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Ординатура / Хирургия / @xirurgi_2025 / @xirurgi_2025 - 1367 - файл

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https://t.me/med1917
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ГЛАВА 1. ОБЗОР ЛИТЕРАТУРЫ
1.1 Анатомо-физиологические особенности желудочно-кишечного тракта
недоношенного новорожденного и факторы риска развития
некротизирующего энтероколита
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1.2 Стратегии вскармливания недоношенных новорожденных детей
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17
https://t.me/med1917
IFRCICcFIIdZ* ICLCGCbRFIIdZ* D* IH`KCW* YJDDCW* EF[J* Ÿho <* XGHLCRHE* K* aC[FF* LdDCKHY*XCKJ`JEF[SY*HIEF[[FKEJ*pœ‰r*Ÿhi<*h™ >* *****4DECGHVFDKH* IFDKC[NKC* XJGJRHMY* L* gIEFGJ[NICY* XHEJIHH* M[UaCKC* IFRCICcFIIdZ* ICLCGCbR•IIdZ* DYFIS[H* RGUM* RGUMJ>* * 4`IJVJ[NIC* CXJDFIHS* L* GJ`LHEHH*IFXFGFICDHYCDEH*gIEFGJ[NICMC*XHEJIHS*H*(q:*DK[CIS[H*IFCIJEC[CMCL*K* CE[CbFIICYU* IJVJ[U* q=* U* RJIICW* KJEFMCGHH* XJTHFIECL>* (C* J[NEFGIJEHLIJS* EJKEHKJ* GJIIFMC* LLFRFIHS* YHIHYJ[NICMC* EGC_HVFDKCMC* XHEJIHS* DC* LGFYFIFY* RCKJ`J[J* DLCe* aF`CXJDICDEN* H* g__FKEHLICDEN* XC* DGJLIFIHe* D* 5MC[CRIdY?* GFbHYCYŸo] >**.JK<*”~¤‡†}*•>**ž*DCJLE>*L*DLCFY*GJIRCYH`HGCLJIICY*HDD[FRCLJIHH* XCKJ`J[<* VEC* RFEH* * gKDEGFYJ[NIC* H* CVFIN* IH`KCW* YJDDd* EF[J* pq(9.m)(9.r<* GCRHLcHFDS* IJ* DGCKF* MFDEJTHH* OQ* IFRF[H* H[H* YFINcF* D* RHJMIC`CY* 5`JRFGbKJ* LIUEGHUEGCaICMC* GJ`LHEHS?* H* JICYJ[NIdYH* KCIFVIdYH* RHJDEC[HVFDKHYH* DKCGCDESYH*KGCLCECKJ*L*RCXX[FGCLDKHZ*HDD[FRCLJIHSZ*XUXCVICW*JGEFGHH*X[CRJ<*U* KCECGdZ*KCGY[FIHF*ad[C*IJVJEC*L*EFVFIHF*PQ^ji*VJDCL*XCD[F*GCbRFIHS<*RCDEHMJ[H* XC[ICMC*CalFYJ*gIEFGJ[NICMC*XHEJIHS*adDEGFF<*VFY*EF<*U*KCECGdZ*KCGY[FIHF*ad[C* IJVJEC*L*LC`GJDEF*PQ]\Pjj*VJDCL*bH`IHŸoP >* *****$JIIFF*YHIHYJ[NICF*EGC_HVFDKCF*XHEJIHF*XC`LC[SFE*H`aFbJEN*IFbF[JEF[NIdZ* XCD[FRDELHW*R[HEF[NICMC*MC[CRJIHS*U*ESbF[CaC[NIdZ*ICLCGCbRFIIdZ—*JEGC_HH*H* IJGUcFIHS* TF[CDEICDEH* D[H`HDECW* CaC[CVKH* 2:.<* XJEC[CMHVFDKCW* YHKGCaICW* KC[CIH`JTHH*KHcFVIHKJ*ŸoQ <*DIHbFIHS*JKEHLICDEH*XHfFLJGHEF[NIdZ*_FGYFIECL* H*DFKGFTHH*MCGYCICLŸoO >*.JKbF*XGFRXC[JMJ[CDN<*VEC*YHIHYJ[NICF*EGC_HVFDKCMC* XHEJIHF* XGFRCELGJEHE* XFGFMGU`KU* CalFYCY*H* GJDESbFIHF* KHcFVIHKJ<*J* `IJVHE* H* IJGUcFIHF* YF`FIEFGHJ[NICW* THGKU[STHH* H* DIHbFIHF* EC[FGJIEICDEH* K* XHfFLCW* IJMGU`KFŸoj >** *****:CZGJICLDKHW* Ca`CG* XCKJ`J[<* VEC* GJIIFF* EGC_HVFDKCF* XHEJIHF* pPQ\Qj* Y[mKMmRFIN<* IJVJECF* L* EFVFIHF* ™h* VJDCL* XCD[F* GCbRFIHS* H* XGCRC[bJefFFDS* IF* YFIFF* CRICW* IFRF[H* XCD[F* GCbRFIHSr* IF* CKJ`dLJFE* `IJVHEF[NICMC* L[HSIHS* IJ* VJDECEU* LC`IHKICLFIHS* IFXFGFICDHYCDEH* q=* H* (q:Ÿo] >* 0C[FF* ECMC<* CEDGCVKJ* LLFRFIHS*XGCMGFDDHLICMC*gIEFGJ[NICMC*XHEJIHS*DLFGZ*VFEdGFZ*RIFW*H*YFR[FIICF* ULF[HVFIHF*CalFYJ*gIEFGJ[NICMC*XHEJIHS*IF*DIHbJFE*GHDK*GJ`LHEHS*(q:<*J*LYFDEC*
18
https://t.me/med1917
gECMC*`JRFGbHLJFE*IJVJ[C*XC[ICTFIICMC*gIEFGJ[NICMC*XHEJIHS*H*YCbFE*XCLdDHEN* GHDK* HILJ`HLIdZ* HI_FKTHW* H* YFEJaC[HVFDKHZ* CD[CbIFIHW* H`^`J* R[HEF[NICMC* HDXC[N`CLJIHS*XJGFIEFGJ[NICMC*XHEJIHSŸi<*ok >* *****u‡Š‡•* y>* ž* žCJLE>* DCCafH[H<* VEC* aC[FF* KCGCEKJS* XGCRC[bHEF[NICDEN* pRC* EGFZ* RIFWr*XC*DGJLIFIHe*D*UR[HIFIIdY*XFGHCRCY*paC[FF*k*RIFWr*EGC_HVFDKCMC*XHEJIHS* ad[J* DLS`JIJ* D* DCKGJfFIHFY* DGCKJ* RCDEHbFIHS* XC[ICMC* gIEFGJ[NICMC* XHEJIHS* p=q=r*aF`*ULF[HVFIHS*GHDKJ*(q:>*)RIJKC<*HDD[FRCLJIHF*ad[C*GFEGCDXFKEHLIdY<* H*hks*RFEFW*L*MGUXXF*D*R[HEF[NIdY*XFGHCRCY*EGC_HVFDKCMC*XHEJIHS*HYF[H*YJDDU* EF[J* XGH* GCbRFIHH* ¥ok]* M<* ECMRJ* KJK* L* MGUXXF* D* aC[FF* KCGCEKHY* EGC_HVFDKHY* KCGY[FIHFY*gECE*XCKJ`JEF[N*DCDEJL[S[*[HcN*Q™s*Ÿoh >** *****/* HDD[FRCLJIHH* y†¦‡‚}‡‚* y>* ž* žCJLE><* XCDLSfFIICY* H`UVFIHe* XGCRC[bHEF[NICDEH*XFGHCRJ*YHIHYJ[NICMC*EGC_HVFDKCMC*XHEJIHS<*L*MGUXXF*RFEFW* )(9.*XC[ICF*gIEFGJ[NICF*XHEJIHF*ad[C*RCDEHMIUEC*XC`bF*L*MGUXXF*D*R[HEF[NIdY* XFGHCRCY* EGC_HVFDKCMC* XHEJIHS<* IC* XGH* gECY* VJDECEJ* (q:* ad[J* RCDECLFGIC* IHbFŸoo >*(FCaZCRHYC*CEYFEHEN<*VEC*JLECGd*UVHEdLJ[H*LDF*D[UVJH*(q:<*LK[eVJS* (q:*P*XC*’~ŠŠ>*’€§“•†•*{>*ž*DCJLE>*EJKbF*XGCLCRH[H*DGJLIFIHF*R[HEF[NICMC*XFGHCRJ* EGC_HVFDKCMC*XHEJIHS*pk*RIFWr* D*GJIIHY*XGCMGFDDHGUefHYH*XHEJIHFY*L*MGUXXF* IFRCICcFIIdZ*ICLCGCbRFIIdZ*YJDDCW*XGH*GCbRFIHH*YFIFF*PQk]*M<*H<*DCM[JDIC*HZ* GF`U[NEJEJY<* LGFYS* RCDEHbFIHS* XC[ICMC* gIEFGJ[NICMC* XHEJIHS* H* VJDECEJ* IFXFGFICDHYCDEH*XHEJIHS<*(q:*IF*GJ`[HVJ[HDN*U*IFRCICcFIIdZ*ICLCGCbRFIIdZ* CaFHZ* MGUXX>*)RIJKC<* XGCR[FIHF* XFGHCRJ*EGC_HVFDKCMC* XHEJIHS* ad[C*DLS`JIC* D* aC[FF* IH`KHY* GHDKCY* (q:* U* Y[JRFITFL* YJDDCW* EF[J* YFIFF* P]]]* M>* Ÿoi >*.JKHY* CaGJ`CY<* YHIHYJ[NICF* EGC_HVFDKCF* XHEJIHF* aF`CXJDIC* R[S* M[UaCKC* IFRCICcFIIIdZ*ICLCGCbRFIIdZ<* EFY* IF*YFIFF* CXEHYJ[NIJS*XGCRC[bHEF[NICDEN* gECMC*XFGHCRJ*L*IJDECSfFF*LGFYS*RCDECLFGIC*IF*CXGFRF[FIJ>* *****,CM[JDIC* YFEJ^JIJ[H`U* •€•‚ƒ* „>* D* DCJLE><* CXEHYJ[NIJS* XGCRC[bHEF[NICDENe* XFGHCRJ*YHIHYJ[NICMC*EGC_HVFDKCMC*XHEJIHS<*IF*ULF[HVHLJefJS*VJDECEU*(q:*H* XC`RIHZ*HI_FKTHCIICW*CD[CbIFIHW<*DCDEJL[SFE*YFIFF*j*RIFW*Ÿo™ >*
19
https://t.me/med1917
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20
https://t.me/med1917
XCYCfH* L* XFGLdF* RIH* bH`IH>* ,HDEFYJEHVFDKHW* Ca`CG* yЕއ}“Ž* ’>* CalFRHIH[* GF`U[NEJEd* VFEdGFZ* $:4<* XCDLSfFIIdZ* * EJKEHKF* GJIIFMC* XC[ICMC* gIEFGJ[NICMC* XHEJIHS*p$=q=r*U*DEJaH[NIdZ*ICLCGCbRFIIdZ**YJDDCW*EF[J*XGH*GCbRFIHH*aC[FF* P]]]\PQ]]* M<* `JK[eVJefFMCDS* L* IJ`IJVFIHH* DEJGECLCMC* CalFYJ* i]* Y[mKM* D* XCD[FRUefHY* ULF[HVFIHFY* gIEFGJ[NICW* IJMGU`KH* IJ* Q]^O]* Y[mKMmDUE* RC* RCDEHbFIHS* XC[ICMC* CalFYJ* q=Ÿo >* ,HDEFYJEHVFDKHW* Ca`CG* XCKJ`J[<* VEC* $=q=* JDDCTHHGCLJIC*D*aC[FF*IH`KCW*VJDECECW*XC`RIFMC*DFXDHDJ<*YFINcHY*LGFYFIFY*R[S* RCDEHbFIHS*XC[ICMC*gIEFGJ[NICMC*XHEJIHS<*adDEGdY*LCDDEJICL[FIHFY*YJDDd*EF[J* XGH* GCbRFIHH* H* YFINcFW* XGCRC[bHEF[NICDENe* XGFadLJIHS* L* DEJTHCIJGF>* /* KCMCGEICY* HDD[FRCLJIHH* z‡‚ƒ}‡* u>* ž* DCJLE>* XGCRFYCIDEGHGCLJ[H* aF`CXJDICDEN* RJIICW*EJKEHKH* q=<*J* EJKbF*DIHbFIHF* VJDECEd*DFXDHDJ<* (q:*H* aC[FF*KCGCEKUe* XGCRC[bHEF[NICDEN* XGFadLJIHS* L* DEJTHCIJGFŸiO >* #GUMCF* XGCDXFKEHLICF* CaDFGLJTHCIICF*HDD[FRCLJIHF*XCKJ`J[C<*VEC*HDK[eVHEF[NIC*gIEFGJ[NICF*XHEJIHF* D*GCbRFIHS*aF`CXJDIC*U*IFRCICcFIIdZ*RFEFW*DC*DGCKCY*MFDEJTHH*O]\OO*IFRF[N*XGH* GCbRFIHH* H* YCbFE* DCKGJEHEN* XGCRC[bHEF[NICDEN* XGFadLJIHS* L* DEJTHCIJGF* aF`* ULF[HVFIHS*GHDKJ*(q:Ÿij >*.FY*IF*YFIFF<*aC[FF*XC`RIHW*YFEJ^JIJ[H`*Œ‡Š•Ž*•>*ž* DCJLE>* h* HIRHWDKHZ* HDD[FRCLJIHW*IF* IJcF[* UaFRHEF[NIdZ* RJIIdZ* R[S* cHGCKCW* GFKCYFIRJTHH*RJIICW*EJKEHKH*q=Ÿik >* *****/* EC* bF* LGFYS* …‡•€Š}* ¨>* ž* DCJLE>* L* DLCFW* GJaCEF<* CDICLJIICW* IJ* LECGHVICY* JIJ[H`F*XGCDXFKEHLIdZ*HDD[FRCLJIHW*H`*h*ebICJYFGHKJIDKHZ*DEGJI<*LK[eVJefHZ* aC[FF*PQ]]]*XJTHFIECL* )(9.*H*q(9.*XGH*GCbRFIHH<* XCKJ`J[H<*VEC*YFR[FIICF* IJGJfHLJIHF* gIEFGJ[NICMC* XHEJIHS* DIHbJFE* GHDK* (q:Ÿih <* VEC* DCM[JDUeEDS* D* YFIFF*CacHGIdY*HDD[FRCLJIHSYH*…~‹~†*u>*ž*DCJLE>Ÿio *H*…‡†•©‚~§^‘€|†©ƒ•~§*„>*D* DCJLE>* Ÿii <* XCKJ`JLcHY* YFINcUe* VJDECEU* (q:* U* ICLCGCbRFIIdZ* q(9.* XGH* YFR[FIICY*EFYXF*ULF[HVFIHS*CalFYJ*q=*pP]\Q]*Y[mKMmDUEr>* *****/* Q]Pk* MCRU* $CDDHWDKHY* CafFDELCY* IFCIJEC[CMCL* ad[H* XCRMCECL[FId* H* UELFGbRFId* K[HIHVFDKHF* GFKCYFIRJTHH* 5qIEFGJ[NICF* LDKJGY[HLJIHF* IFRCICcFIIdZ* RFEFW?<* CDICLJIIdF* IJ* XGHCGHEFEF* MGURICMC* YC[CKJ<* GJIIFY* IJ`IJVFIHH* YC[C`HLJ* H* aC[FF* adDEGCY* ULF[HVFIHH* CalFYJ* gIEFGJ[NICMC* XHEJIHSŸP >* ,C[MJDIC* RJIIdY* GFKCYFIRJTHSY* GJDcHGFIHF* CalFYJ* XHEJIHS*