3 курс / Общая хирургия и оперативная хирургия / Хирургические_болезни_П_В_Гарелик_И_Я_Макшанов_Г_Г_Мармыш
.pdf
!
–089 (075.8)
" " #$ % & ' ( ) – - –
!
" !"#$% # ' !* +# ,!/ * # 1 ! ' *& 3# !* , 4# 6 : ; *& 3# !* , 4# <# = >
ISBN 985-6539-96-A
=#/ # , / # , # =# &! # & ,#C$: 4 1 *! '&D3# *-, : E =# * %&-E E # =# * %& 3 & E =#1 * % 3# # $F 3 / #3G 3# C * : ! * &$3 &1 #& & , E 33 % *! = & % : ! E , #, #& * H# 3 , # J &! # & 3 #=#/ E 4 *! '&
=#/ # , / # # " & # /: 3$% /K#3 % , # & " % : 1 ! E $3# 3: ! E =# * %,#C ' &E, 4 3# * ,#*& – , = * =& 3 "#& , #=' 3 # * * &! # & #=#/ E ,# & =# * E 4 *! '& & * =#% & "# , *& *!JH : =#% – : ! E
–089 (075.8)
ISBN 985-6539-96-A
#*& &
2
%
* ' #' + ' , -.................................................... |
8 |
/ ' ................................................................................... |
7 |
0 1 1! 2 3 4! 5 6 9.......... |
9 |
L /........................................................................................... |
9 |
M # & * * ..................................................................... |
15 |
P , ' $# / # QR .................................... |
21 |
T,!: QR ....................................................................... |
23 |
II 1 1! 4! 5 6 9 ................ |
26 |
& & .................................................................................. |
26 |
E 3 ' $# E ,# , / * =# & # $# |
|
,!: 3 = % "# # $ ............................................. |
31 |
+ * E ! % D3 = %G "# # $ ........................................ |
34 |
III 1 1! 9.............. |
39 |
P , ' $# D E ' $#G / # .............. |
39 |
T,!: # $# / # #E* :........................................ |
39 |
V/ C# #E* : .................................................................... |
39 |
E # #E* E ................................................................. |
44 |
: W*& & =# * / # ' .............................................. |
45 |
X3, #3 , # $ .................................................................. |
47 |
; # 3 & * ...................................................................... |
51 |
; , # 3 & * ................................................................ |
51 |
#3 & * ........................................................................... |
54 |
+ * #E* E ........................................................................... |
57 |
IV ! !9 1 1! |
|
64 ! 2 41 .............................. |
60 |
T" E , H# .................................................................. |
60 |
V: * D* , 3G......................................... |
62 |
# & *! $ , H# ...................................................... |
64 |
+ * , H# ....................................................................... |
65 |
V ! !9 1 1! 6 4 1 |
|
12- 3! 5 A .......................................... |
68 |
#3 E =# * % E & & ................................................... |
68 |
A =# * % #4 J* – E & & ....................................... |
70 |
+ E $% E & & ................................................................ |
71 |
Y # / # ' "# ! * ; ................................... |
72 |
T " # # % / # ........................................... |
77 |
; ! # ' $% .............................................. |
77 |
;# #& C $.................................................................. |
81 |
;# 4 C $................................................................. |
82 |
Y # # * =# #....................................................... |
85 |
E C $ ............................................................. |
87 |
T,!: "# ! * ................................................................. |
93 |
/ * =# & # $# ,!: "# ! * ............................... |
93 |
+ * "# ! * .......................................................................... |
95 |
# ,# E "# ! * .................................... |
102 |
T $# , & E & 3 =# * # 3$ ...................... |
115 |
+# * # / # "# ! * ............................................ |
118 |
VI ! A ! 1 ................................... |
120 |
' ) ( B CD ....................................... |
120 |
; #" # # ; ........................................................... |
120 |
# & *! $ ; ........................................................... |
121 |
A =# * ! # ' #, : 3 &' DA ZG...... |
122 |
' ) ( B E - ........................ |
124 |
Z#, : 3 &' * F#= * ............................................. |
124 |
>, #= / # '............................................................... |
130 |
# ' .................................................................... |
134 |
#**# # # & *! ........................................................ |
137 |
' ) ( B ( / & - .................. |
139 |
Z#, : 3 &' / = % * F* ................................. |
139 |
#E * .......................................................................... |
147 |
# & *! $ / = % * F* ....................................... |
149 |
Z# ,#C 4 =# * % # $% * & .................................. |
152 |
T,!: / = % * F* ............................................... |
155 |
; ,$ , , ............................................................. |
155 |
P = & ,!: '....................................................... |
1555 |
+ * / = % * F* ....................................................... |
156 |
' ) ( B * B - ....................... |
159 |
#3 % ............................................................................ |
159 |
M #H #E , : ................................................ |
162 |
P$, # # , 3 % * F* ................................................ |
164 |
T & $% , , *& &.......................................................... |
167 |
A =# * % , , *& & D H , 3 % * F* G........ |
171 |
V ' $% ! .................................................................... |
173 |
*#+ * B - ................................................. |
174 |
/ * =# & # $# ........................................................... |
174 |
L * =# & # $# ............................................................... |
174 |
VII 1 1! 1 ! |
|
3 3 1................................................................ |
177 |
T & $% ,,# C &........................................................... |
178 |
A =# * % ,,# C & ................................................. |
184 |
4
VIII 1 1! ! " 6 ! |
|
9 6 !9 4 .......................... |
186 |
' ) ( B * & ..................................... |
186 |
V/ C# $ ,#=# ............................................................... |
186 |
X: * ** ,#=# .......................................................... |
188 |
Z#, & $# * &$ ,#=# ......................................... |
191 |
> 3 , & ' % E ,# ................................... |
192 |
/ * =# & # $# ,!: ,#=# ............................... |
195 |
L * =# & # $# ,!: ,#=# .................................... |
196 |
( B H & % *#) B ..................................... |
197 |
A #C & & – , # # "# = E ,! $ ................... |
197 |
; &: #C &W*& 3 =# * % 3.............................. |
201 |
/ * =# & # $# ,!: "# = E ,! $ ............. |
202 |
+ * "# = E ,! $ ......................................................... |
203 |
A E &............................................................................. |
204 |
0J ! !9 1 1! |
|
46 4 ! 5 6 9 ........................... |
207 |
T & $% , * # & &............................................................ |
207 |
A =# * % , * # & &.................................................. |
216 |
&$ , "# ! = % "# # $......................................... |
218 |
T,!: , "# ! = % "# # $ .................................... |
220 |
/ * =# & # $# ,!: ............................................ |
220 |
+ * , "# ! = % "# # $.............................................. |
222 |
3 ! 3 ............................................................ |
224 |
V #,& =# * # ,# & &$................................................ |
224 |
>#,& =# * # ,# & &$.................................................. |
225 |
4 * C ,# & & ............................................. |
226 |
* ,# & & .......................................................... |
226 |
<#=# # ,# & & .......................................................... |
229 |
XI 96 6 31 ................................................. |
231 |
; : E $" ................................................................... |
236 |
# # E $" ............................................................... |
237 |
;!, = E $" ................................................................ |
237 |
$" /# % " & ............................................. |
237 |
; # ,# C $# E $" .............................................. |
238 |
H#3 # $# E $" .......................................................... |
238 |
[ #E3 E $" ........................................................ |
238 |
P , # # E $" ............................................................. |
239 |
, & ........................................................................... |
239 |
M 3 E $" .................................................................... |
239 |
XII. 1 1! 4 .............................. |
240 |
;# 4# =# * # .................................................. |
240 |
T/ !JH % * # ....................................... |
240 |
T/ !JH % W & ........................................ |
244 |
# ' J E# ................................................................ |
246 |
# ' +#% .................................................................... |
247 |
L / # ,# 4# =# * : # ...................................... |
248 |
P * / # ' P * # F # # # ........ |
248 |
T & $% & 3/ 4 #/ & , # : & $: # |
|
" : * #= %................................................... |
253 |
M 3/ & 3/ 4 #/ & E !/ * : # |
|
" : * #= %................................................... |
255 |
# 4#3 ' $% & 3/ .............................................. |
257 |
; && 3/ 4 #/ & =# * % 3............................... |
260 |
; # 3#& $% !* '\ \\\\\\\\\\\\\\\
6
4
=#/ # , / # ]A ! E =# * # / # ^ , # 1 =# &! # & ,#C$: 4 *! '& D3# *-, : E =# * % &-E E # =# * % & 1 3 & E =# * % 4 3 C# & =# * %G 3# C * : $1 F : !=#/$: # # % =#% #: ! E =# * E , 1 4 ; / # !=#/ # , / # + #& ,#$#
P !=#/ *# 3#J& , *& =# * # #$= & % : ! E * " % E # , # & #$& '* 1$# / # * &$# & #= J& , # # % , *& *# =
; 3 &! = 3 & , # # #$: & ! & : 1 E & * & *& * , &$: : ! E =# * : / # 1 : , *& *#=J/ %,#C ' & !=#/ *# W& 3 , 3 ! # # / # 3 # , / 1 "#$* * =# # 3 "$# " # & *& * 3#&$#=# = &$=& !*$: 4 *! '& : # E & & =#%-: ! E = 3 #: ! E =# * E , 4 #& #/!J& #&: *,# &$: 3#1 F ' & / ## & E : * , /$: 3#F ' & != #& *! # ,# & %: ! E, W& 3!& 1$ = & , / & &' W& : , : #C# # /$3
P3# ##$, # & #$# !=#/ 3 , / "#$#3# 3 ! # * &* =#&* # E 4 =# * E &
P # 3#= , "# &$, 3!& / E 1 &'J
V &$
|
!9 12 ! 5 |
– I |
– , / # #*C "# ! * , ' & & I |
– II |
– , / # #*C "# ! * , ' & & II |
Ht |
– E#3 & * & # = |
Hb |
– E#3 E / |
#$% |
– E & W & 3 |
&'() |
– # C & ,# & * F* |
# |
– ! # E & '$% #4 J* |
*)+ |
– "# ! =-* F#=$% & *& |
*) |
– "# =#* 3# / # ' |
,+) |
– , '-& !$# * |
)+ |
– * 3,'J & 3 E 4 |
)*- |
– * 3/ "# ! = E & 3 |
Mts |
– 3#& &$ |
./ |
– 3 * *J |
mc |
– 3 *J |
(+)– , # / & !*C & & % * F*
# |
– #4 J* – E & & |
01 |
– 3 TE ' |
01 |
– !33 = E |
0(- |
– # #*& , * 3 ' E & 3 |
0- |
– # #*& E & 3 |
0 - |
– & E & 3 |
+4 |
– & * |
+3 |
– & % & |
+ # |
– & # & , – # E E 3 |
++# |
– & # & ,$% E 3 |
+$2% |
– & 3/W3/ #E = % |
56, |
– ! '& !* # # # |
7 8 |
– : =# * ! # ' #, : 3 &' |
980 |
– C# & ' # |
:* |
– H & "# # |
; |
– #-3 E &$% # |
8
0 1 1! 2 3 4! 5 6 9
C '' L M B ' + ) ( - , E /-H )
L /
W #3 =# * %_
W, #3 =# * %_
, =# * %
M # & * * D& # & * =# * % / / # ' # / # ' # G
P , '$# / # QR T &$% & # &
A =# * % & # & D / + # / A 1 F 3 & G
T,!: QR / * =# & #$#
-W, '$#_
-#W, '$#
L * =# & #$# * * 3
(
L / – W& &=#& , # # #3 # ! # =# #QR / 'F#% 3# 'F#% ,##4 3 !JH##* &!$
F#
0 – QR # # , H!,$#&
I – , ', !#& ,# #F##* QR QR # II – QR 3#& , E & #E* , ', !#&
III – QR = ' ! # =# 3#& E , 3 & # # ]& & % F# ^
IV – # *$"#$% / #4 3 !JH % F#J 1 !F JH % ## * 4 E! C J
V – E E & * % / #& E$F# !F#1 #3$: E &