История болезни - Профессиональные болезни (силикоз I-II стадии)

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aYaeYa a®c, ?aa®a?© !®«Y§?, «?aYa aaae, ®!ac ie?a ?a®Fa ¬¬, aYaa®c.

‡ a®¤?aY http://www.doktor.ru – ˜aaa??© ¬Y¤?ae?a??© aYacYa ¤«i caYa!

‘ ?a-˜YaYa!aaFa? i
?®aa¤ aaacY i
?Y¤?ae?a? i
?? ¤Y¬?i ?¬.?.?.?Yc??®c

? aeY¤a ?a®aeYaa?® «iea !®«Y§Y©.

‡ c.? aeY¤a®©:?a®ae. ‚.?.?aa ¬®®c .
˜aY?®¤ c aY«i: aa. ?.‚.?c «nc.

?‘’?˜?? ˜?‹…‡˜?.

˜®«i®©: x,41 F®¤.
„? F®§: ®a®c®Y § !®«Yc ?Y: ‘?«??®§ I-II aa ¤??, a§Y«?®c i
ae®a¬ .‚?!a ae?® i !®«Y§i I-II aa ¤?? ®a «®? «i®© c?!a ae?? (cYFY-
a®-aYa®a i ?®«?Yca®? a?i, F?®¤?aa®?cYa??© a?¤a®¬).
®a«®¦Y?i:•a®?cYa??© ®!aaaa?a?ce© !a®a?a, ae §
aa!aY¬?aa??.
a®?aaaacaie?Y § !®«Yc ?i: „caaaa®a®ii Y©a®aYa®a-
i aaF®aa®aai ?a®aeYaa?® «i®F® a a ?aYa .

?aa a®a: aaa¤Ya? V ?aaa
«YcY!®F® ae ?a«iaYa
541 Faa??e ? a!a§ ˜.?.
‘a®? ?aa ae??:10.02 – 17.02.98F.

‘?! 97

– 2 –

_ 2˜?‘˜?˜’˜?? —?‘’?.

2” ¬?«?i 0:x
2?¬i: 0 x
2?acYaac®: 0 x
2‚®§a aa: 0 41 F®¤.
2˜a®aeYaa?i: 0 a«Ya ai
2„®¬. ¤aYa: 0 F.? ¬Y®F®aa?
2„ a ?®aaa?«Y?i: 0 04.02.98F.

_ 2‘?˜?’?˜˜?-????…˜?—…‘??? •?˜??’…˜?‘’???

_ 2“‘‹?‚?‰ ’˜“„?.

‘ 1997F. a !®a Ya a«Ya aY¬ ?® aY¬®aa ®!®aa¤®c ?i c a®¬ ¦Y aeY-
aY,F¤Y a 1972F. ?® 1983F. a !®a « ?e«ie??®¬ ( ¤a®!?«i®-a®aa?a®c®c-
®¬ § c®¤Y). ˜ !®a a®aa®i« ?§ ®c?aa?? ?®a«®c ? cec®§ §®«e. 2„Y©aaca-
2ie?Y caY¤eY ae ?a®ae: 0: ae?§?cYa?®Y ?ai¦Y?Y, cea®? i aY¬?Ya aaa ,
?e«i,ea¬.‘?Yae®¤Y¦¤ : aa?®c?aee, a®! .
‘ 1983F. ?® 1997F. a !®a « ?®«ie??®¬ ? ¬i. ?aa¤?Y aaa¤ – ?Yaae®-
a a®a cYa®¬ 40 ?F. ? ??a«iae?? – ¬ ?a?¬a¬ Faa§?? «Ycai aa?a, ?a –
c®© ?®¤¤Ya¦?c Ya. ??®a ®!Y ®F? ?®®cYan¤®.˜Yaae®a a®a Y®!a®¤?¬®
aaa c«?c ai cea®aa 1 ¬Yaa. ‚?!a ae?®eY aa?®c?aee ®aYcYaacY®F®
?a®?§c®¤aac ?®«ac Ya a § c ¤c ¬Yaiae . 2 „Y©aacaie?Y caY¤eY ae ?a®ae 0:
aa a?cYa?®Y ?ai¦Y?Y, ae?§?cYa?®Y ?ai¦Y?Y, ?§??Y aY¬?Ya aaae,
?e«i, c?!a ae?i.

˜ !®c?© ¤Yi – 8 c a®c, ¤c cea®¤ea.
‡ a®!®a i ?« a – 1.5 ¬« aa!«Y©, ?c «?¤ III Faa??e + 40% aaa –
ae aaa¤®a?®a®!®aa?.
‚ea®¤ ?Ya?i – a 50 «Ya.
“aa ®c? – aaa¤ c ?a®aeYaa?? a«Ya ai.

_ 2˜˜?”?˜??˜…‡.

1972 – 1973FF. — acY?? a«Ya ai
1973 – 1975FF. — a aYa??
1975 – 1976FF. — a !®c?©
1976 – 1977FF. — Faa§c??
1977 – 1978FF. — a«Ya ai-a aYa??
1977 – 1980FF. — a¬?i
1980 – 1983FF. — §®«ie??
1983 – 1997FF. — ?®«ie??
a 04.97F. — a«Ya ai

?c «?¤ III Faa??e + 40% aaa ae aaa¤®a?®a®!®aa?.
˜a®aeYaa?® «ie© aa ¦ — 17 «Ya.

– 3 –

_ 2†?‹?˜›.

2˜ ¬®¬Ya ?®aaa?«Y?i: 0 – a?«ie© ? eY«i a ®!?«ie¬ ce¤Y«Y?-
Y¬ a«?§?aa®©, aYa®© ¬®?a®ae (§ ®ci – 100 ¬«),!Y§ § ? a , c®§?? ie?©
?a? Y§ c?aY«i®© ae?§?cYa?®© Faa§?Y (?YaY®¤Yc ?Y, ¬eain c ¤aeY) ?«?
c F®a?§®a «i®¬ ?®«®¦Y??.? eY«i ?a®a®¤?a a ¬®?a®?§c®«i®.
– cea ¦Yai ®¤ee?a, a? §¬ c F®a«Y
?a? ae?§?cYa?®© Faa§?Y
– a ¬®?a®?§c®«i® c®§?? ie?Y !®«? ?
®Y¬Y?Y ??aaY© aa? (2-F® ? 3-F® ? «iaeYc, !®«ieY «Yc®© aa?Y) c ®c-
®Y caY¬i
– §i!?®aai aa?, ?a?aaa?e ?®!Y«Y?i
? «iaeYc ?a? ¬eaiY a®«®¤®© c®¤®©, ¬®a®§Y
– ?®ceeYai ?®a«?c®aai « ¤®Y©,
c®§?? ieai ?a? ae?§?cYa?®© Faa§?Y
– aiae?Y, «®¬ie?Y !®«? c ?«YcYc®¬
?®iaY, !Ya?®?®ie?Y ?® ®c ¬
– a?¦Y?Y a«aa c ®!®?a ae a
† «®! a® aa®a®e ¤aaF?a ®aF ®c ? a?aaY¬ Ya.

2˜ ¬®¬Ya ®a¬®aa : 0 ¦ «®!e aY ¦Y.

_ 2?˜??˜…‡ ‡?˜?‹…‚?˜?? . 0.

˜®«ie¬ aY!i ac?a Ya a 1992-1993FF., ?®F¤ c?YaceY ?®ic?«ai Y§-
c?aY«ie© aaa®© ? eY«i a aY¤??¬ ce¤Y«Y?Y¬ a«?§?aa®© ¬®?a®ae. ‹Yc?«-
ai ?® ¬Yaaa a !®aa a ¤? F®§®¬ — aa®?cYa??© ®!aaaa?a?ce© !a®a?a,
Y aci§ e© a ?a®aeYaa?Y©.˜®¤a®!®aa? ®!a«Y¤®c ?i ? «YcY?i !®«i®©
Y ?®¬?a.
‚ ia® ¦Y caY¬i ?®ic?«?ai Y?a?iaeY ®eaeY?i, § aY¬ !®«? ?
®Y¬Y?Y ??aaY© aa? ( ®a®!Y® «Yc®©) a aY¤??¬? ?a?aaa? ¬? ?®!Y«Y?i
? «iaeYc ( 2-F® ? 3-F®), §i!?®aai aa? ? ?®a«?c®aai « ¤®Y©. ? ¦ «®-
! ¬ ?a?a®Y¤??«?ai «®¬ie?Y, ®ie?Y !®«? c ?«YcYc®¬ ?®iaY ?® ®c ¬.
‚Y ?«???? ‘˜!??? !e« ?®aa c«Y ¤? F®§ — a?«??®§ ? c?!a ae?®-
i !®«Y§i I-II aa ¤??. ˜®«i®© ?®«ac?« IIIFaa??a ?c «?¤®aa? ? 40%
aaa ae Yaaa¤®a?®a®!®aa?.
‚ ?«???a ‘˜!??? ?a c«Y ¤«i ¤? ¬?cYa?®F® !«i¤Y?i ? ?YaY®a-
cY¤YaY«iaac®c ?i.

_ 2?˜??˜…‡ †?‡˜?.

˜®¤?«ai c 1957F. ?®¤ ‹Y?Fa ¤®¬.?a?«®Y?© c ae?§?cYa?®¬ ? ?aY«-
«Y?aa «i®¬ a §c?a?? Y !e«®. ‡ ?®c?« 8 ?« aa®c e?®«e, c « a !®a ai.
†Y a, ?¬YYa aa®?a ¤YaY©. †?cna c 3-a ?®¬ a®© ?c aa?aY, a®ae?-
«i®-!ea®ceY aa«®c?i ®aeY?c Ya ? ? ®a¬ «ieY.?®ae«??a®c c aY¬iY ?

– 4 –

a !®aY Ya.˜?a ?Y ¤®aa a®c®Y, aYFa«ia®Y. ?a®!ea ¤?Ya Y ?a?¤Ya¦?c –
Yaai.

2˜YaYYaneY § !®«Yc ?i.
?˜‡ !®«YYa c aa®, aa®?cYa??© ®!aaaa?a?ce© !a®a?a a 1992F.

2˜ a«Y¤aacY®aai.
‘® a«®c !®«i®F®, a®¤?aY«? ? !«?§??Y a®¤aacY??? aa®¤ea ?®
?«???Y ? ia?®«®F?? § !®«Yc ?© Y ?¬Yia.

2‚aY¤eY ?a?cec??.
˜®«i®© ?aa?a a ¤Yaaac , c aa®ieYY caY¬i — ?® ®¤®© ? c?Y a?-
F aYa c ¤Yi. ?«?®F®«i Y ?a?«ic Ya.

2?««YaF®«®F?cYa??© ¬Y§.
?««YaF?cYa??Y aY ?ae?? c c?¤Y ?®¦®© ae??,?a?aaa?®c a¤aeii ?
®an?®c ®aa?ae Ya. ˜«®a® ?YaY®a?a ?®ac «®« (F®«®c®?aa¦Y?i, a« !®aai).

2˜??¤Y¬?®«®F?cYa??© ¬Y§.
?Y? a?a c ¤YaaacY; aa!Ya?a«n§®¬ ? ¤aaF?¬? ?aeY?ae?®e¬?, c a®¬
c?a«Y cYYa?cYa??¬?, § !®«Yc ?i¬? Y !®«Y«.‚?— Y ?ae?ae?a®c . ?®-
a ?a a ‚?— ?ae?ae?a®c e¬? ? ?aeY?ae?®e¬? !®«ie¬? ®aa?ae Ya. ‘ !®«i-
e¬? ¦?c®ae¬? ?®a ?a ®aa?ae Ya.
‚ aYcY?? ¦?§? FY¬®aa aaea§?© Y ?a®c®¤?«®ai. ‡ ?®a«Y¤?Y 6 ¬Yai-
aeYc ?eY?ae?© Y ¤Y« «®ai. ˜®a«Y¤?Y 6 ¬YaiaeYc § ?aY¤Y«e ®!« aa? Y
ceY§¦ «.
‘aa« aYFa«iae©; ? «®ceY ¬ aae ®!ec®© ?®a?aaYae??, ?®a?cYc®F®
aecYa , ®ae®a¬«YeY, !Y§ ?a?¬Ya? ?a®c? ? a«?§?; 1 a § c aaa??.

2‘aa a®c®© ¬Y§.
˜Y§ !®«i?c®F® «?aa? .

_ 2?˜™?‰ ?‘??’˜.

‘®aa®i?Y a¤®c«Yac®a?aY«i®Y,a®§ ?Y ia®Y, ?®«®¦Y?Y ?a?c®Y.
’Y¬?Ya aaa aY« ®a¬ «i i.
’Y«®a«®¦Y?Y ?a c?«i®Y. ˜®aa 170 a¬, cYa 76 ?F, ®a¬®aaY?cY-
a??© a?? ?®aa?aaae??.
‚ea ¦Y?Y «?ae !Y§ ®a®!Y®aaY©. ˜ !®a®a?®a®!®aai § aaa¤Y
?§-§ ¦ «®!, ??Ya?a a®a®e?©.
2‘«?§?aaeY 0 aa ? ¬iF?®F® n! a®§®c®F® aecYa , c?aaeY, c« ¦eY. ‡a-
!e a ¦Y«a®c ae¬ ®aaY?®¬, ?¦?Y eYaana?? ?¬Yia ? a?®§ai ??F¬Ya –
ae?i. ?§e? a®§®ce©, c« ¦e©, a ?®ai ®!«®¦Y !Y«e¬ «na®¬.
2?®¦eY ?®?a®ce 0 ®!ec®© ®?a a??, a¬YaY® c« ¦eY, i« aa?ceY.
?an?®c Ya.
2?c®«®aY?Y 0 a¬YaY®Y. ‚®«®ae §¤®a®ceY, !«Yaaie?Y. a«YF? aY?aaai.
2˜®¤?®¦®¦?a®c i ?«Yac a? 0 cea ¦Y a¬YaY®. (’®«e? ?®¦®©
a?« ¤?? ®?®«® ?a?? 3a¬).
2??¤ «?e 0 Y acY«?cYe, a®§®ceY, c« ¦eY. ˜Ya?aeYa?cYa??Y «?¬ae a?-
cYa??Y a§«e (?®¤cY«iaaeY, ian¬eY, eY©eY, § ae«®ceY, ?®¤¬eeYceY,

– 5 –

«®?aYceY, ? a®ceY) Y acY«?cYe, !Y§!®«Y§YeY, i« aa?ceY, a ®?aa¦ –
ie?¬? a? i¬? ? ¬Y¦¤a a®!®© Y a? ieY.
2?eeYc i a?aaY¬ : 0 a §c?a?Y a¤®c«Yac®a?aY«i®Y, a®aa a®a®e?©, !®-
«Y§Y®aai ?a? ®ea?ec ?? ¬eeae ?«YcYc®F® ?®ia , F??Yaaa®ae??/ aa®ae??
®a¤Y«iea Faa?? ¬eeae Ya.
„Yae®a¬ ae?? 2 ?®aaY© ? aaaa c®c 0 Y !«i¤ Yaai. ‘aaa ce ?®¤c?¦eY,
!®«Y§Y®aai ?a? ¤c?¦Y?? ?«YcYc®F® ? «®?aYc®F® aaaa c®c. „c?¦Y?i
a®aa Ye c ?®«®¬ ®!en¬Y. ?a ? a®c i.
2™?a®c?¤ i ¦Y«Y§ 0 ®a¬ «i®© cY«?c?e, ®!ec®© ?®a?aaYae??, !Y§-
!®«Y§Y i.

_ 2?‘‘‹…„?‚?˜?… ‘…˜„…—˜?-‘?‘“„?‘’?‰ ‘?‘’…?›.

?aa¤ i ?«Ya? c ®!« aa? aYa¤ae Y ?§¬YY . “a?«Y?Y ?a«ia ae??
a®ea aaYa?© Y !«i¤ Yaai. ˜ !aa ?Y ? ?a«ia ae?i eY©ea cY ®a-
aaaaacaYa. ‚YaaaeYce© a®«c®? ? «i??aaYaai c V ¬Y¦aY!YaiY 1.5a¬
?aaa? ®a l.medioclavicularis, ?«®e ¤ii 1a¬, aaY¤Y© a?«e. ‘Ya¤Yce©
a®«c®? Y ? «i??aaYaai. ˜??F aaa «i®© ?a«ia ae?? Ya. “?®e ciY ¬aa«e-
? iY” ®aaY ? cYaaae?Y aYa¤ae Y ? «i??aaYaai.
˜ a®«®F?cYa?®© ?a«ia ae?? Ya. 2˜a«ia 0 ®¤? ?®ce© ®!Y?a aa? a,
a?a¬?ce©, a¤®c«Yac®a?aY«i®F® ?®«Y?i ? ?ai¦Y?i, ®!ec®© ae®a¬e.
— aa®a — 80 a¤/¬?. ‘®aa¤?aa i aaY? cY ?a«ia®c®© c®«e Y ? «i??-
aaYaai.

?a ?aee 2 ®a®a?aY«i®© aYa¤Yc®© aa?®aa? 0:
1˜a c i 0:IV ¬Y¦aY!YaiY- ?a ce© ?a © Faa¤?e.
III ¬Y¦aY!YaiY – 1.5 a¬ ? aa¦? ®a ?a c®F® ?a i Faa¤?e.
1‚Yaaii 0: III aY!a® ¬Y¦¤a l.sternalis ? l.parasternalis.
1‹Yc i 0: V ¬Y¦aY!YaiY – 2 a¬ ?aaa? ®a l. medioclavicularis sinistra.
IV ¬Y¦aY!YaiY – 1.5 a¬ ?aaa? ®a l.medioclavicularis
III ¬Y¦aY!YaiY – l.parasternalis

?a ?aee 2 !a®«ia®© aYa¤Yc®© aa?®aa? 0:
1˜a c i 0: IV ¬Y¦aY!YaiY – «Yce© ?a © Faa¤?e
1‚Yaaii 0: IV aY!a® a ?a i Faa¤?e
1‹Yc i 0: V ¬Y¦aY!YaiY – 2 a¬ ?aaa? ®a «Yc®© Fa ?aee ®a®a?aY«i®©
aYa¤Yc®© aa?®aa?.

‘®aa¤?aae© ?ac®? Y cea®¤?a § ?aY¤Y«e Faa¤?e c I-¬ ? II-¬ ¬Y¦-
aY!Yaiia.

˜a? 2 aa?a«ia ae?? 0: a®e aYa¤ae iaeY, a?a¬?ceY. ?a¬®c, ? a®«®F?-
cYa??a a?a¬®c Ya.
2?aaYa? «i®Y ¤ c«Y?Y 0: 120/80 ¬¬ aa aa.

– 6 –

_ 2?‘‘‹…„?‚?˜?… „›•?’…‹?˜?‰ ‘?‘’…?›.

?aa¤ i ?«Ya? ?a c?«i®© ae®a¬e, a?¬¬Yaa?c i, ®!Y ?®«®c?e a c-
®¬Ya® ?a?c® ac aacaia c ?aY ¤ea ?i. ˜ ¤?«ic?ceY ? ?®¤?«ic?ceY
i¬?? a?¬¬Yaa?ceY, a®a®e® cea ¦YeY. ?Y¦an!YaeY ?a®¬Y¦aa?? a®a®e®
?®aaa?aaiaai, i« aa?ceY, !Y§!®«Y§YeY.
˜®a Y ¤Yae®a¬?a®c . 2„ea ?Y 0 ac®!®¤®Y, a®c®Y, ®a¬ «i®© F«a!?-
e, a?a¬?c®Y. — aa®a ¤ea aY«iea ¤c?¦Y?© — 18 a § c ¬?aaa.
2˜ «i? ae?i 0 Faa¤®© ?«Ya?? !Y§!®«Y§Y i. ?aa¤ i ?«Ya? i« aa?c-
i. ?®«®a®c®Y ¤a®¦ ?Y ®¤? ?®c®Y a ®!Y?a aa®a® c a?¬¬Yaa?cea
ac aa? a.
˜a? 2 a®?®Fa ae?cYa?®© ?Ya?aaa?? 0:

1?a ?aee ?a c®F® «nF?®F® 0:
– l. parasternalis: cYaa?© ?a © 6-F® aY!a .
– l. medioclavicularis: ?¦?© ?a © 6-F® aY!a
– l. axillaris anterior: 7-Y aY!a®
– l. axillaris media: 8-Y aY!a®
– l. axillaris posterior: 9-Y aY!a®
– l. scapularis: 10-Y aY!a®
– l. paravertebralis: ®aa?aae© ®aa®aa®? XI Faa¤®F® ?®§c®?

1?a ?aee «Yc®F® «nF?®F® 0:
– l. axillaris anterior: 7-Y aY!a®
– l. axillaris media: 9-Y aY!a®
– l. axillaris posterior: 9-Y aY!a®
– l. scapularis: 10-Y aY!a®
– l. paravertebralis: ®aa?aae© ®aa®aa®? XI Faa¤®F® ?®§c®?

‚Yaaae?? ®!®?a «nF??a a?YaY¤? 3 a¬ ceeY ?«ic?ae, a§ ¤? —
aa®cY VII eY©®F® ?®§c®? .
˜®¤c?¦®aai ?¦YF® ?a i ®!®?a «nF??a ?® l.axillaris media a®a-
a c«iYa 5 a¬.
??a? ?YaYeY©?®c ?®«Y© ?aY?F — 7 a¬ a?a c ? a«Yc .
‘?¬?a®¬ ?aYa!YaF ? ˜®aY¦Ya ®aa?ae aY«ie©.

˜a? 2 aa c?aY«i®© ?Ya?aaa?? 0 ¤ ?¦?¬? ®a¤Y« ¬? «nF??a ®?aY¤Y«i-
Yaai ?®a®!®ce© §ca?. ˜ ¤ ®aa «i®© ?®cYaa®aaii «nF??a –®?aY¤Y«iYaai
iae© «nF®ce© §ca?, ®¤? ?®ce© c a?¬¬Yaa?cea ac aa? a Faa¤®© ?«Ya??.
˜a? 2 aa?a«ia ae?? 0 ¤ caY© ?®cYaa®aaii «nF??a cea«ae?c Yaai ¦naa-
?®Y ¤ea ?Y. ‚ea«ae?c iaai Y¤??ceY aaa?Y aa??e.

_ 2?‘‘‹…„?‚?˜?… ˜?™…‚?˜?’…‹?˜?‰ ‘?‘’…?›.

‘«?§?aaeY aa ? ¬iF?®F® n! a®§®ceY, c?aaeY, c« ¦eY. ‡a!e a
¦Y«a®c ae¬ ®aaY?®¬ , ?¦?Y eYaana?? a ac aa? ¬? ? a?®§®© ??F¬Ya –
ae??. ?§e? a®§®ce©, c« ¦e©, a ?®ai ®!«®¦Y !Y«e¬ «na®¬.
†?c®a ?a c?«i®© ae®a¬e, ?a?c® ac aacaYa c ?aY ¤ea ?i. ˜a?®?
Y ce?a?«e©, cYe Y a ae?aYe.

– 7 –

˜a? 2 ?®cYaa®aa®© ? «i? ae?? 0: ¦?c®a ¬iF??©, !Y§!®«Y§Ye©.
˜a? 2 F«a!®?®© ? «i? ae?? 0: c «Yc®© ?®c§¤®e®© ®!« aa? ®?aY¤Y«iYaai
1a?F¬®c?¤ i ??e? 0 ?«®a®-i« aa?cYa?®© ?®a?aaYae??; !Y§!®«Y§Y i,
?®¤c?¦ i, a a®c®© ?®cYaa®aaii, Yaac e i.
c ?a c®© ?®c§¤®e®© ®!« aa? ? «i??aaYaai
1a«Y? i ??e? 0: !Y§!®«Y§Y i, ?®¤c?¦ i, a«YF? aac e i.
1?®?YaYc®-®!®¤®c i ??e? 0 ®!ec®© ?®-
a?aaYae??, ? «i??aaYaai aa®cY ?a?? , !Y§!®«Y§Y i.
1!®«ie i ?a?c?§ ¦Y«a¤? 0 ? «i??aaYaai c
c?¤Y c «?? a a®c®© ?®cYaa®aaii, a a?®«®¦Y®F® 2 a¬ ceeY ?a??
?® ®!Y aa®a®e ®a aaY¤Y© «??? aY«
1?a?ca a?? 0 Y ? «i??aaYaai
1?¦?© ?a © ?YcY? 0 Y ceaaa? Ya ?§ ?®¤
an!Ya®© ¤aF?. ˜ §¬Yae ?YcY? ?® ?aa«®ca – 10:9:8 a¬.
1aY«Y§n? 0 Y ? «i??aaYaai. ˜Ya?aa®a®
®?aY¤Y«iYaai ?® l. axillaris media a 9-F® aY!a .

_ 2?‘‘‹…„?‚?˜?… ??—…‚›„…‹?’…‹?˜?‰ ‘?‘’…?›.

?®¦eY ?®?a®ce c ?®ia?c®© ®!« aa? Y ?§¬YYe. ˜®c?? Y ? «i??-
aaiaai. ‘?¬?a®¬ ?®?®« c?c ?i ®aa?ae aY«ie© a ®!Y?a aa®a®.

_ 2‹???‹?˜›‰ ‘’?’“‘.

??aa? aa? a®«®¤eY, ae? ®a?ceY a ac aa? ¬? !Y«®F® aecYa , F??Ya-
F?¤a®§ « ¤®Y©.‹ ¤iYc?¤®aai « ¤®Y©. ˜ !aa«®aai ?®aeYcea ae « F. ˜ –
a?¤Ya¬?i. „?aa «i i F?? «FY§?i ¤® ?aY¤?«Ycii.

_ 2˜˜…„‚?˜?’…‹?˜?‰ „???˜?‡.

– ®a®c®Y § !®«Yc ?Y: ‘?«??®§ I-II aa ¤??, a§Y«?®c i ae®a¬ .
‚?!a ae?® i !®«Y§i I-II aa ¤?? ®a «®? «i®© c?!a ae?? (cYFYa®-aYa®a-
i ?®«?Yca®? a?i, F?®¤?aa®?cYa??© a?¤a®¬ a aY¤??¬? ?a?aaa? ¬?
?®!Y«Y?i ? «iaeYc).
– ®a«®¦Y?i: •a®?cYa??© ®!aaaa?a?ce© !a®a?a c ae §Y aa!aY¬?a-
a??.
– a®?aaaacaie?Y § !®«Yc ?i: „caaaa®a®ii Y©a®aYa®a i aaF®a-
a®aai ?a®aeYaa?® «i®F® a a ?aYa .

– 8 –

_ 2˜‹?˜ ?˜‘‹…„?‚?˜??.

1. ?«??cYa??©   «?§ ?a®c?.
2. ?!e?©   «?§ ¬®c?.
3. ˜?®a?¬?cYa??©   «?§ ?a®c?.
4. ? «?§ ¬®?a®ae.
5. RW.
6. ”®a¬ N 50.
7. ˜ ?aYa?®«®F?cYa?®Y ?aa«Y¤®c ?Y ? « ¤?§YaYa?©ai ? a?ae®-
? a a?ae®§ai Faa??e.
8. ? «?§ ? « i/F«?aa.
9. ˜??.
10.Rg Faa¤®© ?®«®aa?.
11.Rg ??aaY© aa?.
12.˜ ««YaaY§?®¬Yaa?i.
13.?«iFY§?¬Yaa?i.
14.„? ¬®¬Yaa?i.
15.‚?!a®aYaa?a®c ?Y.
16.?aa«Y¤®c ?Y aea?ae?? cYeYF® ¤ea ?i.
17.?®aa«ia ae?i Yca®? a®«®F .
18.?®aa«ia ae?i aea?§? aa .
19.?®aa«ia ae?i ®a®« a?F®«®F .
20.?a¤?®Fa ¬¬ .
21.•®«®¤®c i ?a®! .
22. ? ??««ia®a?®??i.
23. ’Ya¬®Fa ae?i.

_ 2˜…‡“‹?’?’› ?‘‘‹…„?‚?˜?‰ ? ‡??‹?—…˜?? ??˜‘“‹?’?˜’?‚.

1. 2?«??cYa??© «?§ ?a®c?.

Hb – 152 F/«
˜a?aa®ae?ae – 5.3 *10 512 0 F/«
–cYa®© ?®? § aY«i – 0.96
‹Y©?®ae?ae – 6.4 * 10 59 0 F/«
˜ «®c?? – 4%
‘YF¬Yae – 58%
˜®§?®ae?«e – 0%
‹?¬ae®ae?ae – 33%
?®®ae?ae – 5%
‘?˜ – 12 ¬¬/c a

– 9 –

2. 2?!e?© «?§ ¬®c? 0.

?®«?cYaac® – 100 ¬«
–cYa – acYa«®-¦n«ae©
˜a®§a c®aai – ?a®§a c i
“¤Y«ie© cYa – 1024
˜Y«®? – Ya
‘ a a – Ya
‹Y©?®ae?ae – Y¤. c ?®«Y §aY?i

3. 2˜?®a?¬?cYa??© «?§ ?a®c?.

?!e?© !Y«®? – 70.7 F/«
?‹? – 0.5
?‘’ – 0.4
?!e?© !?««?aa!? – 10.3 ¬?¬®«i/«
‘ a a – 5.2 ¬¬®«i/«
?®cYc? – 5.1 ¬¬®«i/«
?aY a?? – 0.08 ¬¬®«i/«
•®«YaaYa? ®!e?© – 5.2 ¬¬®«i/«

4. 2 RW.
®aa?ae aY«i®

5. 2 ”®a¬ N 50.
‚?— Y ?ae?ae?a®c

6. 2˜YaFY®Fa ae?i ®aF ®c Faa¤®© ?®«®aa?.
?ae?«iaa a?cea ?§¬YY?© Y ceic«Y®. ‹nF®ce© a?aa®? aa?«Y ?
¤Yae®a¬?a®c ?® aYac a®¬a a??a, ?aY?¬aeYaacY® c ?¦?a ®a¤Y« a. ‘«Y-
c c aaY¤Y¬ «nF®c®¬ ?®«Y Y¤??ceY ®c F®ceY aY? 0.3a¬ c ¤? ¬YaaY,
?«®aeY, cna?® ®cYacYeY. ?®a? Yaaaa?aaaeY, Ya ae?aYeY, a c?«i-
cY?i¬? ?§cYaa?. ‘?aae ac®!®¤eY. ’Yi aaY¤®aaY?i !Y§ ®a®!Y®aaY©.

7. 2‚?!a®aYaa?a®c ?Y.

?a. ? «Yc. 2 ‡ ?«icY?Y 0: § c?aY«i®
—T—-T—–T—-+—-T—–T—- a?¦Y c?!a ae?® i
?ae ? II ? III ? IV ? II ? III ? IV cacaac?aY«i®aai aa?
—+—-+—–+—-+—-+—–+—- cea®?®© ? aaY¤Y© c aa®-
125? 30? 25? 25? 30? 30? 30 a a, a¬YaY® a?¦Y
—+—-+—–+—-+—-+—–+—- ?§?®© c aa®aY.
250? 130? 130? 130? 130? 130? 130
—+—-+—–+—-+—-+—–+—-
63? 25? 25? 25? 25? 25? 25
—+—-+—–+—-+—-+—–+—-

– 10 –

8. 2˜ ««YaaY§?®¬Yaa?i. ?«iFY§?¬Yaa?i.

? 2?.? 3?.? 4?.?
————+—-+—-+—-+- ——+—–+—–+—-+—–+
˜a c i aa? ? 170? 180? 170? 1.45 ? 1.4? 1.35? 1.4? 10.8?
———–+—-+—-+—-+- ——+—–+—–+—-+—–+
‹Yc i aa? ? 100? 170? 160? 1.45 ? 1.45? 1.35? 1.4? 10.8?
? ? ? ? ? ? ? ? ?

2„? ¬®¬Yaa?i.

˜a c i aa? — 30 aea.
‹Yc i aa? — 36 aea.

2‡ ?«icY?Y 0: 1. ‡ c?aY«i®Y a?¦Y?Y c?!a ae?®®© cacaac?-
aY«i®aa? ? «iaeYc aa?.
2. ‡ c?aY«i®Y a?¦Y?Y !®«Yc®© cacaac?aY«i®aa?
? «iaeYc aa? ? « ¤®Y©, aY§?®Y a?¦Y?Y cacaac?aY«i®aa? ®!®?a ?aY¤-
?«Yc?©.
3. ?eeYc i a?« aa? a®aa Y .

9. 2?aa«Y¤®c ?Y aea?ae?? cYeYF® ¤ea ?i.

+–+–+–+–+–+–+ ˜ a ¬Yaae? ” ?a ? „®«¦ ? %„®«¦ ? ?a
8+–+–+–+–+–+–+ †…‹ c¤ ? 3.87 ? 4.61 ? 83.91 ? 3
+–+–+–+–+–+–+ ”†…‹ ? 4.50 ? 4.41 ?101.24 ? 2
6+–+–+–+–+–+–+ ?”‚ ? 3.11 ? 3.70 ? 84.24 ? 3
+–+–+–+–+–+–+ ’?”” ?69.25 ?79.58 ? 87.01 ? 3
4+–+–+–+–+–+–+ ˜?‘ ? 9.38 ? 8.58 ?109.31 ? 2
+–+–+–+–+–+–+ ??‘ 25 ? 8.33 ? 7.75 ?107.72 ? 2
2+–+–+–+–+–+–+ ??‘ 50 ? 4.93 ? 5.25 ? 94.02 ? 2
+–+–+–+–+–+–+ ??‘ 75 ? 1.21 ? 2.35 ? 51.58 ? 4
?==1==2==3==4==5==+ ‘?‘ ? 1.92 ? 4.35 ? 44.18 ? 6
+–+–+–+–+–+–+ ?˜?‘ ? 0.51 ? – ? – ? –
+–+–+–+–+–+–+ ’?®a ? 0.07 ? – ? – ? –
+–+–+–+–+–+–+ ’ce¤ ? 3.17 ? – ? – ? –
+–+–+–+–+–+–+ ? ? ? ?

2‡ ?«icY?Y 0: ˜a®a? «i i ?a®c®¤?¬®aai c ?aY¤Y« a aa«®c®© ®a¬e,
!Y§ ?a?§ ?®c i?a??a a®a®F® aa¦Y?i ¤ea aY«iea ?aaY©.
†?‹ c ?aY¤Y« a ®a¬e.
‘®aa®i?Y ?? a a cYa?«iae?? c ?aY¤Y« a aa«®c®©
®a¬e.

– 11 –

10. 2 ?®aa«ia ae?i Yca®? a®«®F .

?«a!®??Y aYae«Y?ae a c®¬YaeY, ??aa? a®«®¤eY, ?aa¦Yc®© a?aa®?,
!aa«®aai ?®aeYcea ae « F, a?¬?a®¬ “!Y«®F® ?ia ” /+/, ¤?aa «i i F?-
?YaaY§?i.

12. 2 ?®aa«ia ae?i ®a®« a?F®«®F .
?a®a?®??i !Y§ ? a®«®F??.

14. 2 •®«®¤®c i ?a®! .

_ 2?˜?‘˜?‚?˜?… ???˜—?’…‹?˜??? „???˜?‡?.

˜ ®a®c ?? 2 a ?a a®-F?F?Y?cYa?®© a a ?aYa?aa??? aa«®c?© aaa¤
– ‘ 1997F. a !®a Ya a«Ya aY¬ ?® aY¬®aa ®!®aa¤®c ?i c a®¬ ¦Y aeY-
aY,F¤Y a 1972F. ?® 1983F. a !®a « ?e«ie??®¬ ( ¤a®!?«i®-a®aa?a®c®c-
®¬ § c®¤Y). ˜ !®a a®aa®i« ?§ ®c?aa?? ?®a«®c ? cec®§ §®«e. ‘aY¤?
?a®c?a ¤Y©aacaYa ?e«Yc®© ae ?a®a.
– c 1983 -1997FF. a !®a « ?®«ie??®¬ ? ¬i, ¤Y©aac®c « ?e«Yc®© ae ?a®a.
2¦ «®! 0 – a?«ie© ? eY«i a ®!?«ie¬ ce¤Y«Y?-
Y¬ a«?§?aa®©, aYa®© ¬®?a®ae (§ ®ci – 100 ¬«),!Y§ § ? a , c®§?? ie?©
?a? Y§ c?aY«i®© ae?§?cYa?®© Faa§?Y (?YaY®¤Yc ?Y, ¬eain c ¤aeY) ?«?
c F®a?§®a «i®¬ ?®«®¦Y??.? eY«i ?a®a®¤?a a ¬®?a®?§c®«i®.
– cea ¦Yai ®¤ee?a, a? §¬ c F®a«Y ?a?
ae?§?cYa?®© Faa§?Y
2 ¬Y§ 0 – cY ?«???? ‘˜!??? !e« ?®aa c«Y ¤? F®§
– a?«??®§ I-II aaY?Y?, !®«i®© ?®«ac?« III Faa??a ?c «?¤®aa? ? 40%
aaa ae aaa¤®a?®a®!®aa?
– § !®«Yc ?Y c «®ai ?®aaY?Y® 5 «Ya –
§ ¤ a Ycea ¦Y®F® ? e«i a aY¤??¬ ®a¤Y«Y?Y¬ a«?§?a®© ¬®?a®ae, ?®§¦Y
?a?a®Y¤??« ai ®¤ee?

2®!eY?a?c®F® ®a¬®aa 0 – ?a? aa c?aY«i®© ?Ya?aaa??
¤ ?¦?¬? ®a¤Y« ¬? «nF??a ®?aY¤Y«iYaai ?®a®!®ce© §ca?
– ?a? a®?®Fa ae?cYa?®© ?Ya?aaa??
a?¦Y ?®¤c?¦®aai «nF®c®F® ?a i
– ?a? aa?a«ia ae?? — ¦naa?®Y
¤ea ?Y, cea«ae?c iaai Y¤??ceY aaa?Y aa??e
2¤ ea ¤®?®«?aY«i®F® ?aa«Y¤®c ?i 0: – «?§ ?a®c?:
‘?˜ – 12 ¬¬/c a
– ?ae?«iaa –

– 12 –

a?cea ?§¬YY?© Y ceic«Y®. ‹nF®ce© a?aa®? aa?«Y ? ¤Yae®a¬?a®c
?® aYac a®¬a a??a, ?aY?¬aeYaacY® c ?¦?a ®a¤Y« a. ‘«Yc c aaY¤Y¬
«nF®c®¬ ?®«Y Y¤??ceY ®c F®ceY aY? 0.3a¬ c ¤? ¬YaaY, ?«®aeY, cna?®
®cYacYeY. ?®a? Yaaaa?aaaeY, Ya ae?aYeY, a?aae ac®!®¤eY.

¬®¦® aae®a¬a«?a®c ai 2 ®a®c®Y § !®«Yc ?Y 0: ‘?«??®§ I-II aaY?Y?,
a§Y«?®c i ae®a¬ .
#

˜ ®a®c ?? 2 ¦ «®! 0 – a?«ie© ? eY«i a ®!?«ie¬ ce¤Y«Y?Y¬ a«?-
§?aa®©, aYa®© ¬®?a®ae (§ ®ci – 100 ¬«),!Y§ § ? a , c®§?? ie?© ?a?
Y§ c?aY«i®© ae?§?cYa?®© Faa§?Y (?YaY®¤Yc ?Y, ¬eain c ¤aeY) ?«? c
F®a?§®a «i®¬ ?®«®¦Y??.? eY«i ?a®a®¤?a a ¬®?a®?§c®«i®.
2 ¬Y§ 0 – c 1992F. !®«i®¬a ?®aa c«Y ¤? F®§ –
aa®?cYa??© ®!aaaa?a?ce© !a®a?a
2®!eY?a?c®F® ®a¬®aa 0 – ?a? aa?a«ia ae??: ¦naa?®Y ¤e-
a ?Y ? Y¤??ceY aaa?Y aa??e

˜ ®a®c ?? 2 a ?a a®-F?F?Y?cYa?®© a a ?aYa?aa??? aa«®c?© aaa¤
– a 1983F. ?® 1997F. a !®a « ?®«ie??®¬ ? ¬i. ?aa¤?Y aaa¤ – ?Yaae®-
a a®a cYa®¬ 40 ?F. ? ??a«iae?? – ¬ ?a?¬a¬ Faa§?? «Ycai aa?a, ?a –
c®© ?®¤¤Ya¦?c Ya. ??®a ®!Y ®F? ?®®cYan¤®.˜Yaae®a a®a Y®!a®¤?¬®
aaa c«?c ai cea®aa 1 ¬Yaa. ‚?!a ae?®eY aa?®c?aee ®aYcYaacY®F®
?a®?§c®¤aac ?®«ac Ya a § c ¤c ¬Yaiae . 2 0‘aY¤? ¤Y©aacaie?a caY¤ea ae ?-
a®a®c:aa a?cYa?®Y ?ai¦Y?Y, ae?§?cYa?®Y ?ai¦Y?Y, ?§??Y aY¬?Y-
a aaae,?e«i, c?!a ae?i, ea¬.
2¦ «®! 0 – a ¬®?a®?§c®«i® c®§?? ie?Y !®«? ?
®Y¬Y?Y ??aaY© aa? (2-F® ? 3-F® ? «iaeYc, !®«ieY «Yc®© aa?Y) c ®c-
®Y caY¬i
– §i!?®aai aa?, ?a?aaa?e ?®!Y«Y?i
? «iaeYc ?a? ¬eaiY a®«®¤®© c®¤®©, ¬®a®§Y
– ?®ceeYai ?®a«?c®aai « ¤®Y©,
c®§?? ieai ?a? ae?§?cYa?®© Faa§?Y
– aiae?Y, «®¬ie?Y !®«? c ?«YcYc®¬
?®iaY, !Ya?®?®ie?Y ?® ®c ¬
2¤ ea ¬Y§ 0 – § !®«Yc ?Y a §c?c «®ai ?®aaY?Y-
®, c? iai a Y?a?iaea ®eaeY?© c ??aaia aa? c® caY¬i ®a¤ea
c?«®ai ¤® ?a?aaa?®c ?®!Y«Y?i ? «iaeYc. ‚® caY¬i a !®ae ¦ «®!e ?acY§ «?.
– cY ?«???? ‘˜!??? !®«i®¬a !e«
?®aa c«Y ¤? F®§: ‚?!a ae?® i !®«Y§i I-II aa ¤??
2®!eYF® ®a¬®aa 0 – a !®a®a?®a®!®aai !®«i®F® a?¦Y
§ acna ceeY?YaYc?a«Yea ¦ «®!
– !®«Y§Y®aai ?a? ®ea?ec ?? ¬eeae
?«YcYc®F® ?®ia
– !®«Y§Y®aai ?a? ¤c?¦Y?? ?«YcYc®-
F® ? «®?aYc®F® aaaa c®c

– 13 –

2®!eY?a?c®F® ®a¬®aa 0 – ??aa? aa? a®«®¤eY, ae? ®-
a?ceY a ac aa? ¬? !Y«®F® aecYa , F??YaF?¤a®§ « ¤®Y©.‹ ¤iYc?¤®aai
« ¤®Y©. ˜ !aa«®aai ?®aeYcea ae « F. ˜ a?¤Ya¬?i. „?aa «i i F?? «-
FY§?i ¤® ?aY¤?«Ycii.
2¤ ea ¤®?®«?aY«i®F® ?aa«Y¤®c ?i 0 – ?a? c?!a®aYa-
a?a®c ??: § c?aY«i® a?¦Y c?!a ae?® i cacaac?aY«i®aai aa?
cea®?®© ? aaY¤Y© c aa®a a, a¬YaY® a?¦Y ?§?®© c aa®aY.
– ?a? ? ««YaaY-
§?®¬Yaa??, «iFY§?¬Yaa??: § c?aY«i® a?¦Y c?!a ae?® i cacaac?-
aY«i®aai ? «iaeYc aa?, § c?aY«i® a?¦Y !®«Yc i cacaac?aY«i®aai
? «iaeYc aa? ? « ¤®Y©, aY§?® a?¦Y cacaac?aY«i®aai ®!®?a ?aY¤?«Y-
c?©.
– ?a? a®«®¤®c®©
?a®!Y: ?aa¦Yc®© a?aa®? ? «iaeYc aa?. ‘?aaai 15 ¬?aa — ?®!Y«Y?Y III
? «iae ?a c®© aa??.
– ?®aa«ia ae?i
Yca®? a®«®F : ??aa? a®«®¤eY, ?aa¦Yc®© a?aa®?, !aa«®aai ?®aeYcea
ae « F, a?¬?a®¬ “!Y«®F® ?ia ” /+/, ¤?aa «i i F??YaaY§?i

¬®¦® aae®a¬a«?a®c ai 2 ®a®c®Y § !®«Yc ?Y 0: ‚?!a ae?® i !®«Y§i
I-II aa ¤?? ®a «®? «i®© c?!a ae?? ( cYFYa®-aYa®a i ?®«?Yca®? –
a?i, F?®¤?aa®?cYa??© a?¤a®¬ a aY¤??¬? ?a?aaa? ¬? ?®!Y«Y?i ? «iaeYc).

’ ??¬ ®!a §®¬ ¬®¦® ceaa c?ai ???˜—?’…‹?˜›‰ „???˜?‡:
– ®a®c®Y § !®«Yc ?Y: ‘?«??®§ I-II aa ¤??, a§Y«?®c i ae®a¬ .
‚?!a ae?® i !®«Y§i I-II aa ¤?? ®a «®? «i®© c?!a ae?? (cYFYa®-aYa®a-
i ?®«?Yca®? a?i, F?®¤?aa®?cYa??© a?¤a®¬ a aY¤??¬? ?a?aaa? ¬?
?®!Y«Y?i ? «iaeYc).
– ®a«®¦Y?i: •a®?cYa??© ®!aaaa?a?ce© !a®a?a c ae §Y aa!aY¬?a-
a??.
– a®?aaaacaie?Y § !®«Yc ?i: „caaaa®a®ii Y©a®aYa®a i aaF®a-
a®aai ?a®aeYaa?® «i®F® a a ?aYa .

_ 2‹…—…˜?… „?˜˜??? ˜?‹?˜???.

2‹YcY?Y a?«??®§ . 0(‹YcY!® – ?a®ae?« ?a?cYa??Y ¬Ya®?a?-
ia?i)
1. ’Y?«®c« ¦eY eY«®ceY ? a®«i® – eY«®ceY ?F «iae??, ¬®¦® c
c?¤Y i«Y?aa® ia®§®«Y©.˜a?¬Yiai 2% a aac®a F?¤a®? a!® a aa?i, ®¤?
aY a c aaa?? ?a®¤®«¦?aY«i®aaii 5-7 ¬?aa ?a? aY¬?Ya aaa ia®§®«i
38-40; ?aaa 15-20 aY a®c.?®¦® ?a?®«i§®c ai eY«®ceY ? ? «iaeYceY
¬?Ya «ieY c®¤e.
2. ”?§?®aYa ?Yca?cYa??Y ¬Ya®¤e: ®!«acY?Y Faa¤®© ?«Ya?? a«iaa –
ae?®«Ya®ce¬? «ac ¬? ? i«Y?aa?cYa??¬ ?®«Y¬ cea®?®© c aa®ae, ca® ?®cee Ya
a®?a®a?c«iY¬®aai ®aF ?§¬ ? aa?«?c Ya «?¬ae®- ? ?a®c®a®? c ¬ «®¬ ?aaFY.
“”? ®¤? a § c §?¬?© ?Ya?®¤ cYaY§ ¤Yi, ?aaa 20 aY a®c.
3. „ea aY«i i F?¬ aa?? ¤«i a«aceY?i ¤ea aY«i®© aea?ae?? ?
i«?¬? ae?? ¤Y?®?a®c ®© ?e«?.

– 14 –

4. ‚ ? cYaacY ®aa a??c ieYF® aaY¤aac :
Rp: Herbae Thermopsidis 0.01
Natrii hydrocarbonatis 0.25
D.t.d. N. 10 in tab.
S. ˜® 1 a !«Ya?Y 4 a § c ¤Yi.

Rp.: Dragee Aminasini 0.025 N.30
D.S. ˜® 1 a !«Ya?Y 3 a § c ¤Yi ?®a«Y Y¤e.
#
Rp.: Tab.Benzogexonii 0.1 N.20
D.S.˜® 1 a !«Ya?Y 2 a § c ¤Yi
#
Rp.: Tab. Halidori 0.1 N.20
D.S. ˜® 2 a !«Ya?? 2 a § c ¤Yi

?®¦® ?a®cYaa? ?aaa i«Y?a®a®ae®aY§ 5% a aac®a ®c®? ? ??aa?
aa? ?«? c®a®a??®cai §®a, a?« a®? – 10 ?, caY¬i – 15 ¬?.
‚®§¬®¦® “‚— c®a®a??®cai §®a c a« !®aY?«®c®© ¤®§Y 10 ¬? cY-
aY§ ¤Yi, 15 ?a®aeY¤aa ?aaa.
˜aeaeY?a?cY ¬ aa ¦ aa? ? c®a®a??®c®© §®e.

2?!eYa?aY?«iie i aYa ??i.

1. ˜Y®!a®¤?¬® ?§! c?aiai ®a caY¤ea ?a?cecY?, ?® c®§¬®¦®aa? !a®-
a?ai ?aa?ai ? a¬Yie?ai ?®aaY!«Y?Y «?®F®«i, c ? cYaacY ae ?a®a®c,
aaaFa!«iie?a aYcY?Y ?a®aeYaa .
2. ˜Y?®¬Y¤®c ® a®!«i¤ ai ¤?Yaa a ?®?¦Ye¬ a®¤Ya¦ ?Y¬ ¦?a®c,
®a¤ c ai ?aY¤?®caY?Y Y¦?a®¬a ¬iaa, ¬®«®ce¬ ? a aa?aY«ie¬ ?a®¤a?-
a ¬.
3.˜Y?®¬Y¤aYaai a a®a®-?aa®aa®Y «YcY?Y c ˜ia?F®aa?Y, ?«aY.

Rp.: Sol.Acidi ascorbinici 5% 1.0
D.t.d. N. 20 in amp.
S. ‚c®¤?ai caaa?¬eeYc® ?® 1 ¬«.
#
Rp.:Sol.Thiamini bromidi 6% 1.0
D.t.d. N. 20 in amp
S. ‚c®¤?ai caaa?¬eeYc® ?® 1 ¬« 1 a § c ¤Yi.
#
Rp.: Sol.Pyridoxini 25% 1.0
D.t.d. N. 20 in amp
S. ‚c®¤?ai caaa?¬eeYc® ?® 1 ¬«.

– 15 –

_ 2˜˜??˜?‡.

˜®«i®© x, 41 F®¤, ?®ca®a® ®!a«Y¤®c «ai
c ?«???Y ‘˜!??? a aeY«ii ¬Y¤?ae?a?®F® ®acY¤YaY«iaac®c ?i.˜ ®a®c ??
a ?a a®-F?F?Y?cYa?®© a a ?aYa?aa??? aaa¤ , ?a®ae ¬Y§ , ¦ «®! ?
?«???®-aea?ae?® «i®F® ®!a«Y¤®c ?i ?®¤acYa¦¤n ¤? F®§: ‘?«??®§ I-II
aa ¤??, a§Y«?®c i ae®a¬ .•a®?cYa??© ®!aaaa?a?ce© !a®a?a c ae §Y aa!-
aY¬?aa??. ‚?!a ae?® i !®«Y§i I-II aa ¤?? ®a «®? «i®© c?!a ae?? (cY-
FYa®-aYa®a i ?®«?Yca®? a?i, F?®¤?aa®?cYa??© a?¤a®¬ a aY¤??¬?
?a?aaa? ¬? F?®a? §¬ ). „caaaa®a®ii Y©a®aYa®a i aaF®aa®aai.˜ §-
cY® «YcY?Y. ‘ ¬Ya ¬? ?a®ae?« ?a??? !®«i®© ®§ ?®¬«Y.
˜a®a ?®¬?«Y?a ? a®«®F?? ¤Y« Ya !®«i®F® ®Fa ?cY® aaa¤®a?®a®!-
e¬ c ?a®aeYaa?ia, F¤Y ?¬Yia ¬Yaa® a«Y¤aie?Y ae ?a®ae: ae?§?cYa?®Y ? aa –
a?cYa?®Y ?ai¦Y?Y, c?!a ae?i, ea¬, ?e«i ? cea®? i/?§? i aY¬?Ya aa-
a .˜®«i®© ?a c«iYaai ?‘˜? ¤«i ?a®¤«Y?i III Faa??e ?c «?¤®aa?
a 40% aaa ae aaa¤®a?®a®!®aa?.

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История болезни – Профессиональные болезни (силикоз I-II стадии)