?INOEOOO IAE?IO??O?A?? AII OE?A?IE

?I. AEAAe. A.I.?IIIAeAIIAA

Ia ipaaao poeiieno

OAeE:616-08+61:519.24:616-037-084-002.3-06:616-089.48-053*2

AEOIAANUeEA E?Ae?ss A?OEI?AIA

EE?I?EI-NOAOENOE*IA I?IAIICOAAIIss OA

I?IO?EAEOEEA AI?EII-CAIAEUeIEO

ONEEAAeIAIUe I?E E?EAI?IOOIOOTH*EO

IIA?AOe?ssO O Ae?OAE C A?Ae?IOeAOAE??TH

«Iae?io??o?a?y» — 14.01.05

Aaoi?aoa?ao ia caeiaoooy a/aiiai

nooiaiy eaiaeeoaoa iaaee/ieo iaoe

Ee?a-1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a ?inoeooo? iae?io??o?a?? ?i. aeaae. A.I. ?iiiaeaiiaa
AII Oe?a?ie

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani? , caa?aeoth/ee
aeeoy/ith ee?i?eith ?inoeoooo iae?io??o?a?? ?i. aeaae. A.I. ?iiiaeaiiaa
AII Oe?a?ie I?eia TH??e Ieaenaiae?iae/

Iaoeiaee eiinoeueoaio: aeieoi? iaaee/ieo iaoe, i?ioani? , ?inoeoooo
iae?io??o?a?? ?i. aeaae. A.I. ?iiiaeaiiaa AII Oe?a?ie caneoaeaiee ae?y/
iaoee Oe?a?ie *aieee Eaiia?ae Iao?iae/

Io?oe?ei? iiiiaioe:

Iiaeea A.A. aeieoi? iaaee/ieo iaoe, i?ioani? , caa?aeoth/ee eo?nii
“iae?io??o?a?y” eaoaae?e iaa?ieia?? oa iae?io??o?a?? E?einueeiai
iaaee/iiai oi?aa?neoaoo

O?io ?.I. aeieoi? iaaee/ieo iaoe, caa?aeoth/ee iae?io??o?a?/iith
ee?i?eith ?inoeoooo iae?io??o?a?? ?i. aeaae. A.I. ?iiiaeaiiaa AII
Oe?a?ie

I?ia?aeia i?aai?caoe?y: Aei?i?iiao?ianueea aea?aeaaia iaaee/ia aeaaeai?y

Caoeno a?aeaoaeaoueny 17 eenoiiaaea 1998 ?ieo i 12 aiae. ia can?aeaii?
niaoe?ae?ciaaii? A/aii? ?aaee Ae 26.557.01 i?e ?inoeooo? iae?io??o?a??
?i. aeaae. A.I. ?iiiaeaiiaa AII Oe?a?ie ca aae?anith: 252050, i. Ee?a,
aoe. Iaio?euenueeiai, 32.

Aaoi?aoa?ao ?ic?neaii 16 aeiaoiy 1998 ?ieo

A/aiee nae?aoa?

niaoe?ae?ciaaii? A/aii? ?aaee

aeieoi? iaaee/ieo iaoe, i?io. I?eia TH.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

A?ae?ioeaoae?y a?aeiineoueny aei iaeiiai c iaea?eueo iioe?aieo
caoai?thaaiue oeaio?aeueii? ia?aiai? nenoaie aeeoy/iai a?eo.
Eiina?aaoeai? iaoiaee e?eoaaiiy ?? iaeiaoaeoeai?. I?ia?an a e?eoaaii?
a?ae?ioeaoae?? aoa aeinyaiooee o?eueee i?ney ai?iaaaeaeaiiy a o??o?a?/io
i?aeoeeo e?eai?iooiooth/eo iia?aoe?e.

Ca aeaieie Anana?oiuei? anioe?aoe?? aeeoy/eo iae?io??o?a?a,
iia?aoe?? c aeei?enoaiiyi eeaiaiieo ?iieaioo?ieo ooiooth/eo nenoai
noathoue iaeieie c iaea?eueo iiue?aieo iia?aoe?e a aeeoy/?e
iae?io??o?a??.

AEOOAEUeI?NOUe I?IAEAIE. Ia aeeaey/enue ia aaeeeee aeina?ae aeei?enoaiiy
e?eai?iooiooth/eo iia?aoe?e c ?iieaioaoe??th nee?eiiiaeo eeaiaiieo
nenoai, aiie noi?iaiaeaeothoueny ??cieie oneeaaeiaiiyie, ye a aino?iio
i?neyiia?aoe?eiiio ia??iae?, oae ? o a?aeaeaeai? no?iee. Na?aae ieo ia
ia?oiio i?noe? ii /anoio? noiyoue aeenooieoe?? ooiooth/eo nenoai,
a ia ae?oaiio — ai?eii-caiaeuei?. Ca aeaieie e?oa?aoo?e
(TH.I.I?eia,1996, R.N.Ames,1967, M.Ammikati, A.J.Raimondi,1987),
inoaii? cono??/athoueny c /anoioith 2-38% niinoa?aaeaiue. Aiie
i?iyaeythoueny, aieiaiei /eiii, o aeaeyae? iai?iaiaioeaoae?o?a,
aaio?eeoe?o?a oa ? iniiaiith i?e/eiith eaoaeueieo aeiaaee?a.

Aei oaeoi??a ?eceeo ?icaeoeo ?ioaeoe?eii-caiaeueieo oneeaaeiaiue a
i?neyiia?aoe?eiiio ia??iae? i?e iia?aoe?yo c i?eaiaeo
a?ae?ioeaoae?? a?aeiinyoueny: a) ?aii?e aeeoy/ee a?e; a)?ioaeoe?ei?
caoai?thaaiiy (/ano?oa iiniaeioee); a) caoai?thaaiiy, ia?aianai?
iaia?aaeiaei? iia?aoe??; a) aeniaaeaiiy; ae) o?eaae?noue iia?aoe??; ?)
e?eai?ay a ?aiiueiio i?neyiia?oe?eiiio ia??iae?; ae)e?eoe/i? nooiai?
a?ae?ioeaoae?? (P.I.Kieoo, Ae.A.Eo?i?n,1987).

Ieoaiiy i?iaiicoaaiiy ACO (ai?eii-caiaeueieo oneeaaeiaiue) o oai?eo
a?ae?ioeaoae??th aena?oeai? c o??o?a?/ii? oi/ee ci?o
(TH.I.I?eia,1995; J.K.Pople,1992) aac o?aooaaiiy ii?ooaiue aiiainoaco.
Ia a?aoiaoaaeenue aeai? ee?i?ei-o?c?ieia?/ieo oa a?io?i?/ieo
iieaciee?a, a oie /an ye i?iaiic aecia/a?oueny niieo/aiiyi aaaaoueio
i?iaiinoe/ii ni?eyoeeaeo oa iani?eyoeeaeo iciae.

Oaea iiaeeea?noue c’yaeeany o?eueee i?e ee?i?ei-noaoenoe/i?e ia?iaoe?
aaeeeiai iaoa??aeo ca aeiiiiiaith no/anii? eiii’thoa?ii? oaoi?ee. Aiia
aeiiiiaaa? a aecia/aii? nooiaith ?eceeo ?icaeoeo ??cieo oneeaaeiaiue
i?e ii?aeiaii? aaaaoueio i?iaiinoe/ii iani?eyoeeaeo ? ni?eyoeeaeo
ee?i?ei-a?io?i?/ieo iieaciee?a. Oaeeo aeine?aeaeaiue a e?oa?aoo??
iaia. A oie aea /an i?iaiicoaaiiy iiaeeeaeo oneeaaeiaiue neoaeeoue
iaa?oiooaaiiyi aei aeei?enoaiiy ?yaeo i?io?eaeoe/ieo caoiae?a aei
iia?aoe?? oa a ?aiiueiio i?neyiia?aoe?eiiio ia??iae?. ?o iaoiaeeea
oaeiae iaaeinoaoiuei aena?oeaia a e?oa?aoo??.

CA’ssCIE ?IAIOE C IAOEIAEIE I?IA?AIAIE, IEAIAIE, OAIAIE

Aeaia aeine?aeaeaiiy ? o?aaiaioii ieaiiai? eiiieaenii? IAe?
?inoeoooo iae?io??o?a?? AII Oe?a?ie 1994-1996 ?.?. «?ic?iaea iaoiae?a
i?aeaeuaiiy aoaeoeaiino? o??o?a?/iiai e?eoaaiiy i?e?iaeaeaieo aaae
?icaeoeo ia?aiai? nenoaie o ae?oae c iaoith cieaeaiiy nia?oiino? oa
?iaae?aeiino?».

IAOA ?IAIOE. Iie?ioaiiy ?acoeueoao?a o??o?a?/iiai e?eoaaiiy
i?ia?anoth/i? a?ae?ioeaoae?? o ae?oae oeyoii cieaeaiiy /anoioe
ai?eii-caiaeueieo oneeaaeiaiue a i?neyiia?aoe?eiiio ia??iae? c
?ic?iaeith iaoiae?a i?iaiicoaaiiy, i?io?eaeoeee oa e?eoaaiiy oeeo
oneeaaeiaiue.

CAAAeAIIss AeINE?AeAEAIIss:

1.Anoaiiaeaiiy oa?aeoa?o i?e?iaii? oei?e, yea ? i?e/eiith
i?neyiia?aoe?eieo ai?eii-caiaeueieo oneeaaeiaiue o oai?eo
a?ae?ioeaoae??th;

2.C’ynoaaiiy iniaeeainoae ?ioii?aaeoeaiino? i?aai?cio o oai?eo
a?ae?ioeaoae??th aei ? i?ney e?eai?iooiooth/eo iia?aoe?e;

3.?ic?iaea iaoiaeeee ee?i?ei-noaoenoe/iiai i?iaiicoaaiiy
ai?eii-caiaeueieo oneeaaeiaiue ?aiiueiai i?neyiia?aoe?eiiai ia??iaeo
i?ney e?eai?iooiooth/eo iia?aoe?e o ae?oae c a?ae?ioeaoae??th
iaiooeeiiiai aaiaco;

4.Anoaiiaeaiiy i?iaiinoe/iiai cia/aiiy ee?i?ei-o?c?ieia?/ieo oa
a?io?i?/ieo iieaciee?a a iiaeeeaino? ?icaeoeo oeeo oneeaaeiaiue;

5.?ic?iaea oa ai?iaaaeaeaiiy a ee?i?/io i?aeoeeo iaoiaeee
i?io?eaeoeee oa e?eoaaiiy ai?eii-caiaeueieo oneeaaeiaiue
i?neyiia?aoe?eiiai ia??iaeo.

IAOEIAA IIAECIA IAeA?AEAIEO ?ACOEUeOAO?A:

1.Aia?oa aeey oai?eo a?ae?ioeaoae??th ?ic?iaeaia iaaee/ia
ae?aeiaiaa aenia?oia nenoaia, yea aeeth/a? a naaa aaco aeaieo, aaco
ciaiue, ae?aeiaiaee ?ioa?oaen, aeie noaoenoe/ii? ia?iaee
?ioi?iaoe??;

2.Anoaiiaeaii cia/aiiy i?iaiinoe/ii iani?eyoeeoeo oaeoi??a ?eceeo
?icaeoeo ACO a i?neyiia?aoe?eiiio ia??iae?;

3.Aia?oa ia iniia? aeaieo ee?i?ei-noaoenoe/iiai i?iaiicoaaiiy
?ic?iaeaii eiiieaen i?io?eaeoe/ieo cania?a, ye? aeeth/athoue
ia?aaeiia?aoe?eio ei?aeoe?th ?nioth/eo ii?ooaiue
aiaeii-aeaeo?ie?oiiai aaeaino, a?eeiaiai iai?io, iieaciee?a
/a?aiii? e?ia?, ?ioii?aaeoeaiino?, naiaoe?th caiaeueieo aiaieu,
i?aeaioiaeo ?iieaioo?ieo nenoai, i?aaaioeaia aaaaeaiiy aioea?ioee?a.

I?AEOE*IA CIA*AIIss IEA?AEAIEO ?ACOEUeOAO?A:

1.Anoaiiaeai? i?iaiinoe/i? e?eoa??? ?icaeoeo ACO, ye? aeicaieythoue
a?aooaaoe nooi?iue ?eceeo iia?aoe?? ? aeathoue iiaeeea?noue
nai?/anii ii/aoe iaiao?aei? i?io?eaeoe/i? caoiaee;

2.Oaeineiiaeaia iaoiaeeea ia?aaeiia?aoe?eii? i?aeaioiaee oai?eo
a?ae?ioeaoae??th, yea aeeth/a? a naaa, ianaiia?aae, ei?aeoe?th
ii?ooaiue aiiainoaco, naiaoe?th aiaieuaaeo caiaeaiue,
aaoeeeiiin?enoaa, aaaaeaiiy iaeii?aciai ianeaieo aeic aioea?ioee?a;

3.?ic?iaeaiee ? ai?iaaaeaeaiee a i?aeoeeo eiiieaen
i?io?eaeoe/ieo cania?a ii iiia?aaeaeaiith ?icaeoeo ACO a
i?neyiia?aoe?eiiio ia??iae?,ui aeicaieea cieceoe ?o /anoioo ia 33% ?
ciaioeoe eaoaeuei?noue ia 8%.

AI?IAAAeAEAIIss ?ACOEUeOAO?A AeINE?AeAEAIIss. Iaoa??aee ?ic?iaee
ai?iaaaeaeai? a i?aeoeeo ?inoeoooo iae?io??o?a?? AII Oe?a?ie,
iae?io??o?a?/ieo a?aeae?eaiue i.A?iieoe?, Iaeane, Iieoaae, a oaeiae
aeei?enoiaothoueny o iaa/aeueiiio i?ioean? Iaoe?iiaeueiiai iaaee/iiai
oi?aa?neoaoo ?i. I.I.Aiaiiieueoey.

INIAENOEE AIANIE CAeIAOAA*A. Aaoi? naiino?eii i?iaaea ee?i?/ia
ianoaaeaiiy 335 oai?eo, ?ic?iaeea ?ioi?iaoe?ei? ea?oe ? i?ia?aio
eiii’thoa?iiai aiae?co iaoa??aeo, i?iaiae?coaaea i?e/eie ? oaeoi?e,
ye? ni?iythoue ?icaeoeo ACO, noai?eea i?iaiinoe/io oaaeeoeth nooiai?a
?eceeo ?icaeoeo oneeaaeiaiue, ?ic?iaeea iaoiaeeee iiia?aaeaeaiiy
ai?eii-caiaeueieo oneeaaeiaiue.

AI?IAAOe?ss ?IAIOE. Iaoa??aee aeena?oaoe?? iaaiai?ai? ia ?icoe?aiiio
can?aeaii? Iaoeiai? ?aaee ?inoeoooo iae?io??o?a?? ?i. aeaae.
A.I.?iiiaeaiiaa ?acii c eaoaae?aie iae?io??o?a?? EAIII ? AeIO 8 o?aaiy
1998 ?ieo.

O?aaiaioe ?iaioe aeiiia?aeaeenue ia: 1) 2-io Iaoe?iiaeueiiio eiia?an?
aianoac?ieia?a Oe?a?ie,aa?anaiue, i.Oa?e?a,1996 ?., ; 2)
iaoeiai-i?aeoe/i?e eiioa?aioe??, i?enay/ai?e 100-??//th
A?iieoeueei? ineoiiaa?ieia?/ii? e?ea?i? ?i. I.?.THuaiea,aa?anaiue,
i.A?iieoey,1997 ?., II c’?cae? iae?io??o?a?a ?in??, I-Iiaai?iae,
/a?aaiue,1998 ?.

IOAE?EAOe??.Ii iaoa??aeao aeena?oaoe?? iioae?eiaaii 3 noaoo? a
aeo?iaeao,4 — a ca??ieeao ? iaeia a oacao aeiiia?ae? eiioa?aioe??.
Aeaeai? 2 iaoiaee/i? ?ic?iaee ii e?eoaaiith a?ae?ioeaoae?? oa
a?iaeaeaieo aaae ?icaeoeo o ae?oae.

IANssA OA NO?OEOO?A AeENA?OAOe??

Aeena?oaoe?y aeeeaaeaia ia 141 noi??ioe? iaoeiiieno, neeaaea?oueny c
anooio, iaeyaeo e?oa?aoo?e, 3-o ?icae?e?a aeanieo aeine?aeaeaiue,
aiae?co iaea?aeaieo ?acoeueoao?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e
oa ia?ae?eo iineeaiue. A?ae?ia?ao?y aeeeaaeaia ia 21 noi??ioe?,
i?noeoue 199 aeaea?ae, c ieo — 156 — ca?oa?aei?. Aeena?oaoe?y
?ethno?iaaia 15 oaaeeoeyie ? 4 iaethieaie.

CI?NO ?IAIOE

IAOA??AEE OA IAOIAeE AeINE?AeAEAIIss

A ?iaio? i?iaiae?ciaai? ?acoeueoaoe ianoaaeaiiy 335 oai?eo ae?oae c
i?ia?anoth/ith a?ae?ioeaoae??th iaiooeeiiiai aaiaco aei ? i?ney
e?eai?iooiooth/eo iia?aoe?e. *ano?oa anueiai oea aoee ae?oe o a?oe? aei
iaeiiai ?ieo — 201 (56.5%), 23.4% c ieo i?iaeeaaee o
/i?iiaeeuenuee?e cii?.

Na?aae i?e/ei ?icaeoeo a?ae?ioeaoae?? i?e?iaeaeaia a?ae?ioeaoae?y
aoea o 50% aeiaaee?a. 43 (12.8%) ae?oae ia?iaeeeeny a?ae iaoa??a,o yeeo
aoea iaoieia?y aaa?oiino?. O 13 niinoa?aaeaiue aoee ia?aae/ani? iieiae,
o 8 — caa?ica aea?oaeea, o 15 — aeeaiin?y,o 7 — oieneeic ia?oiai ?
ae?oaiai ia??iaeo aaa?oiino?.Oyaee? iieiae oa ?ino?oiaioaeueia
aeiiiiiaa i?e iieiaao niinoa??aaeeny o 18 aeiaaeeao. O?i? ae?oae
ia?iaeeeeny a noai? ano?en??. Na?aae ?ioeo i?e/ei aiaieuaa?
caoai?thaaiiy oeaio?aeueii? ia?aiai? nenoaie ca?a?no?iaai? o 88 oai?eo
(25.7%), /a?aiii-iiceiaa o?aaia — o 26(8.5%) ae?oae.

Ia??aeei o ianoaaeoaaieo ae?oae aoei ciaioaiiy iane o?ea. O 29% aiia
aoea iaioa ii?ie ia 15-20%, a o 4.0% iaoe??io?a iaa?oue a?eueoa,
i?ae ia 20%.

Iacaaaeath/e ia ??cea ca?eueoaiiy eiea aieiae, iiceiaee ieau o an?o
ianoaaeoaaieo aoa cia/ii iioiioaiee, ui aoei i?aeoaa?aeaeaii i?e
eiii’thoa?i?e oiiia?ao??. O?eueee o 3 c 118 ianoaaeaieo a?i aoa oiaua
20 ii.

Na?aae eaai?aoi?ieo iieaciee?a i?e a?ae?ioeaoae?? iaiao?aeii
a?aei?oeoe aiai?th o iaeieo oai?eo ? aaiieiioeaio?aoe?th — o ?ioeo.
Ia??aeei oaeiae niinoa??aa?oueny e?ioiiai?y, a?iii?ioa?iai?y ?
a?iieae??i?y. Iniaeeai cia/i? ci?ie cacia? neeaae nieiii-iiceiai?
??aeeie,o ye?e /anoi niinoa??aa?oueny i?aeaeuaiee ai?no a?eea.

An?i ianoaaeaiei oai?ei aoee aeeiiai? e?eai?iooiooth/? iia?aoe??. sse
i?aaeei, o ieo aeei?enoiaoaaeiny aaio?eeoei-ia?eoiiaaeueia ooiooaaiiy
c aeei?enoaiiyi n?e?eiiiaeo eeaiaiieo ooiooth/eo nenoai a?o/eciyiiai
ae?iaieoeoaa (EON-1, EON-2).

Aeey aeniiae?a i?i aoaeoeai?noue canoinoaaiiy cania?a
i?io?eaeoeee ? oa?ai??, e??i noaiaea?oiiai ianoaaeaiiy, i?iaiaeeeeny
iiaoi?ii ne?aeoth/? ee?i?ei-a?io?i?/i? aeine?aeaeaiiy: a?eeiaee oa
aeaeo?ie?oiee neeaae e?ia?, cai?ooth/a nenoaia e?ia?. Aeei?enoiaoaaeeny
oaeiae o aeeiai?oe? EO, ssI?, aaeiin?ae, aecia/aiiy ?ioiiiai noaoono.

A?aoiaoaaeeny ?acoeueoaoe aaeiin?a?a c iiniaeioee aeeoeie ? iaoa??,
oiaoi i?iaiaeeeenue aeine?aeaeaiiy ia aaoeeeiiin?enoai. Ii
iieacaiiyi, aeine?aeaeoaaeanue oaeiae nieiii-iiceiaa ??aeeia
(ee?oeiiee neeaae, a?eie, oeoei?, aaeiin?ae).

Aeey eiii’thoa?ii? ia?iaee iaoa??aeo noai?ai? ea?oe aaoiiaoeciaaiiai
iae?eo oai?eo, a ye? aiineeenue a aeeiai?oe? aeai? ianoaaeaiue.

?ic?iaeaia iaaee/ia ae?aeiaiaa aenia?oia nenoaia, yea i?ecia/aia aeey
aiae?co aaaeeino? noaio oai?eo. Ioe?iea aoaeoeaiino? canoinoaaiiy
iaoiaeee e?eoaaiiy, aeae?eaiiy a?oi ?eceeo ? i?iaiicoaaiiy noaio oai?eo
i?iaiaeeeeny ca o/anoth a?oie AII ANO ?IO AIIO.

?ic?iaeaia iaaee/ia ae?aeiaiaa aenia?oia nenoaia neeaaea?oueny ?c
ne?aeoth/eo aeie?a:1) aaca ciaiue; 2) aaca aeaieo; 3)ae?aeiaiaee
?ioa?oaen;4)aeie noaoenoe/ii? ia?iaee ?ioi?iaoe??.

A aaco aeaieo caiineeanue ?ioi?iaoe?y i?i noai oai?iai o aeaeyae?
niaoe?aeueieo ea?o ianoaaeaiiy, ye? aeeth/aee ?ioi?iaoe?th i?i
a?aeaeaaiiy ee?i?/ii? neiioiiaoeee (a?aeaeaaiiy iaa?ieia?/ii? oa
caaaeueiiniiaoe/ii? neiioiiaoeee ? o.ae.), aeaieo eaai?aoi?ieo
ianoaaeaiue oai?iai.

I?e i?iaiicoaaii? aeieeiaiiy oneeaaeiaiue a ?aiiueiio i?neyiia?aoe?eiiio
ia??iae? aeei?enoiaoaaany iaoiae iine?aeiaiiai aiae?co Aaeueaea.
Aeey ioe?iee ?ioi?iaoeaiino? iciae ? ae?aaiic?a aeei?enoiaoaaeany
?ioi?iaoe?eia i??a Eoeueaaea.

I?e aeai?? aeey aiae?co ??cieo i?iaiinoe/ii cia/eieo oaeoi??a ie
a?aeae?aee o?eueee o?,ye? aeinoia??ii (P<0.05>) aieeaaee ia /anoioo
oneeaaeiaiue ?//e iaee aenieee iiceoeaiee /e iaaaoeaiee ae?aaiinoe/iee
eiao?oe??io ?//e aenieee ?ioi?iaoe?eiee ?iaeaen.

?ACOEUeOAOE AeINE?AeAEAIUe OA ?O IAAIAI?AIIss

I?iaiae?ciaai? aeai? 305 ae?oae c a?ae?ioeaoae??th, yeei aoee
i?iaaaeai? aaeoa??ieia?/i? aeine?aeaeaiiy. A ca’yceo c oei, ui
/anoioa ? oa?aeoa? ACO caeaaeeoue a ia?oo /a?ao a?ae aaeoa??aeueii?
oei?e, ie i?iaiae?coaaee aeai? e?oa?aoo?e c oeueiai ieoaiiy ? i?iaaee
niaoe?aeuei? eaai?aoi?i? aeine?aeaeaiiy. I?e oeueiio aoei
anoaiiaeaii, ui iniiaieie caoaeieeaie ACO ? aini?oaeueia oei?a, yea
aen?aa?oueny c ai?aeai?ieia?/ii cia/eieo ia’?eo?a. A ia?oo /a?ao, aei
ia? a?aeiineoueny cieioenoee noao?eieie oa neiueiai?eia iaee/ea
(52.8%) ? oiiaii iaoiaaiia a?aiiaaaoeaia oei?a (37.6%). Oey
oei?a ia? aenieo ?acenoaioi?noue aei ae?? a?eueoino? aioea?ioee?a.
Na?aae iae/ano?oiai caoaeieea ai?eieo i?neyiia?aoe?eieo oneeaaeiaiue —
cieioenoiai noao?eieieo no?ee?noue aei ae?? ??noii?oeeio a ??ci? ?iee
eieeaaeany a?ae 25% aei 80%, oao?aoeeee?io — a?ae 16.7% aei 80%,
e?ieii?oeeio — a?ae 20% aei 45%, aei aaioai?oeeio, ienaoeee?io — a
40-60%, aii?oeee?io — iaa?oue a 70-100% aeae?eaieo ooai?a.
A?eueo aoaeoeaieie aeyaeeenue aioea?ioeee ooc?ae?i, o??iai.
*ooeea?noue aei ieo iaee 90-95% ooai?a.

Aacoiiaii, ACO a cia/i?e i??? iaoiiaeai? iniaeeainoyie
?ioii?aaeoeaiino? i?aai?cio. Oea iia’ycaii c oei, ui i?e o?aaeaii?
OeIN o oai?eo ?icaeaa?oueny ae?aaeaiee aoi?eiiee ?ioiiaeao?oeeo.I?e
aiae?c? iieaciee?a ooieoe?iiaeueii? aeoeaiino? o oeeo iaoe??io?a aoei
aeyaeaii ?? cieaeaiiy, yea i?ia?anoaaei a ?aiiueiio i?neyiia?aoe?eiiio
ia??iae?. O oai?eo c i?neyiia?aoe?eieie ACO aoea ca?eueoaia
i?ie?oa?aoeaia aeoeai?noue e?ioioeeo?a i?e aeinoia??ii cieaeai?e
noi?ani?i?e aeoeaiino? iiiioeeo?a-iae?ioaa?a.

I?e aiae?c? iieaciee?a aoii?aeueii? ?ioiii? a?aeiia?ae?, cie?aia
eiioeaio?aoe?? ?ioiiaeiaoe?i?a a ne?iaaooe?, aoei anoaiiaeaii, ui a
a?oi? ae?oae c i?neyiia?aoe?eieie oneeaaeiaiiyie a?aei?/aeeny
aeinoia??ii a?eueo iecuee? eiioeaio?aoe?? IgM ? IgG ? a?eueo aenie?
cia/aiiy eiioeaio?aoe?? IgA, i?ae o ?aooe oai?eo. Oea aeicaieeei
?aeiiaiaeoaaoe i?iaaaeaiiy ?ioiiei?aeoe?? IgG aaea a ia?aaeiia?aoe?eiee
ia??iae. I?e a?ae?ioeaoae??, iniaeeai o aeiaaeeao ?icaeoeo ACO,
ci?ithaaeany oaeiae aoaeoi?ia aeoeai?noue iaeo?io?e?a. Aiia aoea
aeinoia??ii cieaeaia o an?o oeeo iaoe??io?a. Aioe?ioaeoe?ei? caoeni?
oaaioeeoa?i? ?aaeoe?? i?e ACO o oai?eo a?ae?ioeaoae??th oaeiae
ii?ooothoueny. Iayai?noue ae?aaeaieo ci?i ?ioii?aaeoeaiino? i?e
a?ae?ioeaoae?? aeicaieythoue ?aeiiaiaeoaaoe o ae?oae c aenieei
?eceeii i?neyiia?aoe?eieo ACO canoinoaaiiy ?ioiiei?aeoi??a.

37 niinoa?aaeaiue ACO c aieo ia?aiai? nenoaie (iai?ia?o?a,
iai?iaiaioeaoae?o?a, aaio?eeoe?o?a), ye? niinoa??aaeeny ca inoaii? 10
?ie?a, aoee a?ae?a?ai? aeey a?eueo a??ia?aeii? noaoenoe/ii? ia?iaee.

Caaaeath/e ia aaeeeo ?ieue ACO iiceo i?ney iia?aoeaiiai ao?o/aiiy,
aieiaio oaaao ie i?eae?eyee ?o i?iaiicoaaiith ? i?io?eaeoeoe?.
I?e oeueiio aoei anoaiiaeaii, ui /ano?oa anueiai ACO niinoa??aaeeny
o ae?oae a a?oe? aei 1 ?ieo ? aeinoia??ii ??aeoa — o ae?oae noa?oiai
a?eo. Oea iia’ycaii c iaaeinoaoi?i ?icaeoeii ?ioiii? nenoaie o ae?oae
?aiiueiai a?eo. I?i oea na?ae/eoue oie oaeo, ui o iaaeiiioaieo
aeniaaeaieo oai?eo, ye? iaee aeao?oeeo iane o?ea a?eueoa, i?ae ia
20%, ai?ei? oneeaaeiaiiy niinoa??aaeeny cia/ii /ano?oa, i?ae o
ae?oae c ii?iaeueiith /e iaa?oue iaaei??iith ianith. Cieaeaiiy
?ioii?aaeoeaiino? o /anoee ae?oae iiaei aooe coiiaeaii oaeiae
aieeaii ?aae?aoe?? i?ney aaa??? ia *i?iiaeeuenuee?e aoiii?e noaioe??.
Na?aae 80 ae?oae, ye? iaoeaee o /i?iiaeeuenueeeo ciiao, ACO
niinoa??aaeeny o 17.5%, a oie /an ye o ?aooe — o?eueee o 9.2%.

Ei?aeth?oueny ca’ycie ?ioiiaeao?oeeoo ? e?ioiiai?? c ia?inoaiiyi
/anoioe ACO.

Iaie anoaiiaeaia a??ia?aeia caeaaei?noue i?ae /anoioith oneeaaeiaiue ?
e?euee?noth a?eea a nieiiiiiceia?e ??aeei?. A oeo aeiaaeeao, aea eiai
iieaciee ia?aaeuoaaa 1%., aiie aeieeaee a 4 ?ace /ano?oa, i?ae i?e
ii?iaeueiiio eiai ??ai?.

?nio? oaeiae a?aeiia?aeia caeaaei?noue oeeo oneeaaeiaiue a?ae i?e/eie
?icaeoeo a?ae?ioeaoae??. Iae/ano?oa ACO aeieeaee o ae?oae, ye?
ia?aianee iieiaiao /a?aiii-iiceiao o?aaio (o 19.2%), i?ney caiaeueieo
caoai?thaaiue OeIN (o 15.9%) ? cia/ii ??aeoa — o ?aooe (8.5%). sse ?
i/?eoaaeinue, iaaiee iaaaoeaiee aieea ia ?icaeoie aeeoeie ? aeieeiaiiy
ACO, o oiio /ene? ? i?neyiia?aoe?eieo, aeyaeea iaoieia?y aaa?oiino? ?
oneeaaeiai? iieiae. Aacoiiaii, /anoioa oneeaaeiaiue iia’ycaia oaeiae
c oyaee?noth a?ae?ioeaoae??. O ae?oae c ae?aaeaiith a?ae?ioeaoae??th,
eiee eiei aieiae ia?aaeuoaaei ii?io a?eueoa, i?ae ia 10 ni, ACO
aeieeaee o 17.7%, a o ?aooe o?eueee o 10.4%.

Oyaee?noue noaio aeeoeie, yea i?iyaey?oueny a ci?i? aeayeeo
iieaciee?a aiiainoaco, oaeiae ni?eyea ?icaeoeo oneeaaeiaiue. sseui o
oai?iai aoee aei iia?aoe?? a?iii?ioa?iai?y, a?iiaeueaoi?iai?y, oi ACO
aeieeaee /ano?oa ( ), i?ae i?e ii?iaeueieo iieacieeao e?ia? ( 8%
). No?aei? ii?ooaiiy niinoa??aaeeny ? i?e a?iieae??i??.

Ne?ae, iaeiae, a?aei?oeoe, ui i? iaeei ?c aea/a?ieo iieaciee?a ia
aea? iiaiiai oyaeaiiy i?i nooi?iue ?eceeo ?icaeoeo oneeaaeiaiiy. O?eueee
iae?e ?yaeo i?iaiinoe/ii iani?eyoeeaeo ? ni?eyoeeaeo oaeoi??a iiaea
aeiiiiiaoe a eiai aecia/aii?. Oea noaei iiaeeeaei i?e
ee?i?ei-noaoenoe/i?e ia?iaoe? iaoa??aeo ca aeiiiiiaith no/anii?
eiii’thoa?ii? oaoi?ee. ?ic?aoiaoth/e ae?aaiinoe/iee eiao?oe??io (AeE)
ii oi?ioe? Aaeueaea ? ?ioi?iaoe?eiee ?iaeaen (??) ii oi?ioe?
Eoeueaaea, aaea?oueny c aenieei nooiaiai a??ia?aeiino? aecia/eoe ?ecee
iia?aoeaiiai ao?o/aiiy. I?e oeueiio aoee anoaiiaeai? 7 iaea?eueo
?ioi?iaoeaieo iieaciee?a, i?e yeeo ?? ia?aaeuoaaa 0.4. Aei oaeeo
iieaciee?a a?aeiinyoueny: a?e aeeoeie,nooi?iue aeniaaeaiiy,
iniaeeaino? ia?aa?ao aaa?oiino? ? iieia?a, iayai?noue aaae ?icaeoeo,
iiaoi?i? iia?aoe??, a oaeiae oa?aeoa? aaeoa??aeueii? oei?e c ?aie,
iiniaeioee ? a?aeiinia e?ioiiai?y. Na?aae iaio ?ioi?iaoeaieo
iieaciee?a, aea ye? aeiiiaiththoue oyao i?i ?ecee ?icaeoeo
oneeaaeiaiiy, ne?ae a?aeianoe nooi?iue a?ae?ioeaoae??, ia?aaoaaiiy o
/i?iiaeeuenueeeo ciiao, ao?ieia?th caoai?thaaiiy, aeai?
aeine?aeaeaiiy e?ia?. Eiaeiee aea/aiee iieaciee iaa aecia/aiee
ae?aaiinoe/iee eiao?oe??io. sseui iieaciee aoa i?iaiinoe/ii
iani?eyoeeaei, ae?aaiinoe/iee eiao?oe??io aoa a?eueoa 0, oiaoi c
iiceoeaiei ciaeii (AeE: +1,+2,…? o.ae.), yeui ae i?iaiinoe/ii
ni?eyoeeaei — iaioa 0, oiaoi c iaaaoeaiei ciaeii (AeE: -1,-2,….?
o.ae.). I?aenoiie on?o i?iaiinoe/ii ni?eyoeeaeo ? iani?eyoeeaeo iciae,
oiaoi noia an?o AeE aea? oyao i?i nooi?iue ?eceeo ?icaeoeo
oneeaaeiaiiy. *ei a?eueoa aoea noia AeE,oei a?eueoa ?ecee ?icaeoeo
ACO(oaae.1).

Aei i?iaiinoe/ii iani?eyoeeaeo iciae a?aeiinyoueny: a?e aei 1 ?ieo
(AeE=+1.53), aeniaaeaiiy c? ciaioaiiyi iane o?ea a?eueoa 15% a?ae ii?ie
(AeE=+3.31), nooi?iue a?ae?ioeaoae??, eiee eiei aieiae ia?aaeuoaaei
10 ni, a oiaueia iiceiai? ia?aioeie aoea iaioa 1 ni, iniaeeai eiee
a?ae?ioeaoae?y aoea aecaaia /a?aiii-iiceiaith o?aaiith (AeE=+2.77).
Iaea?eueo i?iaiinoe/ii iani?eyoeeaeie iciaeaie aoee: iayai?noue aaae
?icaeoeo (AeE=+4.7), iaoieia?y aaa?oiino? ? iieia?a (AeE=+4.45),
iiaoi?i? iia?aoe?? (AeE=+5) ? iayai?noue o aaeiin?a? c ?aie /e
iiniaeioee i?e?iaii? oei?e (AeE=+4.1).

Na?aae eaai?aoi?ieo i?iaiinoe/ii iani?eyoeeaeo iieaciee?a aoee: aiai?y
(AeE=+1.22), a?iii?ioa?iai?y (AeE=+1.2), e?ioiiai?y (AeE=+0.4) ?
i?aeaeuaiiy ??aiy a?eea o e?eai?? (AeE=+3.11). Iani?eyoeeaith iciaeith
aoee oaeiae o?eaaea iia?aoe?y (AeE=+2.4) ? iaaaeaeaaoi?noue
ooiooaaiiy (AeE=+1.81).

Iniaeeaa cia/aiiy iaea o?eaae?noue iia?aoe??. sseui aiia
i?iaeiaaeoaaeany iaioa 30 oa., AeE a?aeiia?aeii aoa -5.62.
A?ae’?iiei AeE aoa i?e a?aenooiino? aiai??, a?iii?ioa?iai??,
e?ioiiai?? (-0.9, -0.92) ? iniaeeai o aeiaaeeao ii?iaeueiiai ai?noo
a?eea o e?eai?? (AeE=+2.78).

Ne?ae a?aei?oeoe, ui o aeiaeiiai c 335 iaoaaeaieo iaie oai?eo ia aoei
on?o i?iaiinoe/ii ni?eyoeeaeo /e iani?eyoeeaeo neiioii?a, /ano?oa iaee
ia?aaaao o? /e ?io?. A ca’yceo c oeei iiceoeai? cia/aiiy noie AeE
(+1,+20) iaee i?noea o 67% oai?eo, iaaaoeai? (-1,-20) — o 32% ?
o?eueee o 1% a?i (AeE) aei??aithaaa 0. Iiaeaeueoee aiae?c iaoa??aeo
iieacaa, ui ai?eii-caiaeuei? i?neyiia?aoe?ei? oneeaaeiaiiy /ano?oa
anueiai aeieeathoue o oai?eo, o yeeo noia ae?aaiinoe/ieo eiao?oe??io?a
aoea iiceoeaiith. C iiceoeaiith noiith AeE aoei 210 oai?eo; o 30 c ieo
aeieeee ACO. Iniaeeai iii?oiei aoei ca?eueoaiiy ?o /anoioe, yeui noia
AeE (NAeE) aoea > +10. O 84.2% oaeeo iaoe??io?a ?icaeioeenue oe?
oneeaaeiaiiy (iae. 1).

Iae.1. *anoioa ACO a caeaaeiino? a?ae noie AeE.

A ca’yceo c oei, ui ACO c aieo OeIN ? iniiaiith i?e/eiith nia?o?
i?ney e?eai?iooiooth/eo iia?aoe?e, a e?eoaaiiy ?o i?aaenoaaey?
cia/i? o?oaeiiu? /a?ac aenieo ?ac?noaioi?noue aini?oaeueii?
oei?e aei aioea?ioee?a, iniaeeaa cia/aiiy ia? i?io?eaeoeea oeeo
oneeaaeiaiue. I?io?eaeoeea ACO eoea ii e?eueeii iai?yieai: 1)
iiia?aaeaeaiiy ?io?eoaaiiy i?ae /an iia?aoe??; 2) i?aeaeuaiiy
?ioii?aaeoeaiino? i?aai?cio; 3) i?io?eaeoeea ? ei?aeoe?y ii?ooaiue
aiiainoaco aei ? i?ney iia?aoe??.

I?iaaaeaiiy i?io?eaeoe/ieo caoiae?a aeicaieeei cieceoe /anoioo
ACO ia 33%.

AENIIAEE

1.E?eai?iooiooth/? iia?aoe?? o oai?eo a?ae?ioeaoae??th ia??aeei
noi?iaiaeaeothoueny oaeeie a??cieie oneeaaeiaiiyie ye iai?ia?o,
iai?iaiaioeaoae?o, aaio?eeoe?o. ?o /anoioa a ??ci? ?iee eieeaaeany a?ae
5% aei 2%. Aieiaieie caoaeieeaie aeyaeeeny noao?eieieee (52.8%) ?
oiiaii iaoiaaiia a?aiiaaaoeaia oei?a (o 37.6%) c oaiaeaioe??th
ca?eueoaiiy cia/aiiy a?aiiaaaoeaii? oei?e a inoaii? ?iee (49.2%).

2.Aini?oaeueia oei?a, yea ? iniiaiith i?e/eiith ACO, ia? aenieo
no?ee?noue aei ae?? aii?oeee?io (70-100%), aaioai?oeeio (4060%),
??noii?oeeio (25-80%). Oei?a, yea aen?aa?oueny, — iaio no?eea aei
oeaoaeinii?ei?a III iieie?iiy (10%), ooc?ae?io (10%), o??iaio (5%).

3.O oai?eo c ??ceei nooiaiai a?ae?ioeaoae??, iniaeeai
no?aaeaeath/eo /anoeie caiaeueieie caoai?thaaiiyie, niinoa??aathoueny
cia/i? ii?ooaiiy ?ioiiiai noaoono, ye? iineeththoueny o ?aiiueiio
i?neyiia?aoe?eiiio ia??iae?.

4.Aecia/aiiy nooiaith ?eceeo ACO ia iniia? a?aooaaiiy on?o i?iaiinoe/ii
ni?eyoeeaeo ? iani?eyoeeaeo oaeoi??a, ? ?ic?aooie?a ae?aaiinoe/iiai
eiao?oe??ioa (AeE) aea? iiaeeea?noue c aenieei nooiaiai a??ia?aeiino?
i?iaiicoaaoe ?o ?icaeoie.

5.Aei i?iaiinoe/ii iani?eyoeeaeo oaeoi??a a?aeiinyoueny: a?e aei 1
?ieo (AeE=+2), aeniaaeaiiy (AeE=+3), nooi?iue aeyaeaii?
a?ae?ioeaoae?? (AeE=+3), yea aeieeea ye iane?aeie *IO (AeE=+3) /e
?ioaeoe?eieo caoai?thaaiue (AeE=+2), o ae?oae i?ney oneeaaeiaieo iieia?a
(AeE=+4), c iayai?noth aaae ?icaeoeo (AeE=+5), iaoeaioe?a
/i?iiaeeuenueeeo cii (AeE=+2), i?ney o?eaaeeo ? iiaoi?ieo iia?aoe?e
(AeE=+6), ii?ooaiiy aiiainoaco (AeE=+5).

6.?ecee oneeaaeiaiue i?i?iaeueiee o oai?eo a?eii a?eueoa 1 ?ieo
(AeE=-4), c ii?iaeueiith ianith o?ea (AeE=-3), iii??iei nooiaiai
a?ae?ioeaoae?? (AeE=-3), o ae?oae aac o?iaeaeaieo aaae (AeE=-2), i?ney
ei?ioei/anieo (AeE=-6) ia?aeiieo iia?aoe?e (AeE=-1), aac ii?ooaiue
aiiainoaco (ii?iaeueiee ai?no a?eo?ioeeo?a, eaeeioeeo?a, e?ioioeeo?a,
a?ee?a e?ia?, c ii?iaeueiei neeaaeii e?eai?o).

7.I?e noi? a?ae’?iieo AeE, aeinyaath/eo -15-20, o 99% oai?eo iiaeeeai
i/?eoaaoe a?eueo ni?eyoeeaee o?ae i?neyiia?aoe?eiiai ia??iaeo, i?e
AeE -10-15 — o 95% ? i?e AeE -5-10 — o 55% oai?eo.

8.I?io?eaeoeea ACO aeeth/a? e??i caaaeueiii?eeiyoeo caoiae?a
ei?aeoe?th aiiainoaco, i?eaaioeaia aaaaeaiiy aioea?ioee?a, a o
iaoe??io?a c aenieei ?eceeii oneeaaeiaiue — ? ?ioiiei?aeoi??a.
Ai?iaaaeaeaiiy oeueiai eiiieaeno aeicaieeei cieceoe /anoioo oneeaaeiaiue
ia 33%.

NIENIE IIOAE?EIAAIEO ?IA?O II OAI? AeENA?OAOe??

1.Eeeai?iooioe?othuea iia?aoeee a aeaoneie iae?ioe?o?ae/aneie
i?aeoeea. //Nai?iee nia?. iaoiae. aeeaai. e ea/. caaieaa. i.n. — Ooa.-
1996.- c.165-168.

2.Caaaeaiiy eiiieaenii? ?ioaineaii? oa?ai?? a e?eoaaii? oneeaaeiaiue
o iae?io??o?a?/ieo oai?eo. //Athe. oe?.anioe.iae?io??o?.,- 1996, aen.2.-
c.48-49 (ni?aaao.*aie?eE.I.,Aaa?eo ?.A.).

3.Aiaeyiea iicaa. /Nia?. aniaeou aeeaaiinoeee e ea/aiey/.//Oa?e. iaae.
aeo?iae.- 1997(10).- N2. — c.33-35.(ni?aaao.I?eia TH.I. *aie?e E.I.).

4.I?iaiice?iaaiea e i?ioeeaeoeea aiieii-ainiaeeoaeueiuo ineiaeiaiee
i?e eeeai?iooioe?othueo iia?aoeeyo o aieueiuo aeae?ioeaoaeeae.
//Athe.oe?.annioe.iae?ioe?.- 1998.- aui.6.- c.16-17.

5.I?ioeeaeoeea e eioaineaiay oa?aiey aiieii-ainiaeeoaeueiuo ineiaeiaiee
iinea eeeai?iooioe?othueo iia?aoeee o aieueiuo
aeae?ioeaoaeeae.//Iaoa?. 2 Iaoe. eiia?. aianoac. Oe?a?ie.-1996.24-27
aa?aniy.- i.Oa?e?a. — c.158-159.

6.I?iaiice?iaaiea aiieiuo iicaiauo ineiaeiaiee o aieueiuo
aeae?ioeaoaeeae i?e ooioe?othueo iia?aoeeyo. //Aeo. ieoaiiy iaa?.,
ineo. oa ia?eieia??.- 11-13 aa?aniy 1997 ?.-
i.A?iieoey.-n.42-43.

7.Iaeieiaaceaiua oaoiieiaee a ea/aiee iinoaaii??aae/aneeo
aeae?ioeaoaeee o iiai?iaeaeaiiuo. //Iaoa?eaeu II nuacaea iae?ioe?o?aia
?inneeneie Oaaea?aoeee. — 16-19 ethiy 1998 a.- I.-Iiaai?iae.-
c.228.(niaao.I?eia TH.A.,Ieaaneee I.A.,Ai?eniaa E.A.,I?eia I.TH.).

8.O??o?a?/ia oaeoeea i?e e?eoaaii? nieiiiiiceiaeo a?eae oa /anoeiaiai
?ao?oec?no. //Iaoiae.?aeiiaiaeaoe??.-Ee?a.-1996.-11 c.(ni?aaao.
TH.I.I?eia, I.A.Ieaanueeee, ?.I.I?ioeaiei, ?.I.Ai?eniaa).- 11 n.

9.Iiia?aaeaeaiiy ? e?eoaaiiy i?neyiia?aoe?eieo oneeaaeiaiue o ae?oae c
aiiiae?yie ?icaeoeo ia?aiai? nenoaie. //Iaoiae.?aeiiaiaeaoe??. — Ee?a.-
1996.- 18 c.(ni?aaao.: I?eia TH.I., A?iaenueeee TH.N., Ai?eniaa ?.I.,
Ieaanueeee I.A., I?ioeaiei ?.I.)

AIIOAOe?ss

Aeoiaanueea E.A. Ee?i?ei-noaoenoe/ia i?iaiicoaaiiy oa
i?io?eaeoeea ai?eii-caiaeueieo oneeaaeiaiue i?e e?eai?iooiooth/eo
iia?aoe?yo o ae?oae c a?ae?ioeaoae??th. — ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo
iaoe ca niaoe?aeuei?noth 14.01.05.- iae?io??o?a?y. Aeaaeai?y
iaaee/ieo iaoe, ?inoeooo iae?io??o?a?? ?i.aeaae.?iiiaeaiiaa A.I.,
Ee?a,1998 ?.

Aeena?oaoe?y i?enay/aia i?iaiicoaaiith oa i?io?eaeoeoe?
ai?eii-caiaeueieo oneeaaeiaiue, ye? aeieeathoue i?ney e?eai?iooiooth/eo
iia?aoe?e o ae?oae c a?ae?ioeaoae??th iaiooeeiiiai aaiaco. Aeei?enoai?
aeai? eiii’thoa?iiai aiae?co ii iaoiaeeoe? Aaeueaea oa Eoeueaaea 335
?ioi?iaoe?eieo ea?o ae?oae c a?ae?ioeaoae??th. O 42 c ieo a ?aiiueiio
i?neyiia?aoe?eiiio ia??iae? ?icaeioeenue caiaeuei? oneeaaeiaiiy c
aieo OeIN. Ia aac? oeeo aeaieo aecia/ai? iniiai? i?iaiinoe/i?
e?eoa??? ?icaeoeo oeeo oneeaaeiaiue.

I?iaiinoe/ii iani?eyoeeaeie iciaeaie aoee: a?e oai?eo iaio 1
?ieo, iayai?noue aeniaaeaiiy, i?iaeeaaiiy a /i?iiaeeuenuee?e cii?,
ca?eueoaiiy ?ici???a aieiae a?eueoa ii?ie ia 10-25 ni, iaoieia?y
aaa?oiino?, iieia?a, aaaee ?icaeoeo.

A?ae’?iii aieeaaee oaeiae aeo?aei? ii?ooaiiy aiiainoaco, iayai?noue
iaoiaaiii? oei?e a iaeano? ?aie, cieaeaiiy ?aaeoeaiino? i?aai?cio.
I?iaiic iia??oo?oueny o aeiaaeeao iiaoi?iiai, iaaaeaeaaoiiai
ae?aioaaiiy.

I?iaiinoe/ii ni?eyoeeaeie iciaeaie aoee: a?e aeeoeie a?eueo 1
?ieo, iaae?aaeaia a?ae?ioeaoae?y, a?aenooi?noue noiooi?o caoai?thaaiue
oa ?iceaae?a aiiainoaco. I?ae?aooiie noie i?iaiinoe/ieo eiao?oe??io?a
iani?eyoeeaeo ? ni?eyoeeaeo iciae aeaa iiaeeea?noue aecia/eoe
nooi?iue ?eceeo ?icaeoeo oneeaaeiaiue. sseui noia iani?eyoeeaeo iciae
cia/ii ia?aaaaea?, c aenieith aeinoia??i?noth iiaeeeai i?iaiicoaaoe
?icaeoie ACO ia?aiai? nenoaie.

I?e aenieiio ?eceeo oeeo oneeaaeiaiue aeei?enoaii ?ic?iaeaiee
eiiieaen e?eoaaeueii-i?io?eaeoe/ieo cania?a. A?i aeeth/a? a naaa
eiio?ieue oa ai?ioueao c aioo??oiueiaini?oaeueiith ?ioaeoe??th,
naiaoe?th caiaeueieo aiaieu, niaoe?aeuei? iaoiaee ia?iaee ooiooth/eo
nenoai oa iia?aoe?eiiai iiey, ei?aeoe?th ?ioii?aaeoeaiino? oa ii?ooaiue
aiiainoaco, i?eaaioeaia aaaaeaiiy aioea?ioee?a. Aeei?enoaiiy oeeo
iaoiae?a aeicaieeei cieceoe /anoioo oneeaaeiaiue ia 33%.

Eeth/ia? neiaa: a?ae?ioeaoae?y, e?eai?iooiooth/? iia?aoe??,
iai?iaiaioeaoae?o, i?iaiinoe/iee e?eoa??e.

AIIIOAOeEss

Aeoiaaneay E.A. Eeeieei-noaoenoe/aneia i?iaiice?iaaiea e
i?ioeeaeoeea aiieii-ainiaeeoaeueiuo ineiaeiaiee i?e eeeai?iooioe?othueo
iia?aoeeyo o aeaoae n aeae?ioeaoaeeae. — ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa
iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.05.- iae?ioe?o?aey.
Aeaaeaiey iaaeeoeeineeo iaoe, Einoeooo iae?ioe?o?aee
ei.aeaae.?iiiaeaiiaa A.I., Eeaa,1998 a.

Aeena?oaoeey iinayuaia i?iaiice?iaaieth e i?ioeeaeoeea
aiieii-ainiaeeoaeueiuo ineiaeiaiee, aicieeathueo i?e eeeai?iooioe?othueo
iia?aoeeyo o aeaoae n aeae?ioeaoaeeae iaiiooieaaiai aaiaca.
Eniieueciaaiu aeaiiua eiiiuethoa?iiai aiaeeca ii iaoiaeeea Aaeueaea e
Eoeueaaea 335 eioi?iaoeeiiiuo ea?o aeaoae n aeae?ioeaoaeeae. O 37 ec
ieo a ?aiiai iineaiia?aoeeiiiii ia?eiaea ?icaeeenue ainiaeeoaeueiua
ineiaeiaiey ni noi?iiu OeIN. Onoaiiaeaiu iniiaiua i?iaiinoe/aneea
e?eoa?ee ?acaeoey yoeo ineiaeiaiee.

Iieacaii, /oi iniiaiuie i?iaiinoe/anee iaaeaaii?eyoiuie
i?eciaeaie aei iia?aoeee yaeythony: aic?ano ieaaeoa 1 aiaea, iaee/ea
enoiuaiey, i?iaeeaaiea a *a?iiaueueneie ciia, oaaee/aiea ?acia?ia
aieiau aieueoa ii?iu (nauoa 10 ni), iaoieiaey aa?aiaiiinoe, ?iaeia,
ii?iee ?acaeoey. Io?eoeaoaeueiia aeeyiea ieacuaatho oaeaea aiaiey,
eeioiiaiey, aeiii?ioaeiaiey, aeiieaeeaiey, iniaaiii iiauoaiiia
niaea?aeaiea aaeea a nieiiiiicaiaie aeeaeeinoe. N?aaee iia?aoeeiiiuo
oaeoi?ia i?iaiic oooaeoaaony i?e aeeeoaeueiuo iiaoi?iuo iia?aoeeiiiuo
aiaoaoaeuenoaao, i?e iaaaeaeaaoiii ae?aie?iaaiee.

I?iaiinoe/anee aeaaii?eyoiuie i?eciaeaie yaeythony: aic?ano
noa?oa 1 aiaea, iaaieueoia oaaee/aiea ie?oaeiinoe aieiau, ionoonoaea
niioonoaothueo caaieaaaiee e ii?iaeueiua eaai?aoi?iua iieacaoaee.

Anee noiia aeeaaiinoe/aneeo eiyooeoeeaioia iaaeaaii?eyoiuo
i?eciaeia i?aauoaao noiio aeaaii?eyoiuo, ?ene ?acaeoey ineiaeiaiee
aunieee. ?ac?aaioai eiiieaen ea/aaii-i?ioeeaeoe/aneeo ia?ii?eyoee
i?e aunieii ?enea ?acaeoey aiieiuo ineiaeiaiee. Ii aeeth/aao a naay
eiio?ieue e ai?ueao n aioo?eainieoaeueiie eioaeoeeae, naiaoeeth
ainiaeeoaeueiuo i?ioeannia a iiniaeioea, niaoeeaeueiua iaoiaeu ia?aaioee
ae?aie?othuae nenoaiu e iia?aoeeiiiiai iiey, i?eaaioeaiia aaaaeaiea
aioeaeioeeia, noeioeyoeeth ii iieacaieyi eiioii?aaeoeaiinoe,
ei??aeoeeth ia?ooaiee aiiainoaca. I?eiaiaiea yoeo iaoiaeia iicaieeei
nieceoue /anoioo aiieiuo ineiaeiaiee ia 33%.

Eeth/aaua neiaa: aeae?ioeaoaeey, eeeai?iooioe?othuea iia?aoeee,
iaieiaiaioeaoaeeo, i?iaiinoe/aneea e?eoa?ee.

ANNOTATION

Vyshnevskaya L.A. Clinico-statistic profilactic and
prevention suppurative information complications during the
liquoroshunting operations among children with
hydrocephaly.-Manuscript.

Thesis for obtaining a scientific degree of Master of Medical
Science in neurosurgery-14.01.05.

The Academy of Medical Science, the Institute of
neurosurgery named after Academician Andrey Romodanov,
Kiev,1998.

The thesis is devoted to the prognosing and prevention acute
supperative surgical infection, resulting after the
liquoroshunting operations in children suffering hydrocephaly disease.

Due to the results of the computing data and analysis on the
methods of Vald and Kulbak 335 informatio illustrating patients’
maps suffering hydrocephaly among which of 37 during the post-operation
period meningoencephalitis has been progressing. The main
prognosing criteria of the development of this acune suppurative
infection have been established. It was demonstrated unfavourable
features before the operation are: kid’s age under 1 year, the
presence of exhaustion permanent residing in the Chernobylarea,
considerable, increasing of the size of the head (over 10 cm),
unfavourable consequences after pregnancy, bearing process and
errors in the process of development. Negative influence is resulted
due to anemia, hypolymphenia, hypoproteinosis, hypocalienosis in
particular considerable growth of albumen concentration in spinual
liquid.

Among operation factors the diagnosis is worsening as a result
of long-term repeated operations, in the case of non-adequate
drainage.

The most favourable features are: the kids’ age over one year,
small increase of the head’s volume, the absence of diseases
accompanying the given phenomenon as well as normal laboratory
testing.

If the sum of all diagnostic coefficients of all
unfavourable features is excessing the sum of the favourable ones,
the certain danger risk of various complications during the
post-operation period is rather high.

A special complex of caring and prophilactic measures along
side with considerably high risk of suppurative infections
complications has been created. It includes the system control and
struggle with the inner-hospital infection, sanation of the
infectional processes in the nasal passage, special methods of
treatment of the draining system as well as the operation area,
preventing measures on antibiotics introduction, further
stimulation according to the data of the immunal system reaction,
correction of the violations hemostasis. Practical using of such
methods has enabled to reduce the frequency of suppurative
infection complications for 33%.

Key words: hydrocephalus, liquoroshunting operation,
meningoencephalitis, prevention prognosing criteria.

NIENIE E?OA?AOO?E

1.Eeeai?iooioe?othuea iia?aoeee a aeaoneie iae?ioe?o?ae/aneie
i?aeoeea. //Nai?iee nia?. iaoiae. aeeaai. e ea/. caaieaa. i.n. — Ooa.-
1996.- c.165-168.

2.Caaaeaiiy eiiieaenii? ?ioaineaii? oa?ai?? a e?eoaaii? oneeaaeiaiue
o iae?io??o?a?/ieo oai?eo. //Athe. oe?.anioe.iae?io??. (OAI), aen.2.
— Ee?a.- 1996.- c.48-49 (ni?aaao.).

3.Aiaeyiea iicaa. //Nia?. aniaeou aeeaaiinoeee e ea/aiey.Oa?e iaae.
aeo?iae.- N2.- 1997(10).- c.33-35.(ni?aaao.I?eia TH.I. *aie?e E.I.).

4.I?ioeeaeoeea e eioaineaiay oa?aiey aiieii-ainiaeeoaeueiuo ineiaeiaiee
iinea eeeai?iooioe?othueo iia?aoeee o aieueiuo
aeae?ioeaoaeeae.//Iaoa?. 2 Iaoe. eiia?. aianoac.
Oe?a?ie.-1996.c.158-159.-24-27 aa?aniy.-i.Oa?e?a.

5.I?iaiice?iaaiea aiieiuo iicaiauo ineiaeiaiee o aieueiuo
aeae?ioeaoaeeae i?e ooioe?othueo iia?aoeeyo. //Aeo. ieoaiiy iaa?.,
ineo. oa ia?eieia??.- 11-13 aa?aniy 1997 ?.-
i.A?iieoey.-n.42-43&

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