A 1968-1987 aa. aieuiua n inei?iaieyie iinea iia?aoee ni-
noaaeyee 50,8%, a 1989-1997 aa. aiey aieuiuo n inei?iaieyie
oiaiuoeeanu ai 33% n aaeuiaeoae oaiaaioeae e nie?aie?. Ia-
uaa eiee?anoai inei?iaiee auei auoa o aieuiuo noa?oa 60
eao. Inei?iaiey ni noi?iiu i?aaiia auoaiey auee iaeaieaa ?a-
nouie, iniaaiii a a?oiia n iaiiiiiaioiui aiaoaoaeunoaii
(23%). N?aae ieo ?acaeoea iiaaiiiee e a?iioeoa a ?aiiai iin-
eaiia?aoeiiiii ia?eiaa iaoiaeeinu a i?yiie caaeneiinoe io
o?aaiaoe?iinoe e i?iaie?eoaeuiinoe iia?aoeaiiai aiaoa-
oaeunoaa. Na?aa?ii-ninoaenoua inei?iaiey yaeeenu i?e?eiie
nia?oe o 50 aieuiuo. Iae?ic eneonnoaaiiiai ieuaaiaa ?acaeeny
o 39 (12,2%) iaoeaioia n aioeia?enoaeuoe?aneei aa?eaioii iea-
noeee ieuaaiaa e o 64 (10,5%) — n eciia?enoaeuoe?aneei.
51,6% ninoaaeee aiieii-naioe?aneea inei?iaiey, a aieuoei-
noaa neo?aaa aoi?e?iiai oa?aeoa?a. Iiaei?iia i?iaaaaiea ?a-
eoai?iiai o?ainieaioaoa nie?aoeei eiee?anoai oaoaeuiuo inei-
?iaiee, naycaiiuo n ianinoiyoaeuiinou? oaia e iae?icii o?ai-
nieaioaoa. I?e niiiaieyo a aaaeaaoiinoe e?iainiaa?aiey en-
eonnoaaiiiai ieuaaiaa iaiaoiaeii i?eaaaaou e oi?ie?iaaie?
ia?ninoaenouo aianoiiicia ia?ao ninoaaie aa?oiae ?anoe
noaaey e oaeiuie eee aioo?ea?oaiuie ninoaaie. Oaeeo iia?a-
oee auiieiaii 112. Oeiaeuiui yoaiii ooieoeiiaeuiie oe?o?ae-
?aneie ?aaaeeeoaoee yaeyaony oi?ie?iaaiea O-ia?aciiai ii oe-
io eiiao a aie eee einiai eiiao a eiiao ieuaaiaii-?aeoai?ii-
ai aianoiiica ia oaa. Eciia?enoaeuoe?aneee aa?eaio ieanoeee
noaaeai ec aieuoie e?eaeciu ?aeoaea n aiaiieinoiui O-ia?ac-
iui ieuaaiaii-?aeoai?iui aianoiiicii yaeyaony iaoiaii
auai?a, iaeaieaa iieii ioaa?a?uei o?aaiaaieyi iaaeoei-
neie ?aaaeeeoaoee.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 87.
ÕÈÐÓÐÃÈ×ÅÑÊÎÅ ËÅ×ÅÍÈÅ
ÌÅÒÀÑÒÀÇÎÂ Â ÁÅÄÐÅÍÍÎÉ ÊÎÑÒÈ
A.I. Iaonii, I.?. Uoiae, E.A. Eocuiei
Iineianeay ai?ianeay iieieiae?aneay aieuieoa ¹62, Iineaa,
?inney
I?e ii?a?aiee neaeaoa iaoanoacaie ceiea?anoaaiiuo iiai-
ia?aciaaiee aaa?aiiay einou — iaia ec naiuo ?anouo eieaee-
caoee aoi?e?iuo i?aaia. Iaoieiae?aneea ia?aeiiu aucuaa?o
neeuiaeoea aiee e iaaieai iaacaae?eaa?o aieuiuo. Eiina?aa-
oeaiua iaoiau ea?aiey ?aaei oaiaeaoai?y?o iieieiaia. Aeoea-
iay oe?o?ae?aneay oaeoeea i?e iaoanoaoe?aneii ii?a?aiee aaa-
?a i?eiaiyaony iiea a ?aaeeo ea?aaiuo o??a?aaieyo. Ca 1967-
1997 aa. iu iia?e?iaaee 64 aieuiuo ii iiaiao iaoanoacia a aa-
a?aiiie einoe. O 20,3% aieuiuo a iiiaio ia?auaiey a noaoei-
ia? i?aae ii?a?aiey ii?aaaeyeenu eae nieeoa?iua. Iaoieiae?a-
neee ia?aeii aiciee a 70,3% iaae?aaiee, i?e?ai a 54,7% ii
ieacaeny enoiaiui i?iyaeaieai iaoanoace?iaaiey. Ea?aiio
iyoiio aieuiiio a nayce n ioeai?iie aeaaiinoeeie ea?aiea ia-
?eiaee o?aaiaoieiae. Ia?ae?iue i?aa ?aua anaai eieaeeciaae-
ny a iiei?iie ?aeaca (72,7% iaae?aaiee), a ii?ea (28,1%) e a
eaaeii (4,7%). O 45 aieuiuo iaoanoac eieaeeciaaeny a i?iene-
iaeuiii iaoayieoeca aaa?aiiie einoe, o 18 (28,1%) — aenoaeu-
iii iaoayieoeca. 35 (54,7%) aieuiui auiieieee ?acaeoe? non-
oaaiiai eiioa n yiaii?ioace?iaaieai, o 7 (10,9%) i?iaaee in-
oaineioac. E oaaeaie? eiia?iinoe i?eoeinu i?eaaaioou a 11
(17,2%) iaae?aaieyo (aee??ay e ia?iiaacaioii-a??oio? ai-
iooaoe?). Oia? 1 aieuiie (iineaiia?aoeiiiay eaoaeuiinou —
1,5%). 79,7% ?eee aieaa 6 ian. A ?aiiea n?iee iinea iia?aoee
aieuiua aaee naay aeoeaii a iinoaee, aieuoeinoai ioeacaeenu
io ia?eioeeia. O ea?aiai o?aouaai iinea i?aaiinio?aiy?uae
?acaeoee n yiaii?ioace?iaaieai e inoaineioaca ioia?aiu oi-
?ioea e ioee?iua ooieoeiiaeuiua ?acoeuoaou. O?eouaay iaeue
?ene inei?iaiee e oi?ioee iaeeeaoeaiue ?acoeuoao oe?o?ae?a-
neiai ea?aiey iaoanoacia a aaa?aiiie einoe, iniaaiii i?e ia-
ee?ee iaoieiae?aneiai ia?aeiia, iaiaoiaeii anaaaa ioaieaaou
aicii?iinou i?aaiinio?aiy?uae ?acaeoee, a a iaeioi?uo neo-
?ayo e aiiooaoee ii?a?aiiie eiia?iinoe.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 93.
ÌÅÒÀÑÒÀÇÛ ÐÀÊÀ ÏÎ×ÊÈ Â ÊÎÑÒßÕ
È ÈÕ ÕÈÐÓÐÃÈ×ÅÑÊÎÅ ËÅ×ÅÍÈÅ
A.I. Iaonii, E.A. Aaienia, E.A. Eocuiei, I.A. Iaonii
Iineianeay ai?ianeay iieieiae?aneay aieuieoa ¹62, Iineaa,
?inney
Ec 130 aieuiuo, iia?e?iaaiiuo ii iiaiao iaoanoace?iaaiey
ceiea?anoaaiiuo iiaiia?aciaaiee a neaeao ca 1967-1997 aa., o 48
ii?oieiae?anee iiaoaa??aai ?ae ii?ee. O ea?aiai aoi?iai a
iiiaio ia?auaiey a noaoeiia? i?aae ii?a?aiey einoae ii?aaa-
eyeenu eae nieeoa?iua. Aieaa 50% aieuiuo ia?aoeeenu a nayce
n iaoieiae?aneei ia?aeiiii. A 18 (37,5%) iaae?aaiee iaoanoac
eieaeeciaaeny a aaa?aiiie einoe, a 10 (20,8%) — a iea?aaie, a
5 — a iicaiieao, a 5 — a oaciauo einoyo. A?oaea ioaaeu neaeaoa
ii?a?aeenu ?a?a. O 12 (25%) aieuiuo a nayce n aaia?aeecaoeae
iiooiee iao?yeoiiey ia i?iecaiaeeanu. I?aaiinio?aiy?uay
?acaeoey n yyiaii?ioace?iaaieai auiieiaia a 12 (25%) iaae?-
aaiee, aiiooaoey e yeca?oeeoeyoey — a 9 (18,7%). Cia?eoaeuii
?a?a i?iaiaeeanu eaieiyeoiiey e a?oaea iia?aoee. Oia?ee ii-
nea iia?aoee 2 (4,2%) aieuiuo. N?aae ia?a?eaoeo iia?aoe? 46
aieuiuo 6 oia?ee a n?iee ai 6 ian. A 17 (35%) iaae?aaieyo ii-
nea i?aaiinio?aiy?uae ?acaeoee ioia?aia oi?ioay e ioee?iay
ooieoey eiia?iinoae. Aa?a iinea eaea?aueo iia?aoee ea?anoai
?ecie aieuiuo nouanoaaiii oeo?oaeinu. Ioaaeaiiua ?acoeuoa-
ou a cia?eoaeuiie ia?a caaenaee io ?ani?ino?aiaiiinoe ia?ae-
?iiai i?aaa, oa?aeoa?a iaoanoace?iaaiey e iaeioi?uo a?oaeo
oaeoi?ia i?iaiica. Aieuiua ?aeii ii?ee n nieeoa?iuie e aae-
ie?iuie iaoanoacaie a neaeaoa, aicieeoeie a ioaaeaiiua n?i-
ee iinea ?aaeeaeuiie iia?aoee ia ia?ae?iii i?aaa, aac ii?a-
?aiey aioo?aiieo i?aaiia — eaiaeaaou aey i?aaiinio?aiy?-
uaai oe?o?ae?aneiai ea?aiey i?e ii?a?aiee einoae.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 94.
ÝÔÔÅÊÒÈÂÍÎ ËÈ ÊÎÍÑÅÐÂÀÒÈÂÍÎÅ
ËÅ×ÅÍÈÅ ÌÅÑÒÍÎ-ÐÀÑÏÐÎÑÒÐÀÍÅÍÍÎÃÎ
ÐÀÊÀ ÌÎËÎ×ÍÎÉ ÆÅËÅÇÛ?
I.A. Iaia?oaia, A.I. Eaoyaei, E.A. Iiaaoaiay
Iaaeoeineay aeaaaiey, Ai?iia?, ?inney
Aey ?aoaiey aii?ina i cia?aiee iia?aoeaiiai aiaoaoaeuno-
aa i?e ea?aiee ianoii-?ani?ino?aiaiiiai ?aea iiei?iie ?aea-
cu eco?aia au?eaaaiinou o 79 iaoeaioie iinea eiina?aaoeaii-
ai ea?aiey. Noaaey O3-4N0 aeaaiinoe?iaaia o 4 aieuiuo, a O3-
4N1-3 o iiaaaey?uaai aieuoeinoaa iaoeaioie — 71 (89,9%).
Aieuiua iieo?eee neaao?uea aeau ea?aiey: eo?aao? oa?aie?
ii ?aaeeaeuiie i?ia?aiia — 17, iieeoeieioa?aie? — 14 e oe-
ieieo?aaia aicaaenoaea — 48. 3- e 5-eaoiyy iauay e aac?aoe-
aeaiay au?eaaaiinou ninoaaeea 26,1, 8,4% e 15,4, 4,2%. A oi
a?aiy eae o aiaeiae?iie a?oiiu aieuiuo eiiaeie?iaaiiiai ea-
?aiey yoe iieacaoaee auee ?aaiu 69,7, 45,8% e 50,4, 36,4% niio-
aaonoaaiii (p<0,05). Ec anao iaoeaioie iinea eiina?aaoeaiiai
ea?aiey 8 eao ia i?i?eea ie iaia aieuiay. Ieacaeinu, ?oi eae
iauay, oae e aac?aoeaeaiay au?eaaaiinou i?e O3-4N2-3 ainoi-
aa?ii ie?a ii n?aaiaie? n T3-4N1. I?e O3-4N1 5-eaoiyy aac?a-
oeaeaiay au?eaaaiinou auea ?aaia 9,8%, a e 84-i ianyoai ana
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