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AeI?I?IIAO?IANUeEA AeA?AEAAIA IAAeE*IA AEAAeAI?ss

O E A * I A A I A ? ? ss TH ? ? ? A I A

OAeE 616.24 – 001 – 08 : 615,37

OEAEA NEIAe?IIO AINO?IAI OOEIAeAEAIIss EAAAI?A

O AECIA*AII? AeEOA?AIOe?EIAAII? ?ANI??AOI?II?

? ?IOIIEI?EAOTH*I? OA?AI??

O OAI?EO IA IIOE?AIEE IA?EOII?O

14.01.30 – aianoac?ieia?y oa ?ioaineaia oa?ai?y

AAOI?AOA?AO AeENA?OAOe??

ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Aei?i?iiao?ianuee – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Eoaainueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?
I?i?noa?noaa ioi?iie caei?ia’y Oe?a?ie.

Iaoeiaee ea??aieeeaiaeeaeao iaaee/ieo iaoe, aeioeaio

IAEEO ?ai? ?inoeneaaiae/,

Eoaainueeee aea?aeaaiee iaaee/iee oi?aa?neoao, aeioeaio eaoaae?e
aianoac?ieia??, ?aai?iaoieia?? oa o??o?a?? oaeoeueoaoo i?neyaeeieiiii?
ina?oeIo?oe?ei? iiiiaioe:aeieoi? iaaee/ieo iaoe,  i?ioani?

OAII Aaeaioeia Iao??aia,

Aeiiaoeueeee aea?aeaaiee iaaee/iee oi?aa?neoao, i?ioani? eaoaae?e
aianoac?ieia??, ?ioaineaii? oa?ai?? oa iaaeeoeeie iaa?aeeeaaeieo noai?a
oaeoeueoaoo i?neyaeeieiiii? ina?oeaeieoi? iaaee/ieo iaoe, 
i?ioani?

OEAIAE ?ai? Ii?o???eiae/,

Ee?anueea aea?aeaaia iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E.
Ooi?ea, caa?aeoaa/ eaoaae?e aianoac?ieia?? oa ?ioaineaii?
oa?ai??I?ia?aeia onoaiiaa:Oa?e?anueeee aea?aeaaiee iaaee/iee
oi?aa?neoao, eaoaae?a iaaeeoeeie iaa?aeeeaaeieo noai?a oa
aianoac?ieia??, IIC Oe?a?ie, i. Oa?e?a.Caoeno a?aeaoaeaoueny ” 26 ”
aeiaoiy 1999 ?. i 11-00 ia can?aeaii? niaoeeae?ciaaii? a/aii? ?aaee Ae
08.601.01 o Aei?i?iiao?ianuee?e aea?aeaai?e iaaee/i?e aeaaeai?? (320044,
i. Aei?i?iiao?ianuee, aoe. Aeca?aeeinueeiai, 9).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? Aei?i?iiao?ianueei?
aea?aeaaii? iaaee/ii? aeaaeai?? (320044, i. Aei?i?iiao?ianuee, aoe.
Aeca?aeeinueeiai, 9).

Aaoi?aoa?ao ?ic?neaiee ” 19 ” aa?aniy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee, aeioeaio A.I.Oea/aiei

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue ?iaioe. Iacaaaeath/e ia cia/iee i?ia?an o ae?aaiinoeoe?
ia?eoii?oo, oi?iaaaeaeaiiy iiaeo iaoiae?a o??o?a?/iiai ?
iaaeeeaiaioiciiai e?eoaaiiy, canoinoaaiiy iia?oi?o aioeaaeoa??aeueieo
cania?a, /enei oai?eo c oneeaaeiaiiyie, ui aeieeathoue ia eiai oii?,
caeeoa?oueny iai?eionoeii aenieei [O??ueinueeee A.?., Aaneeue’?a A.A.,
Oeaiae ?.I. oa ni?aaao., 1992]. Iniaeeai iaaacia/iei ? neiae?ii aino?iai
eaaaiaaiai ooeiaeaeaiiy (NAOE). O na?o? ui??/ii ?a?no?o?oueny aei 150000
aeiaaee?a aeieeiaiiy NAOE, a oeeo?e eaoaeueiino? i?e oeueiio
aeinyaathoue 60% [Aaaaeaoue?a A.?. oa ni?aaao., 1996; Aooe???ac A. oa
ni?aaao., 1997]. Oeae oaeo iiaea na?ae/eoe i?i iaaeinoaoi? ciaiiy
iaoai?ci?a ?icaeoeo NAOE [C?eueaa? A.I., 1996].

O i?ioean? ?aoaeueiiai aea/aiiy ianoaaei aeieeiaiiy NAOE oaeaeiny
aeyaeoe aeae?eueea i?e/ei ni?eyoeeaiai eiai ?icaeoeo. O ia?oo /a?ao, oea
i?eioeeie oa?ai?? e?eoe/iiai noaio, yeeo aeio?eiothoueny ia caaaeaee, –
i?eioeei “cieioi? aiaeeie” [O??ueinueeee A.?., 1998]. Ia iaioa aaaeeeaei
oaeoii ? cieaeaiiy ?ioiii? ?aaeoeaiino? i?aai?cio e o ia?oo /a?ao
?ioi?oaoo eaaai?a. Iia??oaiiy aeieia?/iiai ioi/aiiy, noai o?ii?/iiai
no?ano ? noiooi? caoai?thaaiiy oaeiae i?eaiaeyoue aei ii?ooaiiy
iaoai?ci?a caaaeueii? ? i?noeaai? ?ioiii? ?acenoaioiino? i?aai?cio
[Iaeeo ?.?., Iiaea?a A.I., 1997; Iaeeo ?.?., 1998].

Aaaeaiiy i?iieeiooe a nooue NAOE, c iaei??? noi?iie, iiynith?oueny
a?aenooi?noth /?oeeo ae?aaiinoe/ieo e?eoa???a ioe?iee ?ioiieo ii?ooaiue
eaaai?a, ui aeicaieythoue aecia/aoe e?eoaaeueio oaeoeeo a?aeiia?aeii aei
noaae?? NAOE. C ?ioiai aieo, ai?iaaaeaeaiiy a ioi?iio caei?ia’y
aeaiaio?a no?aoiai? iaaeeoeeie aeiaaa? ?ic?iaee i?inoiai, aea a oie aea
/an ia’?eoeaiiai ?ino?oiaioo, ui aeicaieea ae ioe?ieoe oyaee?noue noaio
iaoe??io?a ? aea?aoe aeai?eoi iaaeaiiy aeeoa?aioe?eiaaiiai ia’?io
aeiiiiiae [?iu?i A.A., 1996; Iaeaiei TH.?., 1998].

Aieiaiei e?eoa???i aeai?o noaiaea?oo ?ioaineaii? oa?ai?? i?e NAOE aa?oi
aaaaeaoe oeaeo ioe?iee oyaeeino? noaio iaoe??io?a.

Ca’ycie ?iaioe c iaoeiaeie ieaiaie. ?iaioa iia’ycaia c ieaiii aeeiiaiiy
iaoeiai-aeine?aeieo ?ia?o Eoaainueeiai iaaee/iiai oi?aa?neoaoo oa
aeeiioaaeany ca ieaiii IAe? ca oaiith: “?ic?iaea noaiaea?o?a ?
aeai?eoi?a aianoac?? oa ?ioaineaii? oa?ai?? a aeno?aiaeuei?e iaaeeoeei?,
aeeth/ath/e iaaeeoeeio eaoano?io”. Iiia? aea?ae?a?no?aoe?? 01980002213.

Iaoa ? caaea/? aeine?aeaeaiiy. Iaoith ?iaioe aoei cieaeaiiy eaoaeueiino?
oai?eo c neiae?iiii aino?iai ooeiaeaeaiiy eaaai?a i?e iioe?aiiio
ia?eoii?o?, nei?i/aiiy no?ie?a ?o aini?oae?caoe?? oa caeiaoooy
aeiiii?/iiai aoaeoo caaaeyee nai?/ani?e ae?aaiinoeoe? oa
aeeoa?aioe?eiaai?e ?ioaineai?e ?ani??aoi?i?e oa ?ioiiei?eaoth/?e oa?ai??
ia i?aenoaa? ?ic?iaee oeaee neiae?iio aino?iai ooeiaeaeaiiy eaaai?a.
Aeey aeinyaiaiiy cacia/aii? aeua iaoe aoei ae??oaii oae? caaea/?:

1. Aeyaeoe i?ia?aei? ii?ooaiiy, ui aeieeathoue i?e 2 oa 3 noaae?yo
neiae?iio aino?iai ooeiaeaeaiiy eaaai?a i?e iioe?aiiio ia?eoii?o? a
noai? i?noeaai? ?ioii?acenoaioiino? oa ?ani??aoi?ii? ooieoe?? eaaai?a,
oeyoii aea/aiiy aiethiao?e/ieo iieaciee?a, ieneaaioth/i? ni?iiiaeiino?
eaaai?a, ooieoe?iiaeueii-iaoaaie?/ii? aeoeaiino? ee?oeiii? eaiee
i?noeaaiai ?ioi?oaoo eaaai?a.

2. Anoaiiaeoe i?iaiinoe/ii cia/ou? ia?ea?e neiae?iio aino?iai
ooeiaeaeaiiy eaaai?a i?e iioe?aiiio ia?eoii?o?, ye? a?aeaeaathoue eiai
oyaee?noue ia ??cieo noaae?yo caoai?thaaiiy.

3. Oaeineiiaeeoe ee?i?/io ae?aaiinoeeo neiae?iio aino?iai ooeiaeaeaiiy
eaaai?a i?e iioe?aiiio ia?eoii?o? oeyoii ?ic?iaee oeaee oyaeeino?
eaaaiaaiai ooeiaeaeaiiy, yea aeicaiey? aecia/aoe noaae?th oa
i?iaiicoaaoe e?iaoeue caoai?thaaiiy.

4. ?ic?iaeoe iaoiaaiaoe/ii iaa?oioiaai? i?eioeeie ?ani??aoi?ii? ?
?ioiiei?eaoth/i? oa?ai?? neiae?iio aino?iai ooeiaeaeaiiy eaaai?a i?e
iioe-?aiiio ia?eoii?o? ia i?aenoaa? ?iaeaeno oyaeeino? eaaaiaaiai
ooeiaeaeaiiy.

5. Iie?ioeoe ?acoeueoaoe e?eoaaiiy oa iaea?aeaoe aeiiii?/iee aoaeo i?e
aeei?enoaii? a ee?i?/i?e i?aeoeoe? oeaee oyaeeino? eaaaiaaiai
ooeiaeaeaiiy o oai?eo c neiae?iiii aino?iai ooeiaeaeaiiy eaaai?a i?e
iioe?aiiio ia?eoii?o?.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa aeyaeai? ci?ie
i?noeaaiai ?ioi?oaoo oa ?ani??aoi?ii? ooieoe?? eaaai?a o oai?eo ia
iioe?aiee ia?eoii?o, ye? oa?aeoa?i? aeey 2 ? 3 noaae?e neiae?iio
aino?iai ooeiaeaeaiiy eaaai?a.

Aeiaaaeaii, ui neiae?ii aino?iai ooeiaeaeaiiy eaaai?a aa?oi ?icaeyaeaoe
ye ?acoeueoao ci?i, ui aeieeathoue o nenoai? i?noeaai?
?ioii?acenoaioiino? c ?icaeoeii ?ioiiiai aeeno?an-neiae?iio (?AeN). I?e
2 noaae?? neiae?iio aino?iai ooeiaeaeaiiy eaaai?a a noai? i?noeaaiai
?ioi?oaoo ?icaeaa?oueny noaae?y ?ioiii? ?acenoaioiino? ?ioiiiai
aeeno?an-neiae?iio, ?ani??aoi?i? ooieoe?? eaaai?a iathoue ua
eiiiainiaaiee oa?aeoa?. I?e 3 noaae?? neiae?iio aino?iai ooeiaeaeaiiy
eaaai?a ?icii/eia?oueny ooieoe?iiaeueii-iaoaaie?/ia aeai?an?y ee?oeiii?
oa aoii?aeueii? eaiie i?noeaaiai ?ioi?oaoo ia oe? aeaeiiiainaoe??
?ani??aoi?ii? ooieoe?? aeeoaeueii? nenoaie.

Aeae?eaii ia?ea?e neiae?iio aino?iai ooeiaeaeaiiy eaaai?a, ui iiaii ?
anaa?/ii a?aeaeaathoue oyaee?noue eaaaiaaiai ooeiaeaeaiiy. Iaea?eueo
aaaeeeaeie ? iieacieee, ui oa?aeoa?ecothoue ee?oeiio oa aoii?aeueio
eaiee i?noeaaiai ?ioi?oaoo eaaai?a. Ia?ea?e neiae?iio neeaee iniiao
?ic?iaeaii? oeaee oyaeeino? eaaaiaaiai ooeiaeaeaiiy. Ia i?aenoaa?
?iaeaeno ooeiaeaeaiiy eaaai?a, ui aecia/a?oueny ca oeaeith, ?ic?iaeai?
i?eioeeie iaoiaaiaoe/ii iaoiiaeaii? ?ioaineaii? ?ani??aoi?ii? ?
?ioiiei?eaoth/i? oa?ai??. E??i ae?aaiinoe/ii? oe?iiino? ? iiaeeeaino?
aecia/aiiy ia’?io ?ioaineaii? ?ani??aoi?ii? oa?ai?? neiae?iio aino?iai
ooeiaeaeaiiy eaaai?a, ioe?iea oyaeeino? noaio iaoe??io?a ca
cai?iiiiiaaiith iaie oeaeith ia? aaeeea i?iaiinoe/ia cia/aiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a:

–io?eiai? aeai? aeicaieythoue ?aeiiaiaeoaaoe aei aeei?enoaiiy a
ee?i?/i?e i?aeoeoe? aeyaeai? i?iaiinoe/ii cia/ei? ia?ea?e NAOE oa
neeaaeaio ia ?o iniia? oeaeo oyaeeino? eaaaiaaiai ooeiaeaeaiiy,
aieiaieie c ieo ? iieacieee ?ioi?oaoo eaaai?a;

–?aeiiaiaeiaaii aeei?enoaiiy ?ic?iaeaiiai aeai?eoio iaoiaaiaoe/ii
iaa?oioiaaii?, aeeoa?aioe?eiaaii? ?ioaineaii? ?ani??aoi?ii? oa
?ioiiei?eaoth/i? oa?ai?? ia iniia? oeaee oyaeeino? NAOE;

–aeei?enoaiiy oeaee oyaeeino? NAOE aeicaiey? i?iaiicoaaoe aeoiaee
e?eoaaiiy;

–a ?acoeueoao? aeei?enoaiiy ?ic?iaeaii? oeaee ioe?iee oyaeeino? NAOE o
iaoe??io?a c iioe?aiei ia?eoii?oii eaoaeuei?noue oai?eo aoea cieaeaia ia
12%.

Canoinoaaiiy ?iaeaen?a NAOE aeey aecia/aiiy ianya?a ?ioaineaii?
?ani??aoi?ii? oa?ai?? ai?iaaaeaeaii ? aeei?enoiao?oueny a e?eoaaeueiiio
i?ioean? o a?aeae?eaiiyo ?ioaineaii? oa?ai?? Eoaainueei? iaeanii?
ee?i?/ii? e?ea?i? (aeo ai?iaaaeaeaiiy a?ae 9.04.99), Eoaainueeeo
i?nueeeo e?ea?aiue ? 4 (aeo ai?iaaaeaeaiiy a?ae 15.04.99), ? 7 (aeo
ai?iaaaeaeaiiy a?ae 16.04.99), oeaio?aeueieo e?ea?aiue i?no Noaoaiiaa
(aeo ai?iaaaeaeaiiy a?ae 1.10.98) oa Ae/aanueea (aeo ai?iaaaeaeaiiy a?ae
11.04.99). ?acoeueoaoe aeine?aeaeaiiy aeei?enoiaothoueny o
aeeeaaeaoeueeiio i?ioean? ia eaoaae?? aianoac?ieia??, ?aai?iaoieia?? oa
o??o?a?? Eoaainueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo (aeo
ai?iaaaeaeaiiy a?ae 15.01.98).

Iniaenoee aianie caeiaoaa/a o ?ic?iaeo iniiaieo iieiaeaiue aeena?oaoe??.
Aaoi? aeneiaeth? iniaeeao iiaeyeo Caneoaeaiiio ae?y/o iaoee ? oaoi?ee
Oe?a?ie, iei? iie?eiiio i?ioani?o Aaiiaae?th Ieaenaiae?iae/o Iiaea?ao ca
iaaeaiiy oaie aeena?oaoe?eii? ?iaioe, aeiiiiiao a i?aai?caoe??
aeine?aeaeaiue oa aiae?c? iaoa??aeo. Iaa?? ee?i?/iiai iaoa??aeo,
?iciiae?e iaoe??io?a ca ee?i?/ieie a?oiaie, aiae?c iaea?aeaieo
?acoeueoao?a i?iaaaeai? aaoi?ii iiae /an naiinoieieo iaoeiaeo
aeineiaeaeaiue. A ee?i?/iiio ianoaaeaii? ? e?eoaaii? an?o iaoe??io?a
aaoi? a?aa aaciina?aaeith o/anoue. Ani ?acoeueoaoe aoee noaoenoe/ii
ii?aoeueiaaii i i?iaiaeiciaaii iniaenoi aaoi?ii. Naiinoieii
noi?ioeueiaaii oa iaienaii oni iaoeiai iieiaeaiiy oa aeniiaee
aeena?oaoeieii? ?iaioe. Ca iaoa??aeaie aeena?oaoe?eii? ?iaioe
iioae?eiaai? iaoeia? noaoo? oa oace, c?iaeai? aeiiia?ae? ?acoeueoao?a
aeine?aeaeaiue ia iaoeiaeo eiioa?aioe?yo. O ni?eueieo ae?oeiaaieo
?iaioao aaoi?ia? iaeaaeeoue 85% ?aeae oa ?ic?iaie.

Ai?iaaoe?y ?iaioe. Iniiai? iieiaeaiiy ?iaioe aeeeaaeai? e iaaiai?ai? ia
I onoaiia/iio Ieaioi? oao?aoe?a Oe?a?ie c i?iaeaie “Aeno?aiaeueia
iaaeeoeeia” (i. Eoaainuee, 1997 ?.), ia iaoeiai-i?aeoe/i?e eiioa?aioe??,
i?enay/ai?e 10-??/iiio tha?eath ?iaioe ?inoianueei?-ia-Aeiio e?ea?i?
oaeaeei? iaaee/ii? aeiiiiiae ?2 (i. ?inoia-ia-Aeiio, 1997 ?.), ia
can?aeaii? Eoaainueei? iaeanii? Anioe?aoe?? aianoac?ieia?a (i.
Eoaainuee, 1998 ?.). Ai?iaaoe?y ?iaioe a?aeaoeany ia ni?eueiiio
can?aeaii? eaoaae? aianoac?ieia??, ?aai?iaoieia?? ? o??o?a??
oaeoeueoaoo i?neyaeeieiiii? ina?oe ? aini?oaeueii? o??o?a?? iaaee/iiai
oaeoeueoaoo Eoaainueeiai iaaee/iiai oi?aa?neoaoo 12 ea?oiy 1998 ?., ia
can?aeaii? oaoiaiai nai?ia?o c aianoac?ieia?? oa ?ioaineaii? oa?ai??
niaoe?aaee Ae 08.601.01 o Aei?i?iiao?ianuee?e aea?aeaai?e iaaee/i?e
aeaaeai?? 12 o?aaiy 1999 ?.

Ioae?eaoe?? ?acoeueoao?a aeine?aeaeaiiy. Ca iaoa??aeaie aeena?oaoe??
iioae?eiaaii 12 i?aoeue, 3 ?c ieo o oaoiaiio aeaeaii? (on? naiino?ei?),
?aooa – a oacao eiioa?aioe?e ? c’?cae?a.

Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 153 noi??ieao
iaoeiiieno, neeaaea?oueny c anooio, i’yoe ?icae?e?a (iaeyae e?oa?aoo?e,
iaoa??-ae ? iaoiaee aeine?aeaeaiue, 3 ?icae?ee aeanieo aeine?aeaeaiue),
aiae?co oa ocaaaeue-iaiiy ?acoeueoao?a aeine?aeaeaiiy, aeniiae?a ?
i?aeoe/ieo ?aeiiaiaeaoe?e. Nienie aeei?enoaii? e?oa?aoo?e, aeeeaaeaiee
ia 33 noi??ieao, aeeth/a? 169 iaca ?ia?o a?o/eciyieo ? 147 –
caei?aeiiieo aaoi??a. ?iaioa ?ethno?iaaia 16 oaaeeoeyie ? 6 ?enoieaie,
ye? caeiathoue 22 noi??iee.

INIIAIA *ANOEIA

Iaoa??aee  ? ia’?i aeine?aeaeaiiy. Aeine?aeaeaiiy i?iaaaeaia o 63
iaoe??io?a ?c iioe?aiei ia?eoii?oii, ia oii? yeiai ?icaeany neiae?ii
aino?iai ooeiaeaeaiiy eaaai?a.

Oai?? ciaoiaeeeeny a ee?i?oe? ?ioaineaii? oa?ai?? ? ?aai?iaoe??
Eoaainueei? iaeanii? ee?i?/ii? e?ea?i? a ia??iae ?c 1993 aei 1997 ?.
Aeaea?aeii ?ioaeoe?? aoee aino?? caiaeuei? caoai?thaaiiy i?aai?a
/a?aaii? ii?iaeieie a 24 aeiaaeeao (38,10%), i?neyiia?aoe?ei?
oneeaaeiaiiy a 28 niinoa?aaeaiiyo (44,44%) ? o?aaia i?aai?a /a?aaii?
ii?iaeieie ? ca/a?aaiiai i?inoi?o o 11 iaoe??io?a (17,46%).

Na?aae iaoe??io?a ia?aaaaeaee iniae i?aoeacaeaoiiai a?eo a?ae 20 aei 55
?ie?a.

Aeine?aeaeaiiy aeeth/aei o?e aoaie: aaciina?aaeiuei i?ney iaaeoiaeaeaiiy
– 1-3 aeiaa, ia 5-7 aeiao ? ia 9-11 aeiao a?ae ii/aoeo caoai?thaaiiy. C
iaoith ioe?i-ee oyaeeino? noaio iaoe??io?a i?e iaaeoiaeaeaii? o ee?i?eo
? aecia/aiiy oyaeein-o? iie?i?aaiieo ii?ooaiue, ye? iaee i?noea i?e
iioe?aiiio ia?eoii?o?, aeei?enoiaoaaeeny ioe?ii? oeaee: APACHE-II [Knaus
W.A., 1985] ? oyaeeino? neiae?iio iie?i?aaiii? iaaeinoaoiino? (NIII)
[Marshal J.C. et al., 1995].

O 40 niinoa?aaeaiiyo – o iaea?eueoa oyaeeiai eiioeiaaioo oai?eo c
yaeuaie NIII aeeiiaia iiaeeaeaia aea/aiiy ?ani??aoi?ii? ooieoe?? e
?ioi?oaoo eaaai?a. Ooieoe?th ciai?oiueiai aeeoaiiy aea/aee ca iaoiaeii
aiethiao???, i?iaiaeeee ?aioaaiieia?/ia aeine?aeaeaiiy a?oaeii? ee?oee.
Aeai?, ui oa?aeoa?ecothoue iai?oao aac?a a?oa??aeueii? ? aaiicii? e?ia?,
aeine?aeaeoaaee ca aeiiiiiaith i?e?iiaoiaeo Ano?oia [Astrup, 1960]. Aeey
aea/aiiy ieneaaioth/i? ni?iiiaeiino? eaaai?a aeei?enoiaoaaany eeniaaee
iaoiae ? i?eioeei O?ea. Iieacieee ?ic?aoiaoaaee ca caaaeueiii?eeiyoeie
oi?ioeaie. Aea/aiiy noaio i?noeaaiai ?ioi?oaoo eaaai?a cae?enithaaee
oeyoii aeei?enoaiiy ?ioiieia?/ieo iaoiaeee ? oano?a. O i?ioean?
aeine?aeaeaiiy aoee aecia/ai? iniiai? ia?ea?e NAOE. Aiie noaee iniiaith
aeey ?ic?iaeaii? iaie oeaee oyaeeino? eaaaiaaiai ooeiaeaeaiiy.

?ic?iaeo oeaee i?iaiaeeee oeyoii aeei?enoaiiy iaoiaeieia?? nenoaiiiai
aiae?co. Aeaiee i?eioeei i?eioneaa ?icaeyae iaoieia?/iiai i?ioeano, aeey
oa?aeoa?enoeee yeiai ?ic?iaey?oueny oeaea ?c aaaaoii??ieo iiceoe?e
(aaaaoii??i?noue oeaee). I?ae oeei iaeiny ia oaac? oa, ui oeaea iiaeiia
a naaa aeeth/aoe aeai? ye i?i ii?oieia?/i? ci?ie, oae ? i?i
ooieoe?iiaeuei? ii?ooaiiy.

Ii?oieia?/i? ci?ie (iieacieee ee?oeiii? ? aoii?aeueii? eaiee ?ioi?oaoo
eaaai?a) ? nai???aeiei aacenii aeey i?iaiico ? aeai?o oaeoeee
?ioaineaii? oa?ai??, a ooieoe?iiaeuei? ii?ooaiiy (iieacieee aiethiao???
? ieneaaioth/i? ni?iiiaeiino? eaaai?a) oi?iothoue iaaeaoaeiao, ui
a?aeaeaa? ?acoeueoao ii?oieia?/ieo c?ooaiue.

Ianooiiei aoaiii ?ic?iaee oeaee aoa aeia?? iieaciee?a, ye?
ia?aaeaa/aeiny aeeth/eoe a oeaeo. Ioe?ithaaee ?ioi?iaoeaio cia/ei?noue
eiaeiiai aeine?aeaeoaaiiai iieacieea oeyoii i?iaaaeaiiy a?aeiia?aeiiai
aeenia?n?eiiai ? ei?aeyoe?eiiai aiae?co.

An? io?eiai? ?acoeueoaoe i?ioiaeeee eiiieaen noaoenoe/iiai ii?aoethaaiiy
ca i?ea?iaeueiith i?ia?aiith “BIOMETRY” ?c aeei?enoaiiyi ia?niiaeueiiai
eiii’thoa?a IBM ?N-AO [Iaeaiei TH.?., 1996].

Oi?ioaaiiy no?oeoo?e oeaee iieyaaei a inoaoi/iiio aeiai?? iieaciee?a
aeey aeeth/aiiy aei oeaee c ?icoi?iue ia o?eueee noaoenoe/ii?
?ioi?iaoeaiino?, aea ? ci?noiaii? oe?iiino?.

Caeeth/iee aoai ?ic?iaee aaaaoii??ii? oeaee – i?eaaaeaiiy
on?o

iieaciee?a, ye? aeei?enoiaoaaee, aei ?aeeii? oeaee a?aeiioaiue. Aeey
oe??? iaoe aeei?enoiaoaaee iaoiaeeeo ia?aaaaeaiiy a aeanyoeaaeueio oeaeo
noai?a [Aoaea? ?.A., 1990]. ?iaeaene NAOE aeeeaaeai? a oaae.1.

Oaaeeoey 1

?iaeaene NAOE

IciaeeAaee01234 f , (1/oa.)16-1819-2324-2728-35>35

OAEPaCO2, (ii.?o.no.)44-4039-3635-3231-29

aai 45-4646PaO2/FiO2, (ii ?o.no.)500-300299-240239-160159-10034D(A-a)O2, (ii ?o.no.)12-2021-2627-3637-42>42SIgA,
(a/e)0,23-0,220,21-0,090,08-0,050,04-0,030,02-0,01AEeoo?caeaoi? AI,
(%)80-7574-6362-5958-3571Ioe?iea: Aae Noaae?y Eaoaeuei?noue (%)

0 NAOE iaia? –

1-9 aae?a I noaae?y NAOE 43%.

?acoeueoaoe aeanieo aeine?aeaeaiue. Aeae?eai? caaaeyee oeaeai APACHE-II
? NIII, a iio?i ia’?aeiai? ca oyaee?noth NAOE iaoe??ioe aa?eoee a aea?
aeine?aeaeoaai? a?oie. O ia?oo a?oio – 19 (47,50%) in?a c ioe?ieith ca
oeaeith APACHE-II, ia ia?aaeuoth/i? 16 aae?a ? ca oeaeith oyaeeino? NIII
ia a?eueoa 12 aae?a. I?e ioe?ioe? ca oeaeith oyaeeino? NAOE ?iaeaen NAOE
ciaoiaeeany a iaaeao 10-18 aae?a, ui a?aeiia?aeaei 2 noaae?? NAOE.

A ae?oao a?oio aa?eoia 21 (52,50%) iaoe??io. Oyaee?noue noaio ca oeaeith
APACHE-II ioe?ithaaeany a na?aaeiueiio 26 aaeaie, a ca oeaeith oyaeeino?
NIII o na?aaeiueiio 16 aaeaie. ?iaeaen NAOE i?e iaaeoiaeaeaii? a
noaoe?iia? neeaa 19-27 aae?a, ui a?aeiia?aeaei 3 noaae?? NAOE.

Naia 2 ? 3 noaae?? NAOE ? aeiyoeiai aaaeeeaeie ia??iaeaie. Ia
ia?aoeiaii? oeeo aoai?a ua iiaeeeai iiaa?iooe iacaae i?ia?anoth/ee NAOE.
O oeae /an ae??oothoueny ieoaiiy aeai?o aeeoa?aioe?eiaaieo iaoiae?a
?ioaineaii? ?ani??aoi?ii? oa?ai??.

Ia?oei i?iyaii aeeoaeueii? iaaeinoaoiino? i?e aeieeiaii? NAOE aoa
a?ia?aaioeeyoe?eiee neiae?ii. I?e 2 noaae?? NAOE ci?ie iieaciee?a
ciai?o-iueiai aeeoaiiy aoee ae?aaeai? iii??ii. Oae, oao?iiia (aei 26 ca
oa.), ui nii-noa??aaeiny ia ii/aoeiaeo aoaiao aeine?aeaeaiiy, o i?ioean?
e?eoaaiiy cieaeo-aaeiny aaea aei II aoaio (P>0,05), ?ici?? oaeeeiii?
aaioeeyoe?? eaaai?a (OAE) caeeoaany noaa?eueiei i?ioyaii onueiai
ia??iaeo niinoa?aaeaiiy (P>0,05). A oie aea /an i?e 3 noaae?? NAOE
i?inoaaeoaaeany ia?aeiieeaa oaiaeaioe?y aei ca?eueoaiiy ye /anoioe
aeeoaiiy (f) iiiaae 30 ca oa. (P

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