ÐÅÒÐÎÑÏÅÊÒÈÂÍÛÉ ÀÍÀËÈÇ
ÝÔÔÅÊÒÈÂÍÎÑÒÈ ËÅ×ÅÍÈß
ËÅÉÊÎÇÎÂ Ó ÄÅÒÅÉ
N.A. Eaaaaueiaa, A.A. Eaoiaa, A.E. Aoaianuaaa
I?aiao?aneay ainoaa?noaaiiay iaaeoeineay aeaaaiey,
Iaeanoiay aaoneay eeeie?aneay aieuieoa, I?aiao?a, ?inney
Ino?ua eaeeicu caieia?o iaii ec aaaoueo iano n?aae aaii-
aeanoicia a aaoneii aic?anoa. ?ac?aaioaii cia?eoaeuiia eiee-
?anoai aa?eaioia ea?aiey aaiiie iaoieiaee. Iaiaei ie iaei ec
ieo ia aa?aioe?oao eae auoia a ?aienne?, oae e aucai?iaeaiea
iaoeaioia. Oaeu? ianoiyuae ?aaiou yaeeinu i?iniaeoeaiia
eco?aiea yooaeoeaiinoe ?acee?iuo noai ea?aiey eaeeicia o aa-
oae ii aaiiui aiaoeaoi?iuo ea?o e enoi?ee aieacie iaeanoiie
eeeie?aneie aaoneie aieuieou I?aiao?aa. Ca ia?eia n 1988 ii
1997 a. ia aaca niiaoe?aneeo, a n 1994 a. iieiaaiaoieiae?aneiai
ioaaeaiey ianeaaiaai e i?iea?ai 121 iaoeaio (73 iaeu?eea, 48
aaai?ae) ?acee?iiai aic?anoa. Aic?anoiay iaaeaia ninoaaeea 5
eao 7 ian; naiue ieaaoee iaoeaio iinooiee a aic?anoa 10 ian,
naiue noa?oee — 13 eao. Aeaaiic ino?iai eaeeica aue onoaiia-
eai ii ?acoeuoaoai einoiiiicaiauo e nieiiiicaiauo ioieoee,
o?aiaiiaeiinee, oeoioeie?aneeo enneaaiaaiee. Ana aaoe ia ii-
eo?aee i?aaaa?eoaeuiiai ea?aiey e auee ?acaaeaiu ia aaa
a?oiiu. A 1-e a?oiia eiaoeoey ?aiennee i?iaiaeeanu ii noaiai
AAII, OAII, AI? n iineaao?uae eiinieeaaoeae ?aiennee,
eo?naie ?aeiaoeoee e iiaaa??eaa?uae oa?aieae. N 1991 a. ?a-
noe?ii i?eiaiyeny I e II i?ioieieu BFM-90. I?ioieie I ia i?i-
aiaeeny ec-ca ionoonoaey i?aia?aoia. N 1995 a. ana aieuiua ii-
eo?a?o oa?aie? ii i?ioieieai BFM (2-y a?oiia). N?aae anao
i?iea?aiiuo auoia a ia?ae?io? ?aienne? ioia?aeny o 69
(57%) aaoae. Iaiaei eiaeenu ainoiaa?iua ?acee?ey yoiai iiea-
caoaey a 1-e e 2-e a?oiiao. Oae a 1-e a?oiia ii ninoaaee 47,28%,
ai 2-e — 76,67%. ?aiiea ?aoeaeau ?aua ?aaeno?e?iaaeenu a 1-
e a?oiia (22,86 e 2,37% niioaaonoaaiii). Aac?aoeaeaiay au?e-
aaaiinou a oa?aiea 2 eao e aieaa a 1-e a?oiia ninoaaeea 15,29%,
ai 2-e a?oiia — 62%. Oaeei ia?acii, i?iaaaaiiue aiaeec nae-
aaoaeunoaoao i ainoiaa?ii aieuoae yooaeoeaiinoe ea?aiey eae-
eicia o aaoae ii i?ioieieai BFM.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iineaa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey,
1998, ¹ 2-3, n. 53.
ÎÏÛÒ ÏÐÈÌÅÍÅÍÈß ÂÎÁÅÍÇÈÌÀ ÏÐÈ
ËÅ×ÅÍÈÈ ÎÍÊÎËÎÃÈ×ÅÑÊÈÕ ÁÎËÜÍÛÕ
A.I. Eaoyaei, A.A. Ai?iaeeia, E.A. Iaic?e, A.O. Nei?eiaa
IIO ?AII, Iineaa, ?inney
Aiaaicei i?aanoaaeyao niaie oaeaiai?aaeaiii ninoaaeai-
io? eiiaeiaoe? oa?iaioia ?anoeoaeuiiai e ?eaioiiai i?ien-
oi?aaiey n eiioiiiiaoee?o?uei, i?ioeaiioa?iui e oea?eii-
eeoe?aneei yooaeoii, ieacuaaao iauaa oa?aiaaoe?aneia aaeno-
aea ia oia ainnoaiiaeoaeuiuo i?ioannia, onei?yao eecen oiene-
?aneeo i?iaoeoia iaiaia, oeo?oaao ?annanuaaiea ioaeia. Iin-
ea ?aaeeaeuiie ianoyeoiiee eee ?aaeeaeuiie ?acaeoee i?e ?a-
ea iiei?iie ?aeacu II-III noaaee a ieaia eiiieaeniiai ea?aiey
i?iaiaeony eo?aaay oa?aiey ia ?aaeiia?iua eeioaoe?aneea oc-
eu e eo?nu i?ioeeaeoe?aneie oeieioa?aiee. Caaa?ae enneaai-
aaiey auei auyaeaiea yooaeoeaiinoe i?eiaiaiey aiaaiceia
aey ea?aiey eeioinoaca iinea iia?aoeaiiai e eo?aaiai ea?aiey
?aea iiei?iie ?aeacu e aey nie?aiey iiai?iiai aaenoaey oe-
ieioa?aiee.
A enneaaiaaiea aee??eee 9 aieuiuo ?aeii iiei?iie ?aea-
cu, eioi?ui auiieieee ?aaeeaeuio? ianoyeoiie? (3) eee ?aae-
eaeuio? ?acaeoe? n i?iaaaaieai a iineaiia?aoeiiiii ia?ei-
aa eo?aaie oa?aiee ia iaeanou iiaiuoa?iuo eeioaoe?aneeo oc-
eia e ia iaeanou iineaiia?aoeiiiiai oaa (6) e eo?nu i?ioeea-
eoe?aneie oeieioa?aiee. Aieuiua iieo?aee i?aia?ao ii 8 a?a-
?a 3 ?aca a aaiu a oa?aiea 2 ian n?aco eee ia aieaa 2 ian nio-
noy iinea eiiieaeniiai ea?aiey. ?acoeuoaou ioaiaiu o 4 aieu-
iuo, inoaeuiua aua ia caeii?eee i?eai i?aia?aoa. O anao aieu-
iuo ioia?aii oi?ioaa ca?eaeaiea iineaiia?aoeiiiuo oaia,
oiaiuoaiea (3) eee ionoonoaea (7) eeioi?ae. N?iee iaae?aaiey
ninoaaeee 1-1,5 aiaa. O aaiiuo aieuiuo ia iaae?aaeinu eeioi-
noaca. Ia oiia i?eiaiaiey aiaaiceia eo?nu oeieioa?aiee i?i-
oiaeee n oiaiuoaieai oiene?iinoe: oioiioa I noaiaie, ia ia-
ae?aaeinu nie?aiey o?iaiy eaeeioeoia. Ioia?aia oi?ioay ia-
?aiineiinou i?aia?aoa. Neaaoao ioiaoeou, ?oi o aieuiuo oiaiu-
oeeenu i?iyaeaiey ianoiiaoee a a?oaie iiei?iie ?aeaca ia
oiia i?eaia aiaaiceia.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iineaa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey,
1998, ¹ 2-3, n. 89.
ÒÅÐÀÏÅÂÒÈ×ÅÑÊÀß ÝÔÔÅÊÒÈÂÍÎÑÒÜ
ÊÎÌÁÈÍÀÖÈÈ ÃÅÌÖÈÒÀÁÈÍ + ÖÈÑÏËÀÒÈÍ
ÏÐÈ ÐÀÑÏÐÎÑÒÐÀÍÅÍÍÎÌ
ÍÅÌÅËÊÎÊËÅÒÎ×ÍÎÌ ÐÀÊÅ ËÅÃÊÎÃÎ
A.C. Iooaiaooeia, ?.O. Aaeeeaa, ?.O. Oaoecuyiiaa
Eeeie?aneee iieieiae?aneee oaio?, Eacaiu, ?inney
Yooaeoeaiinou o?aaeoeiiiuo noai oeieioa?aiee II?E ia
i?aauoaao 25-30%.
N oaeu? ioaiee yooaeoeaiinoe aaiiie noaiu iaie auee i?i-
ea?aiu 4 ia?ae?iuo aieuiuo II?E III-IV noaaee: aaaiiea?oeii-
ia eaaeiai — o 1 iaoeaioa, ieineieeaoi?iue ?ae — o 2, iaiae-
eieeaoi?iue ?ae aac ooi?iaiey — o 1. Aic?ano aieuiuo 48-59 eao.
Ea?aiea i?iaiaeeinu ii neaao?uae noaia: aaioeoaaei ii
1000 ia/i
2
ia 1, 8, 15-e aie, oenieaoei 100 ia/i
2
ia 9-e aaiu. Au-
ei ioia?aii, ?oi o 3 aieuiuo aaaaaiea aaioeoaaeia nii?iai?-
aaeinu iiauoaieai oaiia?aoo?u ai 38-38,5°N. O 1 iaoeaioa
auea iaeo?iiaiey II noaiaie. O anao aieuiuo ioia?aeanu oi?i-
oay ia?aiineiinou aaioeoaaeia. Iinea ia?aiai eo?na oeieioa-
?aiee ioia?aeinu noauaeoeaiia oeo?oaiea ninoiyiey: oiaiu-
oaiea aieaaiai neia?iia, ii?iaeecaoey oaiia?aoo?u, oiaiu-
oaiea yaeaiee auoaoaeuiie iaainoaoi?iinoe. O 1 iaoeaioa i?a-
e?aoeeinu e?iaioa?eaiua.
Iauaeoeaiue yooaeo aue ioaiai ?aioaaiieiae?anee iinea
aaoo eo?nia oeieioa?aiee. O 3 aieuiuo ioia?aeanu ?anoe?iay
?aa?anney iiooiee e en?aciiaaiea ieaa?aeuiiai auiioa. O 1 ia-
oeaioa a III noaaee caaieaaaiey ioia?aeanu iieiay ?aa?anney
iiooiee. Ii a iineaao?uai aue ?aaeeaeuii i?iiia?e?iaai.
I?e ii?oieiae?aneii enneaaiaaiee auyaeai iaoiii?oic II noa-
iaie. Oaeei ia?acii, aaiiay noaia ea?aiey aieuiuo iaiaeei-
eeaoi?iui ?aeii eaaeiai oeo?oaao ea?anoai ?ecie iaoeaioia e
eiaao ieieiaeuiua iiai?iua aaenoaey.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iineaa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey,
1998, ¹ 2-3, n. 77.
ÎÒÄÀËÅÍÍÛÅ ÏÎÑËÅÄÑÒÂÈß
ÏÕÒ Ó ÄÅÒÅÉ Ñ ÎÑÒÐÛÌ ËÅÉÊÎÇÎÌ
E.I. Iia?iaa, A.O. Eaeueaaaaa
IOI e AO ?AIAO, Aeiaou, Eacaonoai
Eioaineoeeaoey i?ia?aii oeieioa?aiee, i?eiaiaiea iiauo
iaoiaia ea?aiey ii BFM-i?ioieieai ieacaee nouanoaaiiia
aeeyiea ia ?acoeuoaou ea?aiey aieuiuo ino?ui eaeeicii (IE),
niinianoaoy oaaee?aie? ?enea iaoeaioia, iaoiayueony a ?a-
iennee. A ianoiyuaa a?aiy aeooaeuiu aii?inu, eana?ueany
i?iaaaaiey ?aaaeeeoaoeiiiuo ia?ii?eyoee ia ?acee?iuo yoa-
iao ea?aiey e iaae?aaiey ca aaouie n IE. Iia iaoei iaae?aa-
515
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