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

AAAAeAINUeEA OAOssIA NOAI?NEAA?AIA

OAeE 616.12-008-053.-6-07

EE?I?EI-AOIEA?Ae?IA?AO?*IA OA?AEOA?ENOEEA EA?Ae?IIAO?? O I?AeE?OE?A,

IAOIIAEAII? IAEEIE NO?OEOO?IEIE AIIIAE?ssIE NA?Oess

14.01.10 — iaae?ao??y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a — 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oe?a?inueeiio iaoeiai-aeine?aeiiio ?inoeooo? ioi?iie
caei?ia’y ae?oae ? i?aee?oe?a IIC Oe?a?ie, i. Oa?e?a.

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? Na?aia A?eoi??y Ieaenaiae??aia,
Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo ioi?iie caei?ia’y ae?oae ?
i?aee?oe?a, i?ia?aeiee iaoeiaee ni?a?ia?oiee eaai?aoi???
ooieoe?iiaeueii? ae?aaiinoeee

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Noea/iaa Aaiia ?aai?aia, Oa?e?anueeee
aea?aeaaiee iaaee/iee oi?aa?neoao, i?ioani? eaoaae?e oaeoeueoaonueei?
iaae?ao??? c iaaee/iith aaiaoeeith;

aeieoi? iaaee/ieo iaoe, i?ioani? Ino?iiieaoeue Naaae?e Naaae?eiae/
Aeiiaoeueeee aea?aeaaiee iaaee/iee oi?aa?neoao, caa?aeoth/ee eaoaae?ith
iaae?ao??? oaeoeueoaoo i?neyaeeieiiiiai iaa/aiiy.

I?ia?aeia onoaiiaa: Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y IIC
Oe?a?ie

Caoeno a?aeaoaeaoueny »__26___» eenoiiaaea 1999 ?. i 12.30
aiaeei? ia can?aeaii? niaoe?ae?ciaaii? A/aii? ?aaee Ae.64.600.04 c
iaae?ao??? a Oa?e?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? (310022,
i. Oa?e?a, i?. Eai?ia, 4: o.40-26-27)

C aeena?oaoe??th iiaeia iciaeiieoueny o a?ae?ioaoe? Oa?e?anueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo

Aaoi?aoa?ao ?ic?neaiee »_19_» ___aeiaoiy___ 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

eaiaeeaeao iaaee/ieo iaoe, aeioeaio
E.?. Ia/a?aiei

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. A no?oeoo?? caoai?thaaiue na?oey o ae?oae ?
i?aee?oe?a cia/io ieoiio aaao caeiathoue ea?ae?iiao?? iacaiaeueiiai
aaiaco, i?e?iaea eio?eo aei oeueiai /ano ua ia ?icoeo?iaaia iiai?noth. A
ca’yceo c oeei a iianyeaeaii?e i?aeoeoe? ia??aeei aeieea?
a?ia?ae?aaiinoeea i?e?iaeaeaieo ii?ie?a na?oey, ea?aeeo?a,
ea?ae?ii?iiao?e oa ?ioi? iaoieia??. I?ney oe?ieiai oi?iaaaeaeaiiy aei
ee?i?/ii? i?aeoeee oeueo?acaoeiaeo iaoiae?a aeine?aeaeaiiy noaei
iiaeeeaei aea/aiiy ii?oieia?? no?oeoo? na?oey, a oiio /ene? ? eiai iaeeo
no?oeoo?ieo aiiiae?e (INA), iieaciee?a ea?ae?iaaiiaeeiai?ee, oei?a
aaiioee?eoeyoe??, ui a cia/i?e i??? ?icoe?eei ae?aaiinoe/i? iiaeeeaino?
(A.I. Aieiniaaoeue, 1989; A.I. sseiae?a, A.?. Ia/a?aa, 1990; A.C.
I?eoiaeueei, A.N. Naiaoi?iaa, 1993; ?.A. Ianoeae ? ni?aaao., 1998;
O.Oakamoto, M. Nitta, 1991).

Ea?ae?ieiae Iueth-Ei?enueei? anioe?aoe?? aeae?eythoue neiae?ii
aeenieac?? niieo/ii? oeaieie na?oey. Oey i?iaeaia ii/aea iaea?eueo
?ioaineaii ?ic?iaeyoeny a iaae?ao??? ia i?ioyc? inoaiiueiai aeanyoe??//y
( I.I. Ii?iciaa, 1990; I.?. No?aoie, 1992; ss.?. Eec?eia; 1993).
Anoaiiaeaii, ui INA na?oey aeeth/athoue aaa?aioi? oi?aee (AO),
aeecii?o?ci eeaiaiieo, i?aeeeaiaiieo no?oeoo? ? iaa?no?aeueieo noaeei,
?o ?ae?iiaoe/ia caoaeaiiy, na?iiiiae?aieee aeaei i?aeoeoii/eiai?
ia?aai?iaeee, ia??aeei a niieo/aii? c nenoaiiith aeenieac??th niieo/ii?
oeaieie (A.N. Naiaoi?iaa, 1994; I.N. Eooaeianueeee, 1997; C.C. Barett et
al., 1991). Ea?ae?iiao??, iaoiiaeai? oe??th iaoieia??th, /anoi
noi?iaiaeaeothoueny ??cieie ii?ooaiiyie ?eoio ? i?ia?aeiino? na?oey,
ci?iith ea?ae?iaaiiaeeiai?ee ( O.A. A?caooe?ia, A.A.Eoci?oeia, 1995;
A.I. Eiaaeueiaa, 1995; I.Ae. Ino?ioiiaa, 1996).

O i?aee?oe?a aeaia i?iaeaia oaeoe/ii ia aea/aia. sse a?aeiii, oeae
ia??iae noaoaaiai aeic??aaiiy oa?aeoa?eco?oueny ?yaeii
aiaoiii-o?c?ieia?/ieo iniaeeainoae iae?iaoii?aeueii? ?aaoeyoe??,
eaa?euei?noth aaaaoaoeaii? ia?aiai? nenoaie, ?ioaineaiith ai?iiiaeueiith
ia?aaoaeiaith, oaeaeeei c?inoaiiyi, nai???aei?noth ii?oino?oeoo?e
na?oey, ui iaoiiaeth? /anoioo ??ciiiai?oieo ieioueo ?iceaae?a a nenoai?
e?iaiia?ao ? ia??aeei cieaeaiiy ?? aaeaioaoe?eieo iiaeeeainoae. Iiaeia
aaaeaoe, ui ea?ae?iiao?y, iaoiiaeaia INA, a ia??iae? noaoaaiai
aeic??aaiiy ia? nai? iniaeeaino? ? i?io?ea? c a?eueo na?eicieie
ii?ooaiiyie ae?yeueiino? na?oey a ii??aiyii? c aeeoy/ei a?eii.

A ca`yceo c ia/eneaii?noth a?aeiiinoae a e?oa?aoo?? c aeaii? i?iaeaie o
i?aee?oe?a, ?? aaeeeith aeooaeuei?noth ?icii/aoi iaoa aeine?aeaeaiiy,
aaaeeeaa c ae?aaiinoe/ieo iiceoe?e, ioe?iee aaeaioaoe?? aei o?ce/ieo
iaaaioaaeaiue, ?aaa?e?oaoe?? oeueiai eiioeiaaioo. E??i oiai, oeacaia
i?iaeaia ia? nioe?aeueia cia/aiiy, iniaeeai o thiae?a i?e i?ecia? aei
a?i??. Ana oea aecia/a? ?? aeooaeuei?noue. A?aeiia?aeii aei
i?aeia?iaeii? noaoenoe/ii? eeaneo?eaoe?? oai?ia Aeanyoiai ia?aaeyaeo
(IEO-10), i?eeiyoith Anaiaea?th AIIC a 1992 ?ioe?, INA na?oey a?aeianai?
aei XVII eeano, yeee aeeth/a? aeie «I?e?iaeaeai? aaaee ?icaeoeo nenoaie
e?iaiia?ao» (Q20-Q28). Aeey ni?iuaiiy oa?i?iieia?? ? c?o/iino? ie
aeei?enoaee oaeee ?iai/ee oa?i?i ye «aeenieanoe/ia ea?ae?iiao?y» (AeE)
a?aeiinii aei oe??? iaoieia??.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?y
aeeiiaia a ?aieao iaoeiai-aeine?aeii? ?iaioe IAe? ICAeI ia oaio
»I?iaiicoaaiiy ia?aa?ao na?oeaai-noaeeiieo ii?ooaiue o i?aee?oe?a,
iaoiiaeaiiy i?aeoiae?a aei ?o ?aaa?e?oaoe??» (? aea?ae?a?no?aoe??
0196U002916) a iaaeao ?anioae?eainueei? i?iaeaie «Ioi?iia caei?ia’y
ae?oae oe?eueiiai a?eo oa i?aee?oe?a».

Iaoa aeine?aeaeaiiy. Oaeineiiaeaiiy iaoiae?a ae?aaiinoeee ea?ae?iiao??,
iaoiiaeaii? INA na?oey, o i?aee?oe?a ca aeiiiiiaith
ee?i?ei-?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy ? iaa?oiooaaiiy ?o
aeeniaina?iiai niinoa?aaeaiiy.

Iniiai? caaea/? aeine?aeaeaiiy:

— aeaoe ee?i?/io oa?aeoa?enoeeo i?aee?oe?a c AeE c o?aooaaiiyi aeaieo
aiaiiaco ? noeai aeecaia??iaaiaco niieo/ii? oeaieie;

— onoaiiaeoe ii?oieia?/i? iniaeeaino? INA ca aeaieie aoiea?ae?ia?ao??;

— ioe?ieoe noai ea?ae?iaaiiaeeiai?ee, oeaio?aeueii? aaiiaeeiai?ee o
i?aee?oe?a c AeE, ?ieue INA, ?o niieo/aiue a aeieeiaii? ??cieo
ea?ae?aeueieo ii?ooaiue;

— ioa?aeoa?ecoaaoe ooieoe?iiaeueiee noai na?oey o i?aee?oe?a c AeE a
niieith ? a i?ioean? o?ce/iiai iaaaioaaeaiiy ( ca aeaieie
?ino?oiaioaeueieo iieaciee?a ), i?iaanoe eaoaiianoe/ia niinoa?aaeaiiy, a
oaeiae iaa?oiooaaoe iaiao?aei?noue ?o aeeniaina?ecaoe??.

Iaoeiaa iiaecia. Aia?oa o i?aee?oe?a c INA na?oey anoaiiaeai?
iniaeeaino? ea?ae?aeueii? iaoieia?? ? iaa?oioiaai? i?aeoiaee aei ?o
aeeniaina?iiai niinoa?aaeaiiy.

Iieacaii, ui INA iaoiiaeththoue ?icaeoie aeenieanoe/ii? ea?ae?iiao??,
yea noi?iaiaeaeothoueny iaaieie ee?i?/ieie i?iyaaie, ia??aeei a
ii?aeiaii? c ??cieie aeno?aea?ae?aeueieie noeaiaie aeenieac?? niieo/ii?
oeaieie.

Onoaiiaeai? /anoioa, oa?aeoa? INA na?oey o i?aee?oe?a. Aia?oa ioe?iaii o
ieo noai ea?ae?iaaiiaeeiai?ee ca aeaieie aoiea?ae?ia?ao?? c o?aooaaiiyi
a?eo, noao? iaoe??io?a a ii??aiyii? ?c caei?iaeie iaeiie?oeaie.

Ii?yae c caaaeueieie caeiiii??iinoyie ci?i aoiea?ae?ia?ao?/ieo
iieaciee?a o i?aee?oe?a c AeE ? caei?iaeo a ca’yceo c ?o c?inoaiiyi
aeyaeai? iniaeeaino? ea?ae?iaaiiaeeiai?ee oa ia?aaaaeaiiy
a?iie?iaoe/iiai oeio aaiioee?eoeyoe?? i?e iayaiino? INA na?oey.

Aecia/aia aaeeea /anoioa ci?i a?iaeaeo?e/ii? ? iaoai?/ii? aeoeaiino?
i?iea?aea o i?aee?oe?a c AeE, onoaiiaeai? iaaaoeai? oaeoi?e, ye?
aieeaathoue ia aeieeiaiiy ii?ooaiue ?eoio, ae?anoie?/ii? ooieoe?? e?aiai
oeoii/ea, ui ?icoe?th? oyaeaiiy i?i iaoiaaiac ?iceaae?a
ea?ae?iaaiiaeeiai?ee.

Ia i?aenoaa? eaoaiianoe/ieo niinoa?aaeaiue ia i?ioyc? 1, 5-2 ?ie?a o
a?eueoino? i?aee?oe?a aeyaeaia noaa?euei?noue iieaciee?a
?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiue na?oey, o /anoeie — ?o
iia??oaiiy, iniaeeai aaeaioaoe?? aei o?ce/ieo iaaaioaaeaiue.

I?aeoe/ia cia/aiiy ?iaioe. Iaea?aeai? ?acoeueoaoe ni?yiiaai? ia
iie?ioaiiy ae?aaiinoeee AeE o i?aee?oe?a. Ii?iaoeae aoiea?ae?ia?ao?/ieo
iieaciee?a o iaoe??io?a 12-17 ?ie?a c o?aooaaiiyi a?eo, noao? iiaeooue
aeei?enoiaoaaoeny a i?aeoeoe? i?e aeine?aeaeaii? caei?iaeo ? c ??ciith
iaoieia??th.

Aeae?eai? iniiai? ee?i?/i?, ?ino?oiaioaeuei? iieacieee ? aoaie ?o
i?iaaaeaiiy aeey aeyaeaiiy INA na?oey, ioe?iee eiai ooieoe?iiaeueiiai
noaio. Aeieacaia iaiao?aei?noue aeeniaina?iiai niinoa?aaeaiiy ca
i?aee?oeaie c AeE o ea?ae?ieiaa c iaa?oioiaaiiyi e?aoiino?
aeine?aeaeaiue ? i?aeoiae?a aei icaei?iaeaiiy.

Iaoiaee ae?aaiinoeee AeE o i?aee?oe?a ? ii?iaoeae aoiea?ae?ia?ao?/ieo
iieaciee?a o caei?iaeo oi?iaaaeaeai? a iie?ee?i?oe? ? ee?i?oe?
Oe?a?inueeiai IAe? ICAeI, iaeanieo ee?i?/ieo e?ea?aiue ? 1, 2, a oaeiae
ia eaoaae?? oa?ai?? i?aee?oeiaiai a?eo Oa?e?anueeiai ?inoeoooo
oaeineiiaeaiiy e?ea??a a eaeoe?eiiio iaoa??ae?. Aeae?eai? aoaie
i?iaaaeaiiy ee?i?ei-?ino?oiaioaeueieo aeine?aeaeaiue INA aeicaieyee
iie?ioeoe ae?aaiinoeeo ea?ae?aeueieo ii?ooaiue, nai?/aniiio i?iaaaeaiith
aeeniaina?iiai iaaeyaeo ca iaoe??ioaie.

Iniaenoee aianie caeiaoaa/a. Aaoi? aeena?oaoe?? naiino?eii ioe?ithaaa
noai i?aee?oe?a ? i?iaaaeea ?o aeeiai?/ia niinoa?aaeaiiy, iaoiaee
ooieoe?iiaeueii? ae?aaiinoeee na?oeaai-noaeeiii? nenoaie, a oiio /ene?
aoiea?ae?ia?ao?th, aeiiie??aoiea?ae?ia?ao?th, aiae?coaaa ? iaaiai?thaaa
?acoeueoaoe aeine?aeaeaiue, ?iaea ?? noaoenoe/io ia?iaeo ? ioi?ieaiiy.

Ai?iaaoe?y ?iaioe. ?acoeueoaoe aeine?aeaeaiue aeiiia?aeaeenue ?
iaaiai?thaaeeny ia iaoeiai-i?aeoe/ieo eiioa?aioe?yo «Nia?aiaiiua iaoiaeu
oeueo?acaoeiaie aeeaaiinoeee» (Oa?e?a, 1996), iieiaeeo a/aieo (Oa?e?a,
1995, 1996), a oaeiae i?enay/ai?e 75-??//th Oe?a?inueeiai IAe? ICAeI
(Oa?e?a, 1997), ia II Iaoe?iiaeueiiio eiia?an? ?aaiaoieia?a (Ee?a,
1997), ia can?aeaii? Oa?e?anueeiai iaoeiaiai iaaee/iiai oiaa?enoaa
e?ea??a c ooieoe?iiaeueii? ae?aaiinoeee (1997).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 9 ?ia?o, c ieo 5
noaoae — a oeaio?aeueieo aeo?iaeao, 1 noaooy — a ca??ieeo iaoeiaeo
i?aoeue, 3 oace aeiiia?aeae a iaoa??aeao eiia?ano ? eiioa?aioe?e.

No?oeoo?a oa ianya ?iaioe. Iaoa??aee aeena?oaoe?? aeeeaaeai? ia 136
noi??ieao iaoeiiieniiai oaenoo. Aiia ia? anooi, iaeyae e?oa?aoo?e,
?icae?e c iaoa??ae?a, iaoiae?a aeine?aeaeaiiy, /ioe?e ?icae?ee aeanieo
aeine?aeaeaiue, cae?i/aiiy, aeniiaee, i?aeoe/i? ?aeiiaiaeaoe?? oa
ia?ae?e e?oa?aoo?e, yeee aeeth/a? 204 aeaea?aea, a oiio /ene? 129
a?o/eciyieo ? 75 ?iicaiieo, ui neeaaea? 28 noi??iie. A aeena?oaoe??
i?eaaaeaii 21 oaaeeoeth, 37 iaethie?a, ui noaiiaeoue 30 noi??iie.

CI?NO ?IAIOE

Ia’?i ? iaoiaee aeine?aeaeaiiy. I?ae iaaeyaeii ciaoiaeeeeny 215
i?aee?oe?a 12-17 ?ie?a c INA na?oey, ?c ieo — 85 a aeeiai?oe? /a?ac 1,
5-2 ?iee; a?oio ii??aiyiiy neeaee 70 caei?iaeo iaeiie?oe?a aeey
iaea?aeaiiy ii?iaoea?a aoiea?ae?ia?ao?/ieo iieaciee?a. Ii?yae c
caaaeueiiee?i?/ieie iaoiaeaie aeine?aeaeaiue, i?iaaaeeee
aeaeo?iea?ae?ia?ao?th (AEA) a niieith, oiiiea?ae?ia?ao?th (OEA),
?aae?iaeaeo?iea?ae?ia?ao?th c aaeia?aiiao???th, oano PWC 170,
aoiea?ae?ia?ao?th (AoiEa) a I- ? A — ?aaeeiao ia aia?ao? «Sonoline-SL1»
o??ie «Siemens» (O?A), aeiiie??aoiea?ae?ia?ao?th (AeAoiEa) c
aeei?enoaiiyi ?iioeueniiai ? eieuei?iaiai ea?oe?oaaiiy ia aia?ao?
«Logic-500» o??ie «General Electric».

Aeine?aeaeaiiy i?iaaaeeeenue a iie?ee?i?oe?, ee?i?oe? ? eaai?aoi???
ooieoe?iiaeueii? ae?aaiinoeee Oe?a?inueeiai IAe? ioi?iie caei?ia’y
ae?oae ? i?aee?oe?a ca eiai ieaiii IAe? a iaaeao ?anioae?eainueei?
i?iaeaie «Ioi?iia caei?ia’y ae?oae oe?eueiiai a?eo ? i?aee?oe?a».

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy. ?acoeueoaoe aeine?aeaeaiue
iieacaee, ui o i?aee?oe?a c AeE a aiaiiac? ia??aeei niinoa??aaeeny ??ci?
iani?eyoeea? oaeoi?e, ye? iiaee ni?aaeyoe iaaaoeaiee aieea ia i?aai?ci :
oneeaaeiaiee ia?aa?a aaa?oiino?, a iniiaiiio ia?oi? ?? iieiaeie, ?
iieia?a o iaoa??, ano?en?y iiaiia?iaeaeaieo ? ?ioa iaoieia?y oeueiai
ia??iaeo (44,6±3,4 %), aenieee ?ioaeoe?eiee ?iaeaen, iiaoi?i?
?ani??aoi?i? caoai?thaaiiy (44,7±3,4 %). A?eueoa, i?ae o iieiaeie
iaoe??io?a (58,7±3,4 %) niinoa??aaeeny aeene?iac?? aeia/iaeae?eaii?
nenoaie, o?ii?/iee oieaoeenoeo ? aano?iaeoiaeai?o a noaae?? ?ai?n??,
ii?ooaiiy iaa??aeueii-iaino?oaeueiiai oeeeeo o ae?a/ao (21,4±5,4 %),
aaaaoi-noaeeiia aeenoii?y (12,1±2,2 %), a iaeeie/ieo aeiaaeeao —
aeeniaoaaie?/ia iao?iiao?y. O iieiaeie aeine?aeaeaieo aeyaeaia niaaeeiaa
iaoyaeaiiy ?c caoai?thaaiue na?oeaai-noaeeiii? ? niieo/iioeaieiii?
nenoai o aeecueeeo ?iaee/?a.

A?eueo?noue i?aee?oe?a (75,3±2,9 %) i?aae’yaeyee ea?ae?aeuei? ?
caaaeueiiiaa?ioe/i? nea?ae. Iaea?eueo /anoeie a ?o no?oeoo?? aoee
ea?ae?aea?? (91,3±2,2 %), caaeeoea i?e o?ce/iiio iaaaioaaeaii? (37,0±3,8
%) ? iiaaia eiai ia?aiini?noue (51,8±3,9 %), na?oeaaeooy (21,6±3,2 %).

AeE aeyaeyeany o iaoe??io?a ia??aeei aeiaaeeiai (21,9±2,8 %) a ca’yceo c
iayai?noth ooio a na?oe?, ii?ooaiue eiai ?eoio, a oaeiae i?e i?aeic?? ia
ii?ie, ea?aeeo (4,6±1,4 %) aai ?ioo iaoieia?th (16,3±2,5 %), ui
na?ae/eoue i?i iaai? ae?aaiinoe/i? o?oaeiiu? ? a?aenooi?noue /?oeeo
e?eoa???a.

Iaae? a?aeiiniiai na?oeaaiai i?eooieaiiy o an?o i?aee?oe?a ciaoiaeeeeny
a?aeiinii a?eiai? ii?ie, o a?eueoino? c ieo (80,0±2,7 %) i?ineooiaoaaany
nenoie?/iee ooi ia aa?o?aoe? ? a oi/oe? Aioe?ia-A?aa, c ieo o 21,5±3,1 %
— a?i aoa a?oaoaaoiai oaia?o, aeiaaio?eaaeee, ca oa?aeoa?enoeeith
iaaeeaeaany aei i?aai?/iiai. A iaeeie/ieo aeiaaeeao (5,6±1,8 %)
a?aecia/aany ei?ioeee ae?anoie?/iee ooi c eieae?caoe??th a i?iaeoe??
ai?oe. Iaeaea o iieiaeie i?aee?oe?a niinoa??aaeeny i?eaeooaiiy oii?a
na?oey, o o?aoeie — nenoie?/i? aeno?aoiie.

Iaeneiaeueiee ? i?i?iaeueiee a?oa??aeueiee oene ca I.C. Ei?ioeiaei o
a?eueoino? iaoe??io?a aoa ii?iaeueiei, ?iiae? (12,1±2,2 %) cono??/aeiny
iaaaeeea (10-20 ii) neooaoe?eia i?aeaeuaiiy aai cieaeaiiy eiai
nenoie?/iiai iieacieea.

Oae ye aeaoaeo niieo/ii? oeaieie yaey?oueny aaia?ae?ciaaiei, o
i?aee?oe?a c AeE ia??aeei aoee iciaee ?? «neaaeino?» c aieo oe??e, i/ae,
iii?ii-?ooiaiai aia?aoa. Aiie i?iyaeyeeny noeoii?noth oaiioei?/ieo iciae
i?aai?cio, ye? a?aeia?aaeaee i?e?iaeaeai? iniaeeaino? ?? aoaeiae. Oae,
iaeaea o iieiaeie aeine?aeaeaieo i?e iaeyae? niinoa??aaeeny ??ci? noeaie
aeecaia??iaaiaco niieo/ii? oeaieie. Iaea?eueo /anoi cono??/aeeny
:anoai?/ia eiinoeoooe?y, neie?ioe/ia iinoaaa, i?aeaeuaia ?icoyae?iiy
oe??e, /eneaii? ?iaeeiee, aiiiae?? aa?oi?o ? ieaei?o e?ioe?aie,
a?ia?iia?euei?noue noaeia?a.

Ia i?aenoaa? oeueo?acaoeiaiai neaioaaiiy iaea?eueo /anoi cono??/aeeny
ianooii? aa??aioe INA: a ii?iaeieiao, /ano?oa a e?aiio oeoii/eo,
iaeeie/i? (52,1±3,4 %) aai iiiaeeii? (27,4±3,0 %) AO, a i?noeyo
a?aeoiaeaeaiiy eio?eo ia??aeei (43,3±3,8 %) aoea eieaeueia a?ia?o?io?y
i?iea?aea; ?ae?iiaoe/iee i?ieain i?o?aeueiiai eeaiaia I-II nooiaith
aecia/aany o 58,1±3,4 %, iiiaeeiia i?ieaaoaaiiy eeaiai?a — o 38,1±3,3 %
iaoe??io?a. I?ieaaoaaiiy o?eeoni?aeaeueiiai (11,2±2,2 %), eaaaiaaiai
(29,3±3,1 %) oa ai?oaeueiiai (7,4±1,8 %) eeaiai?a cono??/aeiny ??aeoa,
i?ae i?o?aeueiiai. ?o ae?aaiinoeea ia??aeei oo?oaeithaaeany a ca’yceo c
aiaoii?/iei ?ici?uaiiyi, iaeiae aeei?enoaiiy AeAoiEa c aeyaeaiiyi
?aao?a?oaoe?? ia oeeo eeaiaiao aeiiiiaaaei ae??oaiith oaei? caaea/?. A
iaeeie/ieo aeiaaeeao i?e oeueo?acaoeiaiio neaioaaii? ciaoiaeeee oae? INA
ye /ioe?ueionooe/aoee ai?oaeueiee eeaiai (2,3±1,0 %) ? ca?iiiiae?aiee
aeaei i?aeoeoii/eiai? ia?aai?iaeee.

A iniia? ia?aeiiiai ?ae?iiaoe/iiai i?ieaaoaaiiy eeaiai?a eaaeeoue, ye
a?aeiii, i?eniiaoicia o?ainoi?iaoe?y nooeie, iaoiiaeaia i?ie?o??aoe??th
aoa/aoi? ciie, iaeiieaiiyi eeneeo ioeiiie?naoa??ae?a oa o?aaiaioaoe??th
eieaaaiiaeo aieieii. Ia??aeei i?eniiaoicia aeaaaia?aoe?y iioe?thaaeany ?
ia oi?aeaeueiee aia?ao. Eiee iaeii/anii ci?ithaaeany no?oeoo?a nooeie ?
ca’yci/iiai aia?aoa, oi aeeaeia i?ieaaoaaiiy i?o?aeueiiai eeaiaia
iaaeeaeoaaeany aei II nooiaiy. E aoiea?ae?ia?ao?/iei iciaeai
i?eniiaoicii? aeaaaia?aoe?? a?aeiinyoue «?icieo?noue», «eoaeeao?noue»
nooeie, ia??aeei c aaeeeiiiae?aieie iaeeaaeaiiyie ia ?o a?eueieo e?ayo (
O. Takamoto at al., 1991). *enei, ?ici?uaiiy ? niieo/aiiy INA na?oey
aecia/athoue, i/aaeaeii, iniaeeaino? ooieoe?iioaaiiy na?oeaai-noaeeiii?
nenoaie o oaeeo i?aee?oe?a.

Aeey ia’?eoeaii? ioe?iee noaio nenoaie e?iaiia?ao o iaoe??io?a c AeE ?
nooiaith a?aeoeeaiue iieaciee?a a?ae ii?iaeueieo aecia/ai? ii?iaoeae
AoiEa-ia?aiao??a o i?aeoe/ii caei?iaeo iaeiie?oie (70), ye? noai?eee
eiio?ieueio a?oio c o?aooaaiiyi noaoaaeo ? a?eiaeo iniaeeainoae. I?e
aiae?c? aeaieo onoaiiaeaii, ui ii?oiiao?e/i? iieacieee na?oey iaee /?oeo
a?eiao a?aaeaoe?th. Oae, o 12-14 — ? 15-17 — ??/ieo nenoie?/iee
(?<0,02), ae?anoie?/iee (?<0,001) ae?aiao?e e?aiai oeoii/ea ? eiai ia'?ie (p<0,001; p<0,001), ae?aiao?e ei?aiy ai?oe (p<0,001) ? e?aiai ia?aaena?aey (p<0,01) ca?eueooaaeeny c a?eii; o oeiioe?a ia?ae?/ai? iieacieee aoee nooo?ai a?eueoa, i?ae o ae?a/ao. Ae?aiao? i?aaiai oeoii/ea nooo?ai ia ci?ithaaany. Iniiai? ia?aiao?e ianinii? ooieoe?? na?oey c a?eii a??ia?aeii i?aeaeuoaaeeny, ui iaoiiaeaii ca?eueoaiiyi ii?iaeieie e?aiai oeoii/ea ye a nenoieo, oae ? ae?anoieo. O?aeoe?y aeeeaeo, iai?ioe, cieaeoaaeany, a iieacieee nei?i/oaaeueii? ooieoe?? i?iea?aea nooo?ai ia ci?ithaaeeny. Oea, i/aaeaeii, ca'ycaii ?c ca?eueoaiiyi ?aca?aieo iiaeeeainoae na?oey ? a?eueo aeiiiiiith eiai ?iaioith. ?ic?iaeai? iieacieee aoiea?ae?ia?aie o caei?iaeo ie ii??aiyee c aeaieie o i?aee?oe?a c AeE ? aeyaeee ?yae iniaeeainoae. Ii i??? ?inoo niinoa??aaeiny ca?eueoaiiy ae?aiao??a aeo?aeiiai o?aeoo i?aaiai oeoii/ea (p<0,05), ei?aiy ai?oe, e?aiai ia?aaena?aey, ae?anoie?/iiai ? nenoie?/iiai ae?aiao??a e?aiai oeoii/ea (p<0,001), ye? ia?aaaaeaee ?o o thiae?a ii??aiyii c ae?a/aoaie. ?acii c oei o i?aee?oe?a noa?oi? a?eiai? a?oie, a a?aei?io a?ae caei?iaeo, ia a?aeaoaaeiny aeinoaoiueiai ca?eueoaiiy oaeeeiiiai ia'?io e?ia?. I?e oeueiio onoaiiaeaii a??ia?aeia cieaeaiiy iieaciee?a o?aeoe?? aeeeaeo ? nei?i/oaaeueii? ooieoe?? i?iea?aea, a oaeiae ?icoe?aiiy ii?iaeieie i?aaiai oeoii/ea. Nooo?aa ia?aaaaeaiiy ia?ae?/aieo ia?aiao??a o thiae?a c AeE ianooiaei aaea a ?aiiueiio ioaa?oaoiiio ia??iae?, a oie /an ye o caei?iaeo AoiEa - iieacieee iaee /?oeo a?eiao a?aaeaoe?th. Ii??aiyeueiee aiae?c na?aaei?o aaee/ei AoiEa-iieaciee?a o i?aee?oe?a c o?aooaaiiyi a?eiaiai oaeoi?a aeyaea ianooii? ?o a?aei?ie. A iniiai?e iieiaeo?e a?eia?e a?oi? a ii??aiyii? ?c caei?iaeie iaeiie?oeaie onoaiiaeai? a??ia?aeii a?eueo? ia?aiao?e iiia?a/ieo ae?aiao??a ei?aiy ai?oe, i?aaiai oeoii/ea ? eiai ia'?i?a. O 15-17-??/ieo iaoe??io?a, ii?yae c ?icoe?aiiyi ii?iaeiei na?oey, niinoa??aaeiny nooo?aa cieaeaiiy o?aeoe?? aeeeaeo na?oeaaiai ?iaeaeno ? iieaciee?a nei?i/oaaeueii? ni?iiiaeiino? i?iea?aea, ui na?ae/eoue i?i a?eueo ae?aaeaiee nooi?iue ci?i o ieo a ii??aiyii? c iieiaeoith a?eiaith a?oiith. I?e i?iaaaeaii? ?iaeea?aeoaeueiiai aiae?co AoiEa-iieaciee?a c ioe?ieith aaniethoieo aaee/ei iaeaea o iieiaeie i?aee?oe?a c AeE aeyaeaii ca?eueoaiiy ae?aiao??a ei?aiy ai?oe (48,4±3,4 %), e?aiai (45,1±3,4 %) ? i?aaiai (43,3±3,4 %) oeoii/e?a, o 35,4±3,3 % - e?aiai ia?aaena?aey. O o?aoeie iaoe??io?a a?aecia/aeany oaiaeaioe?y aei noiioaiiy i?iea?aea e?aiai oeoii/ea ? i?aeoeoii/eiai? ia?aai?iaeee, ui na?ae/eoue i?i iani?iiiaei?noue eiai eiiiainaoi?ieo iaoai?ci?a (A.I. Aeaeya?i ? ni?a., 1990). O (41,4±3,4 %) aeine?aeaeaieo aeyaeyeiny ciaioaiiy nei?i/oaaeueii? ? ianinii? ooieoe?e na?oey. Onoaiiaeaii aieea /enea ? oiiia?ao?? INA ia ii?oiooieoe?iiaeueiee noai na?oey. Oae, iiiaeeii? INA a?eueo, i?ae iaeeie/i? aieeaaee ia ?ici??e ii?iaeiei na?oey ? eiai ooieoe?iiaeueio ni?iiiaei?noue. Ii?yae c ?icoe?aiiyi a iaio a?oiao ei?aiy ai?oe, ca?eueoaiiyi ae?anoie?/iiai, nenoie?/iiai ae?aiao??a ? ia'?i?a e?aiai oeoii/ea, cieaeaiiyi iaeiiai ?c e?eoa???a nei?i/oaaeueii? ni?iiiaeiino? i?iea?aea - nenoie?/iiai ciaioaiiy eiai ae?aiao?a, o i?aee?oe?a c iiiaeeiieie INA niinoa??aaeeny oaeiae ca?eueoaiiy ae?aiao??a aeo?aeiiai o?aeoo ? ii?iaeieie i?aaiai oeoii/ea, oaea?iiai ia’?io, cieaeaiiy iieaciee?a ianinii? ooieoe?? - oaeeeiiiai ia’?io, o?aeoe?? aeeeaeo ? oaeaeeino? oee?eoey?iiai nei?i/aiiy aieieii i?iea?aea. Ii??aiyeueiee aiae?c AoiEa-ia?aiao??a o i?aee?oe?a c iaeeie/ieie, iiiaeeiieie AO ? c eiio?ieai aeyaea ianooii? iniaeeaino?. Aeey iaio iniiaieo a?oi iaoe??io?a, aac nooo?ai? ??cieoe? iieaciee?a, aoee oa?aeoa?i? ?icoe?aiiy ei?aiy ai?oe, oeoii/e?a na?oey, ca?eueoaiiy nenoie?/iiai ? ae?anoie?/iiai ia’?i?a e?aiai oeoii/ea; ii?yae c oeei i?aeaeuaiiy oaea?iiai ia’?io (p<0,01) aoei iaaaeaeaaoiei aeeeaoaoe?? e?aiai oeoii/ea, a ca'yceo c oeei o?aeoe?y aeeeaeo caeeoaeany a??ia?aeii cieaeaiith. A iaio a?oiao oaeiae niinoa??aaeeny cieaeai? iieacieee nei?i/oaaeueii? ni?iiiaeiino? i?iea?aea. Ia ca?eueoaiiy ii?iaeiei e?aiai ia?aaena?aey a iniiaiiio aieeaaei ia /enei, a oiiia?ao?y oi?ae a e?aiio oeoii/eo. Oae, o iieiaeie i?aee?oe?a c ?icoe?aiith ii?iaeieiith e?aiai ia?aaena?aey AO ?icoaoiaoaaeeny a iaae?aeueiiio ? aacaeueiiio a?aeae?eao. Iiaeeeai, i?e oae?e ?o oiiia?ao?? aeieeaea ia?aoeiaea ae?anoie?/iiio iaiiaiaiith e?aiai oeoii/ea, ui ni?eyei aeieeiaiith ?aao?a?oaoe??. Oea i?aeoaa?aeaeoaaeiny aeiiie??ianueeei aeine?aeaeaiiyi. I?e ?iioeueniiio neaioaaii? ia ae?eyioe? oaeeo AO ?a?no?oaaany aenieioaeaee?niee, aocueeee, aino?ie?ioeaaee ae?anoie?/iee iio?e ?c cao/iei aoaeini?eeiyooyi, a i?e eieuei?iaiio neaioaaii? aeyaeyany aenieioaeaee?niee oo?aoeaioiee iio?e. AO, ?icoaoiaai? ocaeiaae i?aeoeoii/eiai? ia?aai?iaeee ? a ai?eeueiiio a?aeae?e?, ia ni?aaeyee nooo?aee aieea ia ci?io ae?anoie?/iiai iaiiaiaiiy e?aiai oeoii/ea. Ii??aiyeueiee aiae?c AoiEa-ia?aiao??a o i?aee?oe?a c iaeeie/iei ? iiiaeeiiei i?ieaaoaaiiyi eeaiai?a c eiio?ieueiith a?oiith aeyaea aeuaiienai? caeiiii??iino?, ye? oa?aeoa?i? aeey INA a oe?eiio: aeeeaoaoe?y ei?aiy ai?oe, ca?eueoaiiy ae?aiao??a e?aiai oeoii/ea, nenoie?/iiai ? ae?anoie?/iiai eiai ia’?i?a, cieaeaiiy nei?i/oaaeueii? ? ianinii? ooieoe?e. A a?oi? c iiiaeeiiei i?ieaaoaaiiyi eeaiai?a a?aei?/ai? oaeiae ?icoe?aiiy ii?iaeiei i?aaiai oeoii/ea (p<0,001) ? oaiaeaioe?y aei noiauaiiy i?iea?aea e?aiai oeoii/ea(p<0,05). I?iaiae?ciaaii iaoa??ae c iiceoe?? niieo/aiiy ??cieo INA na?oey c o?aooaaiiyi i?e oeueiio ?o aieeao ia noai e?aiai ia?aaena?aey. Onoaiiaeaii, ui a??ia?aeia ?icoe?aiiy e?aiai ia?aaena?aey aeieeaei ye i?e iayaiino? ??ciiai /enea INA, oae ? i?e ?o niieo/aii?, iaeiae aeeaeia i?ieaaoaaiiy i?o?aeueiiai eeaiaia i?e oeueiio aoea iacia/iith. O?aaa aeoiaoe, ui ?icoe?aiiy ii?iaeieie e?aiai ia?aaena?aey i?e IIE a iniiaiiio aeieeaei, i/aaeaeii, aiane?aeie i?o?aeueii? ?aao?a?oaoe??. O a?eueoino? i?aee?oe?a c IIE i?e AeAoiEa ca?a?no?iaaii ??cio nooi?iue ?aao?a?oaoe??. A a?eueoino? aeiaaee?a (79,5±2,8 %) aeyaeyeeny III ? IV ?? nooiai? i?e IIE I nooiaiy ? o?eueee a 18,2±5,8 % - i?e IIE II nooiaiy. Aaaeeeai i?aee?aneeoe, ui ia aoei a?aeiia?aeiino? i?ae nooiaiai i?ieaaoaaiiy ? ?aao?a?oaoe??th. Inoaiiy i?e ?ae?iiaoe/iiio IIE, iiaeeeai, iaoiiaeaia iayai?noth i?eniiaoicii? aeaaaia?aoe??, yea ni?e/eiy? naia?aoe?th nooeie (I.Ae. Ino?ioiiaa, 1995; T. Takamoto, 1991). Iaiao?aeii a?aei?oeoe, ui i?ieaaoaaiiy eaaaiaaiai eeaiaia i?aeoe/ii o an?o iaoe??io?a noi?iaiaeaeoaaeiny ??ciei nooiaiai ?aao?a?oaoe??. Ia ai?oaeueiiio ? o?eeoni?aeaeueiiio eeaiaiao aiia aeyaeyeany cia/ii ??aeoa ? iaea o?c?ieia?/iee oa?aeoa?. Iaoieia?/ia ?aao?a?oaoe?y ia ai?oaeueiiio eeaiai? ?a?no?oaaeany eeoa a iaeeie/ieo aeiaaeeao. INA aieeaaee ia /anoioo aeieeiaiiy ii?ooaiue ?eoio, ? o oaeeo i?aee?oe?a iiiaeeii? AO aeyaeyeeny aeae?eueea /ano?oa (33,9±6,0 %), i?ae a a?oi? aac ieo (24,±3,5 %, p>0,05).Iaeaea o iieiaeie aeine?aeaeaieo (43,3±3,8
%) a i?noeyo a?aeoiaeaeaiiy oi?ae niinoa??aaeany eieaeueia a?ia?o?io?y
i?iea?aea, aea iiaee oi?ioaaoeny ina?aaeee aeoii?/ii? aeoeaiino?. I?e
ii??aiyii? ii?oiooieoe?iiaeueieo iieaciee?a na?oey o i?aee?oe?a c AeE c
ii?ooaiiyie ?eoio ? aac ieo a?aei?/aia iaaia ??cieoey.

A a?oi? c ?iceaaeaie ?eoio onoaiiaeaii a??ia?aeia ?icoe?aiiy aeo?aeiiai
o?aeoo i?aaiai oeoii/ea, e?aiai ia?aaena?aey, nenoie?/iiai,
ae?anoie?/iiai ae?aiao??a ? ia’?i?a e?aiai oeoii/ea ia oii? cieaeaiiy
iieaciee?a ianinii? ooieoe?? (oaea?iiai ia’?io, o?aeoe?? aeeeaeo ) ?
nei?i/oaaeueii? ni?iiiaeiino? (nenoie?/iiai i?e?inoo ae?aiao?a,
oaeaeeino? oee?eoey?iiai oei?i/aiiy aieieii i?iea?aea). O iaoe??io?a c
ii?ooaiiyie ?eoio iieaciee iaieey?ii? o?aeoe?? aoa cia/ii aeua
(p<0,001), ui, ia aeoieo I.Ae. Ino?ioiiai? (1996), iiaea i?eaanoe aei ?aiiuei? aeoeaaoe?? ? iiaeiaaeaiiy ?ao?aeoi?iiai ia??iaeo a oe?e eaioe?. I?e aea/aii? ??cieo oei?a oeaio?aeueii? aaiiaeeiai?ee o caei?iaeo i?aee?oe?a ? c AeE onoaiiaeaii, ui ii?iie?iaoe/iee oei a??ia?aeii /ano?oa cono??/aany o caei?iaeo (64,3±5,7 %; 44,2±3,4 %, p<0,01), a?ia?e?iaoe/iee - i?eaeecii c iaeiaeiaith /anoioith a iaio a?oiao (a?aeiia?aeii 17,1±4,5 % ? 24,6±2,9 %, p>0,05), a a?iie?iaoe/iee oei
ia?aaaaeaa o iaoe??io?a c AeE (18,6±4,6 % ? 31,2±3,2 %, p<0,05). I?e oeueiio oei? aaiioee?eoeyoe?? aeieeaee ia?aaeoiiae aei iaea?eueo iani?eyoeeaiai ooieoe?iioaaiiy na?oeaai-noaeeiii? nenoaie o i?aee?oe?a c AeE: ii?ooaiiy ae?yeueiino? ye oeaio?aeueii? eaiee (ca?eueoaiiy nenoie?/iiai, ae?anoie?/iiai ? oaea?iiai ia’?i?a ia oii? cieaeaiiy o?aeoe?? aeeeaeo, oaeaeeino? oee?eoey?iiai nei?i/aiiy ? nenoie?/iiai i?e?inoo i?iea?aea e?aiai oeoii/ea), oae ? ia?eoa?e/ii? (i?aeaeuaiiy ieoiiiai noaeeiiiai iii?o). Ei?aeyoe?eiee aiae?c iniiaieo AoiEa-iieaciee?a o caei?iaeo i?aee?oe?a ? c AeE na?ae/ea i?i iaeiiiai?aaeai?noue ?o aaiethoe?? ii i??? c?inoaiiy a?aeiia?aeii c a?eii ? noaooth. ?acii c oei a iniiai?e a?oi? i?aee?oe?a i?e aea/aii? ianinii? ? nei?i/oaaeueii? ooieoe?e na?oey aeyaeaii a??ia?aeiee cai?ioiee ei?aeyoe?eiee ca'ycie i?ae aeeeaoaoe??th ii?iaeiei na?oey ? eiai ooieoe?iiaeueiith ni?iiiaei?noth, ui aeacoaaei ia aeacaaeaioaoe?th aeayeeo iaoai?ci?a ?aaoeyoe?? ? iaaeiiiiio ?iaioo. Ca aeaieie AEA o a?eueoino? i?aee?oe?a niinoa??aaeeny ??ci? a?aeoeeaiiy eiai ooieoe?e. Aiie i?iyaeyeeny ci?iith aaoiiaoecio a aeaeyae? a?aaeeea?ae?? (40,9±3,4 %), a?eoi?? (37,2±3,3 %), ??aeoa - oao?ea?ae?? (19,1±2,7 %). Iaeaea o o?aoeie aeine?aeaeaieo (28,8±3,1 %) aeyaeai? aaoa?io?iii? ii?ooaiiy ?eoio, /ano?oa - aeno?anenoie?y, ??aeoa - neiae?ii neaaeino? neioniaiai aocea, a iaeeie/ieo aeiaaeeao - ia?anenoie?y, ia?ieneciaeueia oao?ea?ae?y ? ao??iaaio?eeoey?ia aeenioe?aoe?y. A 11,3±1,4 % ca?a?no?iaaii neiae?ii WPW. Iaeaea o iieiaeie i?aee?oe?a c ??cieie ii?ooaiiyie ?eoio aeyaeyany neiae?ii ?aiiuei? ?aiiey?ecaoe?? oeoii/e?a (N??O). I?i ia?aaaaeaiiy noi?aaaio?eeoey?ieo a?eoi?e o iaoe??io?a c N??O iaiaeii?aciai iia?aeiieyeiny a e?oa?aoo?? (A.?. Noi?iaeaeia ? ni?a., 1992; H.L. Kennedy, 1992).A ca'yceo c oei, ui i?aee?oee c AeE iathoue ?yae ii?oieia?/ieo iniaeeainoae na?oey, ye? ni?eythoue aeieeiaiith a?eoi?e, aieiaiei /eiii iayai?noue AO ia oii? aaaoniiai aieeao, ie noeeuei? ?icoe?ithaaoe o ieo N??O, ye iaeei ?c ia?ea??a iiaeeeaiai ?icaeoeo ?iceaae?a ?eoio na?oey. A?eueoa, i?ae o iieiaeie i?aee?oe?a (57,2±3,4 %) c AeE niinoa??aaeeny ii?ooaiiy i?ia?aeiino?, a iniiaiiio ?? oiia?eueiaiiy ii i?aa?e i?aeoe? io/ea A?na (59,3±4,4 %), ??aeoa - neiae?ii nei?i/aiiai PQ (14,6±3,2 %), ao??iaaio?eeoey?ia aeieaaea I-II nooiaiy (8,1±2,5 %), aioo??oiueioeoii/eiaa (7,3±2,3 %) ? neiiao??eoey?ia (6,5±2,2 %) aeieaaee. A iaeeie/ieo aeiaaeeao niinoa??aaeany iiaia ao??iaaio??eoey?ia aeieaaea (1,6±1,1 %), a oaeiae ia?aaeiuei? i?aeee io/ea A?na (2,4±1,4 %). Cieaeaiiy ooieoe?iiaeueii? ni?iiiaeiino? i?iea?aea onoaiiaeaii iaeaea o /aa?o? iaoe??io?a (22,8±2,9 %). O a?eueoino? aeine?aeaeaieo (66,5±3,2 %) niinoa??aaeeny ii?ooaiiy i?ioeano ?aiiey?ecaoe??, ye? iaee ianiaoeeo?/iee oa?aeoa?. O o?aoeie i?aee?oe?a (31,6±3,2 %) ia OEA aeyaeai? ciaioaiiy aiie?ooaee I oiio ia aa?o?aoe? ? nenoie?/i? aeno?aoiie. O a?eueoino? iaoe??io?a (73,5±3,0 %) ?a?no?oaaany nenoie?/iee ooi, a iniiaiiio ooieoe?iiaeueiiai oa?aeoa?o. A ?yae? niinoa?aaeaiue (14,9±2,4 %) a?i a?aeiia?aeaa i?aai?/iiio. A oaeeo aeiaaeeao /anoi eioe?thaaeeny AO a aacaeueiiio a?aeae?e? ? aeo?aeieo o?aeoao oeoii/e?a, a oaeiae oi?aee, ye? ni?eyee ii?ooaiith eai?ia?iino? nenoie?/iiai e?iaioieo i?e AeAoiEa. A iaeeie/ieo aeiaaeeao ?a?no?oaaany ei?ioeee ae?anoie?/iee ooi, ui aeieeaa i?e i?ieaaoaaii? ai?oaeueiiai eeaiaia aai i?e iiiaeeiieo AO, ia?aaaaeii a aacaeueieo a?aeae?eao oeoii/e?a. Iaeaea o iieiaeie i?aee?oe?a (48,8±3, 4 %) i?e i?iaaaeaii? aaeia?aiiao??? iiyaeyany ii?iaiaee oei ?AEA, ye?e na?ae/ea i?i cieaeaiiy aaeaioaoe?? aei o?ce/iiai iaaaioaaeaiiy, a oaeiae a ?yae? aeiaaee?a (19,1±2,7 %) iaoieia?/iee oei, iaoiiaeaiee o?aiceoi?iith ?oai??th i?iea?aea. *enei INA nooo?ai ia aieeaaei ia oi?ioaaiiy oeio ?AEA. Caaaeueia o?ce/ia i?aoeacaeaoi?noue ca oanoii PWC 170, yea a?aeia?aaea? noai ea?ae?i?ani??aoi?ii? nenoaie, o o?aoeie i?aee?oe?a c AeE (31,2±3,2 %) aoea iacaaeia?eueia. Niinoa?aaeaiiy, i?iaaaeai? a eaoaiiac? /a?ac 1,5-2 ?iee, a iniiaiiio oeacoaaee ia noaa?euei?noue ci?i iieaciee?a ?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiue na?oeaai-noaeeiii? nenoaie o a?eueoino? i?aee?oe?a c AeE. Eeoa o iaaaeeei? /anoeie iaoe??io?a (12,9 %) a?aei?/aia ii?iae?caoe?y ie?aieo ia?aiao??a AoiEa, AEA ? ?AEA. ?o iia??oaiiy niinoa??aaeiny /ano?oa (22,4 %), ui ianaiia?aae noinoaaeiny ae?anoie?/iiai ae?aiao?a e?aiai ? i?aaiai oeoii/e?a, ianinii? ? nei?i/oaaeueii? ooieoe?e i?iea?aea, i?ioeano ?aiiey?ecaoe?? ? iniaeeai iieaciee?a ?AEA. Oae, iaeaea o o?aoeie (29,4 %) i?aee?oe?a c AeE ianooiea ia?ao?ae o?c?ieia?/iiai oeio a ii?iaiaee, aai ii?iaiaiai - a iaoieia?/iee. Oaeei /eiii, iiaeeaeai? ee?i?ei-?ino?oiaioaeuei? aeine?aeaeaiiy na?oeaai-noaeeiii? nenoaie o i?aee?oe?a c INA aeyaeee, ui aiie ia??aeei i?eaiaeeee aei ii?ooaiue ea?ae?iaaiiaeeiai?ee, cieaeaiiy ianinii? ? nei?i/oaaeueii? ooieoe?e a niieo/aii? c a?iie?iaoe/iei oeiii aaiioee?eoeyoe?? ? cieaeaiiyi aaeaioaoe?? aei o?ce/iiai iaaaioaaeaiiy. A aeayeeo aeiaaeeao niinoa??aaeiny iia??oaiiy ?yaeo iieaciee?a ii i??? ?inoo i?aee?oe?a. A ca'yceo c oeei io?eiai? aeai? i?aeoaa?aeaeothoue i?aaii??i?noue oa?i?io "aeenieanoe/ia ea?ae?iiao?y" aiane?aeie INA na?oey, i?e ye?e onoaiiaeaia aaeeea /anoioa ? iie?ii?o?ci a?aeoeeaiue a eiai ae?yeueiino? ca aeaieie ?ino?oiaioaeueieo iaoiae?a. ?acoeueoaoe i?iaaaeaiiai aeine?aeaeaiiy na?ae/aoue i?i iiaeeea?noue cai?aeic?eoe oeth ea?ae?aeueio iaoieia?th ia ?aii?o aoaiao niinoa?aaeaiiy ca aeiiiiiaith oaeeo iioe?aieo iaoiae?a ye aoneoeueoaoe?y na?oey, AEA a niieith ? c o?ce/iei iaaaioaaeaiiyie, OEA, iaeiae iaaeae? o?eueee oeueo?acaoeia? iaoiaee aeicaieythoue aeyaeyoe INA, ioe?ithaaoe ii?oino?oeoo?i? ci?ie ? noai ea?ae?iaaiiaeeiai?ee. ?aae?caoe?y iniiaii? iaoe ?iaioe, iai?aaeaii? ia iie?ioaiiy ae?aaiinoeee AeE o i?aee?oe?a, aoaea ni?eyoe ?aiiueiio ?? aeyaeaiith. Io?eiai? aeai? aeeeoothoue iaiao?aei?noue aeeniaina?iiai ?o niinoa?aaeaiiy o ea?ae?ieiaa aeey ooi/iaiiy oa?aeoa?o ? nooiaiy ii?ooaiue, aaeaioaoe?? aei o?ce/ieo iaaaioaaeaiue, ?aaeaiaioaoe?? ?ooiaiai ?aaeeio ? i?iaaaeaiiy aeioe?eueii iai?aaeaieo ?aaa?e?oaoe?eieo caoiae?a c o?aooaaiiyi ?iaeea?aeoaeueieo iniaeeainoae i?aai?cio. Oaeee i?aeo?ae aeicaieeoue caiia?aoe i?ia?anoaaiiy ea?ae?aeueii? iaoieia?? e ni?eyoe cai?ioiiio ?icaeoeo ooieoe?iiaeueieo ii?ooaiue. Oey i?iaeaia ia? ia o?eueee aaeeea i?aeoe/ia, aea ? nioe?aeueia cia/aiiy, oae ye iiaa ?aea i?i i?ae?inoath/a iieie?iiy, eiai i?aoeaaeaoooaaiiy, neoaeao a eaaao a?i??. A ca'yceo c oeei iniaeeaa cia/aiiy iaaoaathoue ieoaiiy ?aaa?e?oaoe?? aeaiiai eiioeiaaioo ? ii?ioaaiiy o?ce/ieo iaaaioaaeaiue c o?aooaaiiyi ea?ae?aeueieo ci?i, ui iiaeiii aooe i?aaeiaoii niaoe?aeueiiai aea/aiiy. AENIIAEE 1. Iae? no?oeoo?i? aiiiae?? na?oey o i?aee?oe?a iaoiiaeththoue ?icaeoie aeenieanoe/ii? ea?ae?iiao??, yea i?iyaey?oueny ea?ae?aeueieie nea?aaie, cieaeaiiyi oiea?aioiino? aei o?ce/ieo iaaaioaaeaiue, iayai?noth ooio, ia??aeei - aeno?aoii?a a niieo/aii? ?c aeno?aea?ae?aeueieie noeaiaie aeecaia??iaaiaco niieo/ii? oeaieie. 2. I?e oeueo?acaoeiaiio aeine?aeaeaii? na?oey o i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th aeyaeythoueny iaeeie/i? (52,1 %) aai iiiaeeii? (27,4 %) aaa?aioi? oi?aee a eiai ii?iaeieiao, /ano?oa a e?aiio oeoii/eo, ?iiae? c eieaeueiith a?ia?o?io??th a i?noeyo ?o i?ee??ieaiiy, i?ieaaoaaiiy i?o?aeueiiai eeaiaia I-II nooiaiy ?c ci?iith no?oeoo?e nooeie (58,1 %), ??aeoa -niieo/aia i?ieaaoaaiiy ?yaeo eeaiai?a (38,1 %), a ie?aieo aeiaaeeao - ?io? aiiiae??. 3. O i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th, ye ? o caei?iaeo iaeiie?oe?a, c a?eii niinoa??aa?oueny ca?eueoaiiy iniiaieo aoiea?ae?ia?ao?/ieo iieaciee?a. Noaoaa? a?ae??ciaiiy o caei?iaeo i?iyaeythoueny a noa?o?e a?eia?e a?oi? c ia?aaaaith ia?aiao??a o thiae?a a ii??aiyii? c ae?a/aoaie. I?e aeenieanoe/i?e ea?ae?iiao?? oae? a?ae??ciaiiy c'yaeythoueny aaea a ?aiiueiio ioaa?oaoiiio ia??iae?. 4. O iieiaeie i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th niinoa??aathoueny ii?oiooieoe?iiaeuei? ci?ie o aeaeyae? ca?eueoaiiy iiia?a/ieo ae?aiao??a ei?aiy ai?oe, e?aiai ? i?aaiai oeoii/e?a, o o?aoeie - e?aiai ia?aaena?aey, aeoii/aiiy i?iea?aea e?aiai oeoii/ea ? i?aeoeoii/eiai? ia?aai?iaeee, cieaeaiiy ianinii? ? nei?i/oaaeueii? ooieoe?e (44,4 %). A ii??aiyii? ?c caei?iaeie iaeiie?oeaie ia?aaaaea? a?iie?iaoe/iee oei aaiioee?eoeyoe??. Iiiaeeii? iae? no?oeoo?i? aiiiae?? a a?eueo?e i??? iaaaoeaii aieeaathoue ia noai ii?iaeiei na?oey ? eiai ooieoe?iiaeueio ni?iiiaei?noue a ii??aiyii? c iaeeie/ieie. 5. Aeenieanoe/ia ea?ae?iiao?y noi?iaiaeaeo?oueny /anoioith ci?i a?iaeaeo?e/ii? aeoeaiino? i?iea?aea, iniaeeai ii?ooaiue i?ioeano ?aiiey?ecaoe?? (66,5 %), ?eoio na?oey c ia?aaaaeaiiyi aeno?anenoie??, a oaeiae iaoai?/ii? eiai ae?yeueiino?. *anoi ?a?no?othoueny ii?iaiaee (48,8 %) ? iaoieia?/iee (19,1 %) oeie ?AEA, ui na?ae/eoue i?i cieaeaiiy aaeaioaoe?? aei o?ce/iiai iaaaioaaeaiiy, o?aic?oi?io ?oai?th i?iea?aea, ? iacaaeia?euei? iieacieee o?ce/ii? i?aoeacaeaoiino? ca oanoii PWC-170 (31,2 %). 6. Aeieeiaiith ii?ooaiue ?eoio na?oey i?e aeenieanoe/i?e ea?ae?iiao?? o i?aee?oe?a ni?eythoue aaa?aioi? oi?aee a eiai ii?iaeieiao, eieaeueia a?ia?o?io?y i?iea?aea a i?noeyo ?o i?ee??ieaiiy, i?ieaaoaaiiy i?o?aeueiiai eeaiaia ?c ca?eueoaiiyi o?aeoe?? iai?ey?ieo i'yc?a, nooi?iue ?aao?a?oaoe??, iniaeeai a niieo/aii? c ae?anoiee/iith aeenooieoe??th e?aiai oeoii/ea ? ae?eaoaoe??th e?aiai ia?aaena?aey. 7. I?e niinoa?aaeaii? a eaoaiiac? (1,5-2 ?iee) o ia?aaaaeii? a?eueoino? i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th caa??aathoueny ci?ie iieaciee?a ?ino?oiaioaeueieo iaoiae?a, aeine?aeaeaiue na?oey, ui oeaco? ia ?o noaa?euei?noue. Iaeaea o o?aoeie iaoe??io?a a?aei?/aii iia??oaiiy aeayeeo ia?aiao??a, iniaeeai iiyaa ii?iaiaiai aai iaoieia?/iiai oei?a ?AEA. 8. Iayai?noue ci?i ee?i?ei-ea?ae?iaaiiaeeiai?/ieo iieaciee?a, cieaeaiiy ianinii?, nei?i/oaaeueii? ooieoe?e i?iea?aea ? aaeaioaoe?? aei o?ce/ieo iaaaioaaeaiue o i?aee?oe?a c iaeeie no?oeoo?ieie aiiiae?yie na?oey aeeeoo? iaiao?aei?noue aeeniaina?iiai niinoa?aaeaiiy ca oaeeie iaoe??ioaie o ea?ae?ieiaa c i?iaaaeaiiyi a?aeiia?aeieo aeine?aeaeaiue ? e?eoaaeueii-i?io?eaeoe/ieo cania?a. I?AEOE*I? ?AEIIAIAeAOe?? 1. Ae?aaiic aeenieanoe/ii? ea?ae?iiao?? aaco?oueny ia aeyaeaii? iaeeo no?oeoo?ieo aiiiae?e na?oey a niieo/aii? c ea?ae?aeueieie nea?aaie ? ii?ooaiiyie eiai ee?i?ei-?ino?oiaioaeueieo iieaciee?a. 2. Ia ia?oeo aoaiao ae?aaiinoeee aeenieanoe/ii? ea?ae?iiao?? iaiao?aeii ea?oaaoeny : aeaieie aiaiiaco (iniaeeai ia?aa?a aaa?oiino?, oe?aeeeaino? ? caoai?thaaiiy o iaoa??), ee?i?/ieo aeine?aeaeaiue (ea?ae?aeuei? nea?ae, iayai?noue i?eaeooaiino? oii?a na?oey, aeno?aoii?a, noeai aeecaia??iaaiaco niieo/ii? oeaieie), AEA a niieith ? c o?ce/iei iaaaioaaeaiiyi ( aaeia?aiiao??y, i?iaa Ianoa?a aai 20-25 i?en?aeaiue), OEA. Oeacai? iaoiaee ooieoe?iiaeueii? ae?aaiinoeee aeiiiiaaathoue ioe?ieoe a?iaeaeo?e/io, iaoai?/io aeoeai?noue i?iea?aea, ?eoi na?oey, oa?aeoa?, eieae?caoe?th ? aeiaaio?eaae?noue ooio, iayai?noue aeno?aoii?a, oei ?AEA. 3. I?e i?aeic?? ia iae? no?oeoo?i? aiiiae?? na?oey iaia'yceiai o?aaa i?iaaaeeoe eiai oeueo?acaoeiaa aeine?aeaeaiiy, yea aeicaiey? noaeeoe i?i ii?oieia?th no?oeoo?, ?ici??e ii?iaeiei ? e?oiieo noaeei, noai eeaiaiiiai aia?aoo, nei?i/oaaeueii?, ianinii? ooieoe?e i?iea?aea, oeie aaiiaeeiai?ee. I?e oeueiio iniaeeao oaaao caa?oathoue ia aaa?aioi? oi?aee, ?o oiiia?ao?th, a?ia?o?io?th a i?noeyo i?ee??ieaiiy, no?oeoo?o ? i?ieaaoaaiiy eeaiai?a, eiai nooi?iue, niieo/aiiy ??cieo INA, i?e aeiiie??ianueeiio aeine?aeaeaii? - ia ?aao?a?oaoe?th ? ?? nooi?iue, ae?anoie?/io ooieoe?th e?aiai oeoii/ea. 4. I?aee?oee c aeenieanoe/iith ea?ae?iiao??th iiaeii? ciaoiaeeoeny i?ae aeeniaina?iei niinoa?aaeaiiyi o ea?ae?ieiaa c iii?oi?oaaiiyi iniiaieo iieaciee?a na?oeaai-noaeeiii? nenoaie ia ??aeoa 2 ?ac?a ia ??e: AEA a niieith ? c o?ce/iei iaaaioaaeaiiyi, OEA, aei??yiiy a?oa??aeueiiai oeneo ca I.N. Ei?ioeiaei, eio?? caiinyoueny a niaoe?aeueio ea?oo aai eiii’thoa?. Aaaeaii ui??/ii i?iaaaeeoe oeueo?acaoeiaa aeine?aeaeaiiy na?oey aeey ioe?iee ia?aiao??a ea?ae?iaaiiaeeiai?ee, eiai nei?i/oaaeueii? ? ianinii? ooieoe?e. 5. Aeey iie?ioaiiy ooieoe?iiaeueieo iiaeeeainoae na?oeaai-noaeeiii? nenoaie ? aaeaioaoe?? aei o?ce/ieo iaaaioaaeaiue iaiao?aeiee aeeoa?aioe?eiaaiee i?aeo?ae aei ?o ii?ioaaiiy i?ae no?iaei e?ea?nueeei eiio?ieai (aaeia?aiiao?e/iee aai nooi?i/anoee aa??aioe oanoo PWC-170, ooieoe?iiaeuei? i?iae c o?ce/iei iaaaioaaeaiiyi, iniaeeai a niieo/aii? c AEA). IA?AE?E IOAE?EAOe?E CA OAIITH AeENA?OAOe?? 1. Aiaiao E.O., Naaai ?.Ae., Aoiaca?yioe A.E., Aaaaeainueea O.C. Oa?aeoa?enoeea ee?i?ei-aaiiaeeiei?/ieo iieaciee?a o i?aee?oe?a c aeenieanoe/iith ea?ae?iiao??th // Iaae?ao??y, aeooa?noai oa a?iaeieia?y. - 1998.-N1.-N.25-28. 2. Aaaaeainueea O.N. Ii?oiooieoe?iiaeueiee noai na?oey o i?aee?oe?a c aeeneacoe/ieie ea?ae?iiao?yie // Iaae?ao??y, aeooa?noai oa a?iaeieia?y. - 1998. - N7. - C. 9-12. 3. Aiaiao E.O., Aeaaeaeei E.A., Aoiaca?yioe A.E., Aaaaeaineay O.C., *enoye I.A. Eeeieei-aaiiaeeiaie/aneea iniaaiiinoe o iiae?inoeia n ia?ae/iie a?oa?eaeueiie aeia?oaiceae e "iaeuie" ea?aeeaeueiuie noeaiaie aeecyia?eiaaiaca // Oe?.ea?ae?ie.aeo?iae. - 1998. - N11. - N.36-38. 4. Aaaaeaineay O.N. Ii?oiooieoeeiiaeueiia ninoiyiea na?aeoea o iiae?inoeia n aeenieanoe/aneie ea?aeeiiaoeae e ia?ooaieyie aai ?eoia //A?niee i?iaeai a?ieia?? ? iaaeeoeeie.- 1998. - N24.- N.82-85. 5. AaaaeaineayO.N. Ooieoeeiiaeueiia ninoiyiea ieiea?aea o iiae?inoeia n aeenieanoe/aneie ea?aeeiiaoeae // A?niee i?iaeai a?ieia?? ? iaaeeoeeie – 1999. - N1. - C.69-72. 6. Aaaaeaineay O.N. Ii?oieiae/aneea iniaaiiinoe aeenieanoe/aneeo ea?aeeiiaoee o iiae?inoeia ii aeaiiui yoiea?aeeia?aoee //Iaaeeoeeia naaiaeiy e caao?a: Na.no./ OAIO - Oa?ueeia, 1997. Aui.2.- C.85-86. 7. Aaaaeaineay O.N. Eeeieei-eino?oiaioaeueiay oa?aeoa?enoeea aeenieanoe/aneeo ea?aeeiiaoee o iiae?inoeia //Aeooaeuei? i?iaeaie ioi?iie caei?ia'y ae?oae oe?eueiiai a?eo ? i?aee?oe?a.Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe??. - Oa?e?a, 1997. - C.81-83. 8. Aiaiao E.O., Aaaaeaineay O.N. Aoiaca?yioe A.E., Naaai E.Ae. Aeenieanoe/aneea ea?aeeiiaoee o iiae?inoeia // Aeooaeuei? i?iaeaie ioi?iie caei?ia'y ae?oae oe?eueiiai a?eo ? i?aee?oe?a. Iaoa??aee iaoeiai-i?aeoe/ii? eiioa?aioe??. - Oa?e?a, 1997. - C.64-66. 9. Aiaiao E.O., Naaai ?.Ae., Oieia/aaa C.?., Aoiaca?yioe A.E. Aaaaeaineay O.N. Aeeoa?aioe?eia ae?aaiinoeea aeenieanoe/ieo oa ?aaiaoe/ieo o?aaeaiue na?oey o ae?oae //Iaoa??aee Ae?oaiai Iaoe?iiaeueiiai Eiia?ano ?aaiaoieia?a Oe?a?ie. - Ee?a, 1997. - C.57-58. AIIIOAOeEss Aaaaeaineay O.N. Eeeieei-eino?oiaioaeueiay oa?aeoa?enoeea ea?aeeiiaoee o iiae?inoeia, iaoneiaeaiiie iaeuie no?oeoo?iuie aiiiaeeyie na?aeoea. - ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.10 - iaaeeao?ey, Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao, 1999. N oeaeueth niaa?oainoaiaaiey iaoiaeia aeeaaiinoeee ea?aeeiiaoee o iiae?inoeia, iaoneiaeaiiie iaeuie no?oeoo?iuie aiiiaeeyie na?aeoea (INA), e iainiiaaiey eo aeeniaina?iiai iaaethaeaiey enneaaeiaaiu 215 /aeiaae a aic?anoa 12-17 eao, ec ieo - 85 a aeeiaieea /a?ac 1,5-2 aiaea e 70 caei?iauo naa?noieeia (a?oiia n?aaiaiey). A ?aaioa eniieueciaaiu eeeie/aneea iaoiaeu, yeaeo?iea?aeeia?aoey, oiiiea?aeeia?aoey, ?aaeeiyeaeo?iea?aeeia?aoey n aaeiy?aiiao?eae, yoiea?aeeia?aoey, aeiiiea?yoiea?aeeia?aoey, oano PWC 170, a oaeaea ?aai/ee oa?iei "aeenieanoe/aneay ea?aeeiiaoey" (AeE). Onoaiiaeaii iaaeaaii?eyoiia aeeyiea ineiaeiaiiiai oa/aiey aa?aiaiiinoe o iaoa?e e ioyaiuaiiie ianeaaenoaaiiinoe ii caaieaaaieyi na?aea/ii-ninoaeenoie e niaaeeieoaeueiioeaiiie nenoai ia aicieeiiaaiea INA na?aeoea - i?iyaeaiea nenoaiiie aeenieacee niaaeeieoaeueiie oeaie. Iieacaii, /oi INA na?aeoea iaoneiaeeaatho ?acaeoea AeE o iiae?inoeia, i?iyaeythuaeny ea?aeeaeueiuie aeaeiaaie, ieioie ia?aiineiinoueth oece/aneeo iaa?ocie, iaee/eai ooia, ia?aaeei - yeno?aoiiia a ni/aoaiee n yeno?aea?aeeaeueiuie noeaiaie aeecyia?eiaaiaca niaaeeieoaeueiie oeaie. Iaeaieaa /anoi ano?a/athony: anoaie/aneay eiinoeoooeey, neieeioe/aneay inaiea, iiauoaiiay ?anoyaeeiinoue eiaee, iiiai/eneaiiua ?iaeeiee, aiiiaeee aa?oieo e ieaeieo eiia/iinoae, aeia?iiaeeueiinoue nonoaaia. I?e oeueo?acaoeiaii enneaaeiaaiee na?aeoea o ieo ii?aaeaeythony aaeeie/iua, ?aaea - iiiaeanoaaiiua aaa??aioiua oi?aeu (AO) a iieinoyo, /aua a eaaii aeaeoaei/ea, i?ieaae?iaaiea ieo?aeueiiai eeaiaia I-II noaiaie n eciaiaieai no?oeoo?u noai?ie, eiiaaea ni/aoaiiia i?ieaae?iaaiea eeaiaiia, a ioaeaeueiuo neo/ayo- ae?oaea aiiiaeee (/aou?aonoai?/aoue ai?oaeueiue eeaiai, na?iiaeaeiue ecaea iaaeaeaeoaei/eiaie ia?aai?iaeee ). A iniiaa ia?ae/iiai eaeeiiaoe/aneiai i?ieaae?iaaiey eeaiaiia eaaeeo ieeniiaoiciay o?ainoi?iaoeey noai?ie, naycaiiay n i?ieeoa?aoeeae aoa/aoie ciiu, iaeiieaieai eeneuo ioeiiieenaoa?eaeia e o?aaiaioaoeeae eieeaaaiiauo aieieii. E yoiea?aeeia?aoe/aneei i?eciaeai ieeniiaoiciie aeaaaia?aoeee ioiinyo "?aciuoinoue", "eioiaoinoue" noai?ie, ia?aaeei n aaeeeiia?aciuie iaeiaeaieyie ia eo naiaiaeiuo e?ayo. Onoaiiaeaii oaaee/aiea n aic?anoii iniiaiuo YoiEa-iieacaoaeae. Iieiaua eo ?acee/ey o caei?iauo ioia/athony a noa?oae aic?anoiie a?oiia n i?aiaeaaeaieai ia?aiao?ia o thiioae ii n?aaiaieth n aeaaooeaie. I?e AeE oaeea ?acee/ey iaaethaeathony oaea a ?aiiai ioaa?oaoiii ia?eiaea. O iieiaeiu iiae?inoeia n AeE auyaeythony ii?oiooieoeeiiaeueiua eciaiaiey na?aeoea a aeaea oaaee/aiey iiia?a/iuo aeeaiao?ia ei?iy ai?ou, eaaiai e i?aaiai aeaeoaei/eia, o o?aoe - eaaiai i?aaena?aeey, enoii/aiey ieiea?aea eaaiai aeaeoaei/ea e iaaeaeaeoaei/eiaie ia?aai?iaeee, nieaeaiey ianiniie e nie?aoeoaeueiie ooieoeee, a oaeaea i?aiaeaaeaiea aeiieeiaoe/aneiai oeia aaiioee?eoeyoeee ii n?aaiaieth ni caei?iauie naa?noieeaie. O iiae?inoeia N AeE a iaaeo aic?anoiuo a?oiiao iauaiu iieinoae nouanoaaiii ioee/athony io oaeiauo o caei?iauo naa?noieeia. a noa?oae a?oiia ioia/aaony nieaeaiea iieacaoaeae, oa?aeoa?ecothueo ooieoeeiiaeueioth niiniaiinoue ieiea?aea, naeaeaoaeuenoaoy i aieaa au?aaeaiiie noaiaie ii?oiooieoeeiiaeueiuo eciaiaiee. Iieacaii, /oi iiiaeanoaaiiua INA a aieueoae ia?a, /ai aaeeie/iua io?eoeaoaeueii aeeytho ia ninoiyiea iieinoae na?aeoea e aai ooieoeeiiaeueioth niiniaiinoue. Ia?yaeo n ?anoe?aieai a yoeo iaaeo a?oiiao ei?iy ai?ou, oaaee/aieai aeeanoiee/aneiai e nenoiee/aneiai aeeaiao?ia e iauaiia eaaiai aeaeoaei/ea, nieaeaieai iaeiiai ec e?eoa?eaa nie?aoeoaeueiie niiniaiinoe ieiea?aea, o iaoeeaioia n iiiaeanoaaiiuie INA na?aeoea iaaethaeathony oaeaea ?anoe?aiea aeeaiao?ia auoiaeiiai o?aeoa e iieinoe i?aaiai aeaeoaei/ea, oaaee/aiea iieacaoaeae ianiniie ooieoeee e nei?inoe oee?eoey?iiai oei?i/aiey aieieii ieiea?aea. Onoaiiaeaii ianiioaaonoaea iaaeaeo noaiaiueth i?ieaae?iaaiey eeaiaiia e ?aao?aeoaoeeae, a iniiaiii iaoneiaeaiiie ieeniiaoiciie aeaaaia?aoeeae noai?ie. ?aao?aeoaoeey ia ai?oaeueiii e o?eeonieaeaeueiii eeaiaiao ii?aaeaeyaony cia/eoaeueii ?aaea, /ai ia ieo?aeueiii e iineo a iniiaiii oeceieiae/aneee oa?aeoa?. Iieacaii, /oi aicieeiiaaieth ia?ooaiee ?eoia na?aeoea niinianoaotho aaa??aioiua oi?aeu a aai iieinoyo, eieaeueiay aeia?o?ioey a ianoao eo i?ee?aieaiey, i?ieaae?iaaiea ieo?aeueiiai eeaiaia n oaaee/aieai o?aeoeee aai iaieeey?iuo iuooe, iniaaiii a ni/aoaiee n aeeanoiee/aneie aeenooieoeeae eaaiai aeaeoaei/ea e aeeeaoaoeeae i?aaiai i?aaena?aeey. Auyaeaiu aieueoay /anoioa eciaiaiee aeiyeaeo?e/aneie aeoeaiinoe ieiea?aea, iniaaiii i?ioeanna ?aiiey?ecaoeee, ?eoia n i?aiaeaaeaieai yeno?anenoieee, iaoaie/aneie aeayoaeueiinoe na?aeoea, ii?iaiaiai e iaoieiae/aneiai oeiia ?YEA, naeaeaoaeuenoaothueo i nieaeaiee aaeaioaoeee e oece/aneie iaa?ocea e o?aiceoi?iie eoaiee, a oaeaea iaoaeiaeaoai?eoaeueiua iieacaoaee oece/aneie ?aaioiniiniaiinoe ii oanoo PWC 170. I?e iaaethaeaiee a eaoaiiaca o aieueoeinoaa iiae?inoeia n AeE onoaiiaeaia noaaeeueiinoue eciaiaiee eeeieei-eino?oiaioaeueiuo iieacaoaeae, ii/oe o o?aoe - oooaeoaiea ioaeaeueiuo ec ieo. Iaee/ea ia?ooaiee ianiniie, nie?aoeoaeueiie ooieoeee ieiea?aea e nieaeaiey aaeaioaoeee e oece/aneei iaa?oceai o iiae?inoeia n AeE, iniaaiii a ni/aoaiee n aeiieeiaoe/aneei oeiii aaiioee?eoeyoeee, aeeeooao iaiaoiaeeiinoue eo aeeniaina?iiai iaaethaeaiey o ea?aeeieiaa n i?iaaaeaieai niioaaonoaothueo aeeaaiinoe/aneeo enneaaeiaaiee, iiieoi?eiaa iieacaoaeae, ?aaeaiaioaoeee aeaeaaoaeueiiai ?aaeeia e oeaeaiai?aaeaiiuo ?aaaeeeoaoeeiiiuo ia?ii?eyoee n o/aoii eiaeeaeaeoaeueiuo iniaaiiinoae i?aaiecia e nenoaiu e?iaiia?auaiey. Eeth/aaua neiaa : iiae?inoee, iaeua no?oeoo?iua aiiiaeee na?aeoea, aeenieanoe/aneay ea?aeeiiaoey, aaa??aioiay oi?aea, yoiea?aeeia?aoey. AIIOAOe?ss Aaaaeainueea O.N. Ee?i?ei-aoiea?ae?ia?o?/ia oa?aeoa?enoeea ea?ae?iiao?? o i?aee?oe?a, iaoiiaeaii? iaeeie no?oeoo?ieie aiiiae?yie na?oey. ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.10 - iaae?ao??y, Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao, 1999. Aea/ai? aia?oa o i?aee?oe?a ee?i?ei-?ino?oiaioaeueia oa?aeoa?enoeea ea?ae?iiao??, iaoiiaeaii? iaeeie no?oeoo?ieie aiiiae?yie na?oey, ?o no?oeoo?a, /anoioa, ii?oiooieoe?iiaeuei? iniaeeaino?, noai ea?ae?iaaiiaeeiai?ee, oeie oeaio?aeueii? aaiioee?eoeyoe??, ?aaeoe?? ia o?ce/ia iaaaioaaeaiiy, a?iaeaeo?e/ia, iaoai?/ia aeoeai?noue i?iea?aea, o /anoeie iaoe??io?a - a eaoaiiac?. Onoaiiaeai? /anoa niieo/aiiy oaei? ea?ae?iiao?? c aeno?ae?ae?aeueieie noeaiaie aeecaia??iaaiaco niieo/aii? oeaieie. Aeyaeai? oaeoi?e, ye? iaaaoeaii aieeaathoue ia aeieeiaiiy ii?ooaiue ?eoio na?oey, i?iaaaeaii ii??aiyeueiee aiae?c aoiea?ae?ia?ao?/ieo iieaciee?a ?c caei?iaeie iaeiie?oeaie, a oaeiae a aeaio a?oiao - c iaeeie/ieie e iiiaeeiieie aiiiae?yie, iieacaii iani?eyoeeaee aieea inoaii?o ia ia’?ie ii?iaeiei na?oey, nei?i/oaaeueio ? ianinio eiai ooieoe??. Onoaiiaeaia a eaoaiiac? o a?eueoino? i?aee?oe?a noaa?euei?noue ci?i ?ino?oiaioaeueieo iieaciee?a, iaeaea o o?aoeie - ?o iia??oaiiy, iaa?oioiaaia iaiao?aei?noue aeeniaina?iiai niinoa?aaeaiiy oaeeo iaoe??io?a o ea?ae?ieiaa. Eeth/ia? neiaa: i?aee?oee, iae? no?oeoo?i? aiiiae?? na?oey, aaa?aioia oi?aea, aoiea?ae?ia?ao?y, aeenieanoe/ia ea?ae?iiao?y. SUMMARY Vvedenskya T.S. The clinico-echocardiological characteristic of cardiophathies due to small structural anomalies of the heart. - Manuscript. Thesis for a candidate’s degree of medical sciences. Specialty 14.01.10 - pediatrics. Kharkov State Medical University, 1999. For the first time the clinic-instrumental characteristics of teenagers cardiopathy caused by small structural anomalies of the heart were identified. The frequency of these anomalies, their morphofunctional peculiarities, state of cardiohemodinamics, types of central hemocirculation, reaction on physical loads, bioelectrical and mechanical activity of myocardium were investigated. In some patients these above were examined by catamnesis. This cardiophathy combined frequently with extracardiac stigmas of connective tissue dysembryogenesis. Some factors with negative influence on cardiac rhythm were detected. The comparative analysis of echocardiographic parameters in patients with cardiopathy and in healthies of the same age was conducted, as well as within two groups of patients having individual and multiple anomalies. The unfavorable impact of the last ones on cavities and volumes of the heart, on its pump and contractile function was shown. Most of patients had the stable findings by catamnesis, but in 30 % cases the worsen of parameters had taken place. So this category of patients need a constant dispensary supervision. The key words: the teenagers, small structural anomalies of the heart, dysplastic cardiopathy, echocardiology. AAOI?AOA?AO I?aeienaii aei ae?oeo 24.06.99 ?. Caeaii a iaa?? 25.06.99 ?. Oi?iao 60o9016. Iai?? ae?oea?nueeee. Oi. ae?. a?e. 1,0 Oe?aae 100 i?ei. Caiiaeaiiy ? 50. Caiiaeaia. Ae?oea?iy aeaeaaieoeoaa ”Oa?e?a”, Iineianueeee i?iniaeo, 247

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