
Protokoly_diagnostiki_i_lechenia_zabolevany
.pdf3 " |
|
. J " – |
|
|
"& |
|
|||||
% $ |
|
, |
" 900 |
$ % , |
|||||||
% |
. |
|
|
|
|
|
|||||
" |
" . |
|
|
|
|
|
|
|
|
||
! # " |
|
" |
" |
||||||||
& |
% , |
|
|
|
|
|
|||||
|
% #$ |
, |
|
|
|||||||
, |
|
|
|
|
|
|
|
|
|||
, & |
|
|
|
||||||||
|
% |
&$ " |
; 3 |
||||||||
" |
. > & " |
||||||||||
" |
" . |
|
|
|
|
|
|
||||
$ & |
% " $. _ $ |
& . & & $ " "3.
J "
& $ $
+ $ |
' & |
% & "$ & " % . |
|
' " # & |
"$ "$ & |
& ( % %$ $ " )
" & :
1.V 100 /2
2.*; V 50 /1
3. *; V 1% 1
4.*š 5% 10 , 20
5.*7 70% ( )
" & & :
|
,- ! : 3 & , |
" & & " "3. |
/ |
, & : |
1. |
< & 3 . http://www.neuro.net.ru/bibliot/bme/ |
2. |
! " " # . @%. 6 . ? ;B ?, 6., 1998 |
3. |
" $# " . 7 ;?-6>@, 2002. |
* – , # (% % ) .
7 8
: 21-172
"$ &: "
: 6!
& ! : , , "(: ;03 ' , % %
) : 7 - # % % " , / " " ; % – %
$ :
-,
-% , %
-,
- % |
( " , " ) |
' |
% " "$ : |
, % , |
|
: & &, , – % |
" , & & , % & % , – " .
" & : " & & :
+ :
, .
" & :
1. *@ 100 &
" & & :
,- ! :
$ " %
/ |
, & : |
|
1. Sprains and strains. Prodigi guidance. Last revised in July 2005 |
* – |
, # (% % ) . |
; 8
: 02-026
"$ &: "
: 6!
& ! : & , % % , & .
(:
B00.5 " &
H16
B02.3 $# %
H03.1* |
% |
, |
||
|
|
|
|
|
H13.1* |
V$ |
|
, |
|
|
|
|
|
|
H19.1* , |
, V$ |
|||
H19.2* V$ |
, |
|||
|
|
|
||
H22.0*B |
, |
|||
|
|
|
|
) : ; 8 – ( " $# )" " (" # V$), .
$ :
1.< V$
2.: ( , , ) ( V )
3.B .
* : L |
$# , Herpes |
||||
Simplex |
1; " |
" " |
; |
% , |
|
; & . |
|
|
|
||
|
|
: D , |
, |
V |
|
( & " ).
1.! &, " , ;
2.& V ( );
3.B & " , " # - , V, , % " & ( );
4.( ,, , %
" );
5.' % " " /" (" # $# ).
" & :
1.'
2.<
3.B " &
" & & :
2.&
3.; ( & )
5.; K
6.'
7.&
8.&
9.&
10.&
11.@ " ($ , - ).
+ :
% " & " % , % " " % .& " " & , $# V .
7 & : "
( , , , , ,
). |
+ |
3 |
|
$ & " |
, |
, . |
B % & " " |
||
% |
|
. |
6 ( ! ) " . @ & % .
7 & |
|
: |
|
|
|
|
|
" |
|||
|
|
" " |
|
|
. |
|
" & :
1.B
3.+
4.! &
5. *? ( ) ( & ) 0,1%, 0,5%, 1% 1
6.B &
7.*+ 20
8. ? &, 200 ; 205
" & & :
" – & .
|
|
,- |
! (! ): |
" |
" 7 |
|
. ' |
. |
|
|
/ , & :
1.Prodigy Knowledge. Prodigy Guidance – Herpes simplex – ocular.2004.
2.! " – . ? ?>+ . ?.?. . +BB ?6+. 6 .
3.Kaufman H, Martola E, Dohlman C. Herpes simplex treatment with IDU and corticosteroids. TransAm Acad Ophthalmol Otolaringol 1963;67:695-701.
4.Sonkin P, Baratz K, Frothingham R, et al. Acyclovir-resistant herpes simplex virus keratouveitis after penetrating keratoplasty. Ophthalmology 1992;99:1805-8.
5.Liesegang T. Diagnosis and therapy of herpes zoster ophthalmicus. Ophthalmology 1991;98:1261-29.
6.Hoang-Xuan T, Buchi E, Herbort C. Oral acyclovir for herpes zoster ophthalmicus. Ophthalmology 1992; 99:1062-71
7.Wilhelmus KR. Interventions for herpes simplex virus epithelial keratitis (Cochrane Review). In: The Cochrane Library, Issue 3, 2001. Oxford: Update Software. Search Date November 2000.
8.Wilhelmus KR., Gee L., Hauck WW, et al. Herpetic Eye Disease Study. A controlled trial of
topical corticosteroids for herpes simplex stromal keratitis. Ophthalmology 1994; 101: 1883-1895. 9. @ & . >% " . 2003 - L & 7. - !. 2340-2349.
* – , # (% % ) .
;
: 02-023
"$ &: "
: 6!
& ! : ! % ' @ &$ # &% & , " " .
(: H40
Q15.0 ' %
) : ; – , $# " (' @),, $# "( 3 ) & .
$ : |
|
$ %$, |
, |
, $ ' @, |
%$ |
& " . |
|
%$: " , " , " |
|
. |
|
: % , $& , . |
' @: & , & ,, .
$ ' @: , ; & ,' @.
% & : " & , , , & .
"$ ( & ): , . * : . ". B$# " % . . ! .
: ' @, % , % , 3 & .! && " % % ,$# % & , " % ,, $ &, . $", ' @, , &
. + & ' @ & , $#$ ( , .), ( , ,, ) ( & , , ). 40 & ' @ & % 1 .
" & :
1.'
2.<
3.&
4.;
6.&
8.&$ ( " )
" & & :
1.;
2. |
|
|
|
|
|
|
|
+ : |
|
|
|
|
|||
|
" |
& |
3 & |
: |
|||
|
, |
|
. # |
||||
|
: " 3 . |
|
|||||
|
|
|
& |
' @ |
3 & |
: % ' @, |
|
& |
" 3 3 , $# . |
& 3 &
. |
|
|
|
|
|
|
|
|
' % |
. |
|
|
– |
" |
" |
||
% |
|
3 |
|
& |
|
|
|
|
. ! 3 &$ "$ |
, $# |
$ (b - |
||||||
? ): 0,25-0,5% 2 & |
|
1 & (0,5%). " % ' @ ( ' @ 25 . . & ) – &. ' @ –" . 3 " ( ' @) – " .
J " " & J! "
-; 0,5% ( 1 2 / ). - ( 1 1 / . " ). - ( 1 3 / ).
J! "
-< 0,25%, 0,5% ( 1 2 / ). -@ 2% ( 1 3 / ).
-@ 0,1% ( 1 2 / ). - 0,125-0,25 ( 1 3 / ). " & . J>L>+B> !; B!;H ?
- 1 0,5% % . – &" ( " & ). -B 2% % 15- , 1-24 .
" & . -'/ "$ &: 1-2 2,5% 1 2%( % ).
-@ % ' @ % & (500 / , / &), & . – & . + 3 /
|
|
. J! "$ & |
. |
|
|
-+ |
& & |
|
& |
||
|
|
& " |
|
|
" |
3 3 & 3 -' " , & ' @ , % " & ,
$# " , / ( 2 / 20% " 30 ).! &, " 3 % &" " .
J>L>+B> @ !; B!;H ?
-3-4 1% " & " . -0,5% $ 2 &.
-' & "$ 0,25 1-3 &.
-@ % &$ 3$ 3 & 3 .
+ 3 & % « » $ " . ;' @, " .
_ : + : 1% 3
& |
V$& |
|
& ; |
0,02% |
|
|
|||||||
3 & V$& |
& ; 35 |
||||||||||||
+ 100 & |
1 |
2-3 &; & |
|
||||||||||
0,025-0,05 2-5 &; |
|
|
|
|
|
|
|
|
|
||||
! . |
|
|
|
|
|
|
|
|
|
|
|
||
1. : - ; – & |
250 3 & " 2 ; - |
||||||||||||
– & |
150 3 & |
" 2 / |
|||||||||||
15% |
2 1 & " 10 . |
|
|
|
|
|
|
||||||
2. B & : - ' – |
5 3 & " 1 , |
5 |
|||||||||||
& & . |
|
|
|
|
|
|
|
|
|
||||
3. : - – & |
|
400 3 |
|||||||||||
& " 2 , 2 & " 2 . - @ |
– 75-600 |
||||||||||||
/ & |
1 " . |
|
|
|
|
|
|
|
|||||
? |
: - 7 – |
0,25 3 & " 2-3 . |
|
|
|
||||||||
+ |
: |
|
|
|
|
|
|
|
|
|
|
||
- – & 30-160 / / " 6-8 ; |
|
|
|
|
|
||||||||
- + Y- – & |
1 (10 ) 3 &. |
|
|
||||||||||
|
" 1-3 . ' @ – |
|
|||||||||||
|
%$# |
|
" 1 . %$# " |
|
|||||||||
" 2 : |
|
$# |
, |
||||||||||
, |
, |
% |
, |
"$# |
|
" # . ' " :
3 |
0,5 & - 10 ; 0,5 & - 10 ; |
|
&-0,5 - 10 , 1 3 & 30 1,0 / - 10 . |
@ "& 2,0 / .
" & :
1.*;
2.* ( ) ( ) 2% 5 , 4% 10
3.< 0,25%
4.@ &
5.@ &
6.0,075 , 0,3 , 0,15
7.*G V 2,5% 2 ; 25 , 100
8.@ & % 20
9.*' 5 , 10
10.100 %
11.7 250
12.30
13.*@ "& V 40 /10%, 20%
" & & :
,- ! (! ):
- )H - ' @
- % & |
& ' @ |
- |
|
/ , & |
: |
1.American Academy of Ophthalmology. Guideline. Primary Angle Closure. 2000.
2.American Academy of Ophthalmology. Guideline. Primary Open-Angle Glaucoma. 2003.
3.American Academy of Ophthalmology. Guideline. Primary Open-Angle Glaucoma Suspect. 2002.
4.Prodigy Knowledge. Prodigy Guidance-Glaucoma. 2004.
5.EBM Guidelines. Glaucoma. 2004.
6.American Academy of Ophthalmology. Primary Open-Angle Glaucoma Suspect (Initial and Follow-up Evaluation). 2003.
7.ICO International Clinical Guidelines. . Primary Open-Angle Glaucoma (Initial and Follow-up Evaluation). 2005.
8.Rossetti L., Marchetti I., Orzalesi N. Randomised clinical trials on medical treatment of glaucoma: are they appropriare to
guide clinical practice? // Arch. Ophalmol/ - 1993, 111: 96-103.
9.Glaucoma Laser Trial Group. The glaucoma laser trial (GLT) and glaucoma laser trial follow-up study: results.
Am.J.Ophtalmol 1995, 120: 718-731.
10.Migdal C, Gregory W., Hitchins R., Kolker AE. Long-term functional outcome after early surgery compared with laser and
medicine in open angle glaucoma. Ophthalmology 1994, 105: 1651-1657
11.Collaborative normal-tension glaucoma study group. The effectiveness of intraocular pressure reduction in the treatment of
normal0tension glaucoma. Am.J.Ophtalmol 1998, 126: 498-505.
12.Edwards RS. A comparative study of Ocuset Pilo 40, intensive pilocarpine and low-dose pilocarpine in the initial treatment
of primary acute angle-closure glaucoma. Curr Med Res Opin 1997, 13: 501-509.
13.Evidence-Based Medicine Guidelines. DUODEMECUM Medical Publications. 2001.
* – , # (% % ) .
;
: 03-028
"$ &: "
: 6!
& ! : " ,, " , % " %
(: H66 " H66.9 ! "
) |
: |
< |
(G! ) |
|
& |
|
|
|
# ( ), |
$# " " % 2-6 & " $ $ . " "$ " & " , , . G " " % & %$20-60 <. % & $ %$# % % ( " , ).
G! " &3 " , %$#.
$ :
1.( )
2.G " ( , , )
* : " & ,( " & % , , " ).
: < , ,%
" & :
2.'
3.B #&$
4.? ( , ! 7)
5.; &
6."
7.V
" & & :
1. " 6 , ! , K
2.' "
3.?
+ :
7 & . $: , , , . !
- " |
|
||||
& . |
|
|
|
|
|
6 |
|
|
|
% |
% & |
& . |
|
|
|
|
|
$ : . |
|
|
+ " & " # % |
, |
, & / |
, |
" 3 . |
|
" & :
1.*@ V 5 / 2
2.*? + 625 ; V 600