｨｨｨ ｨｨ ｨｰ08ｨｮ01060706ｨｰ020807ｨｬ, 09 080201ｨｺｨｨ01 0905ｨｮ ﾂｨ 0701 ｨC ｨｺ ｨｨ04ｨｬ02ｨｪ02ｨｪｨｨ06 ｨｺｨ ｨｰ02000608ｨｨｨｨ 000601ｨｪ0609ｨｰｨｨ. 080806ｨｬ02 ｨｰ060006, ｨｨｨｪ0002ｨｺ02ｨｨｨｨ, 0702080201ｨ 09ｨ 02ｨｬ0402 070605060904ｨｬ 07ｨｮｨｰ02ｨｬ, ｨｨ ｨｺ06ｨｪｨｰｨ 00ｨｨ0604ｨｪ0402 010208ｨｬｨ ｨｰ060404
130204010801060508000608 000302060006010508020102 020903050303 ﾁ03010608 0002020407040301010409 050609 09ｨｨｨｰ0208ｨ ｨｰｨｮ08ｨ 1. 09020507ｨｺｨｨｨｪ 05.08., 05ｨ ｨｬ020609 08.00., 06ｨ 08ｨ 0902ｨｪｨｺ06 01.01., 060205ｨｨ ﾂｨｺ06 06.01. 0207ｨｰｨｨｨｬｨｨ04ｨ 02ｨｨ07 08ｨ ｨ 06ｨｰ04 ｨｺ0603ｨｪ06-0902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ060006 06ｨｰ01020502ｨｪｨｨ07 ｨｬｨｪ06000607080600ｨｨ05ｨｹｨｪ060006 00060907ｨｨｨｰｨ 0507 ｨｪｨ 0609ｨｪ060902 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨ07 ｨｨｨｪ000608ｨｬｨ 02ｨｨ06ｨｪｨｪ0401 ｨｰ0201ｨｪ06050600ｨｨｨｦ // 000209ｨｰｨｪ. 040609. 090602ｨｪ.- ｨｬ0201. ｨ ｨｺｨ 01. ｨC 2011. ｨC 01 2 (34). ｨC 05. 197ｨC204. 2. 0904ｨｺ0609 06.07., 05ｨ ｨｬ020609 08.00., 0105ｨ 01ｨｹｨｺ06 00.00., 0709ｨｰｨｨｨｪ0609 00.00. 02 07080609020102ｨｪｨｨｨｨ 05ｨｺ09070208ｨｨｨｬ02ｨｪｨｰｨ 0706 09ｨｪｨｨ0302ｨｪｨｨ06 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ060006 07080600ｨｨ0507 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01 050209020806-08ｨ 09ｨｺｨ 0409ｨｺ060006 090602ｨｪｨｪ060006 06ｨｺ08ｨｮ00ｨ // 000602ｨｪ.-ｨｬ0201. 03ｨｮ08ｨｪ. ｨC 2006. ｨC 06. 327, 01 2. ｨC 05. 4ｨC8. 3. 020208020907ｨｪｨｺ06 04.00., 010209 ﾂ02ｨｪｨｺ06 02.05., 0709ｨｰｨｨｨｪ0609 00.00. 000201ｨｨｨｺ06-090602ｨｨｨ 05ｨｹｨｪ0402 ｨ 090702ｨｺｨｰ04 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ 010208ｨｬｨ ｨｰ0604ｨ ｨｬｨｨ ｨｮ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01 09 ｨｮ09050609ｨｨ0701 0808ｨ ｨｦｨｪ020006 0502090208ｨ // 000602ｨｪ.-ｨｬ0201. 03ｨｮ08ｨｪ. ｨC 2014. ｨC 06. 335, 01 5. ｨC 05. 18ｨC21. 4. 05ｨ 09 ﾂ02ｨｪｨｺ06 03.05., 01ｨ 04ｨ 080609 04.01., 0807 ﾂ0205 08.00. ｨｨ 0108. // 0806080802ｨｺ02ｨｨ07 0709ｨｨ010609020002ｨｰｨ ｨｰｨｨ09ｨｪ0401 08ｨ 0909ｨｰ0806ｨｦ09ｨｰ09 09 0708060202090902 ｨｺ06ｨｬ070502ｨｺ09ｨｪ060006 0502 ﾂ02ｨｪｨｨ07 ｨ 0605ｨｹｨｪ0401 010806ｨｪｨｨ ﾂ0209ｨｺｨｨｨｬｨｨ 010208ｨｬｨ ｨｰ0604ｨ ｨｬｨｨ // 000209ｨｰｨｪ. 040609. 090602ｨｪ.-ｨｬ0201. ｨ ｨｺｨ 01. ｨC 2012. ｨC 01 3 (39). ｨC 05. 107ｨC111. 5. 05ｨ ｨｬ020609 08.00., 0105ｨ 01ｨｹｨｺ06 00.00., 01060807 ﾂ0209 08.06. ｨｨ 0108. 040204ｨｮ05ｨｹｨｰｨ ｨｰ04 05ｨｺ09070208ｨｨｨｬ02ｨｪｨｰｨ 0706 09ｨｪｨｨ0302ｨｪｨｨ06 ｨｺ0603ｨｪ06ｨｦ 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ ｨｮ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01 00060401ｨｮ03ｨｪ06-010209ｨ ｨｪｨｰｨｪ0401 0906ｨｦ09ｨｺ // 000602ｨｪ.-ｨｬ0201. 03ｨｮ08ｨｪ. ｨC 2010. ｨC 06. 331, 01 11. ｨC 05. 8ｨC14. 6. 01ｨ 08ｨｨ00ｨｮ0505ｨｨｨｪ 00.08. 05060902080302ｨｪ09ｨｰ090609ｨ ｨｪｨｨ02 060800ｨ ｨｪｨｨ04ｨ 02ｨｨｨｨ 010208ｨｬｨ ｨｰ060902ｨｪ020806050600ｨｨ ﾂ0209ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｨ 09 0906ｨｦ09ｨｺｨ 01 09 0906090802ｨｬ02ｨｪｨｪ0401 ｨｮ09050609ｨｨ0701: 02ｨｨ09.... ｨｺｨ ｨｪ01. ｨｬ0201. ｨｪｨ ｨｮｨｺ. ｨC 0503ｨ, 2006. ｨC 189 09. 0903010608 0102000205060307 00 01060102 09020502ｨｺｨｰ0608ｨｪ060006 09060902ｨｴｨ ｨｪｨｨ07 ｨｪｨ ﾂｨ 05ｨｹｨｪｨｨｨｺ 0105ｨ 09ｨｪ060006 090602ｨｪｨｪ060006 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ060006 ｨｮ0708ｨ 090502ｨｪｨｨ07 00ｨｨｨｪ06ｨ 060806ｨｪ04 04060909ｨｨｨｨ 0002ｨｪ0208ｨ 05-ｨｬｨ ｨｦ0608 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 080502ｨｺ09ｨ ｨｪ0108 08ｨｨ09ｨｮｨｪ 0106050603ｨｨ05 ｨｪｨ ﾂｨ 05ｨｹｨｪｨｨｨｺｨｮ 0102ｨｪ0208ｨ 05ｨｹｨｪ060006 03ｨｰｨ ｨ ｨ 00060608ｨｮ0302ｨｪｨｪ0401 05ｨｨ05 04060909ｨｨｨｨ 06ｨ ｨｮ0106090502ｨｰ090608ｨｨｨｰ0205ｨｹｨｪ06ｨｬ 09ｨ ｨｪｨｨｨｰｨ 08ｨｪ06-0507ｨｨ0102ｨｬｨｨ06050600ｨｨ ﾂ0209ｨｺ06ｨｬ 090609ｨｰ0607ｨｪｨｨｨｨ 08ｨ ｨｦ06ｨｪ0609 08ｨ 09070605060302ｨｪｨｨ07 0906ｨｦ09ｨｺ, 0708ｨｨｨｪｨｨｨｬｨ 06ｨｴｨｨ01 ｨｮ ﾂｨ 09ｨｰｨｨ02 0906 09ｨｪ0204ｨ 07ｨｪ06ｨｦ 070806090208ｨｺ02 ｨ 06020006ｨｰ0609ｨｪ0609ｨｰｨｨ 0502090208ｨｪ060006 000506ｨｰｨ ｨｨ 06ｨｰ010205ｨｹｨｪ0401 09060201ｨｨｨｪ02ｨｪｨｨｨｦ 05ｨ 07ｨ 01ｨｪ060006 090602ｨｪｨｪ060006 06ｨｺ08ｨｮ00ｨ. 0005ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｹ 05ｨｨ ﾂｨｪ060006 090609ｨｰｨ 09ｨ ｨｨｨｪ0002ｨｺ02ｨｨ06ｨｪｨｪ04ｨｬｨｨ 04ｨ ｨ 06050209ｨ ｨｪｨｨ07ｨｬｨｨ ｨｨ ｨ 06050204ｨｪ07ｨｬｨｨ 060800ｨ ｨｪ0609 010401ｨ ｨｪｨｨ07 ｨｪ02 070802090403ｨ 02ｨｰ 09080201ｨｪｨｨ02 ｨｬｨｪ0600060502ｨｰｨｪｨｨ02 0706ｨｺｨ 04ｨ ｨｰ0205ｨｨ. 0505ｨｮ ﾂｨ 0209 0008ｨｮ0707060906ｨｦ ｨｨ 090907040302 ﾂｨｪ06ｨｦ 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ ｨｪ02 04ｨ 080200ｨｨ09ｨｰ08ｨｨ080609ｨ ｨｪ0603, ｨC 06ｨｰｨｬ02ｨｰｨｨ05 09 0106ｨｺ05ｨ 0102 080502ｨｺ09ｨ ｨｪ0108 08ｨｨ09ｨｮｨｪ. 02ｨｪ 0106ｨ ｨ 09ｨｨ05, ﾂｨｰ06 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ0602 06ｨ 02090702 ﾂ02ｨｪｨｨ02 0906ｨｦ09ｨｺ 0508 0609ｨｮｨｴ0209ｨｰ09050702ｨｰ0907 03ｨｰｨ ｨｰｨｪ04ｨｬｨｨ 09ｨｨ05ｨ ｨｬｨｨ ｨｨ 0908020109ｨｰ09ｨ ｨｬｨｨ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 000506ｨｰｨ 09 090609ｨｰｨ 0902 01020907ｨｰｨｨ 090602ｨｪｨｪ0401 00060907ｨｨｨｰｨ 0502ｨｦ, 0601ｨｪ060006 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ060006 06ｨｰ080701ｨ, ｨｰ080201 090602ｨｪｨｪ0401 070605ｨｨｨｺ05ｨｨｨｪｨｨｨｺ, ﾂ02ｨｰ04080201 0202ｨｪｨｰ080609 000609ｨｮ01ｨ 0809ｨｰ0902ｨｪｨｪ060006 09ｨ ｨｪｨｨｨｰｨ 08ｨｪ060507ｨｨ0102ｨｬｨｨ06050600ｨｨ ﾂ0209ｨｺ060006 ｨｪｨ 01040608ｨ. 05ｨ 0102ｨｦ09ｨｰ090609ｨ ｨｪ06 180 ﾂ0205060902ｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ060006 090609ｨｰｨ 09ｨ, 09 ｨｰ. ﾂ. 85 0908ｨ ﾂ02ｨｦ, 15 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 0008ｨｮ0707 ｨｮ09ｨｨ0502ｨｪｨｨ07 06ｨｰ 000200, ｨｰ08ｨｨ ｨｺ0608ｨ ｨ 0205ｨｹｨｪ0402 0008ｨｮ070704 09070202ｨｨｨ 05ｨｨ04ｨｨ080609ｨ ｨｪｨｪ06ｨｦ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｨ, 19 0201ｨｨｨｪｨｨ02 ｨｰ0201ｨｪｨｨｨｺｨｨ, 09 ｨｰ. ﾂ. 14 09ｨ ｨｪｨｨｨｰｨ 08ｨｪ0401 ｨ 09ｨｰ06ｨｬ06ｨ ｨｨ0502ｨｦ. 0000 0202050701 ｨｮ09ｨｨ0502ｨｪｨｨ07 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0706ｨｬ06ｨｴｨｨ ｨｺ0608ｨ ｨ 0205ｨｹｨｪ04ｨｬ 0008ｨｮ0707ｨｨ080609ｨｺｨ ｨｬ ｨｨ 060800ｨ ｨｪｨｨ04ｨ 02ｨｨｨｨ ｨ 09ｨ 08ｨｨｨｦｨｪ06-0907ｨ 09ｨ ｨｰ0205ｨｹｨｪ0401 08ｨ ｨ 06ｨｰ ｨｪｨ 0907ｨ 09ｨ ｨｰ0205ｨｹｨｪ0602 09ｨｮ01ｨｪ06 000805ｨｰｨ ｨｦ03 090401020502ｨｪｨ ｨｺ0608ｨ ｨ 0205ｨｹｨｪｨ 07 0008ｨｮ0707ｨ 09070202ｨｨｨ 05ｨｨ04ｨｨ080609ｨ ｨｪｨｪ06ｨｦ ｨｬ02010706ｨｬ06ｨｴｨｨ ｨｨ04 090609ｨｰｨ 09ｨ ｨｬ020106ｨｰ080701ｨ 1469-0006 090602ｨｪｨｪ06-ｨｬ060809ｨｺ060006 ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺ060006 00060907ｨｨｨｰｨ 0507, ｨC 0106050603ｨｨ05 ｨｪｨ ﾂｨ 05ｨｹｨｪｨｨｨｺ 01000007 0002 0408. ｨC 020507 06ｨｺｨ 04ｨ ｨｪｨｨ07 ｨｬ02010706ｨｬ06ｨｴｨｨ 05ｨｨ ﾂｨｪ06ｨｬｨｮ 090609ｨｰｨ 09ｨｮ, 0708ｨｨ090502ｨｺｨ 02ｨｬ06ｨｬｨｮ ｨｺ 070806090208ｨｺ02, 04ｨ 0102ｨｦ09ｨｰ090609ｨ ｨｪ06 00060907ｨｨｨｰｨ 05ｨｹｨｪ0602 09ｨｮ01ｨｪ06 000509ｨｨ08ｨｹ03. 070708ｨ 090502ｨｪｨｨ02 0708020909-0905ｨｮ03ｨ 04 ｨｨ ｨｨｨｪ000608ｨｬｨ 02ｨｨｨｨ 00ｨｨｨｪｨｨ09ｨｰ020809ｨｰ09ｨ 06ｨ 060806ｨｪ04 04060909ｨｨｨｦ09ｨｺ06ｨｦ 0802010208ｨ 02ｨｨｨｨ, 19 ｨｬｨ 08ｨｰｨ 2015 00. http://function.mil.ru/news_page/country/more.htm?id=12010917@egnews 00 000609ｨｺ09ｨｮ 09 08ｨ ｨ 06 ﾂｨｨｨｬ 09ｨｨ04ｨｨｨｰ06ｨｬ 0708ｨｨｨ 0405ｨ 090602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨ 07 0102050200ｨ 02ｨｨ07 0806080605020909ｨｰ09ｨ 06ｨ ｨｨ05ｨ ｨｪ01. 00 ｨｰ02 ﾂ02ｨｪｨｨ02 ﾂ02ｨｰ04080201 01ｨｪ02ｨｦ ｨｰｨ ｨｦ09ｨｺｨｨ02 09070202ｨｨｨ 05ｨｨ09ｨｰ04, 09 01060102 07060902ｨｴ02ｨｪｨｨｨｦ 0202ｨｪｨｰ08ｨ 05ｨｹｨｪ0401 090602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 060800ｨ ｨｪｨｨ04ｨ 02ｨｨｨｨ 00ｨｨｨｪ06ｨ 060806ｨｪ04 04060909ｨｨｨｨ, 070806090205ｨｨ 080701 0909ｨｰ0802 ﾂ 09 08060909ｨｨｨｦ09ｨｺｨｨｨｬｨｨ ｨｺ0605050200ｨ ｨｬｨｨ, ｨｪｨ ｨｺ06ｨｰ06080401 ｨ 0405 08ｨ 0909ｨｬ06ｨｰ0802ｨｪ 03ｨｨ0806ｨｺｨｨｨｦ ｨｺ08ｨｮ00 0906070806090609 0904ｨ ｨｨｨｬｨｪ060006 0906ｨｰ08ｨｮ01ｨｪｨｨ ﾂ0209ｨｰ09ｨ. 00 08ｨ ｨｬｨｺｨ 01 08ｨ ｨ 06 ﾂｨｨ01 09060902ｨｴｨ ｨｪｨｨｨｦ 09ｨｰ060806ｨｪ04 04ｨ 0905ｨｮ03ｨ 05ｨｨ 0106ｨｺ05ｨ 0104 0902ｨｺ0802ｨｰｨ 0802ｨｦ 05ｨｺ09070208ｨｰｨｪ06ｨｦ 08ｨ ｨ 06- ﾂ02ｨｦ 0008ｨｮ070704 0706 090602ｨｪｨｪ06ｨｦ ｨｬ0201ｨｨ02ｨｨｨｪ02 ｨｬ0201ｨ ｨｪｨｨ04ｨｬｨ 00CMOA 0705060903 (05060902ｨｴｨ ｨｪｨｨ02 ｨｬｨｨｨｪｨｨ09ｨｰ080609 06ｨ 060806ｨｪ04 0809090602ｨｨｨ 02ｨｨｨｨ 000609ｨｮ01ｨ 0809ｨｰ09 070006-000609ｨｰ06 ﾂｨｪ06ｨｦ 0804ｨｨｨｨ ｨC ASEAN) ｨｨ 01ｨｨｨ 05060006090401 07ｨ 08ｨｰｨｪ02080609. 080806ｨｬ02 ｨｰ060006, ｨｰｨ ｨｦ09ｨｺｨｨ02 ｨｨ 08060909ｨｨｨｦ09ｨｺｨｨ02 090602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ02 09070202ｨｨｨ 05ｨｨ09ｨｰ04 06ｨ 09ｨｮ01ｨｨ05ｨｨ 07080602ｨｺｨｰ 04ｨ ｨｬ040905ｨ 090609ｨｬ0209ｨｰｨｪ0401 ｨｮ ﾂ02ｨｪｨｨｨｦ 090602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 07060108ｨ 0401020502ｨｪｨｨｨｦ 06ｨ 02ｨｨ01 09ｨｰ08ｨ ｨｪ ｨｨ 070208090702ｨｺｨｰｨｨ0904 09060401ｨ ｨｪｨｨ07 ｨｨ 00ｨｮｨｪｨｺ02ｨｨ06ｨｪｨｨ080609ｨ ｨｪｨｨ07 0002ｨｪｨｰ08ｨ 090602ｨｪｨｪ06ｨｦ ｨｬ0201ｨｨ02ｨｨｨｪ04 ASEAN. 070708ｨ 090502ｨｪｨｨ02 0708020909-0905ｨｮ03ｨ 04 ｨｨ ｨｨｨｪ000608ｨｬｨ 02ｨｨｨｨ 00ｨｨｨｪｨｨ09ｨｰ020809ｨｰ09ｨ 06ｨ 060806ｨｪ04 04060909ｨｨｨｦ09ｨｺ06ｨｦ 0802010208ｨ 02ｨｨｨｨ, 10 ｨｬｨ 08ｨｰｨ 2015 00. http://function.mil.ru/news_page/country/more.htm?id=12009739@egnews 9
130003020600060108 06080506040300080905010409 0506060708000607 08 080209090308060600 08000602040200, 2015 070208 [616.24-002-06:616.24-092]-08 0302080904ｨｦ 060704ｨｰ ｨｰ08ｨ ｨｪ09070608ｨｰｨｨ080609ｨｺｨｨ ｨ 0605ｨｹｨｪ060006 09 ｨｰ0703020506ｨｦ 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｹ06 09 ｨｮ09050609ｨｨ0701 05ｨｺ09ｨｰ08ｨ ｨｺ0608070608ｨ 05ｨｹｨｪ06ｨｦ ｨｬ02ｨｬｨ 08ｨ ｨｪｨｪ06ｨｦ 06ｨｺ09ｨｨ0002ｨｪｨ 02ｨｨｨｨ 000908050200 08.07., 04ｨ 0905ｨｮ0302ｨｪｨｪ04ｨｦ 0908ｨ ﾂ 0408, ｨｺｨ ｨｪ01ｨｨ01ｨ ｨｰ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ, 0002ｨｪ0208ｨ 05-ｨｬｨ ｨｦ0608 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 1 02 ｧ0102090300 08.00., 04ｨ 0905ｨｮ0302ｨｪｨｪ04ｨｦ 0908ｨ ﾂ 0408, 070806000209090608, 070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 (alekseischegolev@gmail.com) 2 080704000801050306060200 00.00., 070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 (kurmansmarat@gmail.com) 3 090701010601 07.00., ｨｺｨ 07ｨｨｨｰｨ ｨｪ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 (lyusha_@mail.ru) 3 01030907090601 02.08., ｨｺｨ ｨｪ01ｨｨ01ｨ ｨｰ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ (shelldan@mail.ru) 4 08080604030006 ﾁ 06.08., ｨｺｨ ｨｪ01ｨｨ01ｨ ｨｰ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ (meddoctors@mail.ru) 5 010209020006020200 08.08., ｨｺｨ 07ｨｨｨｰｨ ｨｪ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 (golomidov.a@mail.ru) 2 1 0105ｨ 09ｨｪ0602 090602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ0602 ｨｮ0708ｨ 090502ｨｪｨｨ02 0002 0408, 000609ｨｺ09ｨ ; 2 000602ｨｪｨｪ06-ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨ 07 ｨ ｨｺｨ 0102ｨｬｨｨ07 ｨｨｨｬ. 05.00.08ｨｨ080609ｨ, 05ｨ ｨｪｨｺｨｰ-0302ｨｰ0208ｨ ｨｮ0800; 3 000201ｨｨ02ｨｨｨｪ09ｨｺｨ 07 0905ｨｮ03ｨ ｨ 0703ｨｪ060006 090602ｨｪｨｪ060006 06ｨｺ08ｨｮ00ｨ, 040609ｨｰ0609ｨｪｨ -0206ｨｪｨｮ; 4 00090208060909ｨｨｨｦ09ｨｺｨｨｨｦ 0202ｨｪｨｰ08 05ｨｺ09ｨｰ0802ｨｪｨｪ06ｨｦ ｨｨ 08ｨ 01ｨｨｨ 02ｨｨ06ｨｪｨｪ06ｨｦ ｨｬ0201ｨｨ02ｨｨｨｪ04 ｨｨｨｬ. 08.00.01ｨｨｨｺｨｨ0006080609ｨ, 05ｨ ｨｪｨｺｨｰ-0302ｨｰ0208ｨ ｨｮ0800; 5 000201ｨｨ02ｨｨｨｪ09ｨｺｨ 07 0905ｨｮ03ｨ ｨ 06ｨｰ080701ｨ 000002ｨｪｨｰ08060907ｨ 0903, 000609ｨｺ09ｨ 00 07ｨｮｨ 05ｨｨｨｺｨ 02ｨｨｨｨ 0708020109ｨｰｨ 090502ｨｪ ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺｨｨｨｦ 0905ｨｮ ﾂｨ ｨｦ 0702080906ｨｦ 09 04060909ｨｨｨｦ09ｨｺ06ｨｦ 0802010208ｨ 02ｨｨｨｨ ｨ 09ｨｨｨ 02ｨｨ06ｨｪｨｪ06ｨｦ 0509ｨ ｨｺｨｮｨ 02ｨｨｨｨ 07ｨ 02ｨｨ02ｨｪｨｰｨ 09 ｨｰ0703020506ｨｦ 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｹ06 090905020109ｨｰ09ｨｨ02 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ 09ｨｨ08ｨｮ09ｨｪ06-ｨ ｨ ｨｺｨｰ0208ｨｨｨ 05ｨｹｨｪ06ｨｦ 05ｨｰｨｨ06050600ｨｨｨｨ c 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨ02ｨｬ 05ｨｺ09ｨｰ08ｨ ｨｺ0608070608ｨ 05ｨｹｨｪ06ｨｦ ｨｬ02ｨｬｨ 08ｨ ｨｪｨｪ06ｨｦ 06ｨｺ09ｨｨ0002ｨｪｨ 02ｨｨｨｨ. 0609070605ｨｹ040609ｨ ｨｪｨｨ02 01ｨ ｨｪｨｪ060006 ｨｬ02ｨｰ0601ｨ 070604090605ｨｨ0506 09ｨｰｨ ｨ ｨｨ05ｨｨ04ｨｨ080609ｨ ｨｰｨｹ 090609ｨｰ0607ｨｪｨｨ02 07ｨ 02ｨｨ02ｨｪｨｰｨ ｨｨ 06ｨｰｨｪ0609ｨｨｨｰ0205ｨｹｨｪ06 ｨ 02040607ｨ 09ｨｪ06 0609ｨｮｨｴ0209ｨｰ09ｨｨｨｰｨｹ ｨｰ08ｨ ｨｪ09070608ｨｰｨｨ080609ｨｺｨｮ 09 09070202ｨｨｨ 05ｨｨ04ｨｨ080609ｨ ｨｪｨｪ0602 0502 ﾂ02ｨ ｨｪ0602 ｨｮ ﾂ0802030102ｨｪｨｨ02 010507 0708060106050302ｨｪｨｨ07 0502 ﾂ02ｨｪｨｨ07. 08 05 06 ﾂ 02 09 04 02 09 05 06 09 ｨ : 09ｨｨ08ｨｮ09ｨｪｨ 07 07ｨｪ0209ｨｬ06ｨｪｨｨ07, 0609ｨｰ0804ｨｦ 08020907ｨｨ08ｨ ｨｰ0608ｨｪ04ｨｦ 01ｨｨ09ｨｰ08020909-09ｨｨｨｪ010806ｨｬ, 0509ｨ ｨｺｨｮｨ 02ｨｨ07, 05ｨｺ09ｨｰ08ｨ ｨｺ0608070608ｨ 05ｨｹｨｪｨ 07 ｨｬ02ｨｬｨ 08ｨ ｨｪｨｪｨ 07 06ｨｺ09ｨｨ0002ｨｪｨ 02ｨｨ07. Vlasov A.Yu., Shchegolev A.V., Kurmanseitov M.M., Lyushnin Yu.V., Shelukhin D.A., Yakirevich I.A., Golomidov A.A. ｨC The first experience of transporting a patient with severe respiratory failure in conditions of extracorporeal membrane oxygenation. This publication is the first case report in the Russian Federation aircraft evacuation of a patient with severe respiratory failure due to pneumonia of viral and bacterial etiology with the use of extracorporeal membrane oxygenation. The use of this method helped to stabilize the patient ｯs condition and safely carry out transportation to a specialized medical institution for further treatment. K e y w o r d s: viral pneumonia, acute respiratory distress-syndrome, evacuation, extracorporeal membrane oxygenation. 03ｨｪ0209ｨｬ06ｨｪｨｨｨｨ 0709050706ｨｰ0907 0601ｨｪｨｨｨｬ ｨｨ04 ｨｪｨ ｨｨｨ 06050202 08ｨ 0907080609ｨｰ08ｨ ｨｪ02ｨｪｨｪ0401 04ｨ ｨ 06050209ｨ ｨｪｨｨｨｦ ｨｨ 04ｨ ｨｪｨｨｨｬｨ 06ｨｰ 090201ｨｮｨｴ0202 ｨｬ0209ｨｰ06 09080201ｨｨ 0708ｨｨ ﾂｨｨｨｪ 09ｨｬ0208ｨｰｨｨ 06ｨｰ 01ｨ ｨｪｨｪ06ｨｦ 07ｨ ｨｰ06050600ｨｨｨｨ. 05060005ｨ 09ｨｪ06 01ｨ ｨｪｨｪ04ｨｬ 0600ｨｨ02ｨｨｨ 05ｨｹｨｪ06ｨｦ 09ｨｰｨ ｨｰｨｨ09ｨｰｨｨｨｺｨｨ, 09 04060909ｨｨｨｦ09ｨｺ06ｨｦ 0802010208ｨ 02ｨｨｨｨ 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｹ 07ｨｪ0209ｨｬ06ｨｪｨｨ02ｨｦ 090408060905060006 ｨｪｨ 09020502ｨｪｨｨ07 09 070609050201ｨｪｨｨ02 00060104 ｨｨｨｬ0202ｨｰ 0607080201020502ｨｪｨｪ04ｨｦ 080609ｨｰ. 0306 01ｨ ｨｪｨｪ04ｨｬ 08ｨ 04ｨｪ0401 ｨｨ09ｨｰ06 ﾂｨｪｨｨｨｺ0609, 06ｨｰ 4 0106 39% 0708ｨｨ010601ｨｨｨｰ0907 ｨｪｨ 01060506 09ｨｨ08ｨｮ09ｨｪ06ｨ ｨ ｨｺｨｰ0208ｨｨｨ 05ｨｹｨｪ06ｨｦ 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ. 0902ｨｰｨ 05ｨｹｨｪ0609ｨｰｨｹ 02ｨｨｨｪｨ ｨｬｨｨｨｺｨ 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ04ｨｬｨｨ 07ｨｪ0209ｨｬ06ｨｪｨｨ07ｨｬｨｨ 09 04060909ｨｨｨｦ09ｨｺ06ｨｦ 0802010208ｨ 02ｨｨｨｨ 09 2007ｨC2011 0000. 10
130003020600060108 06080506040300080905010409 0506060708000607 720 ｨｬ05, 000009 ｨC 11 05/ｨｬｨｨｨｪ, 0407ｨｨｨｺ ｨC 25 09ｨｬ 090601ｨｪ. 09ｨｰ., 03020800 ｨC 8 09ｨｬ 090601ｨｪ. 09ｨｰ., FiO 2 ｨC 40%. 0308ｨｨ ｨｰｨ ｨｺｨｨ01 0706ｨｺｨ 04ｨ ｨｰ02050701 04ｨ 07ｨ 02ｨｨ02ｨｪｨｰ06ｨｬ ｨｪｨ ｨ 050601ｨ 05ｨｨ 09 ｨｰ02 ﾂ02ｨｪｨｨ02 3 ﾂ, 06ｨｰ08ｨｨ02ｨ ｨｰ0205ｨｹｨｪ06ｨｦ 01ｨｨｨｪｨ ｨｬｨｨｨｺｨｨ ｨｪ02 06ｨｰｨｬ02 ﾂ02ｨｪ06. 0308ｨｨ 0105ｨｨｨｰ0205ｨｹｨｪ06ｨｬ 09ｨｰ0607ｨｪｨｨｨｨ ｨｺｨ ｨｪ0605ｨｹ ｨ 0605ｨｹ03060006 01ｨｨｨ ｨｬ02ｨｰ08ｨ 09 0202ｨｪｨｰ08ｨ 05ｨｹｨｪ0401 090609ｨｮ01ｨ 01 (ｨ 06050202 ﾂ02ｨｰ04080201 09ｨｮｨｰ06ｨｺ) 000608ｨｬｨｨ08ｨｮ02ｨｰ0907 090609ｨｮ01ｨｨ09ｨｰ04ｨｦ 010601, ﾂｨｰ06 ｨｨ 060708020102050702ｨｰ ｨｪ0206ｨ 010601ｨｨｨｬ0609ｨｰｨｹ 0708ｨｨ090502 ﾂ02ｨｪｨｨ07 ｨｺ 0102ｨｺｨ ｨｪ0605ｨｨ04ｨ 02ｨｨｨｨ 090609ｨｮ01ｨｨ09ｨｰ0401 01ｨｨ08ｨｮ08000609 [4]. 0302080906ｨｪｨ ﾂｨ 05ｨｹｨｪ06 ｨ 0405ｨ 070802ｨｺ08ｨ ｨｴ02ｨｪｨ ｨｨｨｪ00ｨｮ04ｨｨ07 000207ｨ 08ｨｨｨｪｨ. 00 09ｨｰ0208ｨｨ05ｨｹｨｪ0401 ｨｮ09050609ｨｨ0701 070601 06ｨ ｨｴ02ｨｦ ｨ ｨｪ0209ｨｰ0204ｨｨ02ｨｦ 090401020502ｨｪ04 06ｨ 02 0902ｨｪ04 09 ｨｬ0209ｨｰｨ 01 ｨｺｨ ｨｪ0605ｨｨ04ｨ 02ｨｨｨｨ, ｨ 08ｨｰ0208ｨｨｨ 05ｨｹｨｪｨ 07 ｨｨ 0902ｨｪ0604ｨｪｨ 07 ｨｬｨ 00ｨｨ09ｨｰ08ｨ 05ｨｨ 0702080203ｨ ｨｰ04 04ｨ 03ｨｨｨｬｨ ｨｬｨｨ. 0306090502 05ｨｰ060006 ｨ 0707ｨ 08ｨ ｨｰ 06080002 ｨ 0405 0609ｨｰｨ ｨｪ06090502ｨｪ. 00 07020809ｨｮ06 06 ﾂ02080201ｨｹ ｨｮ01ｨ 0502ｨｪｨ 04ｨ ｨ 0608ｨｪｨ 07 ｨｺｨ ｨｪ060507 ｨｨ04 ｨ 02010802ｨｪｨｪ06ｨｦ 0902ｨｪ04, ｨｪｨ 05060302ｨｪ 090609ｨｮ01ｨｨ09ｨｰ04ｨｦ 030609 ｨｨ 0609ｨｮｨｴ0209ｨｰ090502ｨｪ 0002ｨｬ0609ｨｰｨ 04. 08080609ｨｹ ｨｨ04 ｨｺ06ｨｪｨｰｨｮ08ｨ 0906040908ｨ ｨｴ02ｨｪｨ 07ｨ 02ｨｨ02ｨｪｨｰｨｮ ﾂ02080204 0906040908ｨ ｨｰｨｪｨｮ06 ｨｺｨ ｨｪ060506, ｨｺ06ｨｰ0608ｨ 07 0907060905020109ｨｰ09ｨｨｨｨ ｨ 0405ｨ ｨｮ01ｨ 0502ｨｪｨ 0706 ｨｰｨ ｨｺ06ｨｦ 0302 ｨｬ02ｨｰ0601ｨｨｨｺ02. 030806ｨｺ06ｨｪｨｰ080605ｨｨ080609ｨ ｨｪ 0002ｨｬ0609ｨｰｨ 04, ｨｮ03ｨｨｨｰ04 08ｨ 0408020404, 09010205ｨ ｨｪ04 ｨ 090207ｨｰｨｨ ﾂ0209ｨｺｨｨ02 0706090704ｨｺｨｨ. 02ｨ ｨｴ0202 090802ｨｬ07 07080609020102ｨｪｨｨ07 07ｨ 02ｨｨ02ｨｪｨｰｨｮ 06080002 090609ｨｰｨ 09ｨｨ0506 7 09ｨｮｨｰ. 06ｨｰ060006 090802ｨｬ02ｨｪｨｨ 09 01ｨ ｨｪｨｪ06ｨｬ ｨｪｨ ｨ 05060102ｨｪｨｨｨｨ (0601ｨｪ06090802ｨｬ02ｨｪｨｪ06 09 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨ02ｨｬ 0108ｨｮ00ｨｨ01 0906090802ｨｬ02ｨｪｨｪ0401 ｨｬ02ｨｰ06010609 ｨｨｨｪｨｰ02ｨｪ09ｨｨ09ｨｪ06ｨｦ ｨｰ0208ｨ 07ｨｨｨｨ) ｨ 040506 010609ｨｰｨ ｨｰ06 ﾂｨｪ06 010507 09060909ｨｰｨ ｨｪ06090502ｨｪｨｨ07 08020907ｨｨ08ｨ ｨｰ0608ｨｪ06ｨｦ 00ｨｮｨｪｨｺ02ｨｨｨｨ 050200ｨｺｨｨ01 ｨｨ 090604ｨｬ0603ｨｪ0609ｨｰｨｨ 01ｨ 05ｨｹｨｪ02ｨｦ03020006 07060101020803ｨ ｨｪｨｨ07 00ｨ 040606ｨ ｨｬ02ｨｪｨ 09ｨｰｨ ｨｪ01ｨ 08ｨｰｨｪ04ｨｬｨｨ ｨｬ02ｨｰ0601ｨｨｨｺｨ ｨｬｨｨ 08020907ｨｨ08ｨ ｨｰ0608ｨｪ06ｨｦ ｨｰ0208ｨ 07ｨｨｨｨ. 00 070609050201ｨｮ06ｨｴ02ｨｬ ｨｨｨｬ0205 ｨｬ0209ｨｰ06 080701 09070605ｨｪ02 04ｨ ｨｺ06ｨｪ06ｨｬ0208ｨｪ0401 010507 07ｨ 02ｨｨ02ｨｪｨｰｨ 09 ｨｺ08ｨｨｨｰｨｨ ﾂ0209ｨｺ06ｨｬ 090609ｨｰ0607ｨｪｨｨｨｨ 0609050603ｨｪ02ｨｪｨｨｨｦ, 09080201ｨｨ ｨｺ06ｨｰ06080401 09050201ｨｮ02ｨｰ ｨｮ0706ｨｬ07ｨｪｨｮｨｰｨｹ 07ｨ ｨｪ09ｨｨｨｪｨｮ09ｨｨｨｰ, ｨ ｨｪｨｰｨｨｨ ｨｨ06ｨｰｨｨｨｺ06ｨ 09090602ｨｨｨｨ080609ｨ ｨｪｨｪ04ｨｦ ｨｺ0605ｨｨｨｰ 09 08ｨ 0409ｨｨｨｰｨｨ02ｨｬ 05ｨｪ0106ｨｰ06ｨｺ09ｨｨ ﾂ0209ｨｺ060006 0306ｨｺｨ. 00ｨｬ0209ｨｰ02 09 ｨｰ02ｨｬ ｨｪｨ 28-02 09ｨｮｨｰｨｺｨｨ 06ｨｰ ｨｬ06ｨｬ02ｨｪｨｰｨ 08ｨ 0409ｨｨｨｰｨｨ07 090408ｨ 0302ｨｪｨｪ06ｨｦ 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｨ 07ｨ 02ｨｨ02ｨｪｨｰ ｨ 0405 0702080209020102ｨｪ ｨｪｨ 090706ｨｪｨｰｨ ｨｪｨｪ0602 010401ｨ ｨｪｨｨ02 ﾂ02080204 0209ｨｰ0209ｨｰ0902ｨｪｨｪ0402 010401ｨ ｨｰ0205ｨｹｨｪ0402 07ｨｮｨｰｨｨ. 00 01ｨ 05ｨｹｨｪ02ｨｦ0302ｨｬ 0702080209020102ｨｪ ｨｪｨ 0802ｨ ｨ ｨｨ05ｨｨｨｰｨ 02ｨｨ06ｨｪｨｪ04ｨｦ 05ｨｰｨ 07 0502 ﾂ02ｨｪｨｨ07. 05050201ｨｮ02ｨｰ 04ｨ ｨｺ0506 ﾂｨｨｨｰｨｹ, ﾂｨｰ06 ｨｨ09070605ｨｹ040609ｨ ｨｪｨｨ02 ｨｬ02ｨｰ0601ｨ 06080002 070604090605ｨｨ0506 09ｨｰｨ ｨ ｨｨ05ｨｨ04ｨｨ080609ｨ ｨｰｨｹ 090609ｨｰ0607ｨｪｨｨ02 07ｨ 02ｨｨ02ｨｪｨｰｨ ｨｨ 06ｨｰｨｪ0609ｨｨｨｰ0205ｨｹｨｪ06 ｨ 02040607ｨ 09ｨｪ06 0609ｨｮｨｴ0209ｨｰ09ｨｨｨｰｨｹ ｨｰ08ｨ ｨｪ09070608ｨｰｨｨ080609ｨｺｨｮ 09 09070202ｨｨｨ 05ｨｨ04ｨｨ080609ｨ ｨｪｨｪ0602 0502- ﾂ02ｨ ｨｪ0602 ｨｮ ﾂ0802030102ｨｪｨｨ02 010507 0708060106050302ｨｪｨｨ02 0502 ﾂ02ｨｪｨｨ07. 06ｨｰ06 0702080904ｨｦ 09 04060909ｨｨｨｦ09ｨｺ06ｨｦ 0802010208ｨ 02ｨｨｨｨ 060704ｨｰ ｨｰ08ｨ ｨｪ09070608ｨｰｨｨ080609ｨｺｨｨ ｨｪｨ 09ｨｰ0605ｨｹ 01ｨ 05ｨｹｨｪ0202 08ｨ 0909ｨｰ0607ｨｪｨｨ02 09 ｨｮ09050609ｨｨ0701 04ｨ ｨｬ0209ｨｰｨｨｨｰ0205ｨｹｨｪ06ｨｦ 05ｨｺ09ｨｰ08ｨ ｨｺ0608070608ｨ 05ｨｹｨｪ06ｨｦ 05020006 ﾂｨｪ06ｨｦ ｨｰ0208ｨ 07ｨｨｨｨ 07ｨ 02ｨｨ02ｨｪｨｰｨ 09 ｨｺ08ｨ ｨｦｨｪ02 ｨｰ0703020506ｨｬ 090609ｨｰ0607ｨｪｨｨｨｨ. 02 ﾂ0209ｨｨ01ｨｪ06, ﾂｨｰ06 ｨｪｨ ｨｺ06070502ｨｪｨｨ02 060704ｨｰｨ 09 070609050201ｨｮ06ｨｴ02ｨｬ 070604090605ｨｨｨｰ 0106070605ｨｪｨｨｨｰ0205ｨｹｨｪ06 09ｨｪｨｨ04ｨｨｨｰｨｹ 0502ｨｰｨ 05ｨｹｨｪ0609ｨｰｨｹ 0708ｨｨ 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｨ 0902080102 ﾂｨｪ06-090609ｨｮ01ｨｨ09ｨｰ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰ0701 08ｨ 0405ｨｨ ﾂｨｪ060006 0002ｨｪ0204ｨ. 05 0108ｨｮ0006ｨｦ 09ｨｰ060806ｨｪ04, 0905ｨｮ ﾂｨ ｨｦ 0708060102ｨｬ06ｨｪ09ｨｰ08ｨｨ080609ｨ 05 ｨｪ0206ｨ 010601ｨｨｨｬ0609ｨｰｨｹ ｨｰｨｴｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｰ0201ｨｪｨｨ ﾂ0209ｨｺ06ｨｦ ｨｨ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0706010006ｨｰ0609ｨｺｨｨ 0708ｨｨ ｨｨ09070605ｨｹ040609ｨ ｨｪｨｨｨｨ 06ｨｰｨｪ0609ｨｨｨｰ0205ｨｹｨｪ06 ｨｪ0609060006 010507 ｨｪｨ 0302ｨｦ 09ｨｰ08ｨ ｨｪ04 ｨｨ ｨｺ08ｨ ｨｦｨｪ02 ｨｨｨｪ09ｨ 04ｨｨ09ｨ ｨｪ060006 ｨｬ02ｨｰ0601ｨ ｨｺ06080802ｨｺ02ｨｨｨｨ 03ｨｨ04ｨｪ02ｨｪｨｪ06 0607ｨ 09ｨｪ0401 090609ｨｰ0607ｨｪｨｨｨｦ, ｨ ｨｰｨ ｨｺ0302 070605ｨｹ04ｨｮ ｨｬ020309020106ｨｬ09ｨｰ0902ｨｪｨｪ06ｨｦ ｨｺ0606070208ｨ 02ｨｨｨｨ 09 090607080609ｨ 01 090602ｨｨｨ 05ｨｹｨｪ06ｨｦ 04ｨ ｨｴｨｨｨｴ02ｨｪｨｪ0609ｨｰｨｨ 090602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ01 ｨｨ 09060108ｨ ｨｪ02ｨｪｨｨ07 ｨｨ01 040106080609ｨｹ07. 0905ｨ 000601ｨ 08ｨｪ0609ｨｰｨｹ. 0809ｨｰ060804 07ｨｮｨ 05ｨｨｨｺｨ 02ｨｨｨｨ 090408ｨ 03ｨ 06ｨｰ 0005ｨｮｨ 06ｨｺｨｮ06 ｨ 05ｨ 000601ｨ 08ｨｪ0609ｨｰｨｹ 090902ｨｬ ｨｰ02ｨｬ, ｨｺｨｰ06 0708ｨｨｨｪ0705 070807ｨｬ0602 ｨｨ05ｨｨ 060706090802010609ｨ ｨｪｨｪ0602 ｨｮ ﾂｨ 09ｨｰｨｨ02 09 0907ｨ 0902ｨｪｨｨｨｨ 03ｨｨ04ｨｪｨｨ 01ｨ ｨｪｨｪ060006 07ｨ 02ｨｨ02ｨｪｨｰｨ. 09ｨｨｨｰ0208ｨ ｨｰｨｮ08ｨ 1. 08ｨｪｨ 05ｨｨｨｰｨｨ ﾂ0209ｨｺｨｨｨｦ 06ｨ 040608 0000ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ0402 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ: ｨｺ05ｨ 0909ｨｨ00ｨｨｨｺｨ 02ｨｨ07, 07ｨ ｨｰ060002ｨｪ0204, 05ｨｰｨｨ06050600ｨｨ07, 0507ｨｨ0102ｨｬｨｨ06050600ｨｨ07, 05ｨ ｨ 0608ｨ ｨｰ0608ｨｪｨ 07 01ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨ ｨｪｨ 0906090802ｨｬ02ｨｪｨｪ06ｨｬ 05ｨｰｨ 070203 (0802010208ｨ 05ｨｹｨｪｨ 07 0905ｨｮ03ｨ ｨ 0706 ｨｪｨ 01040608ｨｮ 09 0900020802 04ｨ ｨｴｨｨｨｰ04 0708ｨ 09 0706ｨｰ0802ｨ ｨｨｨｰ020502ｨｦ ｨｨ ｨ 05ｨ 0006070605ｨｮ ﾂｨｨ07 ﾂ0205060902ｨｺｨ ). ｨC 00., 2013. 2. Extracorporeal Life Support Organization (ELSO) 00Guidelines for Adult Respiratory Failure03. Version 1.3. December 2013. www.elso. med.umich.edu 3. Extracorporeal Life Support Organization (ELSO) 00Anticoagulation Guideline03 2014. www.elso.med.umich.edu 4. Extracorporeal Life Support Organization (ELSO) 00General Guidelines for all ECLS Cases03. Version 1.1. April 2009. www.elso. med.umich.edu 15
130903 ﾁ03090102-03040208060908080606 ﾁ0305080603 00020304020504 08 08.06.05060102030809050106080200, 08.08.050807000300, 2015 070208 616.24-002-085.281 02ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨ ｨｨ ｨ ｨｪｨｰｨｨｨ ｨ ｨｺｨｰ0208ｨｨｨ 05ｨｹｨｪｨ 07 ｨｰ0208ｨ 07ｨｨ07 ｨｰ0703020506ｨｦ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ06ｨｦ 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ 16 05060102030809050106080200 08.06., 04ｨ 0905ｨｮ0302ｨｪｨｪ04ｨｦ 0908ｨ ﾂ 0408, 070806000209090608, 070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 09 0609ｨｰｨ 09ｨｺ02 1 050807000300 08.08., 0106ｨｺｨｰ0608 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ, 070601070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 (a-zaicev@yandex.ru) 2 1 04060909ｨｨｨｦ09ｨｺｨ 07 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨ 07 ｨ ｨｺｨ 0102ｨｬｨｨ07 070609050201ｨｨ070506ｨｬｨｪ060006 06ｨ 08ｨ 040609ｨ ｨｪｨｨ07 00ｨｨｨｪ040108ｨ 09ｨ 04060909ｨｨｨｨ, 000609ｨｺ09ｨ ; 2 0105ｨ 09ｨｪ04ｨｦ 090602ｨｪｨｪ04ｨｦ ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺｨｨｨｦ 00060907ｨｨｨｰｨ 05ｨｹ ｨｨｨｬ. 01.01.09ｨｮ080102ｨｪｨｺ06, 000609ｨｺ09ｨ 00 09ｨｰｨ ｨｰｨｹ02 0708ｨｨ09020102ｨｪ04 0906090802ｨｬ02ｨｪｨｪ0402 01ｨ ｨｪｨｪ0402 0706 05ｨｰｨｨ06050600ｨｨｨｨ ｨｰ0703020506ｨｦ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ06ｨｦ 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ (060003). 090605ｨｹ03ｨｨｨｪ09ｨｰ0906 0905ｨｮ ﾂｨ 0209 04ｨ ｨ 06050209ｨ ｨｪｨｨ07 06ｨ ｨｮ090506090502ｨｪ04 06ｨｰｨｪ0609ｨｨｨｰ0205ｨｹｨｪ06 ｨｪ02ｨ 0605ｨｹ03ｨｨｨｬ ｨｺ08ｨｮ0006ｨｬ 07ｨ ｨｰ060002ｨｪ0609 ｨ ｨ ｨｺｨｰ0208ｨｨｨ 05ｨｹｨｪ06ｨｦ ｨｨ 09ｨｨ08ｨｮ09ｨｪ06ｨｦ 0708ｨｨ08060104. ﾁｨ 09ｨｰ06ｨｰｨ 0909ｨｰ0802 ﾂｨ 02ｨｬ0609ｨｰｨｨ 08ｨ 0405ｨｨ ﾂｨｪ0401 090604ｨ ｨｮ01ｨｨｨｰ020502ｨｦ ｨｰ0703020506ｨｦ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ06ｨｦ 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ ｨｬ060302ｨｰ 09ｨｮｨｴ0209ｨｰ0902ｨｪｨｪ06 09ｨ 08ｨｹｨｨ080609ｨ ｨｰｨｹ 09 04ｨ 09ｨｨ09ｨｨｨｬ0609ｨｰｨｨ 06ｨｰ 080200ｨｨ06ｨｪｨ, 09020406ｨｪｨ 000601ｨ ｨｨ 07080600ｨｨ0507 07ｨ 02ｨｨ02ｨｪｨｰ0609. 0002080607ｨｰｨｪ0609ｨｰｨｹ ｨｨｨｪ00ｨｨ02ｨｨ080609ｨ ｨｪｨｨ07 ｨｰ02ｨｬ ｨｨ05ｨｨ ｨｨｨｪ04ｨｬ 090604ｨ ｨｮ01ｨｨｨｰ020502ｨｬ ｨｬ060302ｨｰ 0607080201020507ｨｰｨｹ0907 ｨｪｨ 05ｨｨ ﾂｨｨ02ｨｬ 090606ｨｰ0902ｨｰ09ｨｰ09ｨｮ06ｨｴｨｨ01 00ｨ ｨｺｨｰ06080609 08ｨｨ09ｨｺｨ. 0308020109ｨｰｨ 090502ｨｪ04 ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺｨ 07 01ｨ 08ｨ ｨｺｨｰ0208ｨｨ09ｨｰｨｨｨｺｨ ｨｰ0703020506ｨｦ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ06ｨｦ 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ ｨｨ 0908ｨ 09ｨｪｨｨｨｰ0205ｨｹｨｪｨ 07 060202ｨｪｨｺｨ 080701ｨ 03ｨｺｨ 05 010507 060202ｨｪｨｺｨｨ 08ｨｨ09ｨｺｨ ｨｪ02ｨ 05ｨ 00060708ｨｨ07ｨｰｨｪ060006 ｨｨ09010601ｨ 05ｨｰ060006 04ｨ ｨ 06050209ｨ ｨｪｨｨ07. 02ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨ 060003 09ｨｺ0506 ﾂｨ 02ｨｰ: cｨ 0608 0507ｨｨ0102ｨｬｨｨ06050600ｨｨ ﾂ0209ｨｺ060006 ｨ ｨｪｨ ｨｬｨｪ0204ｨ, ｨｨ0102ｨｪｨｰｨｨ00ｨｨｨｺｨ 02ｨｨ06 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ, 090407090502ｨｪｨｨ02 09020709ｨｨ09ｨ ｨｨ 070605ｨｨ060800ｨ ｨｪｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｨ, 090407090502ｨｪｨｨ02 0609ｨｰ0806ｨｦ 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｨ, 060202ｨｪｨｺｨｮ 090607ｨｮｨｰ09ｨｰ09ｨｮ06ｨｴ02ｨｦ 07ｨ ｨｰ06050600ｨｨｨｨ. 02ｨ ｨｪ04 0802ｨｺ06ｨｬ02ｨｪ01ｨ 02ｨｨｨｨ 0706 060202ｨｪｨｺ02 ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺｨｨ01 07080607090502ｨｪｨｨｨｦ 04ｨ ｨ 06050209ｨ ｨｪｨｨ07, 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨ06 ｨｨｨｪ09ｨｰ08ｨｮｨｬ02ｨｪｨｰｨ 05ｨｹｨｪ0401 ｨｨ 05ｨ ｨ 0608ｨ ｨｰ0608ｨｪ0401 ｨｬ02ｨｰ06010609 01ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨｨ ｨｰ0703020506ｨｦ 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪ06ｨｦ 07ｨｪ0209ｨｬ06ｨｪｨｨｨｨ. 020507 0904ｨ 0608ｨ 080203ｨｨｨｬ0609 ｨ ｨｪｨｰｨｨｨｬｨｨｨｺ0806ｨ ｨｪ06ｨｦ ｨｰ0208ｨ 07ｨｨｨｨ ｨｪｨ ｨｨｨ 0605ｨｹ030202 04ｨｪｨ ﾂ02ｨｪｨｨ02 ｨｨｨｬ0202ｨｰ 0506ｨｺｨ 05ｨｹｨｪ04ｨｦ ｨｬ06ｨｪｨｨｨｰ0608ｨｨｨｪ00 ｨ ｨｪｨｰｨｨｨ ｨｨ06ｨｰｨｨｨｺ06080204ｨｨ09ｨｰ02ｨｪｨｰｨｪ0609ｨｰｨｨ 090604ｨ ｨｮ01ｨｨｨｰ020502ｨｦ. 0209ｨｪ0609ｨｪ04ｨｬｨｨ ｨｺ08ｨｨｨｰ0208ｨｨ07ｨｬｨｨ 05000002ｨｺｨｰｨｨ09ｨｪ0609ｨｰｨｨ 0502 ﾂ02ｨｪｨｨ07 0709050706ｨｰ0907 09ｨｪｨｨ0302ｨｪｨｨ02 ｨｰ02ｨｬ070208ｨ ｨｰｨｮ0804 ｨｰ0205ｨ, 090408ｨ 0302ｨｪｨｪ0609ｨｰｨｨ ｨｨｨｪｨｰ06ｨｺ09ｨｨｨｺｨ 02ｨｨｨｨ, 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｨ 070605ｨｨ060800ｨ ｨｪｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｨ. 08 05 06 ﾂ 02 09 04 02 09 05 06 09 ｨ : ｨｰ07030205ｨ 07 09ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪｨ 07 07ｨｪ0209ｨｬ06ｨｪｨｨ07, 05ｨｰｨｨ06050600ｨｨ07 04ｨ ｨ 06050209ｨ ｨｪｨｨ07, 01ｨｨｨ 00ｨｪ0609ｨｰｨｨｨｺｨ ｨｨ ｨ ｨｪｨｰｨｨｨｬｨｨｨｺ0806ｨ ｨｪｨ 07 ｨｰ0208ｨ 07ｨｨ07. Sinopalnikov A.I., Zaitsev A.A. ｨC Diagnostics and antimicrobial therapy of severe community-acquired pneumonia. In the current paper authors presented the latest information concerning etiology of severe community-acquired pneumonia. Most cases are caused by a relatively small number of pathogenic bacterial and viral natures. The frequency of detection of various pathogens of severe community-acquired pneumonia may vary greatly depending on the region, season and clinical profile of patients, availability of relevant risk factors. Authors presented clinical characteristics of severe community-acquired pneumonia and comparative evaluation of a number of scales to assess the risk of adverse outcome of the disease. Diagnosis of severe community-acquired pneumonia includes the following: collecting of epidemiological history, identification of pneumonia,detection of sepsis and identification of multi ple organ dysfunction syndrome,detection of acute respiratory failure, assessment of comorbidity. Authors gave recommendations concerning evaluation of the clinical manifestations of the disease, the use of instrumental and laboratory methods for diagnosis of severe community-acquired pneumonia. To select the mode of antimicrobial therapy is most important local monitoring antimicrobial resistance of pathogens. The main criteria for the effectiveness of treatment are to reduce body temperature, severe intoxication, respiratory and organ failure. K e y w o r d s: severe community-acquired pneumonia, etiology, diagnosis and antimicrobial therapy. 00ｨｪ02ｨ 0605ｨｹｨｪｨｨ ﾂｨｪｨ 07 07ｨｪ0209ｨｬ06ｨｪｨｨ07 (0003) ｨC 03ｨｨ0806ｨｺ06 08ｨ 0907080609ｨｰ08ｨ ｨｪ02ｨｪｨｪ0602 04ｨ ｨ 06050209ｨ ｨｪｨｨ02, 04ｨ ｨｪｨｨｨｬｨ 06ｨｴ0202 090201ｨｮｨｴ0202 ｨｬ0209ｨｰ06 09 09ｨｰ08ｨｮｨｺｨｰｨｮ0802 04ｨ ｨ 06050209ｨ 02ｨｬ0609ｨｰｨｨ ｨｨ 09ｨｬ0208ｨｰｨｪ0609ｨｰｨｨ 06ｨｰ ｨｨｨｪ0002ｨｺ02ｨｨ06ｨｪｨｪ0401 ｨ 06050204ｨｪ02ｨｦ ｨｮ 0904080609050401 09 08ｨ 0409ｨｨｨｰ0401 09ｨｰ08ｨ ｨｪｨ 01. 01ｨ ｨｨｨ 0605ｨｹ03ｨｮ06 070806ｨ 0502ｨｬｨｮ 0708020109ｨｰｨ 09050706ｨｰ 07ｨ 02ｨｨ02ｨｪｨｰ04 09 ｨｰ0703020506ｨｦ 0003 (060003). 010209ｨｬ06ｨｰ0807 ｨｪｨ ｨｮ09070201ｨｨ, 010609ｨｰｨｨ00ｨｪｨｮｨｰ0402 09 ｨ ｨｪｨｰｨｨｨ ｨ ｨｺｨｰ0208ｨｨｨ 05ｨｹｨｪ06ｨｦ ｨｰ0208ｨ 07ｨｨｨｨ (080906), 08020907ｨｨ08ｨ ｨｰ0608ｨｪ06ｨｦ 07060101020803ｨｺ02 ｨｨ ｨｰ0208ｨ 07ｨｨｨｨ 09020709ｨｨ09ｨ, 0502ｨｰｨ 05ｨｹｨｪ0609ｨｰｨｹ 09080201ｨｨ ｨ 0605ｨｹｨｪ0401 09 060003 090609ｨｰｨ 09050702ｨｰ 06ｨｰ 21 0106 58%. 0209ｨｪ0609ｨｪ0402 0708ｨｨ ﾂｨｨｨｪ04 09ｨｬ0208ｨｰｨｨ ｨC 08020008ｨ ｨｺｨｰ0208ｨｪｨ 07 00ｨｨ0706ｨｺ0902ｨｬｨｨ07, 090207ｨｰｨｨ ﾂ0209ｨｺｨｨｨｦ 0306ｨｺ ｨｨ 070605ｨｨ060800ｨ ｨｪｨｪｨ 07 ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｹ. 0102ｨ 05ｨ 00060708ｨｨ07ｨｰｨｪ04ｨｦ 07080600ｨｪ0604 ｨｰ02 ﾂ02ｨｪｨｨ07 ｨｰ0703020506ｨｦ 0003 06ｨ ｨｮ0905060905ｨｨ09ｨ 06ｨｰ
130903 ﾁ03090102-03040208060908080606 ﾁ0305080603 00020304020504 0308ｨｨ ｨｪ0205000002ｨｺｨｰｨｨ09ｨｪ0609ｨｰｨｨ 080906 ｨｪｨ 09ｨｰ060806ｨｬ 05ｨｰｨ 0702 ｨｪ0206ｨ 010601ｨｨｨｬ06 070806090209ｨｰｨｨ 06ｨ 090502010609ｨ ｨｪｨｨ02 07ｨ 02ｨｨ02ｨｪｨｰｨ 010507 ｨｮｨｰ06 ﾂｨｪ02ｨｪｨｨ07 01ｨｨｨ 00ｨｪ0604ｨ, 090407090502ｨｪｨｨ07 090604ｨｬ0603ｨｪ0401 0609050603ｨｪ02ｨｪｨｨｨｦ 0003 ｨｨ 070806ｨ ｨｪｨ 05ｨｨ04ｨｨ080609ｨ ｨｰｨｹ 080204ｨｮ05ｨｹｨｰｨ ｨｰ04 010609ｨｰｨｮ07ｨｪ0401 ｨｺ 05ｨｰ06ｨｬｨｮ ｨｬ06ｨｬ02ｨｪｨｰｨｮ ｨｬｨｨｨｺ0806ｨ ｨｨ06050600ｨｨ ﾂ0209ｨｺｨｨ01 ｨｨ09090502010609ｨ ｨｪｨｨｨｦ. 0308ｨｨ 0706050603ｨｨｨｰ0205ｨｹｨｪ06ｨｦ 01ｨｨｨｪｨ ｨｬｨｨｨｺ02 09050201ｨｮ02ｨｰ 08ｨ 0909ｨｬ06ｨｰ0802ｨｰｨｹ 090604ｨｬ0603ｨｪ0609ｨｰｨｹ 07020802090601ｨ 07ｨ 02ｨｨ02ｨｪｨｰｨ ｨｪｨ 0702080608ｨ 05ｨｹｨｪ0402 080003 09 08ｨ ｨｬｨｺｨ 01 09ｨｰｨｮ0702ｨｪ ﾂｨ ｨｰ06ｨｦ ｨｰ0208ｨ 07ｨｨｨｨ. 0308ｨｨ 0708ｨｨｨｪ07ｨｰｨｨｨｨ 08020302ｨｪｨｨ07 06 ｨｰｨ ｨｺ06ｨｬ 0702080209060102 02020502090606ｨ 08ｨ 04ｨｪ06 08ｨｮｨｺ0609060109ｨｰ090609ｨ ｨｰｨｹ0907 09050201ｨｮ06ｨｴｨｨｨｬｨｨ ｨｺ08ｨｨｨｰ0208ｨｨ07ｨｬｨｨ: 09ｨｪｨｨ0302ｨｪｨｨ02 ｨｰ02ｨｬ070208ｨ ｨｰｨｮ0804 ｨｰ0205ｨ 0106 09ｨｮｨ 0002ｨ 08ｨｨ05ｨｹｨｪ0401 02ｨｨ0008 (<37,5 紊) 0708ｨｨ 0109ｨｮ01 ｨｨ04ｨｬ020802ｨｪｨｨ0701 09 ｨｨｨｪｨｰ020809ｨ 0506ｨｬ 8 ﾂ, ｨｮｨｬ02ｨｪｨｹ0302ｨｪｨｨ02 090408ｨ 0302ｨｪｨｪ0609ｨｰｨｨ 06010403ｨｺｨｨ, 06ｨｰ09ｨｮｨｰ09ｨｰ09ｨｨ02 ｨｪｨ 08ｨｮ0302ｨｪｨｨ07 090604ｨｪｨ ｨｪｨｨ07, 0706050603ｨｨｨｰ0205ｨｹｨｪｨ 07 01ｨｨｨｪｨ ｨｬｨｨｨｺｨ 0108ｨｮ00ｨｨ01 09ｨｨｨｬ07ｨｰ06ｨｬ0609 ｨｨ 0708ｨｨ04ｨｪｨ ｨｺ0609 04ｨ ｨ 06050209ｨ ｨｪｨｨ07, 06ｨｰ09ｨｮｨｰ09ｨｰ09ｨｨ02 ｨｪｨ 08ｨｮ0302ｨｪｨｨｨｦ 0909ｨ 090409ｨ ｨｪｨｨ07 09 030205ｨｮ0106 ﾂｨｪ06-ｨｺｨｨ0302 ﾂｨｺ06ｨｬ ｨｰ08ｨ ｨｺｨｰ02, 09060005ｨ 09ｨｨ02 (ｨｪｨ 09ｨｰ080602ｨｪｨｪ0609ｨｰｨｹ) 07ｨ 02ｨｨ02ｨｪｨｰｨ ｨｪｨ 0702080608ｨ 05ｨｹｨｪ0602 0502 ﾂ02ｨｪｨｨ02. 0207ｨｰｨｨｨｬｨ 05ｨｹｨｪｨ 07 07080601060503ｨｨｨｰ0205ｨｹｨｪ0609ｨｰｨｹ 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨ07 080903 0708ｨｨ ｨｰ0703020506ｨｦ 0003 0106 ｨｪｨ 09ｨｰ0607ｨｴ020006 090802ｨｬ02ｨｪｨｨ ｨｪ02 0607080201020502ｨｪｨ. 0306 ｨｬｨｪ02ｨｪｨｨ06 05ｨｺ09070208ｨｰ0609, 0708ｨｨ ｨｪ02ｨｮｨｰ06 ﾂｨｪ02ｨｪｨｪ06ｨｦ 05ｨｰｨｨ06050600ｨｨｨｨ 04ｨ ｨ 06050209ｨ ｨｪｨｨ07 07080601060503ｨｨｨｰ0205ｨｹｨｪ0609ｨｰｨｹ 080906 01060503ｨｪｨ 090609ｨｰｨ 090507ｨｰｨｹ 10 01ｨｪ02ｨｦ. 0906050202 0105ｨｨｨｰ0205ｨｹｨｪ0402 ｨｺｨｮ080904 080906 0802ｨｺ06ｨｬ02ｨｪ01ｨｮ06ｨｰ0907 0708ｨｨ 08ｨ 0409ｨｨｨｰｨｨｨｨ 0609050603ｨｪ02ｨｪｨｨｨｦ 04ｨ ｨ 06050209ｨ ｨｪｨｨ07 (05ｨｬ07ｨｨ02ｨｬｨ, ｨ ｨ 0902020909), ｨｪｨ 05ｨｨ ﾂｨｨｨｨ 09ｨｪ0205020006 ﾂｨｪ0401 06 ﾂｨ 000609 ｨｨｨｪ0002ｨｺ02ｨｨｨｨ, ｨｨｨｪ00ｨｨ02ｨｨ080609ｨ ｨｪｨｨｨｨ ｨｰｨ ｨｺｨｨｨｬｨｨ 090604ｨ ｨｮ01ｨｨｨｰ020507ｨｬｨｨ, ｨｺｨ ｨｺ S. aureus, Legionella spp., ｨｪ02000208ｨｬ02ｨｪｨｰｨｨ08ｨｮ06ｨｴｨｨ02 ｨｬｨｨｨｺ0806060800ｨ ｨｪｨｨ04ｨｬ04 (P. aeruginosa ｨｨ 0108.). 0205ｨｨｨｰ0205ｨｹｨｪ0609ｨｰｨｹ 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨ07 070806ｨｰｨｨ090609ｨｨ08ｨｮ09ｨｪ0401 07080207ｨ 08ｨ ｨｰ0609 (06090205ｨｰｨ ｨｬｨｨ09ｨｨ08, 04ｨ ｨｪｨ ｨｬｨｨ09ｨｨ08) 06ｨ 04 ﾂｨｪ06 090609ｨｰｨ 09050702ｨｰ 5ｨC10 01ｨｪ02ｨｦ. 0808ｨｨｨｰ0208ｨｨ07ｨｬｨｨ 0708ｨｨ 08020302ｨｪｨｨｨｨ 090607080609ｨ 06ｨ 06ｨｰｨｬ02ｨｪ02 080003 0709050706ｨｰ0907: ｨｰ02ｨｬ070208ｨ ｨｰｨｮ08ｨ ｨｰ0205ｨ <37,2 縺05, 06ｨｰ09ｨｮｨｰ09ｨｰ09ｨｨ02 ｨｨｨｪｨｰ06ｨｺ09ｨｨｨｺｨ 02ｨｨｨｨ; 06ｨｰ09ｨｮｨｰ09ｨｰ09ｨｨ02 010401ｨ ｨｰ0205ｨｹｨｪ06ｨｦ ｨｪ02010609ｨｰｨ ｨｰ06 ﾂｨｪ0609ｨｰｨｨ ( ﾁ0202 <20 09 ｨｬｨｨｨｪ), 06ｨｰ09ｨｮｨｰ09ｨｰ09ｨｨ02 00ｨｪ06ｨｦｨｪ06ｨｦ ｨｬ06ｨｺ0806ｨｰ04, ｨｺ0605ｨｨ ﾂ0209ｨｰ0906 0502ｨｦｨｺ0602ｨｨｨｰ0609 <10 ﾁ10 9 /05, ｨｪ02ｨｦｨｰ080600ｨｨ050609 <80%, 0006ｨｪ040103 000608ｨｬ <6%, 0706050603ｨｨｨｰ0205ｨｹｨｪｨ 07 01ｨｨｨｪｨ ｨｬｨｨｨｺｨ ｨｪｨ 0802ｨｪｨｰ0002ｨｪ060008ｨ ｨｬｨｬ02 060800ｨ ｨｪ0609 0008ｨｮ01ｨｪ06ｨｦ ｨｺ0502ｨｰｨｺｨｨ. 05060108ｨ ｨｪ02ｨｪｨｨ02 06ｨｰ010205ｨｹｨｪ0401 ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺｨｨ01, 05ｨ ｨ 0608ｨ ｨｰ0608ｨｪ0401 ｨｨ05ｨｨ 0802ｨｪｨｰ0002ｨｪ06050600ｨｨ ﾂ0209ｨｺｨｨ01 0708ｨｨ04ｨｪｨ ｨｺ0609 0003 ｨｪ02 0709050702ｨｰ0907 ｨ ｨ 09060506ｨｰｨｪ04ｨｬ 0706ｨｺｨ 04ｨ ｨｪｨｨ02ｨｬ ｨｺ 0708060106050302ｨｪｨｨ06 080906 ｨｨ05ｨｨ 0202 ｨｬ0601ｨｨ00ｨｨｨｺｨ 02ｨｨｨｨ. 08 080209090308060600 08000602040200, 2015 070208 616.728.2-089.844 0609070605ｨｹ040609ｨ ｨｪｨｨ02 ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪ06ｨｦ 09ｨｨ09ｨｰ02ｨｬ04 010507 05ｨｪ0106070806ｨｰ0204ｨｨ080609ｨ ｨｪｨｨ07 ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ 09040604080105 09.08., 0106ｨｺｨｰ0608 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ, 070806000209090608, 070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 1 09070408 ﾁ03010802 09.03., ｨｺｨ ｨｪ01ｨｨ01ｨ ｨｰ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ, 070601070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 04ｨ 07ｨ 09ｨ 1 02080004020200 02.00., 0106ｨｺｨｰ0608 ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺｨｨ01 ｨｪｨ ｨｮｨｺ, 070601070605ｨｺ0609ｨｪｨｨｨｺ ｨｬ0201ｨｨ02ｨｨｨｪ09ｨｺ06ｨｦ 0905ｨｮ03ｨ 04 2 0008040802090200030300 02.06. (dgvarf@yandex.ru) 1 1 0105ｨ 09ｨｪ04ｨｦ 090602ｨｪｨｪ04ｨｦ ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺｨｨｨｦ 00060907ｨｨｨｰｨ 05ｨｹ ｨｨｨｬ. 01.01.09ｨｮ080102ｨｪｨｺ06, 000609ｨｺ09ｨ ; 2 000201ｨｨ02ｨｨｨｪ09ｨｺｨｨｨｦ ｨｮ ﾂ02ｨ ｨｪ06ｨｪｨ ｨｮ ﾂｨｪ04ｨｦ ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺｨｨｨｦ 0202ｨｪｨｰ08 ｨｨｨｬ. 03.00.00ｨ ｨｪ010804ｨｺｨ, 000609ｨｺ09ｨ 06ｨｪ0106070806ｨｰ0204ｨｨ080609ｨ ｨｪｨｨ02 04ｨ ｨｪｨｨｨｬｨ 02ｨｰ 0609ｨｪ0609ｨｪ0602 ｨｬ0209ｨｰ06 09080201ｨｨ 0909020006 090702ｨｺｨｰ08ｨ 06070208ｨ 02ｨｨｨｦ ｨｪｨ ｨｰｨ 0406ｨ 02010802ｨｪｨｪ06ｨｬ 09ｨｮ09ｨｰｨ 0902. 0207ｨｰｨｨｨｬｨ 05ｨｹｨｪ0602 070605060302ｨｪｨｨ02 090208ｨｰ05ｨｮ03ｨｪ060006 ｨｺ06ｨｬ0706ｨｪ02ｨｪｨｰｨ 05ｨｪ0106070806ｨｰ0204ｨ 0709050702ｨｰ0907 09ｨ 03ｨｪ04ｨｬ 00ｨ ｨｺｨｰ060806ｨｬ, 060708020102050706ｨｴｨｨｨｬ ｨｮ09070201 06070208ｨ 02ｨｨｨｨ. 00 0002ｨｪｨｰ0802 ｨｰ08ｨ 09ｨｬｨ ｨｰ06050600ｨｨｨｨ ｨｨ 0608ｨｰ06070201ｨｨｨｨ 0105ｨ 09ｨｪ060006 090602ｨｪｨｪ060006 ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺ060006 00060907ｨｨｨｰｨ 0507 ｨｨｨｬ. 01.01.09ｨｮ080102ｨｪｨｺ06 00ｨｨｨｪ06ｨ 060806ｨｪ04 04060909ｨｨｨｨ 08ｨ 0408ｨ ｨ 06ｨｰｨ ｨｪｨ ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪｨ 07 09ｨｨ09ｨｰ02ｨｬｨ 010507 05ｨｪ0106070806ｨｰ0204ｨｨ080609ｨ ｨｪｨｨ07 ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ. 00 ｨｪｨ 09ｨｰ0607ｨｴ02ｨｬ 070806090702ｨｺｨｰｨｨ09ｨｪ06ｨｬ ｨｨ 08ｨ ｨｪ0106ｨｬｨｨ04ｨｨ080609ｨ ｨｪｨｪ06ｨｬ ｨｺ05ｨｨｨｪｨｨ ﾂ0209ｨｺ06ｨｬ ｨｨ09090502010609ｨ ｨｪｨｨｨｨ 090208ｨｰ05ｨｮ03ｨｪ04ｨｦ ｨｺ06ｨｬ0706ｨｪ02ｨｪｨｰ 05ｨｪ0106070806ｨｰ0204ｨ ｨｮ09ｨｰｨ ｨｪｨ 0905ｨｨ09ｨ 05ｨｨ 09 0706ｨｬ06ｨｴｨｹ06 00imagefree03 ｨC ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪ06ｨｦ 09ｨｨ09ｨｰ02ｨｬ04 (ｨｺ06ｨｪｨｰ080605ｨｹｨｪｨ 07 0008ｨｮ0707ｨ, n=56) ｨｨ 09 0706ｨｬ06ｨｴｨｹ06 08ｨ 0408ｨ ｨ 06ｨｰｨ ｨｪｨｪ06ｨｦ ｨ 09ｨｰ0608ｨ ｨｬｨｨ ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪ06ｨｦ 09ｨｨ09ｨｰ02ｨｬ04 (060704ｨｰｨｪｨ 07 0008ｨｮ0707ｨ, n=50). 020202ｨｪｨｺｨ 070605060302ｨｪｨｨ07 ﾂｨ 03ｨｺｨｨ 0706090502 06070208ｨ 02ｨｨｨｨ 0609ｨｮｨｴ0209ｨｰ09050705ｨ 09ｨｹ 0708ｨｨ 0706ｨｬ06ｨｴｨｨ ｨｺ06ｨｬ07ｨｹ06ｨｰ0208ｨｪ06ｨｦ ｨｰ06ｨｬ060008ｨ 00ｨｨｨｨ ｨｰｨ 04ｨ. 05080201ｨｪ0202 04ｨｪｨ ﾂ02ｨｪｨｨ02 ｨ ｨｪｨｰ0209020809ｨｨｨｨ 09 060704ｨｰｨｪ06ｨｦ 0008ｨｮ070702 090609ｨｰｨ 09ｨｨ0506 14 ﾀ3, 09 ｨｺ06ｨｪｨｰ080605ｨｹｨｪ06ｨｦ ｨC 13 ﾀ4. 05080201ｨｪ0202 04ｨｪｨ ﾂ02ｨｪｨｨ02 ｨｨｨｪｨｺ05ｨｨｨｪｨ 02ｨｨｨｨ 09 060704ｨｰｨｪ06ｨｦ 0008ｨｮ070702 090609ｨｰｨ 09ｨｨ0506 44 ﾀ5, 09 ｨｺ06ｨｪｨｰ080605ｨｹｨｪ06ｨｦ ｨC 45 ﾀ4. 04ｨ 0408ｨ ｨ 06ｨｰｨ ｨｪｨｪｨ 07 ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪｨ 07 09ｨｨ09ｨｰ02ｨｬｨ 0706040906050702ｨｰ 0708ｨ 09ｨｨ05ｨｹｨｪ06 0608ｨｨ02ｨｪｨｰｨｨ080609ｨ ｨｰｨｹ 090208ｨｰ05ｨｮ03ｨｪ04ｨｦ ｨｺ06ｨｬ0706ｨｪ02ｨｪｨｰ 05ｨｪ0106070806ｨｰ0204ｨ, 0907060906ｨ 09ｨｰ09ｨｮ02ｨｰ 0906ｨｺ08ｨ ｨｴ02ｨｪｨｨ06 090802ｨｬ02ｨｪｨｨ 06070208ｨ 02ｨｨｨｨ, 01ｨ 02ｨｰ 090604ｨｬ0603ｨｪ0609ｨｰｨｹ 070605ｨｮ ﾂｨ ｨｰｨｹ 0106080603ｨｨ02 ｨｨ 06ｨｰ05ｨｨ ﾂｨｪ0402 00ｨｮｨｪｨｺ02ｨｨ06ｨｪｨ 05ｨｹｨｪ0402 080204ｨｮ05ｨｹｨｰｨ ｨｰ04 0706090502 06070208ｨ 02ｨｨｨｨ. 08 05 06 ﾂ 02 09 04 02 09 05 06 09 ｨ : 05ｨｪ0106070806ｨｰ0204ｨｨ080609ｨ ｨｪｨｨ02 ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ, ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪｨ 07 09ｨｨ09ｨｰ02ｨｬｨ, ｨ 02040607ｨ 09ｨｪｨ 07 0406ｨｪｨ 00Lewinnek03, 00ｨｨ080609ｨｺ0607, ｨ ｨｺ090205020806ｨｬ02ｨｰ08. 25
1326 0903 ﾁ03090102-03040208060908080606 ﾁ0305080603 00020304020504 Brizhan L.K., Buryachenko B.P., Davydov D.V., Varfolomeev D.I. ｨC The use of navigation system in the process of hip replacement. Endoprosthesis replacement is the leading surgical procedures among the whole range of procedures performed on hip joint. The optimal position of the acetabular component of prosthesis is an important factor determining the success of the operation. In the Center of Traumatology and Orthopedics of the Burdenko Main Military Clinical Hospital of the Russian Ministry of Defense was developed a hip replacement navigation system. In the given prospective and randomized clinical study acetabular component prosthesis was fixed with the help of 00image-free03 navigation system (the control group, n=56) and with the help of navigation system developed by the authors (experimental group, n=50). An evaluation of the cup position after the operation was carried out by means of computed tomography of the pelvis. An average value of anteversion in the experimental group was 14 ﾀ3, in the control group ｨC 13 ﾀ4. The average value of the inclination of the experimental group was 44 ﾀ5, in the control was 45 ﾀ4. Developed navigation system allows us orienting acetabular component of prosthesis properly, reducing time of surgical procedure and obtaining good and excellent functional results after the surgery. K e y w o r d s: hip replacement, a navigation system, a safe zone 00Lewinnek03, gyroscope,accelerometer. 05ｨ ｨ 06050209ｨ ｨｪｨｨ07 ｨｨ ｨｰ08ｨ 09ｨｬ04 ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ 0709050706ｨｰ0907 0601ｨｪ06ｨｦ ｨｨ04 0609ｨｪ0609ｨｪ0401 070806ｨ 0502ｨｬ 0906090802ｨｬ02ｨｪｨｪ06ｨｦ ｨｰ08ｨ 09ｨｬｨ ｨｰ06050600ｨｨｨｨ ｨｨ 0608ｨｰ06070201ｨｨｨｨ. 0306 ｨｬｨｪ02ｨｪｨｨ06 ｨｬｨｪ0600ｨｨ01 ｨ 09ｨｰ06080609, 09 ｨｪｨ 09ｨｰ0607ｨｴ0202 090802ｨｬ07 ｨｪｨ ｨｨ05ｨｮ ﾂ03ｨｨｨｬ, ｨ 0906 ｨｬｨｪ0600ｨｨ01 0905ｨｮ ﾂｨ 0701 ｨｨ 0201ｨｨｨｪ09ｨｰ0902ｨｪｨｪ04ｨｬ 090604ｨｬ0603ｨｪ04ｨｬ ｨｬ02ｨｰ060106ｨｬ 0502 ﾂ02ｨｪｨｨ07 ｨｰｨ ｨｺｨｨ01 07ｨ 02ｨｨ02ｨｪｨｰ0609 0709050702ｨｰ0907 05ｨｪ0106070806ｨｰ0204ｨｨ080609ｨ ｨｪｨｨ02 ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ [1, 4]. 0604 ｨｺｨ 030106ｨｦ ｨｰ040907 ﾂｨｨ 090408060905060006 ｨｪｨ 09020502ｨｪｨｨ07 04060909ｨｨｨｨ 09 ｨｰｨ ｨｺ06ｨｦ 06070208ｨ 02ｨｨｨｨ ｨｪｨｮ0301ｨ 06ｨｰ0907 27 ﾂ0205060902ｨｺ, 0708ｨｨ 05ｨｰ06ｨｬ ｨｨ04 ｨｪｨｨ01 ｨｪ02 ｨｬ02ｨｪ0202 30% ｨC 05ｨｨ02ｨ 09 09060408ｨ 09ｨｰ02 0106 35 0502ｨｰ [1, 2]. 0201ｨｪｨｨｨｬ ｨｨ04 0609ｨｪ0609ｨｪ0401 00ｨ ｨｺｨｰ06080609, 06ｨｰ ｨｺ06ｨｰ06080401 04ｨ 09ｨｨ09ｨｨｨｰ ｨｮ09070201 06070208ｨ 02ｨｨｨｨ 0706 04ｨ ｨｬ02ｨｪ02 09ｨｮ09ｨｰｨ 09ｨ, 0709050702ｨｰ0907 0708ｨ 09ｨｨ05ｨｹｨｪ0602 070605060302ｨｪｨｨ02 ｨｺ06ｨｬ0706ｨｪ02ｨｪｨｰ0609 05ｨｪ0106070806ｨｰ0204ｨ [8]. 0306 ｨｬｨｪ02ｨｪｨｨ06 G.Lewinnek ｨｨ 0906ｨ 09ｨｰ., 0607ｨｰｨｨｨｬｨ 05ｨｹｨｪ06 09050201ｨｮ06ｨｴ0202 070605060302ｨｪｨｨ02 090208ｨｰ05ｨｮ03ｨｪ060006 ｨｺ06ｨｬ0706ｨｪ02ｨｪｨｰｨ 05ｨｪ0106070806ｨｰ0204ｨ : 06ｨｰｨｺ0506ｨｪ02ｨｪｨｨ02 0906 000806ｨｪｨｰｨ 05ｨｹｨｪ06ｨｦ 07050609ｨｺ0609ｨｰｨｨ (ｨｨｨｪｨｺ05ｨｨｨｪｨ 02ｨｨ07) ｨC 30ｨC50 0008ｨ 01ｨｮ090609, 06ｨｰｨｺ0506ｨｪ02ｨｪｨｨ02 09 000608ｨｨ0406ｨｪｨｰｨ 05ｨｹｨｪ06ｨｦ 07050609ｨｺ0609ｨｰｨｨ (ｨ ｨｪｨｰ0209020809ｨｨ07) ｨC 5ｨC25 0008ｨ 01ｨｮ090609 (ｨｰｨ ｨｺ ｨｪｨ 040409ｨ 02ｨｬｨ 07 ｨ 02040607ｨ 09ｨｪｨ 07 0406ｨｪｨ Lewinnek ｨC 00Safe Zone Lewinnek03) [13]. 01020708ｨ 09ｨｨ05ｨｹｨｪｨ 07 0608ｨｨ02ｨｪｨｰｨ 02ｨｨ07 ｨｨｨｬ0705ｨ ｨｪｨｰｨ ｨｰｨ 09060708070302ｨｪｨ 09 ｨｰｨ ｨｺｨｨｨｬｨｨ 0609050603ｨｪ02ｨｪｨｨ07ｨｬｨｨ, ｨｺｨ ｨｺ ｨｨｨｬ07ｨｨ0103ｨｬ02ｨｪｨｰ, 090409ｨｨ01ｨｨ 0006050609ｨｺｨｨ 05ｨｪ0106070806ｨｰ0204ｨ, ｨ 090207ｨｰｨｨ ﾂ0209ｨｺ0602 08ｨ 0903ｨ ｨｰ0409ｨ ｨｪｨｨ02, 070609040302ｨｪｨｪ04ｨｦ ｨｨ04ｨｪ0609 07ｨ 0804 ｨｰ0802ｨｪｨｨ07, 060008ｨ ｨｪｨｨ- ﾂ02ｨｪｨｨ02 0109ｨｨ0302ｨｪｨｨｨｦ 09 09ｨｮ09ｨｰｨ 0902, ﾂｨｰ06 ｨｰ0802ｨ ｨｮ02ｨｰ 07080609020102ｨｪｨｨ07 070609ｨｰ0608ｨｪ0401 06070208ｨ ｨｰｨｨ09ｨｪ0401 09ｨｬ0203ｨ ｨｰ0205ｨｹ09ｨｰ09 [5, 9, 12, 14, 15]. ﾁｨｰ06ｨ 04 ｨｨ04ｨ 0203ｨ ｨｰｨｹ 0609050603ｨｪ02ｨｪｨｨｨｦ, 06ｨ ｨｮ090506090502ｨｪｨｪ0401 ｨｪ020708ｨ 09ｨｨ05ｨｹｨｪ04ｨｬ 070605060302ｨｪｨｨ02ｨｬ ｨｺ06ｨｬ0706ｨｪ02ｨｪｨｰ0609 ｨｨ09ｨｺｨｮ0909ｨｰ0902ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ, 08ｨ 0408ｨ ｨ 06ｨｰｨ ｨｪ04 08ｨ 0405ｨｨ ﾂｨｪ0402 0907060906ｨ 04 ｨｨ ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪ0402 ｨｮ09ｨｰ0806ｨｦ09ｨｰ09ｨ 010507 ｨｨ01 0608ｨｨ02ｨｪｨｰｨ 02ｨｨｨｨ 09 ｨｰ080201ｨｬ0208ｨｪ06ｨｬ 07080609ｨｰ08ｨ ｨｪ09ｨｰ0902. 01ｨ ｨｨｨ 06050202 08ｨ 0907080609ｨｰ08ｨ ｨｪ04 09050201ｨｮ06ｨｴｨｨ02: 070604ｨｨ02ｨｨ06ｨｪｨｨ080609ｨ ｨｪｨｨ02 0706 ｨ ｨｪｨ ｨｰ06ｨｬｨｨ ﾂ0209ｨｺｨｨｨｬ 0608ｨｨ02ｨｪｨｰｨｨ08ｨ ｨｬ, 09ｨｰｨ ｨｪ01ｨ 08ｨｰｨｪ0402 07-06ｨ 08ｨ 04ｨｪ0402 ｨｪｨ 0708ｨ 09ｨｨｨｰ0205ｨｨ, ｨｬ0201ｨ ｨｪｨｨ ﾂ0209ｨｺｨｨ02 ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪ0402 ｨｮ09ｨｰ0806ｨｦ09ｨｰ09ｨ. 07ｨｺｨ 04ｨ ｨｪｨｪ0402 ｨｮ09ｨｰ0806ｨｦ09ｨｰ09ｨ 07080201ｨｪｨ 04ｨｪｨ ﾂ02ｨｪ04 010507 ｨｮ09ｨｰｨ ｨｪ0609ｨｺｨｨ 090208ｨｰ05ｨｮ03ｨｪ060006 ｨｺ06ｨｬ0706ｨｪ02ｨｪｨｰｨ 05ｨｪ0106070806ｨｰ0204ｨ ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ, 09 09090704ｨｨ 09 ﾂ02ｨｬ 0608ｨｨ02ｨｪｨｰｨ 02ｨｨ07 ｨｪ0603ｨｺｨｨ 0708ｨｨ ｨｨ01 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨｨｨ 0609ｨｮｨｴ0209ｨｰ09050702ｨｰ0907 09ｨｮｨ ｨｲ02ｨｺｨｰｨｨ09ｨｪ06. 0208ｨｨ02ｨｪｨｰｨ 02ｨｨ07 0706 ｨ ｨｪｨ ｨｰ06ｨｬｨｨ ﾂ0209ｨｺｨｨｨｬ 0608ｨｨ02ｨｪｨｰｨｨ08ｨ ｨｬ 090604ｨｬ0603ｨｪｨ 09 0905ｨｮ ﾂｨ 0701, ｨｺ060001ｨ 06ｨｪｨｨ 010608060306 090408ｨ 0302ｨｪ04, ｨｰ. 02. ｨｪｨ 08ｨ ｨｪｨｪｨｨ01 09ｨｰｨ 01ｨｨ0701 04ｨ ｨ 06050209ｨ ｨｪｨｨｨｦ ｨｰｨ 0406ｨ 02010802ｨｪｨｪ060006 09ｨｮ09ｨｰｨ 09ｨ ｨｨ 0708ｨｨ 06ｨｰ09ｨｮｨｰ09ｨｰ09ｨｨｨｨ 01ｨｨ090705ｨ 04ｨｨｨｨ [10]. 00 070609050201ｨｪ0202 01020907ｨｰｨｨ0502ｨｰｨｨ02 03ｨｨ0806ｨｺ0602 08ｨ 0907080609ｨｰ08ｨ ｨｪ02ｨｪｨｨ02 070605ｨｮ ﾂｨｨ05ｨｨ ｨｰｨ ｨｺ ｨｪｨ 040409ｨ 02ｨｬ0402 ｨｺ06ｨｬ07ｨｹ06ｨｰ0208ｨｪ0402 ｨｪｨ 09ｨｨ00ｨ 02ｨｨ06ｨｪｨｪ0402 09ｨｨ09ｨｰ02ｨｬ04, ｨｺ06ｨｰ06080402, 09 06ｨｰ05ｨｨ ﾂｨｨ02 06ｨｰ 0904030207020802- ﾂｨｨ090502ｨｪｨｪ0401 ｨｮ09ｨｰ0806ｨｦ09ｨｰ09, 0706040906050706ｨｰ ｨｪ02 ｨｰ0605ｨｹｨｺ06 ｨｮ09ｨｰｨ ｨｪｨ 0905ｨｨ09ｨ ｨｰｨｹ ｨｨ0705ｨ ｨｪｨｰｨ ｨｰ04, ｨｪ06 ｨｨ 0607080201020507ｨｰｨｹ 0105ｨｨｨｪｨｮ ｨｺ06ｨｪ02 ﾂｨｪ0609ｨｰｨｨ, 06000902ｨｰ, ｨ ｨｬ0705ｨｨｨｰｨｮ01ｨｮ 0109ｨｨ0302ｨｪｨｨｨｦ 09 09ｨｮ09ｨｰｨ 0902 ｨｨ 080701 0108ｨｮ00ｨｨ01 07ｨ 08ｨ ｨｬ02ｨｰ080609 [11]. 040204ｨｮ05ｨｹｨｰｨ ｨｰ04 0708ｨｨｨｬ02ｨｪ02ｨｪｨｨ07 05ｨｰｨｨ01 09ｨｨ09ｨｰ02ｨｬ 0706ｨｺｨ 040409ｨ 06ｨｰ, ﾂｨｰ06 06ｨｪｨｨ ｨｨｨｬ0206ｨｰ 010609ｨｰｨ ｨｰ06 ﾂｨｪ06 09040906ｨｺｨｮ06 ｨｰ06 ﾂｨｪ0609ｨｰｨｹ. 02ｨ ｨｪｨｪ0402 09ｨｨ09ｨｰ02ｨｬ04 09ｨｺ0506 ﾂｨ 06ｨｰ ｨｪｨ ｨ 0608 01ｨ ｨｰ ﾂｨｨｨｺ0609, ｨｺ06ｨｰ06080402 030209ｨｰｨｺ06 00ｨｨｨｺ09ｨｨ08ｨｮ06ｨｰ0907 ｨｪｨ ｨｺ0609ｨｰ0701 ｨｰｨ 04ｨ, ｨ 02010802ｨｪｨｪ06ｨｦ ｨｺ0609ｨｰｨｨ, ｨｨｨｪ09ｨｰ08ｨｮｨｬ02ｨｪｨｰｨ 01 ｨｨ 01ｨ ｨｰ ﾂｨｨｨｺ-ｨｮｨｺｨ 04ｨ ｨｰ0205ｨｹ. 06ｨｪ000608ｨｬｨ 02ｨｨ07 06 070605060302ｨｪｨｨｨｨ ｨｰｨ 04ｨ ｨｨ ｨ 020108ｨ 09 07080609ｨｰ08ｨ ｨｪ09ｨｰ0902 0702080201ｨ 02ｨｰ0907 09 ｨｮｨｺｨ 04ｨ ｨｪｨｪ0401 01ｨ ｨｰ ﾂｨｨｨｺ0609 (07060908020109ｨｰ0906ｨｬ 0608-ｨｨ0405ｨｮ ﾂ02ｨｪｨｨ07) 09 0702080906ｨｪｨ 05ｨｹｨｪ04ｨｦ ｨｺ06ｨｬ07ｨｹ06ｨｰ0208, ｨｪｨ 05ｨｺ08ｨ ｨｪ02 ｨｺ06ｨｰ0608060006 06ｨｰ06ｨ 08ｨ 03ｨ 06ｨｰ0907 07ｨ 08ｨ ｨｬ02ｨｰ0804, ｨｪ0206ｨ 010601ｨｨｨｬ0402 09 0708060202090902 06070208ｨ 02ｨｨｨｨ. 000602ｨｪｨｪ060905ｨｮ03ｨ ｨｴｨｨ02 0708020109ｨｰｨ 09050706ｨｰ 0906ｨ 06ｨｦ 060906ｨ ｨｮ06 0008ｨｮ0707ｨｮ ｨｪｨ 09020502ｨｪｨｨ07 ｨｺｨ ｨｺ 0706 09060408ｨ 09ｨｰｨｮ, 070605ｨｮ, 01ｨ 08ｨ ｨｺｨｰ0208ｨｮ 07ｨ ｨｰ06050600ｨｨｨｨ, ｨｰｨ ｨｺ ｨｨ 0706 09070202ｨｨ00ｨｨｨｺ02 0905ｨｮ0302ｨ ｨｪ06ｨｦ 010207ｨｰ0205ｨｹｨｪ0609ｨｰｨｨ. 00 01ｨ ｨｪｨｪ06ｨｦ ｨｺｨ ｨｰ02000608ｨｨｨｨ ｨ 0605ｨｹｨｪ0401 09040102050706ｨｰ