I?iyaeaiea oy?aeie oi?iu noiiaoeoa ioia?aii a 1-e a?oiia
o 3,3% aieuiuo, a ai 2-e a?oiia — o 6,2% aieuiuo. I?inea?aii
noeoaiea eeeie?aneeo iaieoanoaoee a n?aaiai ia 6-9 aiae
?aiuoa o aieuiuo, eioi?ui i?iaiaeeenu eiiieaeniay i?ioeea-
eoeea e ea?aiea n oi?ioae aeiaieeie noiiaoieiae?aneie nei-
ioiiaoeee, ?ai a eiio?ieuiie a?oiia. Oaeei ia?acii, i?iaiice-
?iaaiea noiiaoeoa o aieuiuo noa?oa 60 eao, iieo?a?ueo oeoi-
noaoeee e eo?aao? oa?aie? n oaeu? i?iaaaaiey i?ioeeaeoe?an-
eeo e ea?aaiuo ia?ii?eyoee, iicaieyao iioeiece?iaaou oa?a-
ie? aaiiie a?oiiu aieuiuo.
III Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee». Ai?aeu, 2000, Aioaeey; Iaeeeaoeaiay iaaeoeia e ?aaaeeeoa-
oey, 2000, ¹ 1-2, no?. 75.
Ê ÂÎÏÐÎÑÓ Î ÄÈÀÃÍÎÑÒÈÊÅ È ËÅ×ÅÍÈÈ
ÏÎÇÄÍÈÕ ËÓ×ÅÂÛÕ ÏÎÂÐÅÆÄÅÍÈÉ
ÎÐÃÀÍÎÂ ÌÀËÎÃÎ ÒÀÇÀ
A.A. Eaaeoeee, A.A. Eieanieeiaa, E.A. Aoeiiaa,
A.E. Eeaeia?, A.I. ?e?eiaa, A.A. Eaaeoeee
?IEIE, ?inoia ia Aiio, ?inney
Iicaiea eo?aaua iia?a?aaiey iinea aaiia-oa?aiee aeiaei-
eiae?aneiai ?aea e ?aea i?yiie eeoee, niaeanii iaae?aaieyi
aaoi?ia e eeoa?aoo?iui aaiiui, ano?a?a?ony o 5-7% aieuiuo.
Iniiaiay i?e?eia — i?aauoaiea oiea?aioiuo aic, ii iaiaeo?
?ieu ea?a?o iaiaiiua ia?ooaiey e aic?ano aieuiuo. Oaeay ne-
ooaoey aicieeaao, eae i?aaeei, i?e iaiaoiaeiinoe ea?aiey ia-
noii-?ani?ino?aiaiiiai ?aeiaiai i?ioanna. A aaiaca iicaieo
eo?aauo iia?a?aaiee aaaouo? ?ieu ea?a?o ia?ooaiey iee?i-
oe?eoeyoee e iaoaaieecia a iaeo?aiiuo i?aaiao e oeaiyo.
Aeaaiinoeea e ea?aiea eo?aauo yieoaeeeoia, oenoeoia e ?ae-
oeoia iienaiu ainoaoi?ii iia?iaii. A oi ?a a?aiy aeooa?aioe-
aeuiie aeaaiinoeea e ?aoeiiaeuiie oa?aiee ?aaei ano?a?a?-
ueony oea?icia eeao?aoee iaeiai oaca (1-3% anao iicaieo eo?a-
auo iia?a?aaiee) oaaeyaony iaei aieiaiey. O?oaiinou aeaaii-
noeee yoie iaoieiaee ninoieo a oii, ?oi iia eeeie?anee neioee-
?oao ?aoeaea iiooiee (iauaiiue i?ioann a iaeii oaco, aieu,
ioae eiia?iinoe), a aa?eoeeaoey i?ioanna i?aeoe?anee iaaic-
ii?ia. Oaeei ia?acii, aeaaiinoeea eo?aauo oea?icia eeao?ao-
ee iaeiai oaca i?iaiaeony a iniiaiii «ex juvantibus».
Aaoi?u i?iaaee ianeaaiaaiea e ea?aiea aieaa 30 aieuiuo n
neia?iiii iauaiiiai ia?aciaaiey a ia?aiao?aeuiie eeao?ao-
ea iaeiai oaca, aicieeoaai a n?iee io 2 ai 7 eao iinea ni?aoai-
iiai eo?aaiai ea?aiey ?aea oaeee e oaea iaoee II-III noaaee. Ia?-
aui yoaiii i?iaiaeeinu eioaineaiia eiiieaeniia i?ioeaiain-
iaeeoaeuiia e neiioiiaoe?aneia ea?aiea, eioi?ia aaei au?a-
?aiiue noieeee yooaeo o 18 aieuiuo. A aaeuiaeoai ei auea
i?iaie?aia i?ioeaineea?ioe?aneay oa?aiey, iicaieeaoay ai-
aeouny noieeie ?aiennee. O inoaeuiuo aieuiuo ia?aue yoai ea-
?aiey aue iayooaeoeaai, ia?anoaee neiioiiu naaaeaiey e ei-
oieneeaoee, ?oi auei ?anoaiaii eae ?aoeaea ?aea. Aaiiie a?oi-
ia auea ?aeiiaiaiaaia nenoaiiay oeieioa?aiey.
Aaoi?u aaea?o auaia i iaiaoiaeiinoe aeooa?aioe?iaaiii-
ai iiaoiaa e ea?aie? iauaiiuo i?ioannia, aicieea?ueo a ia-
eii oaco iinea eo?aaiai ea?aiey.
III Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee». Ai?aeu, 2000, Aioaeey; Iaeeeaoeaiay iaaeoeia e ?aaaeeeoa-
oey, 2000, ¹ 1-2, no?. 64.
ÏÎÑÒËÓ×ÅÂÎÉ ÏÅÐÈÊÀÐÄÈÒ
Ó ÁÎËÜÍÛÕ ËÈÌÔÎÃÐÀÍÓËÅÌÀÒÎÇÎÌ
A.C. Iooaiaooeia, E.A. Aooa?iaa, A.I. Aei?aiia
EIO IC ?O, Eacaiu, Oaoa?noai
A ioaaeaiee eiiaeie?iaaiiuo iaoiaia ea?aiey ca iineaa-
iea 3 aiaa auei i?iea?aii 136 iaoeaioia EAI. Ana iie iieo?a-
ee eiiieaeniia ea?aiea, aee??ay oeieieo?aao? oa?aie?. Ec
ieo eo?aaua inei?iaiey ia?eea?aa, ?aciie noaiaie au?a?ai-
iinoe, auee aeaaiinoe?iaaiu o 33 iaoeaioia.
O 20 iaoeaioia yennoaaoeaiue ia?eea?aeo ia eiae eeeie?an-
eeo i?iyaeaiee e aue auyaeai i?e eiio?ieuiii OCE (oieueia
yennoaaoa io 5 ai 12 ii). Iaae?aaiea ca yoeie iaoeaioaie a oa-
?aiea 1 aiaa iieacaei ?aa?anne? yennoaaoa aac aiiieieoaeuii-
ai ea?aiey.
O 8 aieuiuo eciaiaiey iineee aieaa au?a?aiiue oa?aeoa?:
yennoaaoeaiue ia?eea?aeo (oieueia yennoaaoa 15-30 ii) nii?i-
ai?aaeny iauoeie e eciaiaieyie ia YEA: nie?aiea aieuoa?a
eiiieaena QRS, aeooociia nie?aiea i?ioannia ?aiiey?eca-
oee, aicieeiiaaiea neioniaie oaoeea?aee (90-120 oaa?ia a ie-
iooo). Ea?aiea yoie a?oiiu caee??aeinu a iaiie?aoiie ioieoee
ia?eea?aa noaeneoieaaeuiui ainooiii n iaeneiaeuiie yaa-
eoaoeae ?eaeinoe e aaaaaieai eio?aia?eea?aeaeuii ei?oeei-
noa?ieaia. Ia?aeeaeuii iacia?aeanu i?ioeaiainiaeeoaeuiay
oa?aiey: ianoa?ieaiua i?ioeainiaeeoaeuiua i?aia?aou, aanai-
neaeeece?o?uea n?aanoaa, iieeaeoaieiu. Aeiaie?aneia ia-
ae?aaiea ca yoeie iaoeaioaie iieacaei aaaeaaoiinou ea?aiey
(OC-eiio?ieu 1 ?ac a 2 ian).
O 3 iaoeaioia aieaa au?a?aiiay eeeieea yennoaaoeaiiai ia-
?eea?aeoa (oaoeiiia a iieia, oaoeea?aey 110-150 oaa?ia a ieio-
oo, i?eaee?aiea aiieeooau QRS e ecieeiee ia YEA, oiaiuoaiea
ioeunaoee na?aa?iiai eiioo?a i?e ?aioaaiineiiee aieaa au?a-
?aiiia, ?ai a ii?ia (10-15 ii ?oooiiai noieaa), oiaiuoaiea
nenoiee?aneiai aaaeaiey i?e aaioa, oiaiuoaiea ?acieou ia?-
ao nenoiee?aneei e aeanoiee?aneei aaaeaieai, ?aaeno?aoey
i?e OCE auiioa a ia?eea?aa io 30 ai 45 ii) o?aaiaaea iaiaa-
eaiiiai ia?eea?aeioaioaca n onoaiiaeaieai eaoaoa?a e a?a-
aiaaiui aeiaie?aneei OCE n ia?aeeaeuiie i?ioeaiainiaee-
oaeuiie oa?aieae. O 2 aieuiuo ec yoie a?oiiu auiieiyeanu oi?a-
eineiiey n ?aaeceae i?aaiia n?aainoaiey aey enee??aiey ?aoe-
aeaa, ia?aeeaeuii auea auiieiaia ia?ee?ayeoiieey, o?eouaay
«iaianuoiinou» yennoaaoeaiiai ia?eea?aeoa n iiei?eoaeuiie
aeiaieeie. 1 aieuiay ec yoie a?oiiu ai a?aiy oi?aeineiie?an-
eie iia?aoee ii iiaiao oeeaciiai ieaa?eoa (iinoeo?aaie oea-
?ic n iaeeoa?aoeae aioo?ea?oaiiai eeioaoe?aneiai i?ioiea) e
ia?aeeaeuii i?iaaaaiiie ia?eea?ayeoiiee iiaeaea.
2 iaoeaioa iiaeaee i?e yaeaieyo i?ia?anne?o?uae na?aa?-
ii-ninoaenoie iaainoaoi?iinoe, naycaiiie n ?acaeoeai au?a-
?aiiiai iinoeo?aaiai eiino?eeoeaiiai ia?eea?aeoa.
Naiaa?aiaiiay aeaaiinoeea e i?aaeeuii aua?aiiay oaeoeea
ea?aiey eo?aaiai ia?eea?aeoa iicaiey?o ecaa?aou inei?iaiee,
ia naycaiiuo n iniiaiui caaieaaaieai.
III Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee». Ai?aeu, 2000, Aioaeey; Iaeeeaoeaiay iaaeoeia e ?aaaeeeoa-
oey, 2000, ¹ 1-2, no?. 59.
ËÅ×ÅÍÈÅ ËÓ×ÅÂÛÕ ÝÍÄÎÒÎKÑÈKÎÇÎÂ
Ó ÎÍKÎÃÈÍÅKÎËÎÃÈ×ÅÑKÈÕ ÁÎËÜÍÛÕ
A.N. Ianoa?aiei, E.E. K?eeoiiaa, ?.N. Aoaaaia,
A.I. ?oaiei, A.A. ?ueiaa
Iaaeoeineee ?aaeieiae?aneee iao?iue oaio? ?AII, Iaieine,
?inney
Oeaiaaay e aaeoa?eaeuiay oienaiey yaey?ony iniiaiuie ia-
oiaaiaoe?aneeie caaiuyie yiaioieneeicia, ?acaeaa?ueony iin-
ea eo?aauo aicaaenoaee e eeeie?anee i?iyaey?ueony a aeaa yi-
oa?ieieeoia, ?aeoeoia, oenoeoia, aicieea?ueo a i?ioanna eo?a-
aie oa?aiee iieieiae?aneeo caaieaaaiee.
O 69 iaoeaioie ?aeii oaeee eee oaea iaoee (2-3 HOMO) ii-
?aaaeyee i?aa?aniiei?aiiinou e ?acaeoe? eioieneeaoee ii ia-
?ooaie? niioiioaiee a aaeeao ii?e a?iiaoe?aneeo aieiieen-
eio (280 ii) e iaioeaiuo naycae (200 ii), a oae?a ii iiauoaie?
eiioaio?aoee n?aaiaiieaeoey?iuo iaioeaia. 19 iaoeaioeai n
iiauoaiiuie iieacaoaeyie eioieneeaoee iacia?aee yioa?i-
ni?aaiou oeia ay?inee eee iieeoaiai ii 10 a 3 ?aca a aaiu ia-
183
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