ࡱ> 'bjbjqqLzeeh  ppppp8L<ADDDDD###@@@@@@@$SCEA]p####AppDDcAK/K/K/# pDpD@K/#@K/K/=?D0s-P&H>@yA0A`>F+RF0?Fp?K/###AA.^###A####F######### ( 6:/"  ( " : http://vk.com/ybody 8=8AB5@AB2> 74@02>>E@0=5=8O >AA89A:>9 $545@0F88 ;B09A:89 3>AC40@AB25==K9 <548F8=A:89 C=825@A8B5B 0D54@0 ?@>?5452B8:8 2=CB@5==8E 1>;57=59 02. :0D54@>9 ?@>D. :045<8G5A:0O 8AB>@8O 1>;57=8 >;L=>9: C@0B>@: ABC45=B:0 319 3@C??K III :C@A0 ;5G51=>3> D0:C;LB5B0 @5<O :C@0F88: 25.03  02.04.2003 3. @5?>4020B5;L: 0A?>@B=0O G0ABL: 1. $...: 2. >7@0AB: 59 ;5B 3. 5AB> @01>BK: F5=B@ 70=OB>AB8 =0A5;5=8O 4. 5AB> 68B5;LAB20: 5. 0B0 ?>ABC?;5=8O 2 :;8=8:C: 19.03.2003 3. 803=>7: =52<>=8O 2 ?@02>9 =86=59 4>;5.  II. AB@K9 1@>=E8B. Pneumonia crouposae dextri lobi inferioris. Insufficientia respiratoria gradus II. STATUS PRAESENS SUBJECTIVUS 0;>1K 1>;L=>3> =0 <><5=B >A<>B@0: @54:89 ACE>9 :0H5;L; >4KH:0 ?@8 D878G5A:>9 =03@C7:5; ;Q3:0O A;01>ABL, =54><>30=85; 3>;>2>:@C65=85 0;>1K =0 <><5=B ?>ABC?;5=8O: @54:89 ACE>9 :0H5;L; >4KH:0 ?@8 D878G5A:>9 =03@C7:5; A;01>ABL, =54><>30=85; @0A?8@0NI85 3>;>2=K5 1>;8; 3>;>2>:@C65=85; HC< 2 CH0E, 70:;04K205B CH8 ?@8 ?>2KH5=88 8 A=865=88  1>;8 70 3@C48=>9 402OI53> E0@0:B5@0. ANAMNESIS MORBI !G8B05B A51O 1>;L=K< A 17.03.2003 3., :>340 ?>O28;AO @54:89 ACE>9 :0H5;L, >4KH:0 ?@8 D878G5A:>9 =03@C7:5, 3>;>2=K5 1>;8, 3>;>2>:@C65=85.  2@0GC >1@0I0BLAO =5 AB0;. !0<>AB>OB5;L=> =8 G5< =5 ;5G8;AO. 01>;520=85 =5 ?@>3@5AA8@>20;>. !>AB>O=85 1>;L=>3> 1K;> C4>2;5B2>@8B5;L=K<. 19.03.2003 87-70 2K@065==KE 3>;>2=KE 1>;59 2K720; A:>@CN ?><>IL 8 1K; 3>A?8B0;878@>20= 2 3>@>4A:CN 1>;L=8FC !12 A 4803=>7>< 38?5@B>=8G5A:89 :@87 (=0 <><5=B ?>ABC?;5=8O  180/100 ?@8 @01>G5< 130/80, B5<?5@0BC@0 36,6). ANAMNESIS VITAE >48;AO 1.07.1943 3. 2 45@52=5 2 <=>3>45B=>9 A5<L5.  45BA:>< 2>7@0AB5 ?5@55E0; A @>48B5;O<8 2 3>@>4. ;04H89 @51Q=>: 2 A5<L5, 8<55B ?OBL 1@0BL52 8 B@8 A5AB@K. $878G5A:8 8 8=B5;;5:BC0;L=> @072820;AO =>@<0;L=>, >B A25@AB=8:>2 =5 >BAB020;. ! 7-<8 ;5B ?>H5; 2 H:>;C. #G8;AO E>@>H>.  ?5@8>4 A 1962 3. ?> 1963 3.?@>E>48; A;C61C 2 @O40E !>25BA:>9 @<88.  1963 3. A1560; 87 0@<88, 65=8;AO 8 CAB@>8;AO @01>B0BL 2 . >A;5 =5:>B>@>5 2@5<O @01>B0; 2 AD5@5 A2O78 <>=BQ@><. :>=G8; @5=1C@3A:89 65;57=>4>@>6=K9 B5E=8:C<, ?>;CG8; ?@>D5AA8N <0H8=8AB0 8 2 B5G5=85 20-B8 ;5B @01>B0; ?> ?@>D5AA88. 0B5< 2 B5G5=85 ?OB8 ;5B M;5:B@><>=BQ@>< =0 "!, 345, :0: CB25@6405B, @01>B0; A :8A;>B0<8.  40==>5 2@5<O =5 @01>B05B 8 A>AB>8B =0 CGQB5 2 F5=B@5 70=OB>AB8. !+  5=0B, 8<55B 42CE 27@>A;KE 45B59 8 42CE 2=C:>2. !!"!",  535=40: @>10=4  II-9; >B5F ?@>10=40  I-1 (C<5@ 5AB5AB25==>9 A<5@BLN 2 AB0@G5A:>< 2>7@0AB5, ?@8G8=0 =58725AB=0); <0BL ?@>10=40  I-2 (C<5@;0 5AB5AB25==>9 A<5@BLN 2 AB0@G5A:>< 2>7@0AB5, ?@8G8=0 =58725AB=0); 1@0BLO ?@>10=40  II-1,2,3,4,5 (74>@>2K); A5AB@K ?@>10=40  II-6,7,8 (74>@>2K); 65=0 ?@>10=40  II-10 (74>@>20); AK= ?@>10=40  III-2 (74>@>2); 4>GL ?@>10=40  III-3 (74>@>20); 2=C:8 ?@>10=40  IV-1,2 (74>@>2K). 0A;54AB25==K5 8 >=:>;>38G5A:85 701>;520=8O C @>48B5;59 =5 7=05B, C @>4AB25==8:>2 >B@8F05B. +"  0B5@80;L=> >15A?5G5=, ?@>68205B A 65=>9 2 2-E :><=0B=>9 :20@B8@5. 8B0=85 @53C;O@=>5 3-4 @070 2 45=L, ?>;=>F5==>5, @07=>>1@07=>5. -'!  =D5:F8>==K9 35?0B8B, 25=5@8G5A:85 701>;520=8O, B8DK, <0;O@8N 8 BC15@:C;57 >B@8F05B. 0 ?>A;54=85 H5ABL <5AOF52 :@>2L =5 ?5@5;820;0AL, C AB><0B>;>30 =5 ;5G8;AO, 8=J5:F88 =5 ?@>872>48;8AL, 70 ?@545;K 3>@>40 =5 2K5760; 8 :>=B0:B0 A 8=D5:F8>==K<8 1>;L=K<8 =5 8<5;. >A;54=OO $ 2 <05 2002 3>40. -&,- -!%'!  5@568; BO6Q;>5 ?A8E>M<>F8>=0;L=>5 ?5@56820=85 2 2000 3., :>340 ?>?0; 2 02B><>18;L=CN 020@8N, 2 @57C;LB0B5 :>B>@>3> ?@>87>HQ; 8=D0@:B <8>:0@40.  !+ /  45BAB25 =5A:>;L:> @07 1>;5;  . !2545=8O<8 > ?5@5=5AQ==KE 45BA:8E 701>;520=8OE =5 @0A?>;0305B.  1966 3>4C 1K;0 ?@>872545=0 0??5=4M:B><8O.  2 2000 3>4C. "@02< =5 1K;>. % '! / - !B5=>:0@48O =0?@O65=8O III DC=:F8>=0;L=>3> :;0AA0 (2 B5G5=85 3-E ;5B). @8=8<05B ACAB0: 1 B01;5B:C 1 @07 2 45=L. @8ABC?K 703@C48==KE 1>;59 A=8<05B ?@8Q<>< =8B@>3;8F5@8=0. - 8?5@B>=8G5A:0O 1>;57=L (A 1985 3.).  ?>2KH05BAO 4> 200/110 <<. @B. AB. @8=8<05B :0?>B5= 0,25 <3 3 @070 2 45=L.  +'+ "!& 5 :C@8B, 0;:>3>;L C?>B@51;O5B C<5@5==>. @5?:8< G05<, :>D5 =5 7;>C?>B@51;O5B. #?>B@51;5=85 =0@:>B8G5A:8E 25I5AB2 >B@8F05B. " !$#+  5<>B@0=ADC788 @0=LH5 =5 ?@>872>48;8AL.  '!  ;;5@38G5A:85 @50:F88 =0 ?8I52K5 ?@>4C:BK =5 >B<5G05B. @54?>;0305B =0;8G85 0;;5@38G5A:>9 @50:F88 =0 AC?@0AB8=. !" %  !B@0E>2>9 ?>;8A 8<55BAO. =20;84 III 3@C??K (?>  8 !). STATUS PRAESENS OBJECTIVUS ) !"  !>AB>O=85 C4>2;5B2>@8B5;L=>5. !>7=0=85 OA=>5. >;>65=85 0:B82=>5. >@<>AB5=8G5A:>3> B8?0 B5;>A;>65=8O, =>@<0;L=>3> ?8B0=8O. =5H=89 284 A>>B25BAB2C5B 2>7@0ABC. >6=K5 ?>:@>2K @>7>2>3> F25B0, ACE85, G8ABK5, 157 2KAK?0=89. -;0AB8G=>ABL :>68 8 BC@3>@ B:0=59 A=865=. BQ:>2 =5B. >4:>6=>-68@>20O :;5BG0B:0 2K@065=0 C4>2;5B2>@8B5;L=>, B>;I8=0 A:;04:8 =0 C@>2=5 ?C?:0 4 A<. >;>AO=>9 ?>:@>2 @02=><5@=K9, A8<<5B@8G=K9, A>>B25BAB2C5B ?>;C. >3B8 >20;L=>9 D>@<K, 15;5A>20B>-@>7>2>3> F25B0, G8ABK5. !;878AB0O 3;07 1;54=>-@>7>20O, 2;06=0O, G8AB0O. !:;5@K =5 87<5=5=K. !;878AB0O I5:, <O3:>3> 8 B25@4>3> =510, 704=59 AB5=:8 3;>B:8 8 =51=KE 4C65: 1;54=>-@>7>20O, 2;06=0O, G8AB0O. 8=40;8=K =5 2KE>4OB 70 ?@845;K =51=KE 4C65:. 5A=K =5 87<5=5=K. C1K G0AB8G=> >BACBAB2CNB. /7K: >1KG=KE @07<5@>2, 2;06=K9, 157 =0;5B0, A>A>G:8 2K@065=K, 3;>B0=85 =5 70B@C4=5=>. 5@8D5@8G5A:85 ;8<D>C7;K =5 C25;8G5=K, 1571>;57=5==K, =5 ?0;L?8@CNBAO. A0=:0 ?@028;L=0O, ?>E>4:0 157 >A>15==>AB59. !CAB02K >1KG=>9 :>=D83C@0F88, A8<<5B@8G=K5, 42865=8O 2 =8E 2 ?>;=>< >1J5<5, 1571>;57=5==K5. KHFK @0728BK C4>2;5B2>@8B5;L=>, A8<<5B@8G=>, B>=CA <KHF A>E@0=Q=. >AB 170 A<, 25A 75 :3. +%",/ !!" A<>B@ KE0=85 G5@57 =>A, A2>1>4=>5, @8B<8G=>5, ?>25@E=>AB=>5. "8? 4KE0=8O A<5H0==K9. 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' 07=0G05< 485BC ! 10. =B810:B5@80;L=0O B5@0?8O. 07=0G05< :0@15=8F8;;8= 8 35=B0<8F8=. Rp.: Carbenicillini-dinatrici 1,0 D.T.D.N. 20 in amp. S. !>45@68<>5 D;0:>=0 @0AB2>@8BL 2 5 <; D878>;>38G5A:>3> @0AB2>- @0, 22>48BL 2=CB@8<KH5G=> 4 @070 2 ACB:8. # Rp.: Sol. Gentamycini sulfatis 4%-2ml D.T.D.N. 15 in amp. S. 2>48BL ?> 2 <; 2=CB@8<KH5G=> 3 @070 2 ACB:8. @>2>48< 4578=B>:A8:0F8>==CN B5@0?8N. ;O MB>3> =07=0G05< >18;L=>5 ?8BLQ, 35<>457, :0;LF8O 3;N:>=0B, =0B@8O B8>AC;LD0B, ;078:A. Rp.: Sol. Haemodesi 400,0 D.T.D.N. 2 S. 2>48BL ?> 400 <; 2=CB@825==>, :0?5;L=>, <54;5==> G5@57 45=L. # Rp.: Sol. Calcii gluconatis 10%-10ml D.T.D.N. 5 in amp. S. 2>48BL ?> 10 <; 2=CB@8 <KH5G=> 1 @07 2 45=L-4=5<, G5@57 45=L. # Rp.: Sol. Natrii thiosulfatis 30%-10ml D.T.D.N. 5 in amp. S. 2>48BL 2=CB@825==>, <54;5==> ?> 10 <; 1 @07 2 45=L, G5@57 45=L. # Rp.: Sol. "Lasix" (20mg) D.T.D.N. 3 in amp. S. 2>48BL ?> 20 <3 2=CB@825==> 1 @07 2 45=L, G5@57 45=L. # 4. 07=0G5=85 28B0<8=>B5@0?88. 5G5=85 A8<?B><0B8G5A:>5 8;8 =07=0G5=85 ?>;828B0<8=>2. 5. >@L10 A 4KE0B5;L=>9 =54>AB0B>G=>ABLN. @5?0@0B>< 2K1>@0 O2;O5BAO MCD8;;8=. -CD8;;8=. !?07<>;8B8:. 5E0=87< 459AB28O: @0AA;01;O5B <KHFK 1@>=E>2, ?>=8605B A>?@>B82;5=85 :@>25=>A=KE A>AC4>2, ?>=8605B 402;5=85 2 A8AB5<5 ;53>G=>9 0@B5@88, C25;8G8205B ?>G5G=K9 :@>2>B>:, >:07K205B 48C@5B8G5A:>5 459AB285. >:070=8O: 38?5@B5=78O 2 <0;>< :@C35 :@>2>>1@0I5=8O. >1>G=K5 O2;5=8O: 45@<0B8B, ;8E>@04>G=0O @50:F8O. # Rp.: Sol. Euphyllini 2,4%-10ml D.T.D.N. 2 in amp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p.: Tab. Bromhexini 0,008 D.T.D.N. 40 S. > 2 B01;5B:8 3 @070 2 45=L. # ;O CA:>@5=8O @0AA0AK20=8O 2>A?0;8B5;L=>3> ?@>F5AA0, C;CGH5=8O 4@5=06=>9 DC=:F88, C<5=LH5=85 2O7:>AB8 <>:@>BK =07=0G0NB D878>B5@0?52B8G5A:>5 ;5G5=85: 8=30;OF88 I5;>G59, 1@>=E>;8B8:>2, >BE0@:820NI8E, M;5:B@>D>@57 E;>@840 :0;LF8O, 0A:>@18=>2>9 :8A;>BK, F8=:0, 9>40, 35?0@8=0, ;8407K, #'-B5@0?8O, <8:@>2>;=>20O B5@0?8O, 83;>C:0;K20=85, <0AA06 3@C4=>9 :;5B:8, $. " "# : @515=52 . . @>?5452B8:0 2=CB@5==8E 1>;57=59: #G51=8:.  .: 548F8=0, 2001 3.; &25B:>20 . . AB@K9 8 E@>=8G5A:89 1@>=E8BK, ?=52<>=8O.  .: 740B5;LA:89 4>< CAA:89 2@0G.  2002 3.  @8;>65=85 : 6C@=0;C @0G. !B@0GC=A:89 . !. -<?8@8G5A:0O 0=B810:B5@80;L=0O B5@0?8O 2=51>;L=8G=KE ?=52<>=89 (>17>@ 70@C156=>9 ;8B5@0BC@K).  C@=0; SYNOPSIS MEDICINALIS.  .: 740B5;LA:89 4>< CAA:89 2@0G.  2002 3., !2 $8A5=:> ., '8G:>20 . $0@<0:>;>38G5A:>5 2>7459AB285 =0 B>=CA 1@>=E>2: ?5@A?5:B82=K5 =0?@02;5=8O.  C@=0; @0G ! 11 2002 3.; =BC@5==85 1>;57=8, ?>4 @540:F859 $.. ><0@>20, >A:20, 874. 548F8=0, 19903. 0H:>2A:89 .  . 5:0@AB25==K5 A@54AB20.  %0@L:>2: 8740B5;LAB2> ">@A8=3.  1997 3. 803=>AB8G5A:89 A?@02>G=8: B5@0?52B0, ?>4 @540:F859 '8@:8=0 '..  8=A:: 8740B5;LAB2> 5;0@CAL.  1993 3.  # & 0B0"C"2"5:AB 4=52=8:007=0G5=8O14.10.0236,836,60;C5BAO =0 :0H5;L A =51>;LH8< :>;8G5AB2>< 15;>9 <>:@>BK, =0 BC?CN 1>;L 2 ?@02>< 1>:C ?> @Q15@=>9 4C35 ?@8 <5E0=8G5A:>< @074@065=88.!>AB>O=85 C4>2;5B2>@8B5;L=>5, A>7=0=85 OA=>5, ?>;>65=85 0:B82=>5, =0 :>=B0:B 84QB ;53:>. 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