Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao

OAeE 616-001.17-07-089

O?noaeue Ai?eue sseiae/

Ee?i?ea, ae?aaiinoeea oa e?eoaaiiy

ii?e?a IV nooiaith

14.01.03.- o??o?a?y

Aaoi?aoa?ao aeena?oaoe??

ia caeiaoooy iaoeiaiai nooiaiy

aeieoi?a iaaee/ieo iaoe

Oa?e?a — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia ia eaoaae?? aini?oaeueii? o??o?a?? ? 1 Aeiiaoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo I?i?noa?noaa ioi?iie caei?ia’y
Oe?a?ie oa eaoaae?? eiiaono?ieia?? ? niieo/aii? o?aaie Oa?e?anueeiai
?inoeoooo oaeineiiaeaiiy e?ea??a.

Iaoeiaee eiinoeueoaio: aeieoi? iaaee/ieo iaoe, i?ioani?
A?eai?’?aa Oaia?a A?eai??aia, Oa?e?anueeee ?inoeooo oaeineiiaeaiiy
e?ea??a IIC Oe?a?ie, eaoaae?a eiiaono?ieia?? oa niieo/aii? o?aaie.

Io?oe?ei? iiiiaioe: caneoaeaiee ae?y/ iaoee ?
oaoi?ee Oe?a?ie, eao?aao Aea?aeaaii? i?ai?? Oe?a?ie, aeieoi? iaaee/ieo
iaoe, i?ioani? Eoiaeueoeaa Aieiaeeie? ?aaiiae/, caa?aeoaa/ eaoaae?ith
o??o?a?/ieo oai?ia Oa?e?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

aeieoi?
iaaee/ieo iaoe, i?ioani? Eiceiaoeue Aai?a?e Iaaeiae/, Ee?anueea
aeaaeai?y i?neyaeeieiiii? ina?oe IIC Oe?a?ie, eaoaae?a o??o?a?? oa
ii?eiai? oai?iae.

aeieoi?
iaaee/ieo iaoe, eao?aao Aea?aeaaii? i?ai?? Oe?a?ie, i?ioani? A?aeei ?aai
Iao?iae/, Aei?i?iiao?ianueea iaaee/ia aeaaeai?y IIC Oe?a?ie, eaoaae?a
o??o?a?/ieo caoai?thaaiue.

I?ia?aeia onoaiiaa: ?inoeooo ee?i?/ii? oa aenia?eiaioaeueii? o??o?a??
AII Oe?a?ie, a?aeae?e i?e?io??o?a?? oa ieanoe/ii? o??o?a??.

Caoeno a?aeaoaeaoueny 22 ea?oiy 1999 ?. i 12 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 64.600.01 i?e Oa?e?anueeiio
aea?aeaaiiio iaaee/iiio oi?aa?n?oao? ca aae?anith: 310022, Oe?a?ia, i.
Oa?e?a, i?. Eai?ia, 4.

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?n?oaoo ca aae?anith: 310022, Oe?a?ia, i.
Oa?e?a, i?. Eai?ia, 4.

Aaoi?aoa?ao ?ic?neaii 22 aa?aciy 1999 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii? ?aaee,

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
Oaiueei I.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE.

Aeooaeuei?noue i?iaeaie. No?oeoo?a ii?eiaiai o?aaiaoecio ca inoaii?
?iee cia/ii ci?ieeany a ?acoeueoao? ca?eueoaiiy ieoiii? aaae oai?eo c
aeeaieeie ii?aceaie [Acieia A.A. oa ?i., 1996, Iianoyiee I.TH.,1992,
1998.]. Iaea?eueo oea a?ae/oaa?oueny a i?iieneiaeo ?aa?iiao Oe?a?ie,
ui aeyaey?oueny c?inoaiiyi eaoaeueiino? oa ?iaae?ae?caoe??. Oai?? c
ii?eaie IV nooiaiy neeaaeathoue, ca iaoeie aeaieie, a?eueo ye 18% an?o
iino?aaeaeaeeo a?ae aeeaieeo ii?e?a. Iniaeeaa oyaee?noue ia?aa?ao
oaeeo ii?e?a, caaeaaeue aeeaieeo aiaoii?/ieo no?oeoo?, a?eueoa /anoioa
oneeaaeiaiue, ?icaeoie a?oaeo aeaoi?iaoe?e ? cae/aeii i?e/eiaie
iiaaieo ooieoe?iiaeueieo iane?aee?a [Ee/aiania N.O., 1990, Zhang
M.,Zhang H., 1995, Shahin A. at al., 1998.]. Iaieai? ? iicaaaeai?
aeeaeaiiy cciai? e?noee, noaeiae, nooiaeeeey iinooiiai ia?oa?thoue,
?icaeaathoueny a?o?eoe, inoaii??e?oe. Oeueiio ni?ey? ?nioth/a oaeoeea
e?eoaaiiy iino?aaeaeaeeo, ui iieyaa? a aoaiieo iae?aeoii?yo,
inoaiiae?aeoii?yo, i?aeaioiaoe? a?aioethth/eo ?ai ? cae?eooth ?o oeyoii
a?eueii? ia?anaaeee oe??e. Oaea oaeoeea a iei?oi?e /an ?
ia?aoe?iiaeueiith ? oeaiith [Aoaeeaae/ E.?.oa ?i., 1998, Aonae A.E. oa
?i., 1998, Eiceiaoeue A.I., 1998].

A?aeaa?oaiiy caa?ice caaeaae? aeeaieeo aiaoii?/ieo no?oeoo? iaaii
caeaaeeoue a?ae ?aiiueiai cae?eooy ?ai iaeiei c cania?a ieanoeee
iiaiioe?iiei iie?iaii oeaiei, ui aeicaieeoue a?aeiiaeoe e?iaiia?a a
o?aaeai?e cii? ? aeinyaoe ?aaaneoey?ecaoe??. Ca inoaii? ?iee c’yaeeany
cia/ia e?euee?noue iia?aeiieaiue i?i canoinoaaiiy ia?anaaeie eiiieaen?a
oeaiei ? aea?iioaic?? i?e e?eoaaii? aeeaieeo ii?eiaeo ? o?aaiaoe/ieo
iioeiaeaeaiue [ A?eionia ?.A., 1989,1991, A?eai?’?aa O.A., 1991, A?aeei
?.I. oa ?i., 1994, Galhhos F.H. at al., 1985, Grube D.J.at al., 1992.].

?aii? o??o?a?/i? ao?o/aiiy, iaaii, noathoue caniaii aeai?o i?e ii?eao
III ? iniaeeai IV nooiaith, iaeiae a Oe?a?i? aiie aeioaia?, iaaeaeue,
ia io?eiaee iaeaaeiiai ai?iaaaeaeaiiy. Oea iia’ycaia, ca iaoith
aeoieith, c ianoa/ath i?aeaioiaaieo oao?aoe?a, a?aeiia?aeiiai
iaeaaeiaiiy ? iaoa??aeueiiai caaacia/aiiy ii?eiaeo oeaio??a e?a?ie.

A e?oa?aoo?? oaeoe/ii a?aenooi? a?aeiiino? i?i iaoiaaiac ii?e?a IV
nooiaiy, ee?ie/i? i?iyae, caniae ?aiiuei? ae?aaiinoeee oaeeo
iioeiaeaeaiue. A?aenooiy ?aeeia i?aeia?iaeia eeaneo?eaoe?y ?ai ca
aeeaeiith ii?acee, a a ?nioth/eo ca?oa?aeieo — IV nooi?iue ii?eo
acaaae? ia ia?aaeaa/aiee. Ia ocaaaeueiai? iayai? ?ic??ciai? ioae?eaoe??,
ui noinothoueny ieoaiue o??o?a?/iiai e?eoaaiiy oai?eo c ii?eaie IV
nooiaiy. Ana aeeeaaeaia aeua aecia/a? aeooaeuei?noue ?ic?iaee
eeaneo?eaoe?? ? iaoiae?a ae?aaiinoeee iioeiaeaeaiiy oeaiei i?e ii?eao
IV nooiaiy aeey ae??oaiiy i?iaeaie aoaeoeaiiai e?eoaaiiy oaeeo
iino?aaeaeaeeo.

Ca’ycie ?iaioe c iaoeiaeie ieaiaie ? oaiaie. Iaaaaeaia aeena?oaoe?y
aeeiiaia a ?aieao ieaiiai? iaoeiai-aeine?aeii? ?iaioe «E?eoaaiiy
aeeaieeo ii?e?a a oiiaao i?iieneiaiai ?aa?iio» (aea?ae. ?a?no?aoe?y
?0198V009524), a oaeiae IAe? «Aaeineiiaeaiiy eiina?aaoeaieo ?
o??o?a?/ieo cania?a ?aaa?e?oaoe?? aaaeeiiaia/aieo ?c niieo/aieie ?
eiia?iiaaieie ii?aceaie» (aea?ae. ?a?no?aoe?y ? 0198V002290), ye?
cae?eniai? ia eaoaae?? aini?oaeueii? o??o?a?? ?1 Aeiiaoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ? eaoaae?? eiiaono?ieia?? oa
niieo/aieo ii?acie Oa?e?anueeiai ?inoeoooo oaeineiiaeaiiy e?ea??a.

Oaia aeena?oaoe?? aoea caoaa?aeaeaia ia can?aeaii? a/aii? ?aaee
Oa?e?anueeiai ?inoeoooo oaeineiiaeaiiy e?ea??a 14 eenoiiaaea 1996 ?ieo,
i?ioieie ? 8.

Iaoa aeine?aeaeaiiy. Iie?ioaiiy ?acoeueoao?a e?eoaaiiy oai?eo c
ii?eaie IV nooiaiy ca ?aooiie cieaeaiiy eaoaeueiino?, /enea
oneeaaeiaiue ? ooieoe?iiaeueieo ii?ooaiue

.

Caaea/? aeine?aeaeaiiy:

1.?ic?iaeoe iiao iaa?oioiaaio eeaneo?eaoe?th ii?e?a ca aeeaeiith ii?acee
? eeaneo?eaoe?th oneeaaeiaiue ii?eiaeo ?ai.

2.?ic?iaeoe iia? niiniae aecia/aiiy aeeoo?caeaoieo oeaiei c iaoith
ae?aaiinoeee aeeaeie ? ?iciianthaeaeaiiino? ii?e?a IV nooiaiy.

3.?ic?iaeoe niin?a aecia/aiiy ianyao iioeiaeaeaieo oeaiei ?
i?iaiicoaaiiy oyaeeino? o?aaie i?e aeeaieeo ii?eao.

4.Noai?eoe aenia?eiaioaeueio iiaeaeue ii?eo IV nooiaiy c iaoith
aea/aiiy ?aiueiaiai i?ioeano ? aecia/aiiy iiaeeeaino? ?aaaneoey?ecaoe??
oeaiei.

5.Aea/eoe ee?i?ei-iaoiaaiaoe/i? iniaeeaino? ii?e?a IV nooiaiy.

6.Aea/eoe aoaeoeai?noue ?aii?o o??o?a?/ieo ao?o/aiue ? niinia?a
?aaaneoey?ecaoe?? ?oai?ciaaieo oeaiei i?e aeeaieeo iioeiaeaeaiiyo
aieiae ? e?ioe?aie.

7.Aecia/eoe ooieoe?iiaeueio aoaeoeai?noue ?ic?iaeaieo niinia?a
o??o?a?/iiai e?eoaaiiy oai?eo o ii??aiyii? c o?aaeeoe?eieie ia i?aenoaa?
ioe?iee aeeiiaieo ?i i?aaaioeaieo iia?aoe?e.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a iieyaa? a oiio, ui
aia?oa:

— ?ic?iaeaii niin?a ae?aaiinoeee aeeaeie iioeiaeaeaiiy e?noie
neeai?iiy /a?aio ? i?eno??e aeey eiai cae?eniaiiy, ui aeicaiey?
aecia/eoe oaeoeeo o??o?a?/iiai e?eoaaiiy i?e inoaiiae?ic? (Iaoaio
Oe?a?ie ? 24607A, IIE A 61 A 6/00).

— ?ic?iaeaii aeaeo?ii?ia?ao?/iee niin?a aecia/aiiy aeeoo?caeaoiino?
i’yciai? oeaieie o iaia/aieo (Iaoaio Oe?a?ie ? 25468 A, IIE A61A 5/00),
ui aeicaiey? i?iaiaeeoe ?aiith ae?aaiinoeeo aeeaeie ? iioe?aiino?
ii?e?a IV nooiaiy.

— ?ic?iaeaii eeaneo?eaoe?th ii?eiaeo ?ai ca aeeaeiith ii?acee, yea
ia? aiaoiii-o?c?ieia?/ia iaa?oiooaaiiy, ui aeicaiey? a?eueo
aeeoa?aioe?eii i?aeoiaeeoe aei ioe?iee aeeaeie ii?eiaeo ?ai. Noai?aii
aeeoa?aioe?eii-ae?aaiinoe/io oaaeeoeth eeaneo?eaoe?eieo iciae aeeaeie
ii?eiaeo ?ai (Na?aeioeoai IA ? 640).

— noai?aia ee?ie/ia eeaneo?eaoe?y oneeaaeiaiue ii?eiaeo ?ai, yea
aeicaiey? ?o i?iaiicoaaoe ? i?iaiaeeoe a/ania e?eoaaiiy.

— a?aeoai?aii aenia?eiaioaeueio iiaeaeue ii?eo IV nooiaiy ia
iaoetheao, ui aeicaieeei aea/eoe i?e?ioee?eoeyoe?th a oeaieiao i?ney
ii?eo ? ia ??cieo aoaiao i?eaeeaeaiiy ia?anaaeaeaiiai oe??ii-i’yciaiai
eeaioy. I?e aeine?aeaeaii? iaoeaieo i?aia?ao?a i’yc?a a iiey?eciaaiiio
na?oe? aeyaeaii ii?oieia?/io iciaeo ci?iiiai aeeo?i?cio, ii ye?e
iiaeia aecia/eoe ??aaiue aeeoo?caeaoiino? iiia?a/ii-nioaanoeo i’yc?a (
??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae ? 96041671 a?ae 20.02. 97.).

— ?ic?iaeaii niin?a ia?anaaeee oe??ii-i’yciaiai eeaioy, yeee
caiia?aa? iiaeeeaei oneeaaeiaiiyi iia?aoe?e aai cieaeo? ?oi? /enei.
Can?a a?ae??ciy?oueny a?ae cai?iiiiiaaieo ?ai?oa oei, ui ie??i
aeae?eaiiy ? ia?aiino o?ainieaioaoo a ?aoe?i??ioio ciio, iaeeaaeaiiy
i?e?inoaeeiieo aianoiiic?a i?iaiaeeoueny aeaeo?inoeioeyoe?y i’yco
o?ainieaioaoo ? oaaaeaiiy a a?oa??th noaeeiii? i?aeee eeaioy
aioeieneaeaioo (??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae ? 98052608 a?ae
19.05. 98.).

— cai?iiiiiaaii niin?a oi?ioaaiiy ? ia?anaaeee oe??ii-i’yciaiai
eeaioy. A neeaae i?a?oth/iai e?oaeiai noaaea aeeth/aii i’yc c
a?nueiaei e?iaioieii. Aanue ia??iae i?a?aoe?? i’yc cacia?
aeaeo?inoeioeyoe??, ui iiia?aaeaea? eiai ao?io?th (iiaeaii cayaeo a
IAeIA).

— ?ic?iaeaii niin?a aecia/aiiy ia’?io iioeiaeaeaieo oeaiei i?e
aeeaieeo ii?eao c iaoith i?iaiicoaaiiy oyaeeino? o?aaie (??oaiiy i?i
aeaea/o iaoaioo ia aeiao?ae ? 98010090 a?ae 08.10.98.).

— ?ic?iaeaii niin?a aecia/aiiy ianyao caaeaeeo oeaiei i?e
ii?eao IV nooiaiy, yeee cae?enithaaee ca aeiiiiiaith i?ia?aie «Volume»
eiii’thoa?iiai oiiia?aoo, ui aeicaieeei iaeneiaeueii oi/ii aecia/eoe
ianya o?aaeaieo oeaiei ( cayaea ia aeiao?ae ? 98052803 a?ae
29.05.98.).

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a.

Cai?iiiiiaai? eeaneo?eaoe?? ii?eiaeo ?ai ? ?o oneeaaeiaiue
aeicaieythoue a?eueo aeeoa?aioe?eii i?ae?eoe aei ioe?iee oyaeeino?
ii?acie, aecia/eoe aea?? e?eoaaeueii? oaeoeee ? i?iaiic o?aaie.

Aeyaeai? iniaeeaino? ee?i?/iiai ia?aa?ao ?aiueiaiai i?ioeano i?e
ii?eao IV nooiaiy iiaeii? a?aoiaoaaoeny i?e e?eoaaii? iino?aaeaeaeeo a
on?o ia??iaeao ii?eiai? oai?iae.

?ic?iaeai? niiniae ?aiiuei? ae?aaiinoeee iioeiaeaeaiiy i’yc?a ?
aeeaeie inoaiiae?ico caaacia/othoue ?aaeeeaeueia aeeiiaiiy iia?aoeaieo
ao?o/aiue a ?aii? oa?i?ie i?ney ii?eo IV nooiaiy .

?ic?iaeai? niiniae aecia/aiiy ia’?io iioeiaeaeaieo oeaiei
aeicaieythoue ooi/ieoe ianooaa e?eoaaeueieo caoiae?a ? i?iaiicoaaoe
iane?aeie o?aaie.

I?iaaaeaia aenia?eiaioaeueia ?iaioa aeaea iiaeeea?noue
iaa?oiooaaoe canoinoaaiiy ia?ai?uaieo eiiieaen?a oeaiei, ui aeicaiey?
iie?aueoe ia?aa?a ?aia?aoeaieo i?ioean?a.

?ic?iaeai? niiniae ia?anaaeee oe??ii-i’yciaeo eeaio?a aeicaieeee
cieceoe /enei oneeaaeiaiue ? iie?aueoe aaciina?aaei? ?acoeueoaoe
e?eoaaiiy.

?ic?iaeaia nenoaia ?aii?o cania?a ae?aaiinoeee ? o??o?a?/ii?
oaeoeee aeicaieeea aeiaeoeny cieaeaiiy oneeaaeiaiue a 1,5-2 ?ace,
eaoaeueiino? a 1,5 ?ace ? iie?aueoe ooieoe?iiaeuei? ?acoeueoaoe
e?eoaaiiy o oai?eo c ii?eaie IV nooiaiy a 1,8 ?ac?a.

Ii oai? aeena?oaoe?? iioae?eiaaii ? ai?iaaaeaeaii a i?aeoeeo
ii?eiaeo a?aeae?eaiue ? oeaio??a Oe?a?ie iaoa??aee aeaio iaoiaee/ieo
?aeiiaiaeaoe?e ? ?ioi?iaoe?eiiai eenoa.

?ic?iaeai? caniae ae?aaiinoeee ? i?iaiicoaaiiy oyaeeino?
o?aaie ai?iaaaeaeai? a i?aeoeeo ?iaioe Ee?anueeiai, Oa?e?anueeiai,
Aei?i?iiao?ianueeiai, Oiaeueieoeueeiai, ??aainueeiai ii?eiaeo oeaio??a ?
i?ae?aeiiieo ii?eiaeo a?aeae?eaiue E?aiaoi?nueea, Iae??aee ?
Ia?eoiiey. Aeaeai? iaoiaee/i? ?aeiiaiaeaoe?? «Iia?aoeaiia ea/aiea
aeoaieeo iaeiaia n ii?aaeaieai iiaeeaaeaueo oeaiae e eo iineaaenoaee.»
Ee?a, 1990?.; «Iia?aoeaia e?eoaaiiy iane?aee?a aeeaieeo ii?e?a caniaii
aea?iioaic??»Oa?e?a, 1998?., a oaeiae ?ioi?iaoe?eiee eeno «Aeei?enoaiiy
caniao ?aiiueiai o??o?a?/iiai e?eoaaiiy aeeaieeo ii?e?a», Aeiiaoeuee,
1997?. Iaoa??aee ?iaioe aeei?enoiaothoueny a aeeeaaeaii? ia eaoaae?ao
aini?oaeueii? o??o?a?? Aeiiaoeueeiai iaaee/iiai oi?aa?neoaoo, eaoaae??
eiiaono?ieia?? ? niieo/aieo ii?acie Oa?e?anueeiai ?inoeoooo
oaeineiiaeaiiy e?ea??a, eaoaae?? o??o?a?? oa ii?eiai? oai?iae
Ee?anuee?e aeaaeai?? i?neyaeeieiiii? ina?oe IIC Oe?a?ie.

Iniaenoee aianie caeiaoaa/a.Iniaenoa o/anoue aaoi?a iieyaa? a
aecia/aii? iaoe ? caaea/ aeine?aeaeaiiy, aeai?? iaoiaeee ?
cae?eniaii? iaoeiaeo, aenia?eiaioaeueieo ? ee?ie/ieo aeine?aeaeaiue,
ianoaaeaii? iino?aaeaeaeeo no/anieie caniaaie ?ino?oiaioaeueii? ?
eaai?aoi?ii? ae?aaiinoeee, ?oi?o oeoia/aiue, ?ic?iaoe? eeaneo?eaoe??
ii?eiaeo ?ai, i?eioeeiiai iiaeo cania?a ae?aaiinoeee ? o??o?a?/iiai
e?eoaaiiy oai?eo c ii?eaie IV nooiaiy, ?o i?aeoe/ii? ?aae?caoe?? ?
ai?iaaaeaeaiiy. Aeena?oaioii iniaenoi iia?iaaii aeecueei 85% oai?eo.

Aaoi?ii ?ic?iaeaia eiiieaenia nenoaia ianoaaeaiiy ? e?eoaaiiy oai?eo
c ii?eaie IV nooiaiy.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe??
aeiiia?aeaii ia i?aeia?iaeieo eiioa?aioe?yo ? eiia?anao: «Iaaeeoeeia
eaoano?io» (Iineaa, 22-23 o?aaiy 1990?.), «?ioaineaia e?eoaaiiy
aaaeeiiaia/aieo» (Iineaa, 25-26 ethoiai 1992?.), «No/ani? caniae
e?eoaaiiy ?ai» (Ioueii, 15-18 a?oaeiy 1993?.), The International
congress of surgeons wounds, burns, dressing (Tel-Aviv, 1992),
International Congress of immunorehabilitation (Antalia, 1996?.),
Ia?oiio eiia?an? anioe?aoe?? o??o?a?a ?iai? A. ?. Ie?iaiaa (Oaoeaio,
1996?.), Iaii??aeuei?e iaoeiai-i?aeoe/i?e eiioa?aioe?? iai’yo? i?ioani?a
?. ?. E?aoeoey (*aeyaeinuee, 2-5 a?oaeiy 1996?.), «Aeooaeuei? ieoaiiy
a?a??ie i?aoe?, i?ioiaoieia?? oa iaaee/iiai caaacia/aiiy» (Aeiiaoeuee,
4-5 eenoiiaaea 1995?.), Ainuei?e iaoeia?e eiioa?aioe?? ii i?iaeai?
«Ii?ee» (Naieo-Iaoa?ao?a, 16-17 o?aaiy 1995?.), Ia?oiio c’?cae?
o??o?a?a Oe?a?ie (Euea?a, 5-7 aa?aniy 1995?.), ?? eiia?an? o??o?a?a
Oe?a?ie (Aeiiaoeuee, 6-9 aeiaoiy 1998?.), II iaoe?iiaeueiiio eiia?an?
aiaoii?a, a?noieia?a, oiiia?aoiaiaoii?a Oe?a?ie, (Eoaainuee, 16-19
aa?aniy 1998?.), Iaii??aeuei?e iaoeia?e eiioa?aioe??, i?enay/aii? 100
??/ieoe? c aeiy ia?iaeaeaiiy A. Ae. Aeiaayeei (Aeiiaoeuee, o?aaaiue
1998?.), nai?ia?ao caa?aeoth/eo ii?eiaeie a?aeae?eaiiyie ? oeaio?aie
Oe?a?ie (??aii, Ee?a, Eooeuee, Oiaeueieoeueeee, Iaie?ia, AEeoiie?, 1991,
1992, 1993, 1994, 1996, 1997??.), can?aeaiiyo Aeiiaoeueeiai iaeaniiai
iaoeiaiai oiaa?enoaa o??o?a?a (1992,1994, 1995,1997, 1998??.)

Ioae?eaoe??. Ii oai? aeena?oaoe?? iioae?eiaaii 37 ae?oeiaaieo
?iaioe, c ieo 6 ?iaeea?aeoaeueieo, 2 iaoiaee/i? ?aeiiaiaeaoe??,
?ioi?iaoe?eiee eeno, io?eiaia aaoi?nueea i?aai oa 5 na?aeioeoa ia
aeiaoiaee.

No?oeoo?a oa ianya aeena?oaoe??. Aeena?oaoe?y neeaaea?oueny c
anooio, iaeyaeo e?oa?aoo?e, i’yoe ?icae?e?a aeanieo aeine?aeaeaiue,
aeniiae?a, nieneo aeei?enoaii? e?oa?aoo?e. ?iaioa aeeeaaeaia ia 238
noi??ieao iaoeiiieniiai oaenoo, i?noeoue 48 iaethie?a ? 20 oaaeeoeue.
Nienie e?oa?aoo?e i?noeoue a nia? 368 iaca ?ia?o, c ieo 210 —
?in?enueeith oa oe?a?inueeith iiaaie ? 158 — ?iicaiieo aaoi??a.

Iniiaiee ci?no aeena?oaoe?eii? ?iaioe .

Iaoa??aee ? caniae aeine?aeaeaiiy.

A iniiao ?iaioe iieeaaeaii aeai? ianoaaeaiiy ? e?eoaaiiy 326
iino?aaeaeaeeo a?ae ii?e?a IV nooiaith, a oaeiae aenia?eiaioaeueiiai
aeine?aeaeaiiy, i?iaaaeaiiai ia 104 iaoetheao. E?eoaaiiy oai?eo
i?iaaaeaii a ii?eiaiio a?aeae?eaii? ee?i?ee aini?oaeueii? o??o?a?? ?1
?i. A. I. Aiaineaanueeiai Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo a 1991-1997??. A ee?i?oe? iia?iaaii 321 iino?aaeaeaeiai,
aeeiiaii 1895 ??ciiiai?oieo iia?aoeaieo ao?o/aiue a ??ci? oa?i?ie
i?ney ii?eo, ui noaei i?eaiaeii aeey aea/aiiy ?acoeueoao?a iia?aoe?e.
E??i oiai, ia eaoaae?? eiiaono?ieia?? oa niieo/aieo ii?acie
Oa?e?anueeiai ?inoeoooo oaeineiiaeaiiy e?ea??a i?iaaaeaii aea/aiiy
iiaeeeainoae ?iieaioaoe?eii? aea?iioaic?? a i?aaaioeai?e o??o?a??
ii?e?a IV nooiaiy o 30 oai?eo.

Ianoaaeaiiy oai?eo i?iaiaeeee a ee?i?/i?e, a?io?i?/i?e,
?ioiieia?/i?e, iaoiii?oieia?/i?e eaai?aoi??yo, a a?aeae?eaiiyo
ooieoe?iiaeueii? ae?aaiinoeee ? ?aioaaio??o?a?? iaeaniiai
e?eoaaeueii-ee?i?/iiai ia’?aeiaiiy, a a?aeae?eaii? eiii’thoa?ii?
oiiia?ao?? Aeiiaoeueeiai ae?aaiinoe/iiai oeaio?o, a a?io?i?/iiio ?
ii?oieia?/iiio a?aeae?eao oeaio?aeueii? iaoeiai-ee?ie/ii? eaai?aoi??? ?
ia eaoaae?? a?noieia?? Aeiiaoeueeiai iaaee/iiai oi?aa?neoaoo. Ii?iaoeae
aeey eiio?ieueiiai ii??aiyiiy i?e aeei?enoaii? ??ciiiai?oieo iaoiaeee
io?eiai? oeyoii ianoaaeaiiy 20 i?aeoe/ii caei?iaeo aeia?iaieueoe?a.
Oai?ei c ii?eiaith oai?iaith i?iaiaeeee a?io?i?/ia aea/aiiy e?ia?, a
oiio /ene? — nenoaie cn?aeaiiy e?ia? oa aioeeiaaoeyioii? nenoaie,
a?eeiaeo o?aeoe?e, a oaeiae iieaciee?a, ui oa?aeoa?ecothoue noai nenoaie
ia?aeeniiai ieeneaiiy e?i?ae?a (IIE). Ai?no i?iaeoeo?a IIE — ae??iiaeo
eii’thaao?a — aecia/aee caniaii Aaa?eeiaa A.A., Ieoei?oaeiy I.?.
?ioaineai?noue ia?aeeniiai aaiie?co a?eo?ioeeo?a aea/aee caniaii
No?ieiaa A. A.; iaoiaeii Ei?iethea I. A. aea/aee aioeieenethaaeueio
aeoeai?noue eaoaeace. Oa?aeoa?enoeeo ?ioiieiae/iiai noaoono
anoaiiaethaaee oeyoii aea/aiiy iieaciee?a ee?oeiiiai oa aoii?aeueiiai
?ioi?oaoo. Aecia/aiiy ieoiii? aaae iiioeyoe?? c??eeo O-e?ioioeeo?a
i?iaiaeeeinue ca aeiiiiiaith ?aaeoe?? niiioaiiiai ?icaoeiooai?aiiy. Ii
niiniao M.Jondal ia/enethaaee a?aeiiniee oa aaniethoiee ai?no ee?oei O-
? A-eaiee. ??aaiue oee?eoethth/eo ?ioiieo eiiiean?a o ne?iaaooe? e?ia?
aeine?aeaeoaaany oioiaeaeo?ieaei?eiao?e/iei iaoiaeii. Aeoeai?noue
ne?iaaoiiai e?cioeeio a oinoaoiiio aooa?? aecia/aee iaoiaeii
Aei?io?e/oea A.Ae., noaiaea?oeciaaiiai Aooa??iei I.A. Eiioeaio?aoe?th
?ioiiaeiaoe?i?a G, A, M aecia/aee iaoiaeii i?inoi? ?ioiiaeeooc?? ii
Mancini G. Oaaioeeoa?ia aeoeai?noue eaeeioeeo?a aeine?aeaeoaaeanue
NST-oanooaaiiyi ii Park B.H. O 52 oai?eo i?iaaaeai? a?noieia?/i? ?
e?enoaeia?ao?/i? aeine?aeaeaiiy oeaiei. Iaoa??aeii aeey oeeo
aeine?aeaeaiue aoee a?iioaoe i’yeeo oeaiei (i’yce, nooiaeeeey, noaeeie,
ia?ae) ? aeoyaeee c ieo ? e?noie, ye? a?aeenue aei ? i?ae /an
iia?aoeaieo ao?o/aiue (iae?ioanoe?ioii?e, iae?aeoii?e, inoaiiae?aeoii?e
oa ?i.).

I?e i?aeic?? ia iioeiaeaeaiiy iaa?no?aeueieo noaeei e?ioe?aie
aeeiioaaee oeueo?acaoeiao aeiiea?ia?ao?th, oeaaia?ao?th, a oaeiae
naeaeoeaio aia?ia?ao?th aia?ia?aoii o??ie «Siemens». ?aioaaiieia?/ia
aeine?aeaeaiiy i?iaiaeeee i?e ii?eao IV nooiaith e?noie ? noaeia?a.

Ia’?i iioeiaeaeaieo oeaiei o oai?eo c ii?eaie IV nooiaiy
aecia/aany iaoaiaoe/ii ? ca aeiiiiiaith i?ia?aie «Volume»
eiii’thoa?iiai oiiia?aoo.

Ee?i?/iee iaoa??ae aeena?oaoe?eii? ?iaioe i?aeeyaaa eiii’thoa?i?e
ia?iaoe? ia ia?niiaeueiiio eiii’thoa?? c i?ia?aiith «Excel 7.0». I?e
aeeiiaii? ?iaioe nooi?iue a??ia?aeiino? a?aei?iiinoae na?aaei?o aaee/ei
a a?oiao, ui c?noaaeythoueny, aecia/aany oeyoii aeei?enoaiiy
iaia?aiao?e/iiai e?eoa??th O?eeieniia-Iaiia-O?oi?, e?eoa??th No’thaeaioa
? e?eoa??th (2. ?acoeueoaoe iieacaii a oaaeeoeyo.

Aenia?eiaioaeueia aeine?aeaeaiiy i?iaaaeaii ia 104 iaoetheao.
I?e i?iaaaeaii? aenia?eiaioo noai i?e?ioee?eoeyoi?iiai ?onea i’yciai?
oeaieie ioe?ithaaee oeyoii a?ii?e?ineii??, aeeoo?caeaoi?noue i’yciaeo
aieieii aea/aee a a?iioaoao i?e ?o caaa?aeaii? ? a iiey?eciaaiiio
na?oe?. Ooieoe?iiaeueiee noai oe??ii-i’yciaiai eeaioy ioe?ithaaee oeyoii
aei??o ?I2 o?aineooaiiei aeao/eeii ? aecia/aiiyi oaciino? i?ina?oo
a?oa??ie.

Ci?no ?iaioe.

C 326 oai?eo, ui niinoa??aaeenue, /ieia?e?a aoei 259 (79,4%),
ae?iie 67 (20,6%). A?e oai?eo eieeaaany a?ae 2.5 i?nyoe?a aei 85 ?ie?a.
C ieo aei?ineeo aoei 193 (58,1%), ae?oae 133 (41,9%). A?eueo?noue
aei?ineeo — 82,9% — iniae i?aoeacaeaoiiai a?eo. A?eueoa /anoeia ae?oae,
iino?aaeaeaeeo a?ae ii?e?a IV nooiaiy (51,9%) — i?aee?oee.

Iniiaieie ao?ieia?/ieie /eiieeaie, ye? aeeeeeathoue ii?ee IV
nooiaiy, ? iieoi’y (o 38% iino?aaeaeaeeo), aeaeo?e/iee no?oi (o 38,6 %),
aa?y/? aai ?icia/ai? i?aaeiaoe (19% iaoe??io?a) ? aa?aneai? ??aeeie (o
4,4% oai?eo).

Eiia?iiaaia o?aaia aoea o 16 iino?aaeaeaeeo: o 7 — ii?ee IV
nooiaiy ? ia?aeiie e?noie e?ioe?aie, o 9 — /a?aiii-iiceiaa o?aaia ?
ii?ee IV nooiaiy. Niieo/ai? ii?acee niinoa??aaee o 8 oai?eo, aeaia c
yeeo iino?aaeaeaee a?ae oa?iio?i?/ieo ii?e?a IV nooiaiy, 6 io?eiaee
i?inoi?? aeaeo?ioa?i?/i? ii?ee. Ua o 35 iino?aaeaeaeeo, 9 c yeeo —
ae?oe, ii?ee II-III-IV nooiaiy ii?aeioaaeenue c ii?eii aeeoaeueieo
oeyo?a (IAeO), a o 14 — ? c io?o?iiyi /aaeiei aacii. O?aaia ia
ae?iaieoeoa? a?aecia/aia o 58 iino?aaeaeaeeo, ui neeaaea? 30% a?ae
an?o aei?ineeo iaoe??io?a c ii?eaie IV nooiaiy. C 135 iino?aaeaeaeeo a
?acoeueoao? iiaooiai? o?aaie 51 (37,8 %) ciaoiaeeeenue a noai?
aeeiaieueiiai ni’yi?iiy. Oey ianoaaeia ia o?eueee ?iaeea a?eueo oyaeeith
ia?aa?a ii?eiai? oai?iae, aea /anoi, ca iaoith aeoieith, ? i?e/eiith,
yea i?eaiaeeoue aei aeieeiaiiy ii?e?a IV nooiaith.

Ii?ee IV nooiaith, ye? aeieeee i?e a?oiiaeo ? ianiaeo o?aaiao,
niinoa??aaee o 9 c 56 iino?aaeaeaeeo a 4 a?oiao. Iaaii, iayai?noue
eiia?iiaaieo ? niieo/aieo, ye i?aaeei, i?inoi?eo ii?acie iineethaaea
oyaee?noue ? i?iaiic o?aaie.

I?ia?aoe aiae?c i?e/ei ? ianoaaei, ye? i?eaiaeyoue aei ooai?aiiy
ii?e?a IV nooiaiy, aeae?eeee o?e /eiieea, ni?eyoeeaeo ?oiueiio
aeieeiaiith:

1.Yo?iiaoiaaiaoe/iee /eiiee, iia’ycaiee c iaoai?ciii ooai?aiiy
eiioaeoieo ii?e?a — oa?i?/ieo, aeaeo?e/ieo ? o?i?/ieo. Oea coiiaeaii
aenieith oaiia?aoo?ith i?e eiioaeo? oe??e c ?icia/aieie i?aaeiaoaie aai
?icieaaeaieie ?a/iaeiaie (iaoae, ieanoiana, oeae oa ?i.), ia?aoai?aiiyi
aeaeo?e/ii? aia?a?? a oaieiao aai i?iieeiaiiyi eiioeaio?iaaii? eeneioe
(eoao) a aeeaeio oeaiei.

2.Yeniiceoe?eiee /eiiee, ui caeaaeeoue a?ae o?eaaeino? aieeao
oa?i?/iiai aaaioa a caieiooiio i?inoi?? — i?e iiaeaaeao ?
aaoieaoano?ioao, a ?acoeueoao? aacii?aaeiino? iaeaiueeeo ae?oae, i?e
caiaeaii? iaeyao, aiane?aeie aeeiaieueii? ?ioieneeaoe??.

3.Aeiaeaoeiaee, aai /eiiee aca?iiiai iaoyaeaiiy, iia’ycaiee ?c
niieo/aiith ? eiia?iiaaiith o?aaiith ? noiooi?ie caoai?thaaiiyie
(oea?aa?aeueiee oa ia?eoa?e/iee aoa?ineea?ic, oeoe?iaee ae?aaao,
ai?eain?y oa ?i.).

A?aea?? oai?eo i?iaiaeeany a a?aeiia?aeiino? c iiaith
?ic?iaeaiith iaie eeaneo?eaoe??th ii?e?a ca aeeaeiith ii?acee, a ye?e
i?ae ii?eaie IV nooiaiy ?icoi?thoueny noaoanoe?aeuei? iioeiaeaeaiiy
oeaiei. Cai?iiiiiaaia eeaneo?eaoe?y ia? aiaoiii-o?c?ieia?/ia
iaa?oiooaaiiy, ui a?aeaeoa a iaca? eiaeiiai nooiaith: I no. —
ai?aea?iaeueiee ii?e; II no. — aea?iaeueiee iiaa?oiaaee ii?e; III no. —
aea?iaeueiee aeeaieee ii?e; IV no. — noaoanoe?aeueiee ii?e. A
cai?iiiiiaai?e eeaneo?eaoe?? ii?e?a ca Oaaeeoey 1.

Eeaneo?eaoe?ei? iciaee aeeaeie ii?eiaeo ?ai.

Nooi?iue ii?eo Aeeaeia iioeiaeaeaiy Iaoio?c?ieia?/i?, ii?oieia?/i? oa
aiaoii?/i? iaae? Ee?i?ei-ii?oieia?y Oaeoeea ? e?eoaaiiy Iane?aeie oa
i?iaiic

I Ii?ee ai?aea?iaeuei? Na?iciee iaa?ye oeaiei. ?iaiaee oa?
ai?aea?i?no. Aacaeueia iaia?aia oe??e. A?ia?ai?y, iaa?ye oe??e, ae??ai?
iooe?? c na?iciei ai?noii. Eiina?aaoeaia i?ae iia’yceaie aai a?aee?eoei
iaoiaeii Caaithaaiiy i?ioyaii 5-12 aei?a aac iaaii?iiy ? ?oaoethaaiiy.

II Ii?ee aea?iaeuei?

iiaa?oiaa? Iae?ic ai?aea?i?no ? aea?ie ia aeeaeio a?ae 0,05 — aei 0,5 ii
a niieo/aii? c aenoaeaoe??th. Oaca ?aaaia?aoe?? caaa?oo?oueny ca ?aooiie
caa?aaeaieo i?eaeaoe?a oe??e a cii? ia?aiae?ico. Iai?oaeai? oa
?ice?eo? iooe??, a?aeneieea ai?aea?i?no c ooai?aiiyi oiieiai no?oio:
na?oei-aeiaoiai, na?oei-a?oiaoiiai ? n??iai. Eiina?aaoeaia:
aeno-ooaaiiy no?oio (aea? aeiae). I?e ieiu? 15-20 ? ( % i.o. (o ae?oae
oa eth-aeae e?oiueiai a?eo 10 % ) i?ioeoieiaa oa?ai?y. Caaithaaiiy
a??ia?aeia i?ioyaii 2-6 oeaei?a. *anoi ooai?aiiy ?oaoe?a. I?e aaeeeeo
iioeiaeaeaiiyo ? iai?aaeeueiiio e?eoaaii? iiaeeeaa ?iaae?ae?caoe?y.

III Ii?ee aea?iaeuei? aeeaie? Oioaeueiee iae?ic oe??e ? i?aeoe??ii?
ee?oeiaeie aei iiaa?oiaai? oanoe?? (ciia ia?aiae?ico). Oiaueia
ia?aeiiiai iae?ioe/iiai no?oio io 0,5 aei 1,2 ii. Oaca ?aaaia?aoe?? ia
caaa?oaia. Ia?aeiia oi?ioaaiiy iae?ioe/iiai no?oio: nooee, u?eueiee,
oaiii-a?oiaoiee aai /i?iee. Eie?eaaoe?eiee o?noiaaoi? eiinenoaioe??,
na?oeee, c o?eaeaie ai?aea?i?no. O??o?a?/ia. A ia??iae oieo aeeiio?oueny
aeaeiii?an?y. I?ney cae?i/aiiy oieo — iae?aeoii?? oa aooiaea?iiieanoeee.
Caeaaeeoue a?ae ieiu? ii?eo, a?eo, noiooieo caoai?thaaiue, oaeoeee
e?eoaaiiy. I?e aaeaeaaoi?e oa?ai?? e?eoe/iith ? ieiua 20-40% i.o.

IV Ii?ee noaoanoe?aeuei? Oa?aeoa?ia ia?aeiia ii?acea, /ano?oa
iia’ycaia c eiioaeoieie, aeaeo?i- ? oa?i?/-ieie ii?eaie; ia??aiii??ia
iioeiaeaeaiiy neaeaoieo i’yc?a, iiaeeea? o?iiaice iaa?no?aeue-ieo
noaeei. A?aenooi?noue ie?noy ? noaeiaiai? eainoee i?ecaiaeeoue aei
caaeaae? e?noee aai noaeiaa. Iaea?eueo /anoa ? iaaacia/ia eieae?caoe?y
— aieiaa oa e?ioe?aee. ?aie aaeaaeai?, e?aoa?iia?aci?. Ae?aaeaiee
ia?inoath/ee iaa?ye e?ioe?aie. Naiino?eia a?aeoi?aiaiiy inoaiiae?ico
aeiaai/ania aei 3-8 i?nyoe?a. Ia oii? i?ioeoieiai? oa?ai?? iieacai?
iaa?aeeeaaei? ao?o/aiiy: iae?ioii?y, oanoe?i-oii?y, ?aii? iae?aeoi-i??.
A eiiieaen i?aaai-oeaieo iia?aoe?e iiaei-i? aooe aeeth/ai? ia?anaaeee
neeaaeieo eeaio?a. I?e nai?/aniiio ? aaeaeaaoiiio e?eoaaii? i?iaiic
ni?eyoeeaee, ?iaae?ae?caoe?y /ano?o iia’ycaia c iioeiae-aeaiiyi
nooiaeeeue oa i’yc?a e?ioe?aie. I?aaeeueia oaeoeea aeicaiey? oieeiooe
aaaeeeo oneeaaeiaiiue iaa?oue i?e e?ai?iiae?ic?.

aeeaeiith ii?acee a?aoiaai? iaoio?c?ieia?/i? i?ioeane, ui
?icaeaathoueny, ? aiaoii?/i? aca?iia?aeiineie oeaiei, ui aeicaiey?
ia’?eoea?coaaoe ee?i?eo, oaeoeeo ? i?iaiic o?aaie. Ia i?aenoaa? oeeo
iciae neeaaeaii aeeoa?aioe?eii-ae?aaiinoe/io oaaeeoeth (oaae.1.), yea
aeei?enoiao?oueny aeey iaa/aiiy nooaeaio?a ? e?ea??a. Oey eeaneo?eaoe?y
noaaeaia ia can?aeaii? naeoe?? eiiaono?ieia?a II eiia?ano o??o?a?a
Oe?a?ie (Aeiiaoeuee, 6-9 aeiaoiy 1998a.). Ia eeaneo?eaoe?th ? oaaeeoeth
io?eiaii «Na?aeioeoai i?i aea?aeaaio ?a?no?aoe?th i?aa aaoi?a ia oa??»
IA ? 640 a?ae 28 eeiiy 1997 ?ieo.

O 326 iienaieo oai?eo aoei 787 ?ai ??ciiiai?oii? eieae?caoe??
? ao?ieia??, a oiio /ene? — niieo/aieo ? eiia?iiaaieo. Ie
i?iaiae?coaaee iaoai?ci ia?aa?ao ?aiueiaiai i?ioeano 258 ?ai o 201
oai?iai, o yeeo aoee ii?ee o?eueee IV nooiaiy. Iae?ioe/iee no?oi i?e
ii?eao IV nooiaith iieoi’yi, o?i?/ieo ? eiioaeoieo o?eniaaiee aei
i?aeeyaath/eo oeaiei, a?i ieae/a ??aiy iaaeieeoiuei? oe??e ? aeaeyaea?
cciai?, yeui iaia? ?ic??aaiiy aai iaaoaeaiiy, oae naii, ye ? i?e ii?eao
??? nooiaiy. Aaciina?aaeiuei a i?noe? eiioaeoo c aeaea?aeii no?oio
aeniei? iai?oae ? ?icia/aiei iaoaeii o 19 iino?aaeaeaeeo a?aecia/ai?
iaaoaeaiiy ? ioi?o?eaoe?y oeaiei, o 9 — ?ic??aaiiy i’yc?a, nooiaeeeue,
noaeiaiaeo noiie, o 7 — a?ae?ea naaiaio?a e?ioe?aie.

Aea/ai? iniaeeaino? oi?ioaaiiy iae?ico ? iae?ioe/iiai no?oio
i?e ii?eao IV nooiaith ??cii? ao?ieia?? o 201 oai?iai.Ia?aaaaea?
eiaaoeyoe?eiee oa?aeoa? iae?ioe/iiai no?oio (o 79,6% oai?eo).
Eiaaoeyoe?y a?aeaoaa?oueny i?e o?eaaeiio eieaeueiiio oa?i?/iiio aieea?,
oiae? ye ii?ee, ye? aeeeeeathoue a?eueo i?inoi?? ii?acee, /ano?oa
i?ecaiaeyoue aei ooai?aiiy ci?oaiiai (o 8% iaoe??io?a) aai ia?aeiii
aieiaiai iae?ico (o 12,4% oai?eo). I?e ci?oaiiio ? aieiaiio iae?ic?
no?oi /anoi eonea?oueny, iaiethth/e oanoe??, nooiaeeeey, i’yce. Eiai
oi?ioaaiiy i?e aeaeo?iii?eao, iniaeeai aenieiaieueoieo, coiiaeaia ia
o?eueee eiaaoeyoe??th aiane?aeie aecioa?i?/ii? ?aaeoe?? a oeaieiao, aea
? ia?aeiiei i?e?io?iiaiooai?aiiyi. Ianooiia i?ia?anoth/a ?oai?y
i?ecaiaeeoue aei ia?a?iciiae?eo ee?oeiii? ? iicaee?oeiii? ??aeeie c
oi?ioaaiiyi ?ioa?noeoe?eiiai iaa?yeo.

Eieaeueiee iaa?ye aeieeaa aaea /a?ac 3-4 aiaeeie i?ney o?aaie ?,
ye i?aaeei, noi?iaiaeaeoaaa aeaeo?iii?ee ? eiioaeoi? oa?iiiaoai?/i?
ii?ee. Aeey a?noioiiia?ao?? iaa?yeo oa?aeoa?iee noaoanoe?aeueiee oei
?icaeoeo, ui iiaea i?ecaanoe aei i?ia?anoaaiiy eai?ey?inoaco, ? ye
iane?aeie — ii?ooaiiy aeeaeaiiy oeaiei aae aei iae?ico. Oa?aeoa?ii, ui
i?e iiae?aieo iioeiaeaeaiiyo ia?oa oaca caiaeaiiy i?aeoe/ii caaaeaee
caaoaeueiaaia ? cciai? ?aia aeaeyaea? nooith, iaeaea aac aeae?eaiue.
Iaaaciaea iiae?aiiai o?eoeaiiai aeaaiiieo//y a ?aiao iiaeiia aooe
a?aeiia ? ianoi?iaeoaaoe o??o?a?a, a caoiaee, ui aaeeaathoueny, iieyaaoe
a i?iaaaeaii? iae?ioanoe?ioii??.

I?e ii?eao iieoi’yi, eei’yoeii aai o?i?/ieo ii?eao IV nooiaith
ae?aaeai?noue i?noeaaiai iaa?yeo i?yii i?iii?oe?eia ?icaeoeo caiaeaiiy ?
aeyaey?oueny a a?eueo i?ci? oa?i?ie ye ?acoeueoao ?iciianthaeaeaiiy
ciie a?ia?ai?? (iiaiie??a’y). Ii i??? oi?ioaaiiy iae?ioe/iiai no?oio
i?e oee?eoey?ieo ii?aceao iaa?ye i?ia?ano? cae/aeii ia 2-3 aeiao i?ney
o?aaie, ui oaeiae aeiaaa? iaaaeiiai ?icn?/aiiy no?oio.

A?aeiii, ui i?iyaii aeano?oeoe?? oeaiei i?e ii?eao ? neiae?ii
aiaeiaaiii? ?ioieneeaoe??, iaeiae, a ye?e i??? oeae i?ioean caeaoai
a?aeaeaaoe ??aaiue i?iaeoeo?a ia?aeeniiai ieeneaiiy e?i?ae?a(IIE) a
e?ia? — ia anoaiiaeaii. Iaie i?iaiae?ciaaia aeeiai?ea IIE a e?ia? o 13
oai?eo i?ney ii?eo ? aeeiiaiiy ?i iae?aeoii??. O oai?eo c aeeaieeie
ii?eaie a?aecia/aii i?aeaeuaiiy e?eueeino? a?ae?iia?aeen?a, ui
a?aeia?aaeo?oueny a iaeiie/oaaii? ye ?o ia?aeiieo, oae ? e?ioeaaeo
i?iaeoeo?a ia oe? cieaeaiiy caaaeueii? aioeieenethaaeueii? aeoeaiino? oa
?? eiiiiiaio?a. I?ney aeeo/aiiy iae?ioe/ieo oeaiei niinoa??aaee
cieaeaiiy ??aiy ooai?aiiy a?ae?iia?aeen?a, iniaeeai e?ioeaaeo ?o
i?iaeoeo?a, ui na?ae/eoue i?i ciaioaiiy /enea iioeiaeaeaieo ee?oei.
Iaeiae, ia?aaeuaiiy iieaciee?a IIE iaae ii?iaeueieie a ii?aeiaii? c
aeenooieoe??th aioeieenethaaeueieo i?ioean?a i?aeoaa?aeaeothoue oaeo
iaiiaiiai a?aeiiaeaiiy ?aia?aoeaieo i?ioean?a ia ee?oeiiiio ??ai?.

O 11 oai?eo i?e ii?eao III — IV nooiaith aea/aii noai ee?oeiii?
oa aoii?aeueii? eaiie ?ioi?oaoo a ?aii?e i?neyii?eiaee ia??iae ? i?ney
i?iaaaeaiiy iae?aeoii??. Aeey io?eiaiiy ia’?eoeaii? ?ioi?iaoe?? i?i
aieea ii?eiai? ?aie ia ?ioiio a?aeiia?aeue aeine?aeaeai? aeai?
c?noaaeai? c aiaeia?/ieie iieacieeaie ?ioi?oaoo o 20 caei?iaeo
aeia?iaieueoe?a i?eaeecii a?aeiia?aeieie iaoe??ioai ca a?eii ?
noaooth.

A ?aii?e ia??iae i?ney o?aaie (iaa?oue o oai?eo aac ?icaeoeo
ii?eiai? oai?iae) a?aecia/ai? yaeua ?ioiiaeao?oeeoo ye a nenoai?
eeeoeiii?, oae ? aoii?aeueii? eiai eaiee. Oea iaaii iia’ycaia c oei, ui
a ?aii?e ia??iae e?eoe/iiai cia/aiiy aeinyaathoue aeueoa?aoeai? oa
aenoaeaoeai? i?ioeane. *eiieee aieeao i?iaeoeo?a oeaieiii? aeano?oeoe??
oa caiaeaiiy coiiaeai? ?icaeoeii ?ioaeoe?eieo i?ioean?a ? noathoue
aecia/aeueieie iiae?acieeaie ?ioiii? niaoeeo?/ii? ?aaeoeaiino? ia a?eueo
i?ci?o aoaiao ia?aa?ao ii?eiai? oai?iae. Oaeei /eiii,
i?aeoaa?aeaeo?oueny oaeo ?icaeoeo aino?iai aoi?eiiiai ?ioiiaeao?oeeoo.

Anoaiiaeaii, ui i?ney aeeaieiai ii?eo ?iaeaen oaaioeeoa?ii?
aeoeaiino? iaeo?io?e?a aeyaeany iaeaea a 2 ?ace iaio ieaeiuei? iaae?
ii?ie. I?ney o??o?a?/iiai aeaeaeaiiy iae?ioe/ieo ae?eueieoeue aeaiee
iieaciee ia o?eueee ii?iae?coaaany, aea iaa?oue ia?aaeuoaaa iaaeo
iaeneiaeueieo eiai cia/aiue (p<0,001). A aeinooii?e e?oa?aoo?? aeac?aie ia iiae?ai? ci?ie ia cono??ee. Oea yaeua, ca iaoith aeoieith, ia? ?noioia i?iaiinoe/ia cia/aiiy, ine?eueee na?ae/eoue i?i i?aeaeuaiiy ?acenoaioiino? iae?ii?aai?cio a aeiaaeeo ?aiiueiai aeeo/aiiy iae?ioeciaaieo oeaiei. Oaeei /eiii, i?e ?ioiieia?/iiio ianoaaeaii? iino?aaeaeaeeo ie cooiaoioeeny c iane?aeeii aeeth/aiiy eiiiainaoi?ii-i?enoiniaieo iaoai?ci?a a aeiaaeeo ao?aoe iaaii? iane oeaiei i?ae /an ii?eo, ui oa?aeoa?ecothoueny ?ioiinoi?an??th. O 128 oai?eo (39,3 %) c ii?eaie IV nooiaith ?icaeioeanue ii?eiaa oai?iaa, ui o a?eueoino? iino?aaeaeaeeo (71,1 %) ia?aa?aaea oyaeei ? aeoaea oyaeei. Iniaeeaino? ii?eiaiai oieo o oai?eo aeyaeyeeny ao?aoith na?aeiiino? (o 52,2% iino?aaeaeaeeo), a?iioii??th (o 29,7% oai?eo) ? ?icaeoeii eiai i?e ieiu? ii?eo IV nooiaiy a?ae 1 aei 4% iiaa?oi? o?ea (o 19,5 %), ui coiiaeaii cia/iith ianith caaeaeeo oeaiei. Ia??iae oienai?? a?ae??ciyany aeieeiaiiyi aioeaoaeiiao?? (o 44,6% iaoe??io?a), a ia??iae naioeeioienai?? - a?eueoith e?euee?noth aaaeeeo oneeaaeiaiue: iiaaiii?y ?icaeeanue o 55 iino?aaeaeaeeo c ii?eiaith oai?iaith (42,9 %), ii?eiaee nainen - o 40 oai?eo (31,2 %), aiai?y o 60 (46,9 %), ii?eiaa aeniaaeaiiy o 9 iaoe??io?a (7 %). Oneeaaeiaiiy ii?eiaeo ?ai aeieeee o 162 oai?eo (49,7 %). Iaeiie/aiee iaie ee?ie/iee aeina?ae e?eoaaiiy ii?e?a, a oiio /ene? - ii?e?a IV nooiaiy, aeicaieea ?ic?iaeoe ? cai?iiiioaaoe ianooiio eeaneo?eaoe?th oneeaaeiaiue ii?eiaeo ?ai (oaae.2.) Oaaeeoey 2. Oneeaaeiaiiy ii?eiaeo ?ai Ia?aeii? Oa?i?/i? Iaoai?/i? Iaaoaeaiiy ? ioi?o?eaoe?y oeaiei A?ae?ea naaiaioo e?ioe?aee Eiaaoeyoe?y ? o?iiaic noaeei ?ic?ea i'yeeo oeaiei Ia?aeii ? caeoiaiiy e?noie Oaea?, aaiaoiia. Aoi?eii? ?ioaeoe?ei? oneeaaeiaiiy oe??a ? i'yce noaeeie e?noee aioo??oi? e?ioaoe/ia ? ? ? nenoaia oanoe?? ia?ae noaeiae i?aaie e?ioaiai?o aieeueiee a?iceaia inoaii??e?o ieaa?iiiaaiii?y e?ioaaeai?o ?iciaae iyc?a e?iaioa/a a?o?eo iai?iaiaioeaoae?o aaoeoa oanoeeo aiaie?y oiiae?i- i??eiiao?eo nea?eaoeia oeaaiiia oeaaio?iiaic ia?eoiiae?eo i?iea?aeeo oeaethe?o ai?eiee caieea iaa?eo ioeo aanoean aaia?aia Aaia?ae?caoe?y ?ioaeoe?? Nainen Naioe/iee oie Naioeoeai?y Naioeeii??i?y A cai?iiiiiaai?e eeaneo?eaoe?? i?noeaa? oneeaaeiaiiy ae?eyoueny ia ia?aeii?, ui aeieeathoue a iiiaio ii?eo, ? aoi?eii?, iia'ycai? c ?icaeoeii ?ioaeoe?? a ?aiao. ?ioaeoe?ei? ? ai?ei? oneeaaeiaiiy ii?eiaeo ?ai ? aoi?eiieie ii iaoai?cio ? oa?i?io ?oiueiai ?icaeoeo. I?e ii?eao II ? III nooiaiy, ye i?aaeei, aeieeathoue oneeaaeiaiiy a iaaeao oe??e ? ?aa?iia?ieo e?ioaoe/ieo oeyo?a. Aeoaea ??aeei (a iniiaiiio o ae?oae) i?e iiaa?oiaaeo ii?eao iiaea ?icaeiooenue nainen. An? ?io? oneeaaeiaiiy, ye? ia?a?aoiaai? a eeaneo?eaoe?? i?e iioeiaeaeaii? i'yc?a, noaeia?a, e?noie ? aioo??oi?o i?aai?a, i?aeoe/ii aoaathoue o?eueee i?e ii?eao IV nooiaiy. C iaoith aea/aiiy ci?i, ui a?aeaoaathoueny a aeeaieeo no?oeoo?ao oeaiei i?ae aieeaii oa?i?/ieo, o?i?/ieo ? aeaeo?e/ieo ii?e?a IV nooiaiy, i?iaaaeaii ii?oieia?/ia aeine?aeaeaiiy i'yc?a, noaeei, e?noie a ??ci? oa?i?ie i?ney o?aaie o 52 oai?eo. I?noeaa? oneeaaeiaiiy oa?aeoa?ecoaaeeny iia?eueiith aeaia?eaoe??th iae?ico, iaaeinoaoi?i ooai?aiiyi a?aioeyoe?e, neaai ae?aaeaiith e?aeiaith ai?oae?caoe??th. Aea/ath/e i?aia?aoe e?ioe?aie, ui aiioooaaeeny, iaea?eueo aeneiaeai? ci?ie no?iee noaeei aeyaeee a ?aiao c ooai?aiiyi o?iia?a. I?iaeiaaeai? o?iiae a?ae aiaiaaeua oa?i?/iiai iioeiaeaeaiiy a?oa??e ?iciianthaeaeoaaeenue ia a?aenoaiue a?ae 54 aei 170ii. A a?oa??aeueiiio ?one? i?ieneiaeuei?oa ii?eiai? ?aie, ca iayaiino? aeno?aeiiai o?iiaico, iae?ineii?/ia ? a?noieia?/ia aeine?aeaeaiiy ai? ?aco ia aeyaeei iioeiaeaeaiiy ?ioeie noaeeie. Aeine?aeaeaiiy noaio neaeaoii? i’yciai? oeaieie a aiaiaaeu? ii?acee aeyaeei iaa?ye aaeeei? e?eueeino? aieieii. I?io?a??ee /anoi ao?a/aee iiia?a/io nioaano?noue, a?aecia/aeany aaeoie?caoe?y yaea? ? na?eiieacie. A aaaaoueio aieieiao niinoa??aaeeny ??ci? noaae?? iae?ico. A oaeeo ci?iaieo ae?eueieoeyo ii?oooaaeeny oeieoi??aeuei? aeanoeaino? ? aiie iaaoaaee aiiiaaiiiai aeaeyaeo. A 8-10% i’yciaeo aieieii a?aeaoany i?ie?c. A 48,4(2,6% aieieii iae?ic ?iciianthaeaeoaaany o?eueee ia oeaio?aeueio /anoeio aieieia, oiae? ye ia?eoa?e/ia ciia iaea ieneo?eueia caaa?aeaiiy. A oaeeo aieieiao /anoi niinoa??aaeany i?ie?oa?aoe?y yaea? i?inaoae?oioeeo?a. A iae?ioe/ii ci?iaieo i’yciaeo aieieiao ? ?icoaoiaai?e iaae ieie c’?aeiaeuei?e oeaiei? aeyaeyeany iie?ii?oii-yaea?ia ?io?eueo?aoe?y. A neeaae? ?io?eueo?ao?a aeyaeaii iae?ioaae oa o?a?iaeanoe. C?oeiiaai? ae?eueieoe? i’yciai? oeaieie ia 5 aeiao i?ney ii?eo caiiaithaaeeny a?aioeyoe?eiith oeaieiith, a yeo a?inoaee i‘ycia? io/ee ? oi?ioaaeenue eiioo?e i’yciai? o?oai/ee. A cii? neaeaoii? i’yciai? oeaieie, onoiaii? a?ae iae?ioeciaaii? aea?ie, ia ia?oa i?noea aenooiaee aeeno?io?/i? ii?ooaiiy, ui aeyaeyeeny iaa?yeaiiyi, aaeoie?caoe??th na?eiieacie oa yaea? aieieii. Iniaeeao oaaao i?eae?eaii iiooeo ia’?eoeaieo e?eoa???a ioe?iee aeeoo?caeaoiino? i’yciai? oeaieie. I?e oeueiio a iiey?eciaaiiio na?oe? i’ycia? aieieia iieacai? /a?aiieie ? caeaieie naaiaioaie, ye? /a?aothoueny, a eiaeiiio c yeeo oo?eiothoueny 2-3 na?eii??a. Ia iniia? aeyaeaii? ii?oieia?/ii? iciaee ia?aiaee/ii ci?ithth/iai ciaeo aeeo?i?cio a iiey??ciaaiiio na?o? io?eiaii iiaeeea?noue aecia/aiiy i?i?iaeueiiai ??aiy aeeoo?caeaoiino? i’yciai? oeaieie (??oaiiy i?i aeaea/o iaoaioa ia aeiao?ae ? 96041671 a?ae 20.02.1997 ?.). Oaeei /eiii, iioeiaeaeaiiy i’yciai? oeaieie i?e ii?eao IV nooiaiy a?aeaoaathoueny ia ??cieo ??aiyo ii aeeaei? ? iioe?aiino? ii?eo. I?e oeueiio i?ioeane ?oeioaaiiy ii?aeiothoueny c i?ioeanii ?aaaia?aoe?? i’yciaeo aieieii ca ?aooiie oi?ioaaiiy ia ia?eoa??? i?inaoae?oioeeo?a. Ii?acea aaeeeeo noaeei a cii? ii?eo IV nooiaiy oa?aeoa?eco?oueny i?aai?/ieie ci?iaie an?o oa??a noaeeie. Aeine?aeaeaiiy e?noie neeai?iiy /a?aio iieacaei, ui a aiaiaaeu? ii?acee, iacaeaaeii a?ae ao?ieia?/iiai /eiieea iioeiaeaeaiiy, ?icaeaa?oueny iae?ic. I?aeee?oeiia ?a/iaeia e?noeiaeo ieanoeiie ci?ithaaea oeieoi??aeuei? aeanoeaino?. C'yaeyeeny aacio?euei? ae?eueieoe? c ia?aaaaeiith eieae?caoe??th ii ia?eoa??? ciie, ui aea/aeanue. A 4-o aeiaaeeao e?noea iaea aaoa?iaaiiee aeaeyae /a?ac caa?aaeai? aeeoo?caeaoi? ieneo?euei? ae?eueieoe?. Inoaioeeoe a i?noe? iae?ico oaeiae caaeioee. Oeaieii? aeaiaioe no?iie noaeei aeano?oeoeaii ci?iai?. A e?iaiiinieo noaeeiao e?noee oi?iaii? aeaiaioe noai?ththoue aiiiaaii? eiiaeiia?aoe. Ii ia?eoa??? ae?eueieoeue e?noie, ye? aeine?aeaeoaaeenue, aecia/aeeny neoi/aiiy inoaieeano?a, ui ciaoiaeeeenue ia ??cieo noaae?yo oi?ioaaiiy. Oaeei /eiii, ?acoeueoaoe ii?oieia?/iiai aeine?aeaeaiiy a?iioao?a i?aeoaa?aeaeothoue, ui i?e aeaeo?e/ieo, oa?i?/ieo ? iaa?oue iaoai?/ieo iioeiaeaeaiiyo a ie?no? ? e?noeao neeai?iiy /a?aio ?icaeaathoueny yaeua iae?ico ??ciiai nooiaith ae?aaeaiino?, ye? ia caeaaeaoue a?ae ao?ieia?? iioeiaeaeoth/iai /eiieea. A ae?eueieoeyo c iaioei nooiaiai ii?acee, ?icoaoiaaieo cae/aeii ii ia?eoa???, a?aecia/aeeny aeeoo?caeaoi? inoaiaeanoe, ui i?aeoaa?aeaeo? iiaeeea?noue /anoeiai? ?aaaia?aoe?? e?noeiai? oeaieie a iaeano? ?aie. Aeei?enoaiiy c iaoith ae?aaiinoeee aeeoo?caeaoiino? oeaiei ii?oieia?/ieo cania?a aeine?aeaeaiiy na?ae/eoue i?i aenieo ?ioi?iaoeai?noue, iaeiae aeiaaa? o?eaaeiai /ano aeey ia?iaee iaoa??aeo. A?eueo i?inoei a aeeiiaii? aeyaeany niin?a ioe?iee aeeoo?caeaoiino? oeaiei ii e?enoaeia?ao?/i?e ea?oei? ?ic/eio, io?eiaiiai c a?iioaoo. Ea?oeia e?enoae?caoe?? ?ic/eio c ae?eueieoe? caei?iai? oeaieie c?noaaeia ?c noaiaea?oii. Ioe?iea e?enoaeia?ao?/ii? ea?oeie i?e ii?aeiaii? ii?e?a III ? IV nooiaiy i?iaaaeaia a i?ioean? aeeiai?/iiai eiio?ieth ca noaiii ?aie, ca?aeee aoa acyoee a?iioao. Ca?a i?iaiinoe/ieo iieacaiue e?enoaeia?aie c a?coaeueieie ee?ie/ieie aeaieie i?i ?aiueiaee i?ioean (?icaeoie a?aioeyoe?eii? oeaieie, o?enaoe?y aeeoo?caeaoii? enaiioe??e aai aii?ioe/ii? iaieiiee, i?eaeeaeaiiy aooio?ainieaioaoo) aoa o 37 oai?eo (71,15 %). Cia/i? o?oaeiiu? a ?aii?e ae?aaiinoeoe? aeeaeie ? iioe?aiino? ii?eo IV nooiaiy noaiiaeoue iae?ic neaeaoieo i'yc?a e?ioe?aie, i?eoiaaiee i?ae iaiioeiaeaeaiith ii?eii oe??ith. Aeey ae?aaiinoeee oaeeo iioeiaeaeaiue iaie ?ic?iaeaii niin?a aecia/aiiy aeeoo?caeaoiino? i’yciai? oeaiei (Iaoaio Oe?a?ie ? 25468A, IIE A 61 A 6/00). Cai?iiiiiaaiee aeaeo?io?c?ieia?/iee ioieoe?eiee niin?a ae?aaiinoeee iioeiaeaeaiiy i'yc?a ? ia?a?a aeei?enoaiee o 28 oai?eo ye ia'?eoeaiee e?eoa?ie aeai?o oaeoeee o??o?a?/iiai e?eoaaiiy. C oe??th iaoith ie aeei?enoaee aieue/ao? aeaeopiaee aeaeo?ii?ia?aoo. Aeey oi/iino? aecia/aiiy aeeaeie ii?acee ia aieeo aoei iaianaii i?e?iao?ia? ae?eaiiy. Niin?a caniiaaiee ia yaeu? a?aenooiino? iioaioe?aeo ae?? o iaaeeoo?caeaoieo i’yciaeo aieieii. A aeiaaeeo eiioaeoo aeaeo?iaeo c ooieoe?iiaeueii iiaiioe?iiei aieieiii ?a?no?othoueny aeieee? iioaioe?aee ae??. Yeaeo?iaee oaiaeeee a o?aaeaio ae?eyieo /a?ac eiaei? 10 ii eaaae?aoii-ai?caeiaei caniaii ii anueiio ianyao i'yco aai i’yciaiai ianeao, ca?aeii oii?/iiai ?icoaooaaiiy. Ii aaee/ei? a?aeiia?ae? a i?e?iaieueoao iiaeia noaeeoe i?i aeeoo?caeaoi?noue i’yco (iae.1). Iae.1. Aeaeo?ii?ia?ao?/ia ea?oeia a?iaeaeo?e/ii? aeoeaiino? aeeoo?caeaoiiai i’yco. Cieaeaiiy aiie?ooaee iioaioe?aeo ae?? ia 97% aiai?eoue i?i caaeaaeue i'yco (iae.2). Iae.2. Aeaeo?ii?ia?aiia - a?aenooi?noue a?iaeaeo?e/ii? aeoeaiino? caaeaeiai i’yco. Ia ?acoeueoaoe ooieoe?iiaeueieo aeine?aeaeaiue ?noioiee aieea ia? ii?ooaiiy i?e?ioee?eoeyoe?? a o?aaeaiiio naaiaio? e?ioe?aee. I?ney i?iaaaeaiiy iae?ioanoe?ioii?? aiie?ooaea a?iaeaeo?e/ii? aeoeaiino? a ie?aieo a?oiao i'yc?a, ye? ciaoiaeyoueny iiaeeco ciie ii?acee, c?inoaea ia 30%. Ii?ooaiiy aiaeii-yeaeo?ie?oiiai aaeaino ? i?e?ioee?eoeyoe??, ui iniaeeai ae?aaeaii o iaia/aieo a ia??iae? oieo, oaeiae aieeaaee ia oi?ioaaiiy iioaioe?aeo ae??. Oiio aeioe?eueii ia?oa aeaeo?ii?ia?ao?/ia aeine?aeaeaiiy i?iaiaeeoe i?ney cae?i/aiiy ia??iaeo oieo. Ioe?iea iaae o?aaeaii? ae?eueieoe? iiaeiia aooe eiiieaeniith, c o?aooaaiiyi an?o ia?ae?/aieo /eiiee?a. Iao? aeine?aeaeaiiy iieacaee, ui yeui e?euee?noue aeeoo?caeaoieo i’yciaeo aieieii neeaaea? iaio ye 7% a?ae caaaeueii? iane i’yciai? oeaieie o?aaeaiiai naaiaioo, a ?o aiie?ooaea iioaioe?ae?a neeaaea? anueiai 3% a?ae ii?ie, oi oaeee i'yc iaaeeoo?caeaoiee ? i?aeeyaa? aeeo/aiith. Oaeei /eiii, aeaeo?io?c?ieia?/iee niin?a aecia/aiiy aeeoo?caeaoiino? i’yciai? oeaieie aeicaieea io?eiaoe iaea?eueo cia/ouo ioe?ieo noaio i'yco, ui iiaea aooe aeei?enoaii aeey ae?iaeaiiy oaeoeee o??o?aa ? aecia/aiiy i?iaiico o?aaie. Cai?iiiiiaaia iaoiaeeea canoiniaoaaeany ? aeey ioe?iee nooiaiy ?oai?? i?e aino?eo ? o?ii?/ieo ii?ooaiiyo a?oa??aeueiiai e?iaiia?ao. Ia iaio aaaeeeaith i?e ii?eao IV nooiaiy ? ?aiiy ae?aaiinoeea aeeaeie ? iioe?aiino? inoaiiae?ico, iniaeeai a iaeano? neeai?iiy /a?aio. Iaie ?ic?iaeaii niin?a ae?aaiinoeee aeeaeie iioeiaeaeaiiy e?noie neeai?iiy /a?aio ? i?eno??e aeey eiai cae?eniaiiy (Iaoaio Oe?a?ie ? 24607A IIE A 61 A 6/00 a?ae 04.08.98.). Niin?a caniiaaiee ia ??cieoe? aeaeo?ii?ia?aeiino? i?ae aeeoo?caeaoieie oeaieiaie ? ciiith inoaiiae?ico. Aeey aeeiiaiiy niiniao aeei?enoaee iiiao?, iaeei aeaeo?iae yeiai a aeaeyae? aieee oaiaeeee i?ae oe??o a na?aeiii aeeoo?caeaoio ae?eyieo i'yeeo oeaiei neeai?iiy /a?aio, a ae?oaee, aeeiiaiee a aeaeyae? naiiia??ciiai oo?oia, oaaei/oaaee a ciio inoaiiae?ico. I?e aeinyaiaii? ae?oaei aeaeo?iaeii aeeoo?caeaoieo oeaiei ii?? e?noee ??cei cieaeoaaany, ui ? o?enoaaa iiiao?. Ii aeiaaeei? caio?aiiai a e?noeo aeaeo?iaea noaeeee i?i aeeaeio inoaiiae?ico. Niin?a ? i?eno??e oni?oii aeei?enoai? aeey ae?aaiinoeee aeeaeie inoaiiae?ico o 11 oai?eo. A on?o aeiaaeeao i?e ?ao?iniaeoeaiiio aiae?c? aeyaeaii ca?a ae?aaiinoeee aeeaeie inoaiiae?ico c ee?i?/ieie aeaieie, ui aeicaieeei oieeiooe i?neyiia?aoe?eieo oneeaaeiaiue o oeeo oai?eo. Iaea?eueoo i?iaeaio ae?aaiinoeee ? e?eoaaiiy i?aaenoaaeythoue oai??, o yeeo ieiua ii?eo IV nooiaiy ia?aaeuo? 10% iiaa?oi? o?ea. Aaaeeeaa cia/aiiy o oaeeo iino?aaeaeaeeo ia? i?iaiicoaaiiy iane?aeeo ii?eiai? oai?iae. Ca iaoeie niinoa?aaeaiiyie oyaee?noue ia?aa?ao ii?eiai? oai?iae ciaoiaeeoueny a i?yi?e caeaaeiino? a?ae ianyao caaeaeeo oeaiei, ui i?aeoaa?aeaeo?oueny aeeiai?eith ci?ie caaaeueiiai noaio oai?iai ? aeaieie ??ciiiai?oieo ianoaaeaiue. A?oiooth/enue ia oeueiio, i?iaaaeaii ?ic?iaeo caniao i?iaiicoaaiiy oyaeeino? aeeaieeo ii?e?a oeyoii ioe?iee ianyao o?aaeaieo oeaiei. Oi/io ieiuo aeeaieeo ii?eiaeo ?ai aecia/aee ca aeiiiiiaith ieai?iao?a, cacaeaeaa?aeue ciyaoe ia iie?aoeeaiiao ie?aeo eiioo?e ii?eo. I?ae /an i?iaaaeaiiy ?aiiuei? iae?aeoii?? aei??thaaee oiaueio aeeo/aiiai ii?eiaiai no?oio ca aeiiiiiaith ooaiaaioee?eoey. Iiiiiaeeaoe ieiuo ii?eiai? ?aie ia oiaueio no?oio, iaea?aeoaaee ia’?i o?aaeaieo oeaiei. sseui oiaueia no?oio ??cia, oi ?ic?aoiaoaaee ie?aii ianya eiaeii? ?aie ? neeaaeaee ?o aeey io?eiaiiy caaaeueiiai ianyao o?aaeaieo oeaiei. Ianya oeaiei ethaeeie ia/eneth?oueny, aeoiaey/e c a?aeiii? oi?ioee V=m/p, aea m - iana o?ea oai?iai, p - na?aaeiy aonoeia ethaenueeiai o?ea (830 ea/ni3). Aeoiaey/e c oeueiai, eaaei ?ic?aooaaoe ieoiiee ianya o?aaeaieo oeaiei O= (v(100%)/V, aea V - ianya o?ea iaoe??ioa, v - ianya o?aaeaieo oeaiei. Ia i?aenoaa? iaoaiaoe/iiai ?ic?aooieo ii aecia/aiith ianyao iioeiaeaeaieo oeaiei o 22 oai?eo aecia/aii ae?aaiinoe/iee e?eoa??e: yeui ianya o?aaeaieo oeaiei neeaaea? a?ae 0,5% aei 1% ianyao o?ea, oi ne?ae i?eionoeoe aaaeeee ia?aa?a ii?eiai? oai?iae. sseui ianya o?aaeaieo oeaiei neeaaea? a?eueo ye 1% ianyao o?ea, oi i?iaiic aeey aeeooy iani?eyoeeaee. A oeo aeiaaeeao, eiee aeieeaea iaiao?aei?noue a aecia/aii? ianyao caaeaeeo oeaiei a aeiiia?aoe?eiiio ia??iae? o oai?eo c i?inoi?eie ii?aceaie aeeaieeo noaoanoe?aeueieo no?oeoo? e?ioe?aie, aeeiioaaee eiii'thoa?io oiiia?ao?th. Iaie ?ic?iaeaii niin?a aecia/aiiy ianyao caaeaeeo oeaiei ii iayaiino? aeyaeaieo aacoiiaieo EO-iciae caaeaae? oeaiei (??oaiiy i?i aeaea/o cayaee ia aeiao?ae ? 98052803 a?ae 29.05.98?.). Iaeanoue ii?acee i?e EO-aeine?aeaeaii? oa?aeoa?ecoaaeany ca?eueoaiiyi ae?aiao?o i'yeeo oeaiei e?ioe?aee, cieaeaiiyi u?eueiino? ca ?aooiie iaa?yeo, iaiaeii??aei?noth no?oeoo?e ? ao?aoith ii?iaeueii? a?o?oaeoii?ee (/?oei? a?coae?caoe?? ie?aieo i'yc?a, aee?iai? ee?oeiaeie, aaeeeeo noaeei). Ae?eyiee? iae?ico a oiau? i’yciai? oeaieie aeyaeyeeny iayai?noth cii iiieaeaii? aonoeie, aeecueei? aei aonoeie ??aeeie (12-15 iaeeieoeue Ooino?eaea), iai?aaeeueii? oi?ie, c ia??aieie eiioo?aie, ui a oiae? aeiaeaoeiaiai ianoaaeaiiy c «aioo??oiueiaaiiei i?aeneeaiiyi» ia iaeiie/oaaee eiio?anio ?a/iaeio aiane?aeie aeao?oeeoo aai a?aenooiino? ia?ooc??. A i?ioean? aeine?aeaeaiiy ii oiaeo i?aei’yciaeo oa i?aeoanoe?aeueieo i?ii?aee?a iaie aeyaeaii oaiiiai, yeee ?ai?oa ia aoa iienaiee. A cii? iioeiaeaeaiiy c'yaeythoueny ae?eueieoe? ou?eueiaiiy aeoaiiiae?aii? oi?ie, ?ici??aie a?ae 0,5 o 0,2 ni aei 1,5 o 0,2 ni, u?euei?noue yeeo iaaeeaea?oueny aei u?eueiino? cnaaeaii? e?ia? (65-68 iaeeieoeue Ooino?eaea). ?acoeueoaoe aecia/aiiy ianyao caaeaeeo oeaiei EO - iaoiaeii ca?aeeny c aeaieie ?io?aiia?aoe?eieo iao?e/ieo ia/enethaaiue c oi/i?noth (5%. Io?eiai? aeai? iaaii i?aeoaa?aeaeothoue ?ioi?iaoeai?noue cai?iiiiiaaiiai caniao aecia/aiiy ianyao caaeaeeo oeaiei e?ioe?aie ? aoee ?aae?ciaai? i?e ieaioaaii? iia?aoeaieo ao?o/aiue o 6 oai?eo. I?iaaaeaia oeei oai?ei iae?aeoii?y aeyaeeany ?aaeeeaeueiith, ui a?aeaa?ioei ?ioaeoe?ei? oneeaaeiaiiy. Aenia?eiaioe i?iaaaeaii ia 104 iaoetheao-naioeyo e?i?? A?noa? ianith 190-250 a a oiiaao ia?eico (iaiaooae - 5ia/100a iane, a i/a?aaeio). A 1-e a?oi? aenia?eiaio?a (52 oaa?eie) a iaeano? aa?oiuei? e?ioe?aee iiaeaethaaee ii?eiao ?aio. Aeey aeinyaiaiiy oe??? iaoe i?ney aeeo/aiiy oe??ii-i?aeoe??iiai eeaioy ieiuath 1ni2 i?iaiaeeee ia?eiao?e/io eiaaoeyoe?th e?a?a ? aeia ?aie aei e?noee iinaaiaioii i?ioyaii 1n aieue/aoei aeaeo?iaeii noaiaea?oiiai i?e?io??o?a?/iiai eiaaoeyoi?a. A ?acoeueoao? aeanoe/iiai nei?i/aiiy oe??e ii e?ayi ?aiueiaiai aeaoaeoo ieiua inoaiiueiai ca?eueooaaeany iaeaea ia 15% a?ae aeo?aeii? ? neeaea a na?aaeiueiio 1,09(0,05ni2. ?acoeueoaoe caaithaaiiy c?noaaeyee c eiio?ieueiith a?oiith (20 iaoethe?a), a yei? aeaeaeyee oe??o aac eiaaoeyoe??. A 2-e a?oi? aenia?eiaio?a (32 oaa?eie) ia?ai?uoaaee eiiaoi/iee i'yc ia ciio ?aiueiaiai ii?eiaiai aeaoaeoo, ui aeicaieeei cae?eaaoe 50% ieiu? ?aie. Ooieoe?iiaeueiee noai oe??ii-i’yciaiai eeaioy ioe?ithaaee oeyoii aei??o ?I2 o?aineooaiiei aeao/eeii i?eno?ith ONI-2 o??ie «Radiometer» (Aeai?y) ? aecia/aiiy ??cieoe? i?ina?oo a?oa??ie. Noai i?e?ioee?eoeyoi?iiai ?onea i’yciai? oeaieie ioe?ithaaee oeyoii a?ii?e?ineii?? ca aeiiiiiaith i?e?ineiio IA?-6 i?e ca?eueoaii? ?164. A i?ioean? aeine?aeaeaiiy i?aeo?eioaaee iioeiaeueio oaiia?aoo?o ? aieia?noue. Noai i?e?ioee?eoeyoe?? aea/aee a eiio?ieuei?e a?oi? i?ney iaianaiiy ii?eo ? a oiiaao i?eaeeaeaiiy ia?anaaeaeaiiai oe??ii-i’yciaiai eeaioy. Aeey aeeiai?/ii? ?a?no?aoe?? ci?i ae?aiao?o i?e?inoaeei aeei?enoaee can?a ?icuaieaiiy cia?aaeaiiy. Ia'?eoii aeine?aeaeaiiy aoee a?oa??iee i?e?ioee?eoeyoi?iiai ?onea i'yco c ciai?oi?i ? aioo??oi?i ae?aiao?aie a?aeiia?aeii 28,6(1,4 iei ? 21,2(0,8 iei; oe? noaeeie caeiaee i?ii?aeia iieiaeaiiy i?ae a?oa??ieaie ae?oaiai ? o?aoueiai ii?yaee?a. Aeey ioe?iee ?aaeoeaiino? i?e?ioee?eoeyoi?iiai ?onea aea?aee oaeo neeo iiae?aciaiiy, i?e ye?e ae?aiao? i?ina?oo ciaiooaaany ia 20-30%. Aei?? ae?aiao?o i?e?inoaeeie ii/eiaee /a?ac 2 aeiy i?ney iaianaiiy ii?eo, i?e/iio iine?aeiaii ?a?no?oaaee ciai?oi?e ? aioo??oi?e ae?aiao?. Aeine?aeaeaiiy i?iaiaeeee i?ney noaa?e?caoe?? ae?aiao?o ? a?aeiiaeaiiy aeo?aeiiai ?ici??o i?e?inoaeeie. A 1-e a?oi? i?ney iaianaiiy ii?eo ae?aiao? a?oa??ie ciaiooaaany noaoenoe/ii cia/oua ia 22,7%, a aioo??oi?e ae?aiao? - ia 38,2%, ui coiiaeei ii?ooaiiy o?aineai?ey?iiai iai?io a oeaieiao. A 2-e a?oi? ia 10-o aeiao i?ney ia?ai?uaiiy eeaioy ?a?no?oaaee a?aeiiaeaiiy ?ici???a i?e?inoaeei aei eiio?ieueiiai ??aiy. C?noaaeaiiy iieaciee?a c aeaieie 1-e a?oie na?ae/eoue i?i ca?eueoaiiy ciai?oiueiai ae?aiao?o a?oa??iee ia 33,5% ? aioo??oiueiai – ia 77,3%, ui a?aeia?aaeo? iioei?caoe?th o?ainii?oieo i?ioean?a a o?ainieaioao?. Cia/aiiy aeaiiai yaeua, iaaii, aecia/a?oueny iio?aaith oeaiei i?aeaeueoe e?euee?noue i?eo?eath/i? e?ia? a cii? aeueoa?aoe?? i?e aeao?oeeo? eeniy. *an caaithaaiiy ii?eiai? ?aie o oaa?ei 2-? a?oie a oiiaao iia?aoeaii? ?aaaneoey?ecaoe?? neeaa 32,14(8,2 aeiae, ui i?aeoe/ii a?aeiia?aea? oa?i?iai ai?oae?caoe?? ?aie a eiio?ieuei?e a?oi? oaa?ei, ui a?aeaoaaeany aei 28,64(5,6 aeiae niinoa?aaeaiiy. A i?ioean? aeine?aeaeaiiy i?aeoaa?aeaeaii ii?oieia?/io iciaeo ia??iae?/ii ci?ithth/iai ciaeo ae?o?i?cio, yeo aeyaeee i?e aea/aii? iioeiaeaeaiieo i’yc?a a iiey??ciaaiiio na?oe?. Oaeei /eiii, aooiieanoeea ?aie IV nooiaiy oe??ii-i’yciaei eeaioai a aenia?eiaio? noai?th? oiiae aeey ?aiiuei? ? aeinoaoiuei? i?e?ioee?eoeyoe?? a i?eeyaath/eo aei ?aie ae?eueieoeyo oe??e ? i'ycao, a oaeiae caaacia/o? aaeaeaaoiee ia?aa?a ?aia?aoeaieo i?ioean?a a cii? aeaoaeoo ? ni?ey? oaeaeeiio a?aeiiaeaiith oe?e?niino? oe??ieo iie?ia?a. Caaaeueia e?eoaaiiy oai?eo i?iaiaeeeiny a a?aeiia?aeiino? c ?iaeaenii oyaeeino? ii?acee ? ianyaii o?aaeaieo oeaiei ? i?noeei o?ainooc?eio oa?ai?th, a?oai?ie, na?oeaa? caniae, aioeaaeoa??aeuei?, i?ioea?eaeia?, ei?oeeinoa?i?aei? i?aia?aoe, aeacaa?aaaioe, aeoeaio ? ianeaio ?ioi?caoe?th, ciiaeiao a?ia?ae?iaioaoe?th oa ?i. I?e eieae?caoe?? ?ai a iaeano? /a?aio, iineethaaeany aeaa?ae?aoaoe?eia oa?ai?y (1,5a iaii?oieo ia 1 ea iane o?ea). I?e aaeeeeo i?iiae?icao canoiniaoaaee ?ic/eie a?ae?iea?aiiaoo iao??th oa ?ia?a?oi??a i?ioaie?co. A ia??iae? aino?i? ii?eiai? oienai?? oa naioeeioienai?? o aaaeeiiaia/aieo ca iieacaiiyie aeei?enoaee oeueo?ao?ieaoiaa ? ?aioaai?anueea ii?ii?ithaaiiy e?ia?, aeno?aei?ii?aeueio aaiiea?aiia?ooc?th ? ieaciaoa?ac. Aaaeeeaei aeaiaioii caaaeueii? oa?ai?? aaaeeiiaia/aieo, yeee ie canoiniaoaaee c iaoith i?io?eaeoeee ? e?eoaaiiy ii?eiaiai aeniaaeaiiy ? naineno, ? aeiciaaia ciiaeiaa a?ia?ae?iaioaoe?y (50-70 eeae/ea iane o?ea iaoe??ioa). A ia??iae? oieo iaciaano?aeueiee ciiae aeei?enoaee aeey aeaeiii?an?? aa?oi?o a?aeae?e?a oeoieiai-eeoeiaiai o?aeoo, eiio?ieth ai?noo oeoieo, oaaaeaiiy aioa?ini?aaio?a. Oeth?aeecoth/? e?aeea «Ee?i?o?ii» aeei?enoaee ia o?eueee c iaoith aenoooaaiiy iae?ioe/iiai no?oio, aea ? aeey i?io?eaeoeee i?ieaaei?a, caaeeaeaiiy iae?ico, a oaeiae aeey noai?aiiy eiioi?oieo oiia e?eoaaiiy oai?eo i?e iino?ei?e oaiia?aoo?? ? aieiaino? iaaeieeoiueiai na?aaeiaeua. I?e i?noeaaiio e?eoaaii? oai?eo c ii?eaie IV nooiaiy oe?iei canoiniaoaaee iciiioa?ai?th c iaoith noa?ee?caoe?? ? aeaciaei?aoe?? ?ai ? ?aiueiaeo ii?iaeiei. ?ic?iaeaii i?eioeei i?noeaaiai e?eoaaiiy ii?eiaeo ?ai IV nooiaiy, yeee iieyaa? a aenoooaaii? iae?ioe/iiai no?oio o?eueee a ia??iae eiai oi?ioaaiiy (2 - 3 aeiaa). I?ney ?icn?/aiiy ? aeeo/aiiy iae?ioe/ieo oeaiei cae?enith?oueny ni?aoe?y ? ae?aioaaiiy ?ai aaea a oiiaao a?eueo o?c?ieia?/iiai aieiaiai na?aaeiaeua. C oe??th iaoith canoiniao?ii iac? (e?aie) ia aiaei?ic/eii?e iniia?, aie?eaoe?ei? ni?aaioe, a?ieia?/i? oa neioaoe/i? iie?eooy. Aeey oei/aniaiai iie?eooy ?ai i?ney iae?aeoii?? canoiniaoaaee e?io?e?ciaaio enaiioe??o, aii?ioe/io iaieiieo, ie?aeia? a?ieia?/i? iia’ycee («A?ieie», «Nenioaea?i», «Aeaaaeaeue» oa ?i.), neioaoe/i? iie?oei?a?i?eia? aai iie?aoeeaiia? ie?aee. I?e eieae?caoe?? ii?eiaeo ?ai IV nooiaiy ia e?ioe?aeao oe?iei aeei?enoaee can?a ?aa?iia?iiai aioo??oiueia?oa??aeueiiai oaaaeaiiy e?ea?nueeeo i?aia?ao?a oeyoii ioieoe?? noaaiiai? (iea/iai?) a?oa??? aai eaoaoa??caoe?? a?eie iaa?no?aeueieo a?oa??e. I?e i?inoi?eo ai?eii-iae?ioe/ieo ?aiao, aaia?ae?caoe?? ?ioaeoe?? oa i?noeaaeo ?ioaeoe?eieo oneeaaeiaiiyo canoiniaoaaee niin?a aiaeie?ioaeueii? oa?ai?? a eiiieaeniiio e?eoaaii? oai?eo c ii?eaie IV nooiaiy. O?enoa aeaaaeoeyoue iaeiiio oai?iio aeeiiaii 1895 iia?aoeaieo ao?o/aiue, ui neeaaea? a na?aaeiueiio ii 5,9 iia?aoe?e ia eiaeiiai oai?iai (ii iaei?e iia?aoe?? aeeiiaii o?eueee 18 oai?ei). Ia?ae?e oeeo i?aaaioeaieo iia?aoe?e i?e ii?eao IV nooiaiy neeaa 19 aeae?a iia?aoeaieo ao?o/aiue(oaae.3,4,5.). Ae?aioth/? aeaeiii?aneai? iia?aoe?? (oaae.3.), iia'ycai? c ?icn?/aiiyi oeaiei i?e ii?eao IV nooiaiy, aeeiiai? 120 oai?ei (37,3%). Iniiaiee aeae iia?aoe?e, ni?yiiaaieo ia ?icn?/aiiy oeaiei - iae?ioanoe?ii?ioii?? - i?iaaaeai? 79 oai?ei (24,6%). Oe? iia?aoe?? ? iaaaeieie ? aeeiiothoueny a ia?o? 3-4 aiaeeie i?ney ii?eo IVnooiaith a ?aiao an?o eieaeecaoe?e. Oaaeeoey 3. Aeaeiii?aneai? ae?aioth/? iia?aoe??. Aeaee iia?aoeaieo ao?o/aiue Aaniethoia /enei iae?ioii?y 36 oanoe?ioii?y 6 oanoe?ii?ioii?y 37 o?acaaa inoaiiae?ioii?y 14 a?o?ioii?y 3 ?icoeiaiiy ai?eieo ii?iaeiei 46 Anueiai 142 Aeaeiii?aneai? iia?aoe??, i?iaaaeai? iaa?oue a ae?oao-o?aoth aeiao i?ney o?aaie, iie?auoaaee i?e?ioee?eoeyoe?th, a?aeaa?oaee aoi?eii? ci?ie a oeaieiao ? ciaiooaaee ?ioieneeaoe?th. I?aenoaaith aeey ?icoe?aiiy iieacaiue aei iia?aoe?e ii ?icn?/aiith oeaiei i?e ii?eao IV nooiaiy, ie??i i?eoiaaieo i?iiae?ic?a, ? ?iia??i?noue ?icaeoeo o?iiaico iaa?no?aeueieo noaeei (niinoa??aaee o 35 oai?eo). Iae?aeoii?? i?iaaaeai? o 321 oai?iai. Aeeiiaiiy iae?aeoii?? an?i iia?iaaiei oai?ei na?ae/eoue i?i aeoeaio o??o?a?/io oaeoeeo, ui canoiniao?oueny a ee?i?oe? i?ioyaii anueiai ia??iaeo niinoa?aaeaiiy. Oaea oaeoeea iieyaa? a i?iaaaeaii? ia?aeiii? (1-2 aeiaa i?ney ii?eo) aai ?aiiuei? (3 - 7 aeiaa i?ney o?aaie) iae?aeoii??. Ia?aeiia iae?aeoii?y aeeiioaaeany oai?ei c iaiaaeaieie (ia a?eueo 1% iiaa?oi? o?ea) ii?eaie IV nooiaiy (27 iia?aoe?e o 27 oai?eo). A iniiaiiio oea eiioaeoi? oa?i?/i? ? iecueeiaieueoi? aeaeo?e/i? ii?ee. ?aii? iae?aeoii?? aeeiiaii 138 iino?aaeaeaeei i?ney cae?i/aiiy oieo ? aecia/aiiy iaae iae?ico (a na?aaeiueiio ia 4,4(0,38 aeaiue i?ney ii?eo). ?ioei 156 oai?ei iae?aeoii?? aeeiiai? a a?eueo i?ci? oa?i?ie (a na?aaeiueiio ia 17,6(3,8 aeaiue i?ney o?aaie), a ca'yceo c i?ciueith aini?oae?caoe??th ? iayai?noth niieo/aii? aai noiooiuei? iaoieia?? o iino?aaeaeaeeo. Aeey i?iaaaeaiiy iae?aeoii?? ie aeei?enoaee ??ciiiai?oi? oaoi?/i? i?eeiie iia?aoeaieo ao?o/aiue. I?e ii?eao IV nooiaiy c anoaiiaeaiith ciiith ?iciianthaeaeaiiy iae?ico ia ieiu? 4-9% iiaa?oi? o?ea i?aaioee i?iaiaeeoe oanoe?aeueio iae?aeoii?th, aeeo/ath/e iae?ioe/i? oeaieie neaeueiaeai ii ia?eiao?o ? aeio ?aie. A aeiaaeeao a?eueo i?inoi?eo ii?e?a IV nooiaiy, ye? ii?aeioaaeenue c ii?eaie III nooiaiy ? o yeeo ia anoaiiaeaia ciia aeaia?eaoe??, i?iaiaeeee oaiaaioe?eio iae?aeoii?th iiaeii Hamby aai aeaeo?iaea?iaoiiii. *anoi oanoe?aeueia iae?aeoii?y, yea i?iaiaeeeanue neaeueiaeai, ? oaiaaioe?eia iae?aeoii?y ca aeiiiiiaith aea?iaoiiiiai iiaea ii?aeioaaeenue. Ie??i oeueiai, aeei?enoiaoaaeiny iioa?iaa aeeo/aiiy iae?ioe/iiai no?oio - oae caaia iaoiaeeea oaiaaioe?eiiai i/euaiiy. Oaaeeoey 4. Iia?aoe?? ii aeeo/aiith iaaeeoo?caeaoieo oeaiei. Aeaee iia?aoeaieo ao?o/aiue Aaniethoia /enei iae?aeoii?y 596 inoaiiae?aeoii?y 64 aiiooaoe?y e?ioe?aee 48 aiiooaoe?y iaeueoe?a 98 ?acaeoe?y e?noie ? noaeia?a 33 Anueiai 839 I?aaeeueia i?aai?caoe?y ? oaoi?/ia caaacia/aiiy iae?aeoii?? i?e ii?eao III - IV nooiaith aeicaieeee aei i?i?ioio caanoe iia?aoe?eio e?iaiao?aoo. Oea, ia?aaeon?i, eaae?o?eiaaia a?eaaaea o??o?a?a ? aianoac?ieia?a, iayai?noue aa?iiai ?ino?oiaioa??y, eiaaoeyoi??a. I?io?eaeoeeo e?iaioa/? i?ae /an iia?aoe?? i?iaiaeeee oeyoii iaeeaaeaiiy aeaeaoo?a ia e?ioe?aee, aioo??oiueiaaiiiai oaaaeaiiy ?ic/ei?a a-ai?iieai?iiiai? eeneioe, e??ii?aoeei?oaoo, aoaiceeaoo iao??th. I?e i?inoi?eo ii?eao IV nooiaiy ieiuath a?eueo ye 10 % iiaa?oi? o?ea i?iaiaeeee oaiaaioe?eio iae?aeoii?th c a?aeno?i/aiith oe??iith ieanoeeith. I?e iaiiaeeeaino? aeeiiaiiy ia?anaaeee neeaaeieo eeaio?a iia?aoe??th aeai?o ? a?eueia ia?anaaeea ?icuaieaieo eeaio?a oe??e. A?aecia/aii cia/ii e?auee ?acoeueoao i?eaeeaeaiiy a?eueieo oe??ieo o?ainieaioao?a i?e a?aeno?i/ai?e oe??i?e ieanoeoe? (95,7%), i?ae i?e ia?anaaeoe? oe??e, i?iaaaeaii? a?ae?aco i?ney iae?aeoii?? (69 %). Oaiaaioe?ei? inoaiiae?aeoii?? aeeiiai? 59 iino?aaeaeaeei. Ca eieae?caoe??th inoaiiae?ico ? i?iaaaeaiith iia?aoe?e oai?? ?iciiae?eeeeny oaeei /eiii: /a?ai - 27 (45,7%), eeno? ? ia?aaeie?//y - 13 (22,0%), aii?eee ? noiie-11 (18,6%), eoi?ee ? e?eae? - 8 (13,7%). Oe? aeai? ia ni?aiaaeathoue c /eneii oai?eo, o yeeo aoee iaieai? ? iioeiaeaeai? e?noeia? no?oeoo?e ia?aaeie?//y ? eeno? (80 iino?aaeaeaeeo) ? /a?aio (49 oai?eo). Oaiaaioe?eia iae?aeoii?y aeeiioaaeanue iaioa i?ae o iieiaeie (45,8 %) oai?eo c iaieaiiyi ?\aai iae?icii e?noie neeai?iiy /a?aio, ? anueiai o 16,2% iino?aaeaeaeeo c eieae?caoe??th inoaiiae?ico ia eenoyo ? ia?aaeie?//yo. Oae? iieacieee iia'ycai? c o??o?a?/iith oaeoeeith, ui ?ic?iaeaia iaie i?e inoaiiae?ic?. Oey oaeoeea ni?yiiaaia ia ?aaaneoey?ecaoe?th iaieaieo (iae?ioeciaaieo) e?noie i?e ii?eao IV nooiaiy, ?ioeo o?aaiao aai caoai?thaaiiyo, ? iieyaa? a ia?anaaeoe? oe??ii-oanoe?aeueieo aai oe??ii-i’yciaeo eeaio?a ia iaieai? e?noee. sseui aeeiiaiiy oaeeo iia?aoe?e oaoi?/ii iaiiaeeeaa, aeiooaii i?iaiaeeoueny inoaiiae?aeoii?y. Iae/ano?oa oaea neooaoe?y neeaaea?oueny i?e i?inoi?eo ii?eao IV nooiaiy, ui caeiathoue ii ieiu? a?eueo ye 10-15% iiaa?oi? o?ea ?, ye i?aaeei, ii?aeiothoueny c ii?eaie III nooiaiy ? ii?eaie aeeoaeueieo oeyo?a. Aiiooaoe?th 48 e?ioe?aie i?iaaaeaii 44 oai?ei (13,5%). Iieacaiiyie aei aiiooaoe?? aoee aaia?aia e?ioe?aie aiane?aeie o?iiaico iaa?no?aeueieo noaeei ( o 35 iioa?i?eeo ), oioaeueia iaaoaeaiiy e?ioe?aie ( o 6 oai?eo ), ?icaeoie ai?iiai inoaa?o?ico ( o 3 iaoe??ioia ). I?e iioe?aii? iae?ico i’yc?a e?ioe?aie ia 3 naaiaioe aeieeathoue iieacaiiy aei ?aiiuei? aai ia?aeiii? aiiooaoe?? ( 26 oai?eo ), oiio ui i/?eoaaiiy aeaia?eaoe?? aaia?aie iaaacia/ii /a?ac ia?inoaiiy ?ioien?eaoe??, ?icaeoie aino?i? ie?eiai? iaaeinoaoiino?, a?iceaii? e?iaioa/?, nain?no. ?acaeoe?? e?noie ? noaeia?a a?aeiinei aei i?aaiicaa??aath/eo iia?aoe?e, ai caaaeyee i?iaaaeaiith ?o iaeiiiiiaioii c cae?eooyi aeaoaeoo i?noeaaeie oeaieiaie aaeaeiny caiia?aoe aiiooaoe?? e?ioe?aie aai ?oi?o naaiaio?a o 33 oai?eo. Ii?ee IV nooiaiy, ?icoaoiaai? a iaeano? /a?aio, iaee//y, eenoae ? noaeia?a aoee i?yiei iieacaiiyi aeey o??o?a?/ii? ?aaaneoey?ecaoe??. Anueiai aeei?enoaee 7 aeae?a ia?ai?uaiiy aai ia?anaaeee ??ciiiai?oieo oeaiei ? ?oi?o eiiieaen?a. Oaeeo iia?aoe?e aeeiiaii 152 o 117 oai?eo (38,5 %) a yeino? i?aaaioeaieo iia?aoeaieo ao?o/aiue (oaae.5.). Oaaeeoey 5 Ieanoe/i? a?aeiiai? iia?aoe??. Aeaee iia?aoeaieo ao?o/aiue Aaniethoia /enei a?eueia aea?iaoiiia oe??ia ieanoeea 728 a?eueia i?e?inoaeeiia ia?anaaeea eiiieaen?a oeaiei 5 ianaiaiaeia ieanoeea c a?nueiaei e?iaia?aii 18 ?iae?enueea oe??ia ieanoeea 89 ?oae?enueea ieanoeea 27 ae?oaee aoai ianaiaiaeii? ieanoeee 34 aea?iioaic?y 8 oiiae?iieanoeea 5 Anueiai 914 Ieanoeea ?ioaoe?eieie eeaioyie ia iino?ei?e aeeaey/?e i?aeoe? (?iae?enueea ieanoeea) aeei?enoiaoaaeanue o 81 oai?iai i?e 89 iia?aoe?e. Iiaeeea?noue cae?eniaiiy ieanoeee i?noeaaeie oeaieiaie ia?aaeon?i iia'ycaia c iayai?noth aeiii?nueeiai iaoa??aeo, ?icoaoiaaiiai ii?o/ c ii?eiaith ?aiith. I?e oeueiio iaiao?aeii a?aoiaoaaoe iai?yiie noaeei a eeaio?, ni?aa?aeiioaiiy eiai aeiaaeeie ? oe?eie, a oaeiae neeaae oeaiei. Aeey e?aui? aaneoey?ecaoe?? eeaioy a eiai neeaae iiaeiia aooe aeeth/aia oanoe?y aai i'yc. Oiiae aeey ia?ai?uaiiy i?noeaaeo oeaiei ? i?eaeeaeaiiy eeaio?a noai?ththoueny i?e eieae?caoe?? ?ai ia aieia? (56 iia?aoe?e), iea/? ? ia?aaeie?//? (22 iia?aoe??), ooeoa? (7 iia?aoe?e). Iniaeeaa i?noea a canoinoaaii? ia?anaaeee eeaio?a ia iino?ei?e aeeaey/?e i?aeoe? caeia? niin?a e?ea?aeaoe?? aeeaieeo ?ai /a?aio c iaieaiiyi ? iae?icii ie?noy. Ieanoe/aia cae?eooy aeaoaeoo e?noee (ca aeiyoeii oioaeueiiai inoaiiae?ico) i?iaiaeeee oeyoii ia?ai?uaiiy oe??ii-aiiiaa?ioe/ieo eeaio?a (iaeiiai aai aeae?eueeio). Ia?anaaeea ino??aeiaeo a?oa??ae?ciaaieo eeaio?a aeei?enoaia i?e e?ea?aeaoe?? ?ai iaeueoe?a eeno?a ? noiie (4 iia?aoe??). Iaeiei ?c aa??aio?a aeei?enoaiiy i?noeaaeo ?ano?n?a oeaiei ? ia?aeeaeiee eeaiioue. Oaeo iia?aoe?th i?e iaieaii? ? /anoeiaiio iioeiaeaeaii? aoeeiaa nooiaeeeey canoinoaaee o o?ueio iino?aaeaeaeeo. Can?a iiaea aooe cae?eniaiee i?e caa?aaeaieo iie?iaao caaeiuei? iiaa?oi? aii?eee. I?e i?inoi?eo aeaoaeoao «ia?aeeaeaiiy» eeaioy i?iaiaeeee a 3 aai 4 aoaie. Ia?anaaeea eeaio?a ia oei/aniai aeeaey/?e i?aeoe? (i?aeeao) - ?oae?enueea oe??yia ieanoeea - canoiniaaia o 27 oai?eo. Iniiaiith eieae?caoe??th ii?eiaeo ?ai IV nooiaiy, ia ye? ia?aiineee eeaio? c a?aeaeaeaieo i?noeue, aoea eenoue, iaeueoe? ?? ? ia?aaeie?//y (22 iia?aoe??). Caeaa?eueoiai aeei?enoai? ieane? oe??ii-aee?ia? aai oe??ii-oanoe?aeuei? eeaio? ia?aaeiuei? /a?aaii? no?iee. I'yoe oai?ei aeeiiaia ia?anaaeea iinoiaeaeiiai eeaioy: o?ueii - i?e eieae?caoe?? ?ai ia oee? eeno?, aeaii -i?e eieae?caoe?? ?ai ii aeieiii?e iiaa?oi? eeno?. I?e ia?anaaeoe? ieaneeo oe??ii-oanoe?aeueieo eeaio?a ie ii iiaeeeaino? ii?aeioaaee aeinoi?inoaa ?oae?enueeiai niiniao oe??ii? ieanoeee (a?aenooi?noue iaiao?aeiino? i?a?aoe?? eeaioy) ? o?eaoianueeiai noaaea (i?io?eaeoeea ?io?eoaaiiy eeaioy). C oe??th iaoith i?e iiaeeeaino? oi?ioaaee «aino?a» e?oaea noaaei - a?eueio /anoeio ieaneiai eeaioy caoeaaee a aeaeyae? o?oaee. Caaaeyee o?aioaaiith i?aeee eeaioy ii cai?iiiiiaai?e iaie noai? (?aoe. i?iiiceoe?y ?14821) a?aen?/aiiy i?aeee eeaioy i?iaiaeeee /a?ac 10-12 aei?a, ui ia 7-10 aei?a iaio o?aaeeoe?eieo oa?i?i?a. Ianaiaiaeia ia?anaaeea eeaio?a c a?nueiaei oeiii e?iaiia?ao aeeiiaia 18 oai?ei aac i?e?inoaeeiieo aianoiiic?a. A ooieoe?iiaeueiiio a?aeiioaii? oae? eeaio? ia a?ae??ciythoueny a?ae i?e?inoaeeiieo, iaeiae oaoi?/ia aeeiiaiiy iia?aoe?e cia/ii ni?iuo?oueny, a ?oiy o?eaae?noue nei?i/o?oueny a 2-3 ?ace. Aea?/? aeeiiaii o?ainiiceoe?th eeaioy iaeoe?oiai i'yco nieie (EIIN) aeiaaeeiith 25ni ia ?aiueiaee aeaoaeo, ui caeiaa iieiaeio iaee//y c iaieaiiyi eiaiai?, aeee/ii? ? ne?iiaai? e?noie. Aeey e?ea?aeaoe?? ?ai eeno?, iaeano? i?iiaiaai-cai’ynoeiaiai noaeiao ? ia?aaeie?//y e?aua anueiai aeei?enoaoe iaoaeiiee eeaiioue. Oeei oe??ii-oanoe?aeueiei eeaioai, yeee i?noeoue aea? a?nueia? a?oa???, e?ea?aeiaoaaee i?inoi?? aeaoaeoe ?oe c aa?ieie ooieoe?iiaeueieie ? einiaoe/ieie ?acoeueoaoaie (14 iia?aoe?e). A aeaio aeiaaeeao aeei?enoaee i?a?oth/a noaaei ii O?eaoiao, iiaeeo?eoaaaoe iaoiaeeeo ? neeaae noaaea. ?ic?iaeaii ? cai?iiiiiaaii niin?a oi?ioaaiiy ? ia?anaaeee i?a?oth/iai oe??ii-i’yciaiai eeaioy (iai?aaeaia cayaea a IAeOeIA). Niin?a a?ae??ciy?oueny oei, ui a noaaei aeeth/aii i'yc c a?nueiaei oeiii e?iaia?ao, yeee aeiaeaoeiai noeioeth?oueny. Aanue ia??iae i?a?aoe?? i'yc i?aeeyaa? aeaeo?inoeioeyoe??, ui iiia?aaeaea? eiai ao?io?th, iie?auo? iai?ii? i?ioeane ?, ioaea, cieaeo? ?ecee iae?ico noaaea. A?eueia ia?anaaeea eeaioy iaeoe?oiai i’yca nieie (EIIN) aeei?enoaia o i'yoe oai?eo. Iiaeeea?noue aeeiiaiiy i?e?inoaeeiieo iia?aoe?e caaaeaee coiiaeaia iayai?noth iaiioeiaeaeaieo ?aoe?i??ioieo noaeei. Ca iaoeie niinoa?aaeaiiyie noaeeie ?aoe?i??ioii? ? iaa?oue aeiii?nueei? ciie i?e o?i?/ieo, oa?i?/ieo ? iniaeeai aeaeo?e/ieo ii?eao iiaeooue aooe cia/ii ci?iai?. Oea ua a?eueo ni?ey? iaoaaie?/iei oa i?e?ioee?eoeyoi?iei ii?ooaiiyi a ia?anaaeaeoaaiiio a?eueiiio oe??ii-i’yciaiio eeaio? ? i?ecaiaeeoue aei eiai caaeaae?. Naia oae? ci?ie aoee i?e/eiith iaaaeaei? ia?anaaeee o?ueio c i'yoe a?eueii ia?anaaeaeaieo EIIN o iaoeo oai?eo. Iaie ?ic?iaeaii can?a ia?anaaeee oe??ii-i’yciaiai eeaioy, yeee a?aeaa?oa? oneeaaeiaiiy iia?aoe?? aai cieaeo? ?oi? /enei. Can?a a?ae??ciy?oueny a?ae cai?iiiiiaaieo ?ai?oa oei, ui ie??i aeae?eaiiy ? ia?aiino o?ainieaioaoo a ?aoe?i??ioio ciio, iaeeaaeaiiy i?e?inoaeeiieo aianoiiic?a, i?iaiaeeeany aeaeo?inoeioeyoe?y i'yco o?ainieaioaoo ? oaaaeaiiy a a?oa??th noaeeiii? i?aeee eeaioy aioeieneaeaioo (??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae ? 98052608 IIE6 A 61 A 17/00 a?ae 19.05.98?.). ?aii? canoinoaaiiy i?ia?aneaieo o??o?a?/ieo cania?a e?eoaaiiy i?e ii?eao IV nooiaiy iiia?aaeaea? ?icaeoie oneeaaeiaiue iaa?oue i?e iioeiaeaeaii? o?yua. A oeueiio ie ia?aeiiaeeny, iia?oth/e a oa?i?i aei nueiii? aeiae oai?eo c ii?eaie aooieo ?aeiaei. Ia?aeiia oiiae?iieanoeea i?e ii?eao aooii? ?aeiaeie aeei?enoaia o i'yoe oai?eo. Can?a iieyaa? a aeeo/aii? yaii iae?ioeciaaiiai o?yuo c iaeiiiiiaioiith oe??iith ieanoeeith i?noeaaeie oeaieiaie. I?e ianoa/? ieanoe/iiai iaoa??aeo (iaaeieeoiuei? oe??e) ?acaoee?oaaiee o?yu oe?eaaany eeaioai iaaeo?yuieoe?, aee?i?iii? I-ia?acii c ?ao?iao?eeoey?ii? ciie. Ia iaieaio iaaeo?yuieoeth ia?anaaeaeoaaee ?icuaieaiee oe??iee aooio?ainieaioao oiaueiith 0,25-0,4ii (?aoe. i?iiiceoe?y ? 64). Canoinoaaaoe oaeo iaoiaeeeo, ai? ?aco ia niinoa??aaee ?icaeoeo oiiae?iia?eoiiae?eoo, iie?aueaoe, oaeei /eiii, ooieoe?iiaeuei? ?acoeueoaoe ? nei?ioeaoe oa?i?ie e?eoaaiiy o oeeo oai?eo. Aea?iioaic?th c iaoith io?eiaiiy aeiaeaoeiaiai ianyao iiaiioe?iii? oe??e ? e?ea?aeaoe?? ?aie a i?aaaioeai?e o??o?a?? ii?e?a IV nooiaiy canoinoaaee o ainueie oai?eo. O aeaio iaoe??io?a cae?eooy ?ai a iaeano? i?aeai??aeaey c iaieaiiyi ieaeiuei? uaeaie i?iaaee oe??ii-oanoe?aeueiei eeaioai oe? i?ney eiai iia?e?caoe?? a?ae ieaoecie - oae caaia ciai?oiy aai aino?a aea?iioaic?y. ?iieaioaoe?eia aea?iioaic?y aeey e?ea?aeaoe?? i?inoi?eo ?aiueiaeo aeaoaeo?a neeai?iiy /a?aio aoea aeeiiaia 36 oai?ei. Aei aea?iioaic?? i?enooiaee /a?ac 5-6 aei?a i?ney ?iieaioaoe?? aeniaiaea?o, i?iaiaey/e ?? a i?enei?aiiio oaii?, a?aoiaoth/e iaiao?aei?noue e?ea?aeaoe?? ?aie a iaea?eueo ?aii?e oa?i?i. ??aeeio (cae/aeii ?ic/ei oo?aoeee?io) a i?eeiaeueio eaia?o oaiaeeee /a?ac 1-2 aei? a e?eueeino? 5-10% a?ae caieaiiaaiiai e?ioeaaiai ianyao aeniaiaea?o, ? ia??iae aea?iioaic?? o oe??? a?oie oai?eo ia ia?aaeuoaaa iaeiiai i?nyoey. Aeei?enoaiiy niiniao aea?iioaic?? aeey e?ea?aeaoe?? ae?eueieoeue inoaiiae?ico oa ?ioeo ?ai, ui aeiaaathoue ?aaaneoey?ecaoe??, i?iaaaeaii iaie oe?eani?yiiaaii, a eiiieaen? i?aaaioeaii? o??o?a?? ii?e?a a i?ioean? aeiciaaiiai ?icoyao oe??e ca?eueooaaeny eae?a? aeeaey/eo noaeei, iineethaaeanue o?c?ieia?/ia caaa?oiaai?noue, i?aeaeuoaaeanue no?ee?noue eeaio?a aei iia?aoe?eii? o?aaie (A?eai?’?aa O.A., 1991). Aaaeeeaith ee?ie/iith ? ii?oieia?/iith ianoaaeiith aea?iioaic?? ? oi?ioaaiiy iaaeiei aeniaiaea?a o?a?icii? eainoee - aeaea?aea aeiaeaoeiaiai e?iaiiinoa/aiiy aea?iioaic?eieo eeaio?a. Oae? eeaio? ye ieanoe/iee iaoa??ae oa?aeoa?ecoaaeanue aenieith aeanoe/i?noth ? aeeoo?caeaoi?noth, ui iieaaooaaei caaea/o cai?uaiiy ?aiueiaeo aeaoaeo?a ? i?iaaaeaiiy inoaoi/iiai aoaio iia?aoe?? a oiiaao ?io?eoaaiiy. Aiae?c eaoaeueiino?. C 326 oai?eo, yeeo niinoa??aaee, iiia?ei 37 iaoe??io?a (11,3 %). Oanoa?i c iiia?eeo - ae?oe a?ae 2.5 aei 14 ?ie?a, naia?i iino?aaeaeaeeo iiia?ee a a?oe? 60-85 ?ie?a. A?eueo?noue oai?eo (28 c 37) iiia?ee a?ae e?eoe/ieo ? ianoi?nieo c aeeooyi ii?e?a. ?iaeaen oyaeeino? ii?acee (?OI) o oe??? a?oie iiia?eeo neeaa a?ae 123 aei 308 iae. (a na?aaeiueiio 172iae.). C 128 oai?eo c ii?eaie IV nooiaiy, ye? no?aaeaeaee ia ii?eiao oai?iao, iiia?ei 37(31,9 %). A ia??iae? oieo iiia?ei o?noue oai?eo (4,7%), a ia??iae? oienai?? - 6 (4,9%) ? a ia??iae? naioeeioienai?? iiia?ei 25 iino?aaeaeaeeo (21,5%). Aeniea eaoaeuei?noue i?e ii?eia?e oai?ia? i?aee?aneth? oyaee?noue oai?eo c ii?eaie IV nooiaiy. Aaciina?aaeiueith i?e/eiith nia?o? o oanoe c ieo yaeany iacai?ioiee ii?eiaee oie, o 21 oai?iai - nainen, ii aeaia oai?eo iiia?ei a?ae ai?eiiai iai?iaiaioeaoae?oo ? iiaaiii??, ii iaeiiio - a?ae aino?i? ie?eiai? iaaeinoaoiino?, ii?eo aeeoaeueieo oeyo?a ? aino?i? iinoaaii?aa?/ii? aiai??. O?i? iaoe??io?a iiia?ee a?ae noiooi?o caoai?thaaiue i?e ieiu? ii?eo IV nooiaiy a?ae 4% aei 12% iiaa?oi? o?ea. Ua /aoaa?i nioe?aeueii iacaoeuaieo oai?eo c ieiuath ii?acee 10-12% iiaa?oi? o?ea iiia?ee a ?acoeueoao? i?ciuei? aini?oae?caoe?? ?c-ca iacaa?oaiiy ca iaaee/iith aeiiiiiaith i?ioyaii iaeiiai-aeaio oeaei?a ia oe? ae?iaioa?ii? eaoaen?? (oe? oai?? oa?eoee a /enei iiia?eeo a?ae naineno). Oaeei /eiii, iniiaiith i?e/eiith nia?o? o iaoeo oai?eo aeyaeeeny ai?ei? oneeaaeiaiiy ii?eiai? oai?iae, cie?aia - nainen. Eaoaeuei?noue i?e nainen? neeaea 56,8%, i?e iiaaiii?? - 3,6%. Ioe?iea ?acoeueoao?a o??o?a?/iiai e?eoaaiiy. Ie ii??aiyee /enei oneeaaeiaiue, ye? aieeaaoe ia eaoaeuei?noue, ? iieaciee eaoaeueiino? a caeaaeiino? a?ae oaeoeee o??o?a?/iiai e?eoaaiiy o iaea?eueo aaaeeeo oai?eo (n=80). C oe??th iaoith oai?eo iiae?eeee ia aea? a?oie, aea i?iaiaeeee ?aii? (n=43) aai i?ci? (n=37) iae?aeoii?? (oaae.6.). Oaaeeoey 6. Iieacieee oneeaaeiaiue oa eaoaeueiino? a caeaaeiino? a?ae ieiu? ii?eo ? oaeoeee o??o?a?/iiai e?eoaaiiy. Oneeaaeiaiiy ? eaoaeuei?noue ?aiiy iae?aeoii?y 10-19% (n=27) I?ciy iae?aeoii?y 10-19% (n=26) ?aiiy iae?aeoii?y A?eueo 20% (n=16) I?ciy iae?aeoii?y A?eueo 20% (n=11) nainen 25.92% 53.84% 81.25% 90.9% iiaaiii?y 37.03% 53.84% 93.75% 90.9% eaoaeuei?noue 18.51% 26.92% 75% 80% sse aeaeii, i?e aeei?enoaii? oaeoeee ?aiiuei? iae?aeoii?? a a?oi? oai?eo c ieiuath ii?eo IV nooiaiy 10-19% iiaa?oi? o?ea nainen ?icaeaa?oueny a aeaa ?ace ??aeoa, i?ae a a?oi? iino?aaeaeaeeo, yeei iia?aoeaia e?eoaaiiy i?iaaaeaii a i?ci? oa?i?ie. A a?oi? oai?eo c ieiuath ii?acee IV nooiaiy a?eueo ye 20% iiaa?oi? o?ea oaei? ae?aaeaii? ??cieoe? aaea ia a?aecia/a?oueny. Iiaaiii?y oaeiae cia/ii ??aeoa (a 1,5 ?aco) ?icaeaa?oueny o oai?eo, yeei aeeiioaaeany ?aiiy iae?aeoii?y i?e ieiu? ii?eo IV nooiaiy 10-19% iiaa?oi? o?ea, i?ae o i?cii iia?iaaieo iino?aaeaeaeeo A?aecia/aii cieaeaiiy eaoaeueiino? a 1,5 ?aco a a?oi? oai?eo c ieiuath ii?eo IV nooiaiy 10 - 19% iiaa?oi? o?ea, yeei i?iaiaeeeiny ?aii? o??o?a?/ia e?eoaaiiy. Ie ii??aiyee oaeiae na?aaei? oa?i?ie ia?aaoaaiiy a noaoe?iia?? a caeaaeiino? a?ae oaeoeee o??o?a?/iiai e?eoaaiiy a a?oiao oai?eo c ??ciith ieiuath ii?eo IV nooiaiy (oaae.7.). sse aeaeii, a on?o a?oiao oai?eo i?e ?aii?e o??o?a?/i?e oaeoeoe? oa?i?ie noaoe?iia?iiai e?eoaaiiy cia/ii cieaeothoueny (iieacieee o?eaaeino? e?eoaaiiy o oai?eo c ieiuath ii?eo IV nooiaiy a?eueo ye 20% iiaa?oi? o?ea ia aeeth/ai? aei oaaeeoe? ?c-ca ?oiuei? iaa??ia?aeiino? a ca'yceo c iaaaeeeei /eneii niinoa?aaeaiue). A?aeaeaeai? ?acoeueoaoe e?eoaaiiy a oa?i?i a?ae iaeiiai aei o?ueio ?ie?a i?ney ii?eo aea/ai? o 174 iaoe??io?a, ye? iino?aaeaeaee a?ae ii?e?a IV nooiaiy. C ieo 98 /ieia?e i?aoeacaeaoiiai a?eo, 72 - ae?oe. Oaaeeoey 7. Oa?i?ie noaoe?iia?iiai e?eoaaiiy a caeaaeiino? a?ae o??o?a?/ii? oaeoeee. Aeaee iia?aoeaiiai e?eoaaiiy ?aii? iia?aoe?? i?ci? iia?aoe?? Ieiua ii?eo IV nooiaiy Oa?i?ie e?eoaaiiy (aeiaa) Oa?i?ie e?eoaaiiy (aeiaa) Aei 1% 23.56( 3.54 41.23(5.48 1 - 4% 38.05( 5.43 47.81(6.36 5 - 9% 51.91( 6.76 63.52(7.81 10-19% 48.59( 5.08 61.24(6.95 O 105 ?aeiiaaeanoeaio?a(60,3%) aeyaeaii iciaee ?iaae?ae?caoe??, ui aeyaeythoueny ii?ooaiiyie ooieoe?? noaeia?a e?ioe?aie ? o?io?/ieie ci?iaie.Aeey ioe?iee ooieoe?iiaeueieo ?acoeueoao?a e?eoaaiiy a caeaaeiino? a?ae o??o?a?/ii? oaeoeee iiae?eeee iaoe??io?a, ye? ianoaaeeeeny a a?aeaeaeaiee ia??iae, ia 2 a?oie: 1 a?oia - 93 oai?eo, yeei aeeiioaaee ?aii? aai ia?aeii? i?aaaioeai? iia?aoe?? ? 2 a?oia - 81 oai?ee c ii?eaie IV nooiaiy, ui iia?oaaeeny a i?ci?e oa?i?i i?ney o?aaie. Ooieoe?iiaeuei? ?acoeueoaoe e?eoaaiiy a a?aeaeaeaiee i?ney o?aaie ia??iae ii??aiyee o 105 ?aeiiaaeanoeaio?a (oaae.8.). Oaaeeoey 8. Oa?aeoa?enoeea ooieoe?iiaeueieo ?acoeueoao?a e?eoaaiiy a caeaaeiino? a?ae o??o?a?/ii? oaeoeee. Iane?aeee ii?e?a/ A?oie ?aeiiaaeanoeaio?a I a?oia n=93 II a?oia n=81 anueai n=174 ?oaoeaa? aeaoi?iaoe?? ? eiio?aeoo?e eenoae ? iaeueoe?a I - II nooiaiy 18 13 31 ?oaoeaa? aeaoi?iaoe?? ? eenoae ? iaeueoe?a III - IV nooiaiy 15 35 50 ae?acee ?oaoe?a ? o?io?/i? ae?acee 5 14 19 oeai? eoeueo?, o?ii?/iee inoaii??e?o 3 2 5 Anueiai 41 64 105 % 44,1 79 60,3 sse aeaeii, a ia?o?e a?oi? ianoaaeaieo ia?aaaaeathoue eio?aeoo?e I ? II nooiaiy, aaniethoia /enei ? ieoiia aaaa oneeaaeiaiue iaioa, i?ae a ae?oa?e a?oi? ?aeiiaaeanoeaio?a. A?aeiia?aeii, a ae?oa?e a?oi? oai?eo, ye? ianoaaeeeenue a a?aeaeaeaiee ia??iae, /enei ? oyaee?noue eiio?aeoo?, aeaoi?iaoe?e noaeia?a ? o?io?/ieo ae?acie ia?aaeuo? oae? a ia?o?e a?oi? a 1,8 ?aco. Aeey ia?aa??ee cia/eiino? a?aei?iiinoae aoa aeei?enoaiee e?eoa??e (2, ciaeaeaia cia/aiiy yeiai neeaei 20,6. Oey aaee/eia ia?aaeuo? (20,01=6,63, oiio a?aei?iiino? i?ae a?oiaie ? cia/oueie (?( 0.01). Ioaea, i?e aeei?enoaii? ?aiiuei? oaeoeee o??o?a?/iiai e?eoaaiiy oai?eo c ii?eaie IV nooiaiy ooieoe?iiaeuei? ?acoeueoaoe iie?auothoueny a 1,8 ?aco o ii??aiyii? c o?aaeeoe?eiith oaeoeeith e?eoaaiiy. AENIIAEE. 1.A e?oa?aoo?? oaeoe/ii a?aenooi? a?aeiiino? i?i iaoiaaiac ii?e?a IV nooiaith, ee?i?/i? i?iyae, iaoiaee ?aiiuei? ae?aaiinoeee oaeeo iioeiaeaeaiue. A?aenooiy ?aeeia i?aeia?iaeia eeaneo?eaoe?y ii?eiaeo ?ai ca aeeaeiith ii?acee, a a ?nioth/eo ca?oa?aeieo - IV nooi?iue ii?eo acaaae? ia ia?aaeaa/aiee. Ia ocaaaeueiai? ?ic??ciai? ioae?eaoe?? uiaei ieoaiue o??o?a?/iiai e?eoaaiiy oai?eo c ii?eaie IV nooiaith. A?aeiiino? i?i ia?aaaao ?aiiueiai iia?aoeaiiai e?eoaaiiy oai?eo c aeeaieeie ii?eaie ii??aiyii c o?aaeeoe?eieie iaoiaeaie aeiaaathoue eiie?aoecaoe?? iieacaiue, aeai?o no?ie?a ? iaoiae?a o??o?a?/iiai ao?o/aiiy i?e ii?eao IV nooiaith. 2.?ic?iaeai? eeaneo?eaoe?? ii?eiaeo ?ai ca aeeaeiith ii?acee oa oneeaaeiaiue ii?eiaeo ?ai, a oaeiae - aeeoa?aioe?eii-ae?aaiinoe/ia oaaeeoey «Eeaneo?eaoe?ei? iciaee aeeaeie ii?eiaeo ?ai» iathoue aiaoiii-o?c?ieia?/ia iaa?oiooaaiiy, ui aeicaiey? canoiniaoaaoe ?o aeey aeai?o oaeoeee e?eoaaiiy ? i?iaiico o?aaie. Aeyaeee, ui iaea?eueo oyaee? oneeaaeaiiy o iaia/aieo ?icaeaathoueny i?e ii?eao IV nooiaith, ye? eeaneo?eothoueny ye noaoanoe?aeuei? ii?acee. 3.Anoaiiaeai? ao?iiaoiaaiaoe/iee, aeniiceoe?eiee oa aca?iiiaoyaeoth/ee /eiieee aeieeiaiiy ? ia?aa?ao ii?e?a IV nooiaiy oa nenoaiii? a?aeiia?ae? i?aai?cio a aeaeyae? ?icaeoeo oieo o 39,5% oai?eo c a?iioii??th (o 29,7% iaoe??io?a) ? ao?aoith na?aeiiino? (o 52,2% iino?aaeaeaeeo). 4..Ia i?aenoaa? ii?oi-ooieoe?iiaeueieo ? aenia?eiaioaeueieo aeine?aeaeaiue anoaiiaeaii aieiaio ?ieue ia?aeiii? noaeeiii? aeueoa?aoe??, o?iiaiooai?aiiy, ?icaeoeo noaoanoe?aeueiiai iaa?yeo, ?oai?? oeaiei ? aoi?eiiiai iae?ico a ?aiao i?e ii?eao IV nooiaith. Aeeiai?/ia aea/aiiy ae?aiao?o i?e?inoaeei neaeaoiiai i'yco iaoethea a aenia?eiaio? ? ia'?eoeaiei e?eoa???i ioe?iee noaio i?e?ioee?eoeyoe?? a ii?iaeueiiio ? iioeiaeaeaiiio i'yc?, i?aeoaa?aeaeoth/e iiaeeea?noue a?aeiiaeaiiy ia?ooc?? oeaiei. 5..Ia?ai?uaiiy oe??ii-i’yciaiai eeaioy a iaeanoue aenia?eiaioaeueiiai ii?eo IV nooiaiy noai?th? oiiae aeey a?aeiiaeaiiy i?e?ioee?eoeyoe?? a cii? ia?aiae?ico ca ?aooiie aoaeoo iai?yii? ?aaaneoey?ecaoe??, caaacia/o? aaeaeaaoiee ia?aa?a ?aia?aoeaieo i?ioean?a ? a?aeiiaeaiiy oe?eino? iie?ia?a. Ia 10 aeiao i?ney ia?ai?uaiiy eeaioy iii?oeee a?aeiiaeaiiy ?ici???a i?e?inoaeei aei eiio?ieueiiai ??aiy. 6.?ic?iaeaiee aeaeo?ii?ia?ao?/iee niin?a aecia/aiiy aeeoo?caeaoiino? i’yciai? oeaieie aeicaiey? io?eiaoe iaea?eueo cia/ou? ia?aiao?e noaio i’yciaiai aieieia, ye? iiaeooue aooe aeei?enoai? aeey ae?iaeaiiy oaeoeee o??o?aa ? aecia/aiiy i?iaiico o?aaie. sseui e?euee?noue aeeoo?caeaoieo aieieii noaiiaeoue iaio ye 7% a?ae caaaeueii? iane o?aaeaiiai naaiaioo, a aiie?ooaea iioaioe?aeo neeaaea? anueiai 3% a?ae ii?ie, oi i’yc i?aeeyaa? aeeo/aiith. Iaoiaeeea iiaea canoiniaoaaoeny ia o?eueee i?e ii?eao IV nooiaiy, a ? i?e aino?eo oa o?ii?/ieo ii?ooaiiyo a?oa??aeueiiai e?iaiia?ao. 7.?ic?iaeaiee niin?a ae?aaiinoeee aeeaeie iioeiaeaeaiiy e?noie neeai?iiy /a?aio ? i?eno??e aeey eiai cae?eniaiiy aeicaieythoue a/anii ? a??ia?aeii aecia/aoe aeeaeio inoaiiae?ico, oaeoeeo o??o?a?/iiai e?eoaaiiy, ? a?aeaa?oathoue ?icaeoie oneeaaeiaiue. Niin?a ? iaoiae iiaeooue aooe aeei?enoai? i?e iaoai?/ieo iioeiaeaeaiiyo e?noie neeai?iiy /a?aio. 8.Iao?e/iee ? eiii’thoa?ii-oiiia?ao?/iee niiniae aecia/aiiy ia’?io iioeiaeaeaieo oeaiei i?e ii?eao IV nooiaiy ? i?iaiinoe/ii cia/oueie. Anoaiiaeaio, ui yeui ia’?i o?aaeaieo oeaiei i?e ii?eo IV nooiaiy neeaaea? a?ae 0,5% aei 1% ia’?io anueiai o?ea, ne?ae i/?eoaaoe aaaeeee ia?aa?a ii?eiai? oai?iae, a yeui ia’?i iioeiaeaeaieo oeaiei ia?aaeuo? 1% anueiai ia’?io o?ea - i?iaiic aeey aeeooy iani?eyoeeaee. 9.O ca’yceo c ?icaeoeii ? i?ia?anoaaiiyi ?ioa?noeoe?eiiai iaa?yeo aeeiiaiiy aeaeiii?an?eieo ae?aioth/eo iia?aoe?e, iai?aaeaieo ia ?icn?/aiiy oeaiei (iae?i-oanoeii-iiioii??), i?e ii?eao IV nooiaiy iieacaia a ?aiao an?o eieae?caoe?e a ia?o? 3 - 4 aiaeeie i?ney o?aaie aeey a?aeaa?oaiiy aoi?eiieo ci?i a oeaieiao. Anoaiiaeaii, ui i?ney iae?ioanoe?ioii?? a?iaeaeo?e/ia aeoeai?noue i'yc?a o?aaeaii? e?ioe?aee c?inoa? ia 30%. 10.Ia iniia? ?acoeueoao?a o??o?a?/iiai e?eoaaiiy anoaiiaeaii, ui i?e iaiaaeaieo ii?eao IV nooiaiy (aei 1% iiaa?oi? o?ea) iieacaia ia?aeiia iae?aeoii?y c iaeii/aniith ianaiaiaeiith oe??iith ieanoeeith, i?e ieiu? ii?acee a?ae 4 aei 9% iiaa?oi? o?ea ?aoe?iiaeueii i?iaiaeeoe ?aiith oanoe?aeueio iae?aeoii?th ? a?aeno?i/aio ieanoeeo. I?inoi?? ii?ee IV nooiaiy (iiiaae 10% iiaa?oi? o?ea) ? iieacaiiyi aei oaiaaioe?eii? iae?aeoii?? oa a?eueii? oe??ii? ieanoeee. 11.Ii?ee IV nooiaiy, ?icoaoiaai? a iaeano? /a?aio, iaee//y, eeno?a, noaeia?a, ? i?yiei iieacaiiyi aeey o??o?a?/ii? ?aaaneoey?ecaoe??. ??ciiiai?oi? caniae ia?anaaeee eiiieaen?a oeaiei c a?nueiaei e?iaiia?aii, ianaiaiaeieo aeae?a oe??ii? ieanoeee ? aea?iaoaic?eieo eeaio?a aeicaieythoue aea?aoe a eiaeiiio aeiaaeeo iaea?eueo iioeiaeueiee aa??aio iia?aoe??. Oae? iia?aoe?? ca no?ieii aeeiiaiiy ? i?aaaioeaieie, a ca ?acoeueoaoii - ?aeiino?oeoeaii-a?aeiiaieie. 12.?ic?iaeai? niiniae ia?anaaeee, o?aioaaiiy oa aeaeo?inoeioeyoe?? oe??ii-i’yciaeo ? oe??ii-oanoe?aeueieo eeaio?a aeicaieeee iie?aueoe ?o i?eaeeaeaiiy, caiia?aoe i?neyiia?aoe?eiei oneeaaeiaiiyi ? nei?ioeoe no?iee e?eoaaiiy oai?eo a 1.5 ?aco. 13.Ae?iaeaia nenoaia ?aii?o cania?a ae?aaiinoeee ? o??o?a?/ii? oaeoeee o oai?eo c ii?eaie IV nooiaiy aeicaieeea aeiaeoeny cieaeaiiy oneeaaeiaiue a 1,5-2 ?ace, eaoaeueiino? a 1,5 ?ac ? iie?aueoe ooieoe?iiaeuei? ?acoeueoaoe e?eoaaiiy a 1,8 ?ac. NIENIE ?IA?O, IIOAE?EIAAIEO II OAI? AeENA?OAOe??. 1.Oenoaeue Y.ss. Eeanneoeeaoeey iaeiaia ii aeoaeia ii?aaeaiey. - Ee?i?/ia o??o?a?y. - 1997. - ?7-8.-N.5-6. 2.Oenoaeue Y.ss. Eeeieea, aeeaaiinoeea e ea/aiea iaeiaia IV noaiaie. - Na??iee iaoeiaeo ?ia?o ?? Eiia?ano o??o?a?a Oe?a?ie. - Ee?a-Aeiiaoeuee. - Ee?i?/ia o??o?a?y, 1998. - N.493-494. 3.Oenoaeue Y.ss. Aeeaaiinoeea e ea/aiea iia?aaeaeaiee iie?iaia naiaea /a?aia. - I?oiiaaeey, o?aaiaoieiaey e i?ioace?iaaiea.-1998.-?1.-N.79-83. 4.Oenoaeue Y.ss. Iaaeaaiae/aneea aniaeou eiiaonoeieiaee e ieanoe/aneie oe?o?aee.- A?oea eeeie/aneie e yenia?eiaioaeueiie iaaeeoeeiu. - Aeiiaoee: AeiiAIO, 1998. - o.7. - ?2. - N.128-130. 5.Aonae A.E., Oenoaeue Y.ss. I?aaiecaoeey e yooaeoeaiinoue niaoeeaeece?iaaiiie iiiiue iino?aaeaaoei io iaeiaia a Aeiiaoeeie iaeanoe. - Na??iee iaoeiaeo ?ia?o ?? Eiia?ano o??o?a?a Oe?a?ie. - Ee?a-Aeiiaoeuee. - Ee?i?/ia o??o?a?y, 1998. - N.456-458. 6.Aonae A.E., Oenoaeue Y.ss., Naiieeaiei A.A. ?aiiaa oe?o?ae/aneia ea/aiea iino?aaeaaoeo n iaeaieaa oyaeaeuie iaeiaaie. - Ee?i?/ia o??o?a?y. - 1998. - ?3. - N.28-29. 7.*aaioa?aaa E.E., Oenoaeue Y.ss., Nieioaiei A.A. Iniaaiiinoe ii?aaeaiey ia?eoa?e/aneeo ia?aia i?e iaeiaao IV noaiaie: eeeieei-iae?ioeceieiae/aneia enneaaeiaaiea. - Atheeaoaiue Oe?a?inueei? anioe?aoe?? iae?io??o?a?a, aeione 6. - E., 1998. 8.Oenoaeue Y.ss. Eeanneoeeaoeey iaeiaiauo ?ai ii aeoaeia ii?aaeaiey. - Na??iee iaoeiaeo ?ia?o ?? eiia?ano o??o?a?a Oe?a?ie. - Ee?a-Aeiiaoeuee. - Ee?i?/ia o??o?a?y, 1998. - N.492-493. 9.Oenoaeue Y.ss. Yeaeo?io?aaia (eeeieea,iaioeiaeiay iiiiuue e ea/aiea). - E?eoaaiiy ? ae?aaiinoeea. - 1997. - ?2. - N.58-59. 10.Oenoaeue Y.ss., Naiieeaiei A.A. ?aiiaa oe?o?ae/aneia ea/aiea aeoaieeo iaeiaia. - Eeeie/aneay oe?o?aey. - 1992. - ?3. - N.44-46. 11.Aonae A.E., Oenoaeue Y.ss., ?iaeei TH.A., Eeaoeoe A.I., Aii?iiaaa A.A, Naiieeaiei A.A. Naiaiaeiay ia?anaaeea eineooa oe?i/aeoae iuooeu nieiu a ciiu n aeaeiiiaine?iaaiiei ?aaeiia?iei e?iaioieii a iaeiaiaie e ninoaeenoie oe?o?aee. - Eeeie/aneay oe?o?aey. - 1992. - ?3. - N.7-9. 12.Aonae A.E., Oenoaeue Y.ss., Aieuaiei E.A., Naiieeaiei A.A. Onei?aiiay o?aie?iaea eiaeii-oanoeeaeueieo eineooia. - Oe?o?aey. - 1994. - ?5-6. - N.71-72. 13.Oenoaeue Y.ss., Naiieeaiei A.A., Eaa?ooei TH.I., Aaeu/aaoeaa A.Ae. I?eiaiaiea ieaii/iuo iie?uoee aeey ea/aiey ?ai o iino?aaeaaoeo n iaeiaaie. - Eeeie/aneay oe?o?aey. - 1994. - ?4. - N.63. 14.Gusak V., Lobas V., Fistal E., Samoylenko G. R.Breitman’s philosophy is using in the burns surgical treatment. - Wounds, Burns, Dressings: the 5-th International Congress. - Tel-Aviv (Israel), 1998. - P.61. 15.Aiaiei N.E., Eecei A.A., Oenoaeue Y.ss. Aeeaaiinoeea, eeanneoeeaoeey e ea/aiea iaeiaia ooiuo ?aeiaei.- Eeeie/aneay oe?o?aey.- 1990.-? 3.-N. 15-17. 16.Aiaiei N.E., Eecei A.A., Oenoaeue Y.ss. Iaeiae ooiuo ?aeiaei, eo ineiaeiaiey e ea/aiea.- Aanoiee ioiea?eiaieiaee.- 1990.- ? 2.- N. 11-13. 17.Ai?iei N.E.,O?noaeue A.ss. Eiiieaenia e?eoaaiiy oa?i?/ieo o?aaeaiue ciai?oiueiai aooa.-Oace aeiiia?aeae I c`?caeo o??o?a?a Oe?a?ie.- Euea?a, 1994.- N.207. 18.Aonae A.E., Iieeuoe N.A., Aieuaiei E.A., Oenoaeue Y.ss. I?eioeeiu i?aaiecaoeee iaaeeoeeineie iiiiue i?e a?oiiiauo e ianniauo oa?ie/aneeo ii?aaeaieyo.- Iaoa?eaeu iaaeae. eiio. «Iaaeeoeeia eaoano?io».- Iineaa.- 1990.- N.65. 19.Oenoaeue Y.ss., Naiieeaiei A.A. Yeaeo?iiaeiaiaay ?aia: iaoiaaiac, aeeaaiinoeea e oe?o?ae/aneia ea/aiea. - Oac. eii. «Eioaineaiia ea/aiea oyaeaeiiaiaeaeaiiuo».- Iineaa, 1992.- N. 164-165. 20.O?noaeue A.ss., Nia?ainueeee ?.?., Coeei A.E. Ieanoeea iioa?iaei o?ainieaioaoaie i?e aeoaieeo ii?eao eeoeoe?.- Oace aeiiia?aeae I c`?caeo o??o?a?a Oe?a?ie.- Euea?a.- 1994.- N.239. 21.Aonae A.E., Oenoaeue Y.ss., Nia?aineee E.E., Naiieeaiei A.A., Aaeeoeia A.O. Oaeoeea ieacaiey iaaeeoeeineie iiiiue iaiaeaeaiiui i?e ianniauo oaooiuo o?aaiao. - VIII Iao/iay eiioa?aioeey ii i?iaeaia «Iaeiae».- Naieo-Iaoa?ao?a, 1995.- N.57-58. 22.Oenoaeue Y.ss., Naiieeaiei A.A I?ioeeaeoeea eecena eiaeiuo aooio?ainieaioaoia i?e ?aiieo iia?aoeeyo o iaiaeaeaiiuo. VIII iao/iay eiioa?aioeey ii i?iaeaia «Iaeiae».- Naieo-Iaoa?ao?a,1992.- N.173-174. 23.Aonae A.E., Oenoaeue Y.ss., Nia?aineee E.E., Naiieeaiei A.A. Iniaaiiinoe ieacaiey iaaeeoeeineie iiiiue iaiaeaeaiiui i?e ac?uaao oaieueii-iaoaiiaie niane.- Aeooaeueiua aii?inu aeaeaiu o?oaea, i?ioiaoieiaee e iaaeeoeeineiai iaania/aiey o?oaeyueony i?iiuoeaiiuo i?aaei?eyoee ia nia?aiaiiii yoaia ?acaeoey oicyenoaaiiiai eiiieaena Aeiiaanna.- Aeiiaoee,1995.- N.315. 24.Aonae A.E., Ieieiioaeee I.E., Aieuaiei E.A.,Oenoaeue Y.ss. Iaeiaiaay oienaiey o aeaoae aei aiaea.- I eiia?ann annioeeaoeee oe?o?aia ei.I.E.Ie?iaiaa: Oacenu aeieeaaeia e niiauaiee.- Oaoeaio: Oa?e,1996.- N.61-62. 25.Oenoaeue Y.ss. Naiieeaiei A.A. Aiciiaeiinoe ecea/aiey iaeaieaa oyaeaeiiaiaeaeaiiuo iooai ?aiiaai oe?o?ae/aneiai ea/aiey.- Iaii?eaeueiay iao/ii-i?aeoe/aneay eiioa?aioeey iaiyoe i?io. Eeaoeoea.- *aeyaeine,1996.- N.103-104. 26.Oenoaeue Y.ss., Aieuaiei E.A., Naiieeaiei A.A. Ea/aiea aeoaieeo iia?aaeaeaiee naiaea /a?aia. - Aeooaeueiua aii?inu eiiaonoeieiaee, ?aaieiaoieiaee e yeno?aiaeueiie iaaeeoeeiu: oac.aeiee. ?anioaeeeaineie iao/ii-i?aeoe/aneie eiioa?aioeee.- Na?aine: Ecaeaoaeuenoai ii?aeianeiai oieaa?neoaoa,1996.- N.101-102. 27.Oenoaeue Y.ss., Naiieeaiei A.A. ?aiiaa oe?o?ae/aneia ea/aiea iaiaeaeaiiuo. Na?aine: Ecaeaoaeuenoai ii?aeianeiai oieaa?neoaoa,1996.- N.99-100. 28.Fistal E.Y., Samoylenko G.E., Speranskiy I.I. Surgical rehabilitation after burns.- Int.J. on Immunorehabilitation.-1996.-N 3.-P. 25. 29.Oenoaeue Y.ss. Nieioaiei A.A. Iniaaiiinoe ea/aiey iaeiaia IV noaiaie .- Iiaua oaoiieiaee a oe?o?aee.- E.: A?o A?aoee, 1997.- N.152-153. 30.Aonae A.E., Ieieiioaeee I.E., Oenoaeue Y.ss.Aniaeou ?aaaeeeoaoeee aeaoae n yeaeo?iiaeiaaie.- International Journal of Immunorehabilitation.- 1997.-N 4.- P. 131. 31.Ieieiioaeee I.E., Aieuaiei E.A., Oenoaeue Y.ss., AEo?aaeaaa TH.E. Iaeioi?ua aniaeou ea/aiey aeaoae n yeaeo?iiaeiaaie.- Iiaua oaoiieiaee a oe?o?aee.- E.: A?o a?aoee,1997.- N.152. 32.Aa?eiia Y.O., Ieeieeiei I.E., Oenoaeue Y.ss., Eeuaiei A.A. Ii?oieiae/aneay ea?oeia iia?aaeaeaiey einoae naiaea /a?aia.- Aeooaeuei? ieoaiiy ii?oieia??: oaoiaa aeaeaiiy iaoeiaeo i?aoeue II iaoe?iiaeueiiai eiia?ano aiaoii?a, a?noieia?a, aia??ieia?a ? oiiia?aoiaiaoii?a Oe?a?ie.- Eoaainuee.-1998. 33.Aonae A.E., Oenoaeue Y.ss., Nia?aineee E.E., Caai?oeei I.I. Iiaua n?aaenoaa aeey ianoiiai ea/aiey ?ai. - ?aiu, iaeiae, iiaycee: iaoa?eaeu V iaaeaeoia?iaeiiai oe?o?ae/aneiai eiia?anna.- Oaeue-Aaea (Ec?aeeue),1995.-N.40. 34.Fistal E.Y., Samoilenko G.E. Surgery of sever deep burns during the first week after trauma.- X th Congress of the International Society for Burns.-Tel-Aviv(Israel), 1998.- P.4. 35.Naiieeaiei A.A., Oenoaeue Y.ss. Oe?o?ae/aneia ea/aiea aeoaieeo iaeiaia a oa/aiea ia?aie iaaeaee iinea o?aaiu.- Ee?i?/ia o??o?a?y.- 1998.- ? 11.- N. 24-26. 36. Iianoyiie I.A., Necia A.I.,Eiaaeaiei I.I., Iaea?neee Ae.A., A?eai?ueaaa O.A., Ieaeiee A.A., Ae?the I.O., Aaee/ N.I., Eenae/oe TH.N., Aonae A.E., Oenoaeue Y.ss. Iia?aoeaiia ea/aiea aeoaieeo iaeiaia n ii?aaeaieai iiaeeaaeaueo oeaiae e eo iineaaenoaee / Iaoiaee/aneea ?aeiiaiaeaoeee.- Eeaa, 1990.- 35 n. 37.A?eai?’?aa O.A., Iianoyiee I.TH., ?na?a TH.?., Eeoia/aiei I.I., Oeiai?a A.A., Coaaiiaa O.?., O?aiea I.?., Oei/aiei A.E., Ei?eoiaea N.A., Ian?/iee Ae.A., Oeeaaeueieoeueeee A.A., O?noaeue A.ss., AEa?iia I.A. Iia?aoeaia e?eoaaiiy iane?aee?a aeeaieeo ii?e?a caniaii aea?iioaic??. / Iaoiaee/i? ?aeiiaiaeaoe??.- Oa?e?a,1998.- 22 n. AEIAOIAeE ? IAOAIOE. O?noaeue A.ss., E?uaiei ?.A. Can?a ae?aaiinoeee aeeaeie iioeiaeaeaiiy iaieaiieo e?noie neeai?iiy /a?aio oa i?eno??e aeey eiai cae?eniaiiy // Iaoaio Oe?a?ie ? 24607 A aeaeaii aea?aeiaoaioii Oe?a?ie 04.08.98. O?noaeue A.ss., E?nae/oe TH.N., Iaaeth/aiei E.I., ?iae?i TH.A., Nieioaiei A.A.Niin?a ia?anaaeee oe??ii-i`yciaiai eeaioy // ??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae ? 98052608 a?ae 19.05.1998. O?noaeue A.ss., Nieioaiei A.A., Cieioa?ueiaa I.I. Niin?a i?iaiicoaaiiy oyaeeino? aeeaieeo ii?e?a // ??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae ? 98010090 a?ae 08.01.1998. O?noaeue A.ss., E?eaaiei I.A., Eociaoeia I.N. Niin?a aecia/aiiy aeeoo?caeaoiino? iiia?a/ii - nioaanoeo i`yc?a, ye? a?aaeai? aeaeo?e/iei no?oiii // ??oaiiy i?i aeaea/o iaoaioo ia aeiao?ae ? 96041671 a?ae 26.04.1996. O?noaeue A.ss., I?i?iioa?e? I.?., Naiieeaiei A.A., Nieioaiei A.A. Niin?a aecia/aiiy aeeoo?caeaoiino? i`yciai? oeaieie // Iaoaio Oe?a?ie ? 25468 A, IIE A61A 5/00 O?noaeue A.ss. Eeaneo?eaoe?ei? iciaee aeeaeie ii?eiaeo ?ai // Na?aeioeoai i?i aea?aeaaio ?a?no?aoe?th i?aaa aaoi?a ia oa?? IA ? 640 a?ae 12.08.1997. AIIOAOe?ss. O?noaeue A. ss. Ee?i?ea, ae?aaiinoeea oa e?eoaaiiy ii?e?a IV nooiaith. - ?oeiien. Aeena?oaoe?y ia caeiaoooy nooiaith aeieoi?a iaaee/ieo iaoe ca oaoii 14.01.03. - o??o?a?y.- Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao, Oa?e?a, 1999. Aeena?oaoe?th i?enay/aii iaeiaea/aiei ieoaiiyi iaoiaaiaco, ee?i?ee oa ae?aaiinoeee ii?e?a IV nooiaith, a oaeiae e?eoaaiith iioa?i?eeo c oaeeie ii?eaie. Aaoi?ii ?ic?iaeaii eeaneo?eaoe?? ii?eiaeo ?ai ca aeeaeiith ii?acee oa ?o oneeaaeiaiue. Aecia/aii oaeoi?e aeieeiaiiy ? ia?aa?ao ii?e?a IV nooiaith. Ia iniia? ii?oi-ooieoe?iiaeueieo ? aenia?eiaioaeueieo aeine?aeaeaiue anoaiiaeaia aieiaia ?ieue ia?aeiii? noaeeiii? aeueoa?aoe??, yea i?ecaiaeeoue aei o?iiaiooai?aiiy, ?icaeoeo noaoanoe?aeueiiai iaa?yeo, ?oai?? oeaieie ? aoi?eiiiai iae?ico a ?aiao. ?ic?iaeaii aeaeo?io?c?ieia?/i? niiniae aecia/aiiiy aeeoo?caeaoiino?, aeeaeie ? ?iciianthaeaeaiino? iioeiaeaeaiiy i`yciai? ? e?noeiai? oeaiei. Cai?iiiiiaaii iao?e/iee oa eiii`thoa?ii-oiiia?ao?/iee caniae ia/eneaiiy ianyao iioeiaeaeaieo oeaiei i?e ii?eao IV nooiaith. Iaa?oioiaaii iieacaiiy ? no?iee aeeiiaiiy aeaeiii?aneaieo iia?aoe?e, a oaeiae iia?aoe?e, ni?yiiaaieo ia aeeo/aiiy iae?ioe/ieo oeaiei. Ii?ee IV nooiaith iaee//y, /a?aio, eeno?a, noaeia?a ? i?yiei iieacaiiyi aeey o??o?a?/ii? ?aaaneoey??caoe??. ??ciiiai?oi?noue canoiniaaieo iaoiaeee ia?anaaeee eiiieaen?a oeaiei ? aea?iioaic?eieo eeaio?a aeicaiey? aea?aoe iaea?eueo iioeiaeueiee aa??aio iia?aoe??. ?ic?iaeaia nenoaia ?aii?o iaoiae?a ae?aaiinoeee oa o??o?a?/ii? oaeoeee aeicaieeea cieceoe /enei oneeaaeiaiue, ciaioeoe eaoaeuei?noue ? cia/ii iie?aueoe ooieoe?iiaeuei? ?acoeueoaoe e?eoaaiiy oai?eo c ii?eaie IV nooiaith. Eeth/ia? neiaa: ii?ee /aoaa?oiai nooiaith, iaoiaaiac, eeaneo?eaoe?y, ae?aaiinoeea, ee?i?ea, o??o?a?/ia e?eoaaiiy. AIIIOAOeEss. Oenoaeue Y.ss. Eeeieea, aeeaaiinoeea e ea/aiea iaeiaia IV noaiaie. - ?oeiienue. Aeenna?oaoeey ia nieneaiea noaiaie aeieoi?a iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.03. - Oe?o?aey - Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao, Oa?ueeia, 1999. Aeenna?oaoeey iinayuaia iaeieco/aiiui aii?inai iaoiaaiaca, eeeieee, aeeaaiinoeee iaeiaia IV noaiaie, a oaeaea ea/aieth iino?aaeaaoeo n oaeeie iaeiaaie. ?aaioa iniiaaia ia aiaeeca aeaiiuo ianeaaeiaaiey e ea/aiey 326 iino?aaeaaoeo io iaeiaia IV noaiaie, eco/aieth ?acoeueoaoia ea/aiey, a oii /enea - o 174 ?aeiiaaeanoeaioia, a oaeaea yenia?eiaioaeueiii enneaaeiaaiee, i?iaaaeaiiii ia 104 e?unao. Aaoi?ii ?ac?aaioaiu eeanneoeeaoeee iaeiaia ii aeoaeia ii?aaeaiey e ineiaeiaiee iaeiaiauo ?ai, eiathuea aiaoiii-oeceieiae/aneia iainiiaaiea. Ii?aaeaiey IV noaiaie ii?aaeaeaiu a eeanneoeeaoeee eae noaoanoeeaeueiua iaeiae. Onoaiiaeaiu yoeiiaoiaaiaoe/aneee, yeniiceoeeiiiue e acaeiiioyaiuathuee oaeoi?u aicieeiiaaiey, oa/aiey iaeiaia IV noaiaie e nenoaiiiai ioaaoa i?aaiecia ia ieo. Nicaeaia yenia?eiaioaeueiay iiaeaeue iaeiaa IV noaiaie ia e?unao, eco/aia aiciiaeiinoue ?aaaneoey?ecaoeee ii?aaeaiiuo oeaiae iooai ia?aiauaiey eiaeii-iuoa/iiai eineooa a ciio iaeiaiaie ?aiu. Ia iniiaaiee ii?oi-ooieoeeiiaeueiuo e yenia?eiaioaeueiuo enneaaeiaaiee onoaiiaeaia aaaeouay ?ieue ia?ae/iie ninoaeenoie aeueoa?aoeee, i?eaiaeyuae e o?iiaiia?aciaaieth, ?acaeoeth noaoanoeeaeueiiai ioaea, eoaiee oeaiae e aoi?e/iiai iae?ica a ?aiao. Ia?aiauaiea eiaeii-iuoa/iiai eineooa a iaeanoue yenia?eiaioaeueiiai iaeiaa IV noaiaie nicaeaao oneiaey aeey ainnoaiiaeaiey iee?ioee?eoeyoeee a ciia ia?aiae?ica ca n/ao yooaeoa iai?yiie aaneoey?ecaoeee, iaania/eaaao aaeaeaaoiia oa/aiea ?aia?aoeaiuo i?ioeannia e ainnoaiiaeaiea oeaeinoe iie?iaia. ?ac?aaioaiiue yeaeo?iieia?aoe/aneee niinia ii?aaeaeaiey aeecianiiniaiinoe iuoa/iie oeaie iicaieyao iieo/eoue iaeaieaa cia/eiua ia?aiao?u ninoiyiey iuoa/iiai aieieia, eioi?ua iiaoo auoue eniieueciaaiu aeey au?aaioee oaeoeee oe?o?aa e ii?aaeaeaiey i?iaiica o?aaiu. Anee eiee/anoai aeecianiiniaiuo iuoa/iuo aieieii ninoaaeyao iaiaa 7 % io iauae iannu iuooe ii?aaeaiiiai naaiaioa, a eo aiieeooaea iioaioeeaeia ninoaaeyao anaai 3 % io ii?iu, oaeay iuooea iiaeeaaeeo oaeaeaieth. ?ac?aaioaiiue niinia aeeaaiinoeee aeoaeiu iia?aaeaeaiey einoae naiaea /a?aia e ono?ienoai aeey aai inouanoaeaiey iicaieyao naiaa?aiaiii e aeinoiaa?ii onoaiaaeeaaoue aeoaeio inoaiiae?ica, e ii?aaeaeyoue oaeoeeo oe?o?ae/aneiai ea/aiey. Iao?e/aneee e eiiiuethoa?ii-oiiia?aoe/aneee niiniau au/eneaiey iauaia iia?aaeaeaiiuo oeaiae i?e iaeiaao IV noaiaie yaeythony i?iaiinoe/anee cia/eiuie. Onoaiiaeaii, /oi anee iauai ii?aaeaiiuo oeaiae i?e iaeiaa IV noaiaie ninoaaeyao io 0,5% aei 1% iauaia anaai oaea, neaaeoao iaeeaeaoue oyaeaeia oa/aiea iaeiaiaie aieacie, anee iauai iia?aaeaeaiiuo oeaiae i?aauoaao 1 % anaai iauaia oaea - i?iaiic aeey aeecie iaaeaaii?eyoiue. A nayce n ?acaeoeai e i?ia?anne?iaaieai eioa?noeoeeaeueiiai ioaea, auiieiaiea aeaeiii?anneiiiuo ae?aie?othueo iia?aoeee, iai?aaeaiiuo ia ?anna/aiea oeaiae (iae?i-oanoeei-ieioiiee) i?e iaeiaao IV noaiaie iieacaii a ?aiao anao eieaeecaoeee a oa/aiea ia?auo 3-4 /ania iinea o?aaiu aeey i?aaeioa?auaiey aoi?e/iuo eciaiaiee a oeaiyo. Onoaiiaeaii, /oi iinea iae?ioanoeeioiiee aeiyeaeo?e/aneay aeoeaiinoue iuooe ii?aaeaiiie eiia/iinoe aic?anoaao ia 30 %. Ia iniiaaiee ?acoeueoaoia oe?o?ae/aneiai ea/aiey onoaiiaeaii, /oi i?e ia?aie/aiiuo iaeiaao IV noaiaie (aei 1 % iiaa?oiinoe oaea) iieacaia ia?ae/iay iae?yeoiiey n iaeiia?aiaiiie ianaiaiaeiie eiaeiie ieanoeeie; i?e ieiuaaee ii?aaeaiey io 4 aei 9 % iiaa?oiinoe oaea ?aoeeiiaeueii i?iaiaeeoue ?aiithth oanoeeaeueioth iae?yeoiieth e ion?i/aiioth ieanoeeo. Iaoe?iua iaeiae IV noaiaie (nauoa 10 % iiaa?oiinoe oaea) yaeythony iieacaieai e oaiaaioeeaeueiie iae?yeoiiee e naiaiaeiie eiaeiie ieanoeea. Iaeiae IV noaiaie, eieaeecothueany a iaeanoe /a?aia, eeoea, nonoaaia yaeythony i?yiui iieacaieai aeey oe?o?ae/aneie ?aaaneoey?ecaoeee. Iiiaiia?acea ?acee/iuo iaoiaeia ia?anaaeee eiiieaenia oeaiae n inaaui e?iaioieii, ianaiaiaeiuo aeaeia eiaeiie ieanoeee e aea?iioaiceiiiuo eineooia iicaieyao aua?aoue iaeaieaa iioeiaeueiue aa?eaio iia?aoeee. ?ac?aaioaiiua niiniau ia?anaaeee, o?aie?iaee e yeaeo?inoeioeyoeee eiaeii-iuoa/iuo e eiaeii-oanoeeaeueiuo eineooia iicaieeee oeo/oeoue eo i?eaeeaeaiea, i?aaeioa?aoeoue iineaiia?aoeeiiiua ineiaeiaiey e nie?aoeoue n?iee ea/aiey aieueiuo a 1,5 ?aca. ?ac?aaioaiiay nenoaia ?aiieo iaoiaeia aeeaaiinoeee e oe?o?ae/aneie oaeoeee iicaieeea aeiaeoueny nieaeaiey ineiaeiaiee a 1,5 - 2 ?aca, eaoaeueiinoe a 1,5 ?aca e oeo/oeoue ooieoeeiiaeueiua ?acoeueoaou ea/aiey a 1,8 ?ac. Eeth/aaua neiaa: iaeiae /aoaa?oie noaiaie, iaoiaaiac, eeanneoeeaoeey, aeeaaiinoeea, eeeieea, oe?o?ae/aneia ea/aiea. SUMMARY. Fistal A.Ya. Clinic, diagnosisis and treatment of fourth degree burns. - Manuscript. Thesis presented for the degree of doctor of medical sciences on speciality 14.01.03.- Surgery - Kharkov State Medical Universinity, Kharkov, 1999. The thesis is dedicated to insufficiently explored problems of pathogenesis, clinics, diagnosis of fourth degree burns and also treatment of surch victims. The author devised classifications of burn wounds according to the depth of lesion and their complications. Factors of origin and course of fourth degree burns are defined. Based on the morpho-functional and experimental investigations, the fundamental role of inifial vascular alteration leading to formation of thrombus, development of subfascial sroelling, ishemia of tissues and secondary necrosis in wounds has been established. Electrophysiological methods of definition of viability, depth and spreading of mascular and bone tissues damage have been devised. Metrical and computo-tomographycal methods of calculation of the volume of damaged tissues of fourth degree burns are proposed. Indications and period of perfomance of decompressed operations and also operations directed on excitions of necrotic tissues have been substantiated. Fourth degree burns of the skull, face, hands, joints are direct indications for surgical revasculrisation. Variety of different methods of transplantation of complex of tissues and dermotensive pieces make it possible to choose the most suitable variant. The devised system of the former methods of diagnosis and surgical tactics made it possible to decrease the number of complications, reduce mortality and considerably improve the functional results of the treatment of patients with fourth degree burns. Key words: fourth degree burns, pathogenesis, classification, diagnosis, clinic, surgical treatment. PAGE PAGE 40

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