Бородулин В.И., Ланцман М.Н. Справочник: Болезни. Синдромы. Симптомы
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+)(0&(/+0?)0+=080)00;
880 0=0/()04-00+00+-,0?-;
8(000(00/)(=0+)0?-800/0)+
>0? 00&&00++0+0/')0+0(08/=
&0(?);?8(0/+
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,0(+00/,0/08?/00 0+)0/,0/;
0C0(+D00P=K000?0+00+,0004
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0 /0 0 +0 .0 0 &)0
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0I8(0+4J04000(0/0/
(0 0 T0 8(0 &8(0 4)0 /)0 ;
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848080 -0 ,)00?0:P0M0/)=
/=08)=0 000>+0+0+0&00/;
480/ 0?,-0))00 8>8+00;
48+0+0*0&?00+0(0(0;
8(0 0 /)0 &0 +) ,0 +0 +;
;/0(?00?8)0'+
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4/,)0 ?&?8+0 + +0 +0 2=0 /;
8080+0)))0?&?8+0+ +00;
8+0+=0+=0+0=0?)&=
+0+)0 =0/'&+=0&,00/'=0;
+0=0?+
" 0 ,&0 ?80 +;/0 (?0 /4
-))0 0 ( +0 '0 *0 84+0 )
+00/0?',0/0/0?+/00;
4/0/>00 )(0 0,-0/0+;
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080)0C/0+0/4)000D
#"
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#
0 CA0 +)D0 <0 8>0 ;
00/8+08+0?&4/+=0+,0 &?;
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8=0/000)0/80*/=00=0/?;
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0>)0/8(000++0)0&;
80 4,0 --0 &/=0 0 @=0 --)0 ?;
08=0 ?/)00,0 +00-,-
0&>0(00&?80--)0*8>)0/;
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(/0 0 ,0 =0 )),)0 &/80 /0 )
50?0+0<0>0/)000
0 +0 ),0 /0 &+0 8=0 80 +0 &8
8)0 0 8>0 )=0 0 +0 +80 24
:F
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&??8080&U)0&+0+00/)=
0+4008?0?/400)?00 00(
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8?0;(=0>000?'0C/
0/&D00( 0'
%80/+08000)0+;
0?80+;/0(?=040<0 (
400+?
%0)0,0+0C+?=0;
/0 +8> D0 0 /+8+0 ++0 &
0CKP<EPP0+0+?D00+0C0&(/+;
D0U'0 ?0E<0 020&80 00&,0;
'=0+0/ 0>00I&/J=08=0/=00/;
40)0&0/00?&400+8(00/;
8(00=0(/)-)00+0++
)=0&0 0&0/?0080/
+/!0"0 0C+80/+D=0,-
(+000+0),=0+40 0+&
#
G"*!G
"%(.&""
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80>+0'0))0+80+0<
?0<0) 0<0/ =0,-0+,0;
',0 ) 0 .'80 + 80 )0 C.%D0 ?;
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EP0/050&,/,)0+-00/80)00);
/)0/0+8A00/00?)0C,;
80 )D000+?0%0?0400/;
+0/00(=0')(=0')(0=00=
+,0)80(
F 140),0/0EP<EQ0(0;
(0?&=0&,/,-()00?0E<EB000(0;
?0/)00/40'; +0),
0 0 />0 '0 ?0 + 0 8=
,-0 ',0 ) 0 5&0 &)0 /
?0'05/,00,0( 0;
+8=0? 0?=000C0 =0;
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0+0(/0?)0=00/>(0)
0 ?0 *0 @+0 848(0 (0 ?+
@/+=00=0q0(/0.+0 ,
&040/ )0)00+=00/;
>0-0 0?)
#80 )0&,/,)0 -0 0800 /0
+(0C)0+')D0)0&0?000;
0 0 )40 +0 680 &=0 0 =
+)+=0 80 &=0 &/0 40 0 ?8(0 & =
(/)0 5/),)0 ?+)0 (0 0 )'8(
0
.'80/?0/)00?&)+
=0 4/,-+)0 8>0 ,=0 +;
%25NV0552N3$0.37T!35"WV
:L
0(,0) =0>)0&+,00'0>0E:<
EK 0*0>)(08+00+,)0?)00+?
080 80 )0 0 )0 0@'0 ?;
&=0+ ,)0 0/=0(=0+480/48
?))05 0 /0 0 00 @+0 ?0));
,)0++=0+=00>0+
>,0+,0'0+0?0/=
0+0/),)0 0?+00()0@( ;
)00/4+00+=0+00 0)
0" 0,8(0 0, 0/0@A0
)0C+?D000'/0 )08&0+;
/0+?0?00))0&0*0)4+0)=0/
+,)0 8480 ++80 +0 0 +0 C&/0 4
?8(0& =0/40+&00040BP0n=0+;
0 040KQD00/4)0 =0?0(;
0+?0<08&0@/+)00/,-+0 ;
+0/+0&00?&40>)0'0/
80&(/+0?)0/+0-8+0?+=0/;
,00/0'0&000P=KQ00;
0 /?0 */)0 40 ,=0 ,0 0
+000+/+A00?+8=0'0;
=0,0CB<EP0+nD=0? ,0+800080=04;
?/4-0 80 C=0 =0 =0 ++;
00/D0+/,)0&0=0'08
*0)0&0/0)400/+=0;
/0++80+00+0?08480C/40+;
&0008>0BP0n=0+0 08>0KQD=0/)
+?0+8+0+A0@;8+0+
08(0'00 8+0@+00/,-+
++00;8080C;=0/=
=0&D0? ,00:<K0&000/00;
)=0)0(/0&8 00'08(00+0/?
4,00&00=0//)0/0E0&=00 0/4;
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-)0/)0@;8(00&8,0/
&8+M0 /)0 +>)0 0 +),0 ,0 ')
0 0 P=K0 0 <:0 ?0 0 /=0 0 &(/+0 <0 -,-
+ 80 /0 0 (/0 0 +?0 /)0 ;
+ ,0,A0? ,04?/4-08=0+80
80
* 0 '/0 ,8(0 + 8(0
0 0 +0 )0 )0 +
'=0/)00+&8(0)(05+80?80/;
80 0 ?0 @;8(0 0 C8
'8D0 0 80 ? ,0 0 )40 8(0 (
+8(0 '0 0 E &0 0 K;0 0 K;0 /0 0 0 +;
/&0'=0?+0 -00 0(0 '00EF;0
K;0/0'0*+),040 80800EF;00K;0/
+0'00 0:<F0+=0+0,=0/
>0? 0+,0+8=0800?/0?+A
:F
%25NV0552N3$0.37T!35"WV
&??8080&U)0&+0+00/)=
0+4008?0?/400)?00 00(
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8?0;(=0>000?'0C/
0/&D00( 0'
%80/+08000)0+;
0?80+;/0(?=040<0 (
400+?
%0)0,0+0C+?=0;
/0 +8> D0 0 /+8+0 ++0 &
0CKP<EPP0+0+?D00+0C0&(/+;
D0U'0 ?0E<0 020&80 00&,0;
'=0+0/ 0>00I&/J=08=0/=00/;
40)0&0/00?&400+8(00/;
8(00=0(/)-)00+0++
)=0&0 0&0/?0080/
+/!0"0 0C+80/+D=0,-
(+000+0),=0+40 0+&
#
G"*!G
"%(.&""
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80>+0'0))0+80+0<
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EP0/050&,/,)0+-00/80)00);
/)0/0+8A00/00?)0C,;
80 )D000+?0%0?0400/;
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+,0)80(
F 140),0/0EP<EQ0(0;
(0?&=0&,/,-()00?0E<EB000(0;
?0/)00/40'; +0),
0 0 />0 '0 ?0 + 0 8=
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+8=0? 0?=000C0 =0;
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0+0(/0?)0=00/>(0)
0 ?0 *0 @+0 848(0 (0 ?+
@/+=00=0q0(/0.+0 ,
&040/ )0)00+=00/;
>0-0 0?)
#80 )0&,/,)0 -0 0800 /0
+(0C)0+')D0)0&0?000;
0 0 )40 +0 680 &=0 0 =
+)+=0 80 &=0 &/0 40 0 ?8(0 & =
(/)0 5/),)0 ?+)0 (0 0 )'8(
0
.'80/?0/)00?&)+
=0 4/,-+)0 8>0 ,=0 +;
%25NV0552N3$0.37T!35"WV
:L
0(,0) =0>)0&+,00'0>0E:<
EK 0*0>)(08+00+,)0?)00+?
080 80 )0 0 )0 0@'0 ?;
&=0+ ,)0 0/=0(=0+480/48
?))05 0 /0 0 00 @+0 ?0));
,)0++=0+=00>0+
>,0+,0'0+0?0/=
0+0/),)0 0?+00()0@( ;
)00/4+00+=0+00 0)
0" 0,8(0 0, 0/0@A0
)0C+?D000'/0 )08&0+;
/0+?0?00))0&0*0)4+0)=0/
+,)0 8480 ++80 +0 0 +0 C&/0 4
?8(0& =0/40+&00040BP0n=0+;
0 040KQD00/4)0 =0?0(;
0+?0<08&0@/+)00/,-+0 ;
+0/+0&00?&40>)0'0/
80&(/+0?)0/+0-8+0?+=0/;
,00/0'0&000P=KQ00;
0 /?0 */)0 40 ,=0 ,0 0
+000+/+A00?+8=0'0;
=0,0CB<EP0+nD=0? ,0+800080=04;
?/4-0 80 C=0 =0 =0 ++;
00/D0+/,)0&0=0'08
*0)0&0/0)400/+=0;
/0++80+00+0?08480C/40+;
&0008>0BP0n=0+0 08>0KQD=0/)
+?0+8+0+A0@;8+0+
08(0'00 8+0@+00/,-+
++00;8080C;=0/=
=0&D0? ,00:<K0&000/00;
)=0)0(/0&8 00'08(00+0/?
4,00&00=0//)0/0E0&=00 0/4;
,0 0 0 0 EB0 /0 %/&80 8/)0
-)0/)0@;8(00&8,0/
&8+M0 /)0 +>)0 0 +),0 ,0 ')
0 0 P=K0 0 <:0 ?0 0 /=0 0 &(/+0 <0 -,-
+ 80 /0 0 (/0 0 +?0 /)0 ;
+ ,0,A0? ,04?/4-08=0+80
80
* 0 '/0 ,8(0 + 8(0
0 0 +0 )0 )0 +
'=0/)00+&8(0)(05+80?80/;
80 0 ?0 @;8(0 0 C8
'8D0 0 80 ? ,0 0 )40 8(0 (
+8(0 '0 0 E &0 0 K;0 0 K;0 /0 0 0 +;
/&0'=0?+0 -00 0(0 '00EF;0
K;0/0'0*+),040 80800EF;00K;0/
+0'00 0:<F0+=0+0,=0/
>0? 0+,0+8=0800?/0?+A
:B
%25NV0552N3$0.37T!35"WV
')0 0 '0 C0 ?&=0 ?0 0 /D=0 ?
?))0 ? 0 0 C/480 8=0 +=0 84=
=0D=0 '000 +0400/;
0-=0+)00;?+0/0C=0+80
E
0D0800,8+0 )+0/480(/)0/0/;
8+0&,/+0
* ? 0 0 ,-0 0 &)80 5';
0)00?0?+00/00?)0+;
40?0+)0*00/0 )0>0;
'0) 0+400 0&/)0C@/0&/D
* 0 ,8(0 0 , 0 ?;
000?=0?))0? 0=0'0;
=0?+0 /0/00/8(=0/4/0';
8(0&?=0&08=0+,0',0 0'
(<3114/5D
/0),00PQ0(0 (0?&=0 ,;
-()0 0 ?0 EB<:K0 0 * +0 +0 &80 >)0 +;
0+?00&=00@/8(=0'8(0?;
&)(=0 ')(=0 (=0 +0 8(0 8(
0C+=0?/8(0?D
*0.%0/0/00 00,8(0;
00) 0 -0(/00?)=00')0
0?&8 0/'0@00?00@/+0?;
,)0 0?+)M0+-04?;?)
?)0 ?0 0 ?)0 0 C/+?D0 ;
?00/'+80CD0@/+)
)00/))0,0
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(0 )=0 0 8(0 40 +40 &,/)0 +;
0 A0>)0 + )0 &+=0 ?/40
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0 +4+8> 8+0 4+0 ?=0 80 @/+)=0 ;
@/+?0C/+?D=00@/+)=0+ )0C&)D0&;
+0C,-)00>))000&0&;
D= ?80 ) =0 4/0 @/+)0 + 8+
'+00(0+0400/0&?;
)04
58+0 @+0 /0 0 /'0 /0 );
))0?/08&0?0& 00>0+
0 0 +0 *0 /0 0 &0 C&8=0 /8=
>/8D0+400/00(0 0;
'0 0 @/+0 0 0 /'8(0 + 8(
)(004-0/0?00@/+=00;
=0 &4,0 0 '8A0 4?;?,
?,=0 /+?=0 ,0 ?,0 *0 '/,;
-(0 )(08&0/)0/0+0
0 +)0 0 +40 8)0 0 /80 0 8&;
80 0 &80 ?0 & 0 +=0 ++?80 ?8=
@/+/80 (/80 T?0 /0 ?)0 '
%25NV0552N3$0.37T!35"WV
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0++)=08)00/0?+80++?8(0?
0 00@/+?0+0=0?0/;
0+040? 00/0+ 00+ 0&;
+0
" 0, 0( 0+?0C8&D00;
0'/0 )0*/)0?/08&
?0& 00>0+000+0C&0),
0 0 /D0 *80 0 0
4-80 /0 ?0 8+0 +/+=0 0 +
0 0 +-,0 +8(0 =0 /40 ')0
>&0*0+00+0/)0)040)=00
@(0))(00&8(00,8+0 +
.)00'/0 )0+),0+8
8=000/?08(0/&,00?+00?
0 /)0 &0 @/+)0 0 +0 ;
0000 0/?0;
?0@/+)0/)0+)0)0+=0/;
4-+0@80080C08(0'0/;0
/(?8(A0/=0/=0+00/0000/0;
D=00 0<F0+8(0'00K;00K;0/0
0'00/)08&)0*0'/,-0n0;
0?0?0 )008+04+0 ;
+0 8(0 A0 +/0 0 EL;
=0040=0&/,-(0/8+0/;
+=0/),-(0+,0',0) 0C+=0?/D
*80? ,00 0<F0+008+04+00;
/,-+0 +0/+0&0@/+)0
* ? 0 0 +0 =0 0 =0 &)8
T0<:Q04-=0 0 ,-(0/0=0 ?+40@,;
')0 (0'0@/+)0C/+?=0 )0;
?)D00/'+0*/'0)0)))
&)8+0+0/)0?)0&?;?0+=0+;
+80+=0@/+?00?)0@/+?0?0?;
008(08&)(0?0& 0+
* 0)04=000,8(0 )(
0 @8+0 +0 ++0 )0 40 +
8(0 '=0 80 0 0 4,0 0 4;
8(0&+=00/=00&=000/),0;
80'800@/+0
(<3 1 14 /
C+?8D004-0:K<KK00)),)0+0 0;
0 0 0 )0 ?,0 /0 ?;
8(0 ?+0 '0 ))0 + (0 =
,-(0 ',0 ) 0 20 0 '8=
0 )0 ?)=0 /+?=0 0 +?0 ,)
? 0 -=0 +00/+0?
)0&8(004=0000/'8(0+ 8(
)(0/(0?8(0/=0/))0,0;
+00+0=0 8)0&>,0 0,-(0?&;
00&+;@/8(0>0C )0&?=04;
=0+)D=0@0 )004-00?0:K<KK0
0)4=0 +00/0?80/8
:B
%25NV0552N3$0.37T!35"WV
')0 0 '0 C0 ?&=0 ?0 0 /D=0 ?
?))0 ? 0 0 C/480 8=0 +=0 84=
=0D=0 '000 +0400/;
0-=0+)00;?+0/0C=0+80
E
0D0800,8+0 )+0/480(/)0/0/;
8+0&,/+0
* ? 0 0 ,-0 0 &)80 5';
0)00?0?+00/00?)0+;
40?0+)0*00/0 )0>0;
'0) 0+400 0&/)0C@/0&/D
* 0 ,8(0 0 , 0 ?;
000?=0?))0? 0=0'0;
=0?+0 /0/00/8(=0/4/0';
8(0&?=0&08=0+,0',0 0'
(<3114/5D
/0),00PQ0(0 (0?&=0 ,;
-()0 0 ?0 EB<:K0 0 * +0 +0 &80 >)0 +;
0+?00&=00@/8(=0'8(0?;
&)(=0 ')(=0 (=0 +0 8(0 8(
0C+=0?/8(0?D
*0.%0/0/00 00,8(0;
00) 0 -0(/00?)=00')0
0?&8 0/'0@00?00@/+0?;
,)0 0?+)M0+-04?;?)
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?00/'+80CD0@/+)
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0 A0>)0 + )0 &+=0 ?/40
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0 +4+8> 8+0 4+0 ?=0 80 @/+)=0 ;
@/+?0C/+?D=00@/+)=0+ )0C&)D0&;
+0C,-)00>))000&0&;
D= ?80 ) =0 4/0 @/+)0 + 8+
'+00(0+0400/0&?;
)04
58+0 @+0 /0 0 /'0 /0 );
))0?/08&0?0& 00>0+
0 0 +0 *0 /0 0 &0 C&8=0 /8=
>/8D0+400/00(0 0;
'0 0 @/+0 0 0 /'8(0 + 8(
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=0 &4,0 0 '8A0 4?;?,
?,=0 /+?=0 ,0 ?,0 *0 '/,;
-(0 )(08&0/)0/0+0
0 +)0 0 +40 8)0 0 /80 0 8&;
80 0 &80 ?0 & 0 +=0 ++?80 ?8=
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0++)=08)00/0?+80++?8(0?
0 00@/+?0+0=0?0/;
0+040? 00/0+ 00+ 0&;
+0
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0'/0 )0*/)0?/08&
?0& 00>0+000+0C&0),
0 0 /D0 *80 0 0
4-80 /0 ?0 8+0 +/+=0 0 +
0 0 +-,0 +8(0 =0 /40 ')0
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8=000/?08(0/&,00?+00?
0 /)0 &0 @/+)0 0 +0 ;
0000 0/?0;
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4-+0@80080C08(0'0/;0
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D=00 0<F0+8(0'00K;00K;0/0
0'00/)08&)0*0'/,-0n0;
0?0?0 )008+04+0 ;
+0 8(0 A0 +/0 0 EL;
=0040=0&/,-(0/8+0/;
+=0/),-(0+,0',0) 0C+=0?/D
*80? ,00 0<F0+008+04+00;
/,-+0 +0/+0&0@/+)0
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T0<:Q04-=0 0 ,-(0/0=0 ?+40@,;
')0 (0'0@/+)0C/+?=0 )0;
?)D00/'+0*/'0)0)))
&)8+0+0/)0?)0&?;?0+=0+;
+80+=0@/+?00?)0@/+?0?0?;
008(08&)(0?0& 0+
* 0)04=000,8(0 )(
0 @8+0 +0 ++0 )0 40 +
8(0 '=0 80 0 0 4,0 0 4;
8(0&+=00/=00&=000/),0;
80'800@/+0
(<3 1 14 /
C+?8D004-0:K<KK00)),)0+0 0;
0 0 0 )0 ?,0 /0 ?;
8(0 ?+0 '0 ))0 + (0 =
,-(0 ',0 ) 0 20 0 '8=
0 )0 ?)=0 /+?=0 0 +?0 ,)
? 0 -=0 +00/+0?
)0&8(004=0000/'8(0+ 8(
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+00+0=0 8)0&>,0 0,-(0?&;
00&+;@/8(0>0C )0&?=04;
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/0 8&0 ?0 & 0 0 >0 +0 0
+0 *0 @0 8),0 ,=0 ,0 0 ;
?0 /0 +0 0 ) 0 */0 ?)0 8)
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58+0 &8+0+)+0)))0?/
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