Protokoly_diagnostiki_i_lechenia_zabolevany
.pdf% & &% % ( & , " " # ). ! % & " $.
3 " 6 " & & .
; % :
1.! " " ;
2.J " " ;
3.H ;
4." ;
5. G " " ;
6.H # ;
7." -# # .
! & :
* 1 per rectum " * 100 & 2 ( 7 );1 per rectum " * 1 . per os& & .
" & :
1.*6 250
2.*@ 100
3.*? 125 , 500 , 250
" & & : & * " .
,- ! :
1.% & ;
2.# ;
3.;
4.;
%
/ , & :
1.American College of Obstetricians and Gynecologist. Medical Managment of Abortion.- 2001.- apr. 13 p.
2.Royal College of Obstetricians and Gynecologist. Setting Standart to Improve Women’s Health. Managment of Early Pregnancy Loss, 2000 Oct. 9p.
3.Unsafe Abortion. Global and Regional Estimates of the Incidence of Unsafe Abortion and Associated Mortality in 2000. WHO, Geneva, 2004, .35
4.Royal College of Obstetricians and Gynecologist. Setting Standart to Improve Women’s Health. The Care of Women Requesting Induced Abortion. Evidence-based Clinical Guideline #7, Sept.2004, p.104
* – , # (% % )
'
: 13-122
"$ &: -"
:
& ! :
' & & : 9
(:
D26 @ "
D26.0 K
D26.1 ;
D26.7 @ "
D26.9 6 " "
) : " " / & 3 .
$ :
" :
2.3:
1.$ :
- $ ( ) - $ "
$ ($ % , " % ). - ( ) - $ "( , %$# , ).
- ' " ( & ) - # " ( , ).
2. " :
-< (70-80% " ).
-! (20-30% " ) - "( & , ;" % ( # , );/ ; ; " ; " ).
3 " :
2.?
3.? "
" :
1.+
4.@ " : , %
* :
1. & : , 3 & , $# , % (3 , )
2.+ % .
3.% .
4..
" :
+ " " % ( |
, |
|||
10 14 25 & & ) |
, |
" |
||
" " . |
|
|
|
|
?$ $ 3 %[ . H |
||||
% # - |
$ 3$, % # & |
|||
"$ " |
% ( , |
|||
|
100 / ) &$ $ 3 . |
|||
? " |
3 . ' " " 3$. |
|||
J " : |
|
|
|
|
• " % |
% # & |
|||
# & 3$. |
|
|
||
•& $ 3$ ( # ) .
•!$ % & .
" & :
1. * 6
" & & :
,- ! :
– " " % .– $ .
/ , & :
1.American College of Obstetricians and Gynecologists (ACOG). Surgical alternatives to hysterectomy in the management of leiomyomas. Washington (DC): American College of Obstetricians and Gynecologists (ACOG); 2000 May. 10 p. (ACOG practice bulletin; no. 16).
2.Gynaecological tumours EBM Guidelines. 12.8.2005
3." , & : . . / . M.J. K " , B.+. @ , '.B. , .6. G . — 2- ., . — 6.: 7 ;?-6>@, 2002. — 1248 .: .
* – , # (% % )
|
E 8 |
|
|
|||||||
: 14-133 |
|
|
|
|
|
|
|
|
|
|
"$ &: - " |
|
|
|
|
|
|
||||
: |
|
|
|
|
|
|
|
|
|
|
& !: ? III |
|
($" |
% |
|||||||
" |
, & |
, |
" |
|
||||||
), |
# & |
|
|
. |
% |
|
||||
/ " , |
|
" 30 |
||||||||
|
% |
|
& |
&$ . |
||||||
% |
" . |
|
|
|
||||||
' & & : 5 |
|
|
|
|
|
|
|
|||
(: O73 ) % |
" " |
|
||||||||
|
O73.0 ) % " |
|
|
|
||||||
|
O73.1 ) % " |
|
" " |
|||||||
) : ) % |
|
" " – |
||||||||
% III , % " ,% " . L % 10%.
$ :
1.@ & & ;
2. |
) % " ; |
3. |
– " |
|
" 30 % ; |
4.B # – " , % & & ".
* :
1.@ ;
2.B # ;
3.;
4.$# " " & ;
5.6 % ;
6.? ;
7.L III , , ;
8.;
9. @ & |
% ( 24 " ). |
||||
" : , 3 |
|||||
" |
|
|
: @ % " |
||
. |
|
|
|
|
|
|
|
: |
|||
- " ; |
|||||
- |
, Rh-; |
|
|
||
-" ; |
|||||
- 'BL. |
|
|
|||
|
|
: |
|
|
|
1. |
|
" " ; |
|||
2. |
|
" 30 % ; |
|||
3. |
|
% " . |
|||
" & :
1. Rh- & ;
2.# ( , , );
3.! " ;
4." " ( "
" , , |
) " |
|||||||
|
" |
& |
|
$# |
: |
|||
|
Rh-, , , |
|||||||
, ( , , |
|
|||||||
, |
|
, |
|
|
), |
|
||
, & |
|
$ |
, |
" |
||||
" # , & & , 3 (7 );" _
" & & :
B 'BL
+ :
) % " " " " . @ , & 3 &
|
" 30 % |
. |
|
|
|
||||||||||||
% |
" |
" |
|||||||||||||||
" $ & |
% |
||||||||||||||||
" |
. |
|
" |
||||||||||||||
$% |
" |
||||||||||||||||
. |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
|
' " " |
|
" |
||||||||||||||
% % |
, / 5 >@ - |
||||||||||||||||
$. ' " 3 |
, |
|
|
||||||||||||||
% , , & , & 3 |
& |
||||||||||||||||
|
|
|
. & |
|
|
, |
|
|
|||||||||
|
$ " 30 . |
|
|||||||||||||||
3 & |
|
|
" |
||||||||||||||
% |
" |
|
|||||||||||||||
. |
" & |
||||||||||||||||
, |
|
Rh- % . |
|||||||||||||||
|
|
# & |
|
. |
|||||||||||||
% |
" |
|
|||||||||||||||
% |
|
& |
|
|
# |
|
. |
' |
|
" |
|
||||||
" V |
, 3 . |
|
|
|
|
|
|||||||||||
7 : |
|
|
|
|
|
|
|
|
|
|
|
|
|||||
1. ? III : |
|
|
|
|
|
|
|
|
|
|
|||||||
|
10> \ " |
|
% ; |
|
|||||||||||||
|
|
% |
" |
-" % ; |
|
||||||||||||
|
|
;. |
|
|
|
|
|
|
|
|
|
||||||
2. |
|
|
|
|
" |
|
" |
||||||||||
% " |
|
|
$# : |
|
|||||||||||||
|
|
" ; |
|
|
|
|
|
|
|
|
|||||||
" ;
, , ,
, Rh-.
3. & " 30 %3 & "
% " |
&$ & |
||||
# . |
|
|
|||
4. % |
|
# |
|
" |
|
" V |
, 3 . |
|
|
||
: |
|
|
|
|
|
1. 10 >@ / |
; |
|
|||
2. % " |
; |
|
|
|
|
3.? |
|
( % " |
, |
||
|
, # & |
||||
). |
|
|
|
|
|
" |
. |
|
|
||
" & :
1.* V
2.* V 5 >@/
" & & :
,- ! :
- " ; - ; - .
/ , & :
1.Scottish Obstetric Guidelines and Audit Project: The Managment of Postpartum Haemorrhage.- 2000.-p.29
2.Department of Health, NSW: Framework for Prevention, Early Recognition and Managment of Postpartum Haemorrhage.- Policy Directive.- 2005.- www.health.nsw.gov.au
3.SOGC Clinical Practice Guidelines: Prevention and Managment of Postpartum Haemorhage.- #88, 2000, p.11
4.Institute for Clinical Systems Improvement. Health Care Guideline. Rutine Prenatal Care, 2005, p.80
5.National Collaborating Center for Women’s and Children’s Health. Antenatal Care: Rutine Care for the Healthy Pregnant Women. Clinical Guideline, 2003, p.286
* – , # (% % )
, %
: 14-133% |
|
|
|
"$ &: -" |
|
||
: ( & ) |
|
||
& ! : $ " , |
|
||
|
, |
||
, % % |
|
||
. |
|
|
|
' & & : 7-8 |
|
|
|
(: O82 , " |
|||
O82.0 |
3 " |
|
|
O82.1 |
" " |
|
|
O82.2 |
" 3 |
|
|
O82.8 |
@ " |
|
|
O82.9 |
" " |
|
|
) : – , |
|
||
" " |
$# . |
|
|
$ : |
|
|
|
1.7 " % & & , %$# % % , "% [1] ,
.
2. " $ &$ /" & [1].
* :
1.6 &;
2.? ;
3.; % ;
4." 3 " ;
5.',!;
6.'BL;
7.;
8.;
9.' # 30 ;
10.? " ;
11.? % ;
12.# -" ;
13.; % 3 & , ";
14.+ & %
15." &.
" : 3
|
: ( ): |
?$ |
: |
1.? " IIIIV . % ;
2. " ;
3. % ;
4.+ % % ";
5.% & % %
" ;
6.H %$# "$# ;
7. , $# %$ ;
8.+ & ;
9.! $ " "- # ;
10.+ % III ,# ;
11.; % 3 3 – 3 " ;
12.7 & ;
13.% # & ;
14.7 & ( % !!! ,, % , " .);
15.' " ('BL, ' , ', !);
16." % ";
& :
1.? & , $#
2. + & % ;
3.% & ;
4.;
5.; % " , # 30 ??;
6.' # 30 " 3 & ;
7.' " $#
; 8. & " ? ?;
9.6 & ( , " % , , % );
10.@ & " #$#" % & & .
" & :
1.# ( , , , & );
2.# " ;
3. Rh- ;
4.< " ;
5.;
:
6.& " & ,
7.7 ;
8.& , J ,
" & :
1. 7 ;