Бородулин В.И., Ланцман М.Н. Справочник: Болезни. Синдромы. Симптомы
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80 0 5+ ,)0 8>0 +80 0 /0 B<
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)0 ? 0/=0+,-(0?-8080?+0C;
/?=0 ?'+D=0 ,0 0 &&8,0 +
+=0+0 (0+0* ? 0&;
)80* 0?, )00++0/;
0@/+ (0+)0C?)')0?&>(00/D
!4
08?80/0?0&/=080;
/)0 00&8(0/+>(048(00,/0-8+0
?/>;8+0+0?)80+0+0?,
',03&'80/0E<K00&0 )00;
?0/U+0+80=0))0&00(=0+8>'(=
0&00;0/00 0?&)00?0&
0 0 &?,)0 ?80 C?8D=0 80 (),)
EP<E0/000/,-+0-,)00@?0. ? 0;
,000 0800?0
/)0+80?000/4+0?80"
/)0 8+0 +0 C)=0 &)=0 ;
/)0 +?0 0 /D=0 ? ,0 )=0 ,0 0 &&;
8,0 +0 +0 *?0 &)80 * ;
000&,/00 080008
/4)0/+>(048(
%D1!
0C)?80+=0)?;
;++&?80 +=0 ?(?80 +=0 )?;;
?80+=0+0*0<0D08?80&?)
&)00+&?00&8 0(000 ?;
,0?&)0&,040&-0)+0?;
+=0+)0/ 0&0(?)0)+
@?00)?=08>+0+800/0L=K<B R=0+ ,)
&?00 0 /=0')=080 ?(
?00*'0 -0 )00/0)=0?+0))
0/0 0?0& 000. ? 0;
,00 0(0 0800?
& 0 /)0 &0 0 (0 )?0 0 ;
0>,-0? 0+,0-0/0?&0+)00+);
0=0&&0?0& 000 ;
+0 +=0 ? 0 0 +0 * ? 0
++0 0&)80* 0?, )
0&,/0800
51
0+40)))00/0=
+ =0 ?8;@?=0 )?; =0 0 4
+&04)0*'0+40&80/?8+00;
?8+00 +0 0 ?0& 0*0
0? 8080/=0)0&0 0 )
0 + 0 =0 40 &8 0 0 8
L:F
23Tm3X0"39X
;+ 0(0 804,)0 0
44)=0?/=0(00=0&?00+0-0?)
& 000 =0+=0/0+ )0 ;
)0 0)?80C0?8+8080)?8D0. ?
)000/8(0+?=0 08=0040C
&(/+D0 ?0 '8(0 (0 /;
=080/)00'?8(0 4/)(0 "
/+0 0 ?,-0 =0 ? 0 /;
&?,-(0/00)48(0 )(0&8(0?;
,0 '0 ? ,0 0 0 +/?=0 ,=
? 00(/0)=0040/80;
80* ? 00/+0 0&)8
3'; ,0 /0 +0 < =0 (;
?,-)0)+00?0& 000/;
8(0&?8(00<0&>(08(0&?=0?,;
-(0 ?0 ?80 0 -,-()0 0 @?0 0 )? =0 88
&?00 04808+0&/+080;
,)0 -00&8(0()(00 0)?8=0?0&
&=0-=0/00=0/+0&0*)0(04/;
)0 ?0 &?,=0 >+0 ,/)=0 +
8(0+ (0?=0/08>+0+80
0/+0?080(/0?0L<EP0/=0?4>)00;
/00)0&0+40+0'/,-0 0;
'/80&,/,)0+-000,02)40'/;
,-0?0+00++0=0 0?;
,-(00 )=0/0?4)0(0 /))0 /0<:0/=
'/80 -,)0C/0+0&-0,D=00+0
+0)))0)?8=00?4,-0<0+0?80+0
4/0?&)004/ ;> 0=00+4
&80)+0?0?=00&?0( =00;
04,)040U,=0?)0& 08(0;
0 0 /0 . ? 0 )0 0 0 (0
80" 0?0+0+000/;
/0*08)08>0 00+;&0;
0 ? ,0 ' ,0 0 ' ,0 &?;
,-,0,0*/)0',00=0+0+),0&?;
&,-0 /0 0 0 +8=0 >0
&(0 +0 * ? 0 &)80 *
000?,-(0
3447=60*0
'0)+0'=0+=00&8 0?0;
80+00 +0+'00?0& 00;
0C0,0 /0/0)D00)48(0 )(0?,)
?U)?)=0(?,-)08+0 +0+0&?;
=0>)0,/)00--)0+ 000
&8(0&)0 &=0>)0 -)00 /0?
'0" 004=000+ +0+=
/00/)000/?'0
&A, H
,0<0+01
(
T.553
L:L
&+
0<0)00&?/400+?++00&;
8+0 ')+0 0 ?/4)0
(
0?)
080/00+404/0+)08+0?&4/;
+0 0 '/8+0 /)+0 C+0
D080/4
+/0?'00-+00/?=0(/=
0/000+)0" A 0+&')0/;
00+=0/+8(0+8> M0@/4;
)0)0
1
&,/)00? 8(0(;
(0?&)(0C>?)=0+=0 04
!D0 0 (?)0 ?+4,0 0 ?8+0 0 ;
8(=08 8(0?(=0),0" 0/)0
0( +0'0
+=5CE
0?;
0 0 ?0 )40 ( 0 +8=0 0 ')0 0 /;
,,02&0&,/)0(00 )0+8> 8+0/;
+0?
&('
0&?80?80-)0+8>'=
/0?0+0?0%0?00? 8(0?&)(
0+80<0@=0+(00@'(=0 ;+?;
0 +=0 0 +?=0 8(0 &?)(=0 &'(
+?=0&(/8(0?))(=00400 8(0?+;
)(0!=0&8(0&-+0')+00')+=0
+ 00 0+=0+00/
0?+00(0+8> 8(0-0? ,0 ;
00 0/02 0/0/),0&0&;
00+0/80-)0+8>'=00?08(0 ;
0I?8,J0040&)00?&)=00&
8))=00?/8)0?/00/)00/0*
(0/(0&,/,)0/,-0/0?0/+0-;
)0&8(00?&8(0+8>'=0 0)))0&88+0;
?8+0/4)+0 00-0/0+ ,)
; 0/=008(000?0/(0?A
0 ?,)0 0/=00?+0/,0
0?+0080 )00+80? ,
+8=0080C'8D=00&-=00?8=
/0"80/0 -0?,00 +0?/4
/8(0 '0 80 0 +?=0 )-()0 0 '
00080+8>'0 =0'=0-M00@+0;
(/0/40-0+8>'0=08=0+8>'0'00;
=040?'0 0C+=0(=0++8=
?+80/0+?D00>00+?0"80/;
0+0&8040)?800+ +0++0+8>'=
+,-(0 008(0 8(0 /4)(=0 <
80/0C+=0 0?+=0/0+8>'0
0&00&=0+8>'000 =0+>000D
/048(0+8>'=0/0&,/+800 0?/;
8(0'0000(/0/000+)0 0=00);
),)00+8+0?++00?,00 0!000
+8000*08(0/(0?00&8(=
0 =0 0 8, )0 ?80 /0 &,/,)=
=0 0 &>+0 /4+0 /=0 80 0 /;
00C+0
)
D
L:F
23Tm3X0"39X
;+ 0(0 804,)0 0
44)=0?/=0(00=0&?00+0-0?)
& 000 =0+=0/0+ )0 ;
)0 0)?80C0?8+8080)?8D0. ?
)000/8(0+?=0 08=0040C
&(/+D0 ?0 '8(0 (0 /;
=080/)00'?8(0 4/)(0 "
/+0 0 ?,-0 =0 ? 0 /;
&?,-(0/00)48(0 )(0&8(0?;
,0 '0 ? ,0 0 0 +/?=0 ,=
? 00(/0)=0040/80;
80* ? 00/+0 0&)8
3'; ,0 /0 +0 < =0 (;
?,-)0)+00?0& 000/;
8(0&?8(00<0&>(08(0&?=0?,;
-(0 ?0 ?80 0 -,-()0 0 @?0 0 )? =0 88
&?00 04808+0&/+080;
,)0 -00&8(0()(00 0)?8=0?0&
&=0-=0/00=0/+0&0*)0(04/;
)0 ?0 &?,=0 >+0 ,/)=0 +
8(0+ (0?=0/08>+0+80
0/+0?080(/0?0L<EP0/=0?4>)00;
/00)0&0+40+0'/,-0 0;
'/80&,/,)0+-000,02)40'/;
,-0?0+00++0=0 0?;
,-(00 )=0/0?4)0(0 /))0 /0<:0/=
'/80 -,)0C/0+0&-0,D=00+0
+0)))0)?8=00?4,-0<0+0?80+0
4/0?&)004/ ;> 0=00+4
&80)+0?0?=00&?0( =00;
04,)040U,=0?)0& 08(0;
0 0 /0 . ? 0 )0 0 0 (0
80" 0?0+0+000/;
/0*08)08>0 00+;&0;
0 ? ,0 ' ,0 0 ' ,0 &?;
,-,0,0*/)0',00=0+0+),0&?;
&,-0 /0 0 0 +8=0 >0
&(0 +0 * ? 0 &)80 *
000?,-(0
3447=60*0
'0)+0'=0+=00&8 0?0;
80+00 +0+'00?0& 00;
0C0,0 /0/0)D00)48(0 )(0?,)
?U)?)=0(?,-)08+0 +0+0&?;
=0>)0,/)00--)0+ 000
&8(0&)0 &=0>)0 -)00 /0?
'0" 004=000+ +0+=
/00/)000/?'0
&A, H
,0<0+01
(
T.553
L:L
&+
0<0)00&?/400+?++00&;
8+0 ')+0 0 ?/4)0
(
0?)
080/00+404/0+)08+0?&4/;
+0 0 '/8+0 /)+0 C+0
D080/4
+/0?'00-+00/?=0(/=
0/000+)0" A 0+&')0/;
00+=0/+8(0+8> M0@/4;
)0)0
1
&,/)00? 8(0(;
(0?&)(0C>?)=0+=0 04
!D0 0 (?)0 ?+4,0 0 ?8+0 0 ;
8(=08 8(0?(=0),0" 0/)0
0( +0'0
+=5CE
0?;
0 0 ?0 )40 ( 0 +8=0 0 ')0 0 /;
,,02&0&,/)0(00 )0+8> 8+0/;
+0?
&('
0&?80?80-)0+8>'=
/0?0+0?0%0?00? 8(0?&)(
0+80<0@=0+(00@'(=0 ;+?;
0 +=0 0 +?=0 8(0 &?)(=0 &'(
+?=0&(/8(0?))(=00400 8(0?+;
)(0!=0&8(0&-+0')+00')+=0
+ 00 0+=0+00/
0?+00(0+8> 8(0-0? ,0 ;
00 0/02 0/0/),0&0&;
00+0/80-)0+8>'=00?08(0 ;
0I?8,J0040&)00?&)=00&
8))=00?/8)0?/00/)00/0*
(0/(0&,/,)0/,-0/0?0/+0-;
)0&8(00?&8(0+8>'=0 0)))0&88+0;
?8+0/4)+0 00-0/0+ ,)
; 0/=008(000?0/(0?A
0 ?,)0 0/=00?+0/,0
0?+0080 )00+80? ,
+8=0080C'8D=00&-=00?8=
/0"80/0 -0?,00 +0?/4
/8(0 '0 80 0 +?=0 )-()0 0 '
00080+8>'0 =0'=0-M00@+0;
(/0/40-0+8>'0=08=0+8>'0'00;
=040?'0 0C+=0(=0++8=
?+80/0+?D00>00+?0"80/;
0+0&8040)?800+ +0++0+8>'=
+,-(0 008(0 8(0 /4)(=0 <
80/0C+=0 0?+=0/0+8>'0
0&00&=0+8>'000 =0+>000D
/048(0+8>'=0/0&,/+800 0?/;
8(0'0000(/0/000+)0 0=00);
),)00+8+0?++00?,00 0!000
+8000*08(0/(0?00&8(=
0 =0 0 8, )0 ?80 /0 &,/,)=
=0 0 &>+0 /4+0 /=0 80 0 /;
00C+0
)
D
L:B
V5525N$05"W
/480800/0&,/,)0? 0 -=0 +
?8(=0 +0+-00+0/04?0*8>)
/40/00/48+0')+0)?00?,
0+?=00+?'08(0=0&>0;
'+,0+@' 0&=08>0/,
+?0 =0 &,0 &+8(0 '=0 &,0 +?8(
+(?+=0840,00?'0?&4/)
8)0/4)000/0+)0/0)+
/8(0=0/,-(00!00+)0&+=00/(
0/00//+0/0&>0? 0+,00;
8=00?80&+8(=0&80'=0800(;
0?&)0+=080'M00/(0<0;
)00CD0+( 04/00+?0/M00/0<
&-0'80&?=0'=0'804;
)=0 ;+?)0+=0(0+?04,000?0;
/400,0/0&80>)0&+;
0-=0/80?&)0+?
T04/8(0/0?,00 0 0 ;
0/0+=0&&+=0'8(0?&;
)(0C+=0@'D=0+=0'+=0+;
?+=0/ 0+0
F
=0+)(0?)00;
+80 T0 /0 0 ?0 &0 0 &,/,)0 &8=
?+80C D=0;800';
80/=0040/00')(00&+8(0;
>)(0 >+0?0/00+0?,00 ;
;+?0+=0')(=0@
" /)0 0 +0 0 ?&)0 *+),
/480/0<0&&=0/=0&?=0;
+/0 0 /0 *0 8(0 /(0 480 @
?8,0 +80 +4=0 80 '/8=0 0 4+0 /
/8(0*08(0/(00/4+00&(/+
4)0+-=00004,0?+00+?=0;
+0/8()00/(04?048(0'0*0?0+-
/0 80?0/40/+0)/00/+0;
/48(0/0? ,044,-0C0+D=
//,-0/=08=0,-0&+80>;
)0C80')=0+)=0,?=0/D03?0/;
48(0/0?,0/=0//=05%=0+?00/
*!G"%
$")0<0 0?&=0?;
,-0 0 +0 /0 0 &0 0
',0800(0=0/4-(0&>0 0&;
0*)))0(/=0&,0 0 (=0@+00 +
+ (0?
* 0?)0&?040/00?+008;
+0 4/0 &0 ?0 /+0 8 0 &?0 4
?+40 0 +0 8(0 8(0 0 C;
+=0 D=0 /4-(0 &0 40 (4/)0 ;
0800/=0&)=0&?+=0?
8=0)/0?+0 ,08+0&?+0?00>/0?;
0 8 0 &?0 & )0 0 +,-)0 /
V5525N$05"W
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&?'00?0/8()0>/0(=0&)
0-08=0&/,-(08+0/+00&+0>/
8
50+(?+0?)0&?0<0++ 050, ;
04/,-0/0',-(0++8(0+=08
0/ 0(0 00+0?&800/8,)0
/0=08>)00'+0*(/04/0;
/0000+0 0++&00`0+0;
=008 0&?0&?,)0000H^_=0 0;
8(00 +0'0/00&4/,0+=0;
00+&',-000 @0 8?80/>
4/0/00/00
)000?+00)40? ,
,=0/)4,00)4,0+8M00/0<0,=0;
/,00?)4,M00(0<0 ,00 ,08 ;
,0 &?0 *0 +0 /0 80 ?&0 ?)=
0=00L<E;0/=040@0'0?))0/0P;0/)
*0+0/080880/0&?0-)
/0E<F0/0N0?)00)40&?0 ,)
?+03+)0)?0+4/0 +0/08=0 ;
0?)0&?000)4,
680++8A08>0+80=0 0+;
(0?=088)004=0=0&00(0/0?;
,)0)0@+?+0(=0+/=0+=0?+48
8=08=08=0?80/40 048
88)0 +8A0 +0 &,/)0 '=0 @+?8
/&800/&808008+0?/+0*0;
+0/080+ )00)40++=0&?0+;
40000 0>03?+)0008
?&)0 (?,)0 0 0 8+0 +'?+
50?)00 0?&)=00/>+0+40 )
.?
,000/00/08;
00/(0&8(000(0 0;
80.'80/?0/)00,=0=0;
8+0@?++=0+?++
" 00(0 )(=0/08 )0&?0?)
00 0>=0 &80+))0<0+0
(
00)48(0 )(0&?=0&004)(0/'=0;
=0 0 +8=0 +),0 /8=00=0;
+0+0*0848(08(0))(0? ,0;
/80 80 80 C&=0 =0 =
/0/D=00(0<0+ 80/0+8
80C=0=000/D=0/=08
')0?,0>=00/ 0@800&0;
(0 +(0 &?0 .)0 +>)0 ?/0 +/,0 80 8=
&)0E<KQ08+0+0+0*0?)+0? ,
0/0++ 0/0?'0/40&80
+0 >+=0 0 40 0 )40 0 /)40 ++
8 0&?
*?
&8 0&)8=0?0, +0 0;
0>
L:B
V5525N$05"W
/480800/0&,/,)0? 0 -=0 +
?8(=0 +0+-00+0/04?0*8>)
/40/00/48+0')+0)?00?,
0+?=00+?'08(0=0&>0;
'+,0+@' 0&=08>0/,
+?0 =0 &,0 &+8(0 '=0 &,0 +?8(
+(?+=0840,00?'0?&4/)
8)0/4)000/0+)0/0)+
/8(0=0/,-(00!00+)0&+=00/(
0/00//+0/0&>0? 0+,00;
8=00?80&+8(=0&80'=0800(;
0?&)0+=080'M00/(0<0;
)00CD0+( 04/00+?0/M00/0<
&-0'80&?=0'=0'804;
)=0 ;+?)0+=0(0+?04,000?0;
/400,0/0&80>)0&+;
0-=0/80?&)0+?
T04/8(0/0?,00 0 0 ;
0/0+=0&&+=0'8(0?&;
)(0C+=0@'D=0+=0'+=0+;
?+=0/ 0+0
F
=0+)(0?)00;
+80 T0 /0 0 ?0 &0 0 &,/,)0 &8=
?+80C D=0;800';
80/=0040/00')(00&+8(0;
>)(0 >+0?0/00+0?,00 ;
;+?0+=0')(=0@
" /)0 0 +0 0 ?&)0 *+),
/480/0<0&&=0/=0&?=0;
+/0 0 /0 *0 8(0 /(0 480 @
?8,0 +80 +4=0 80 '/8=0 0 4+0 /
/8(0*08(0/(00/4+00&(/+
4)0+-=00004,0?+00+?=0;
+0/8()00/(04?048(0'0*0?0+-
/0 80?0/40/+0)/00/+0;
/48(0/0? ,044,-0C0+D=
//,-0/=08=0,-0&+80>;
)0C80')=0+)=0,?=0/D03?0/;
48(0/0?,0/=0//=05%=0+?00/
*!G"%
$")0<0 0?&=0?;
,-0 0 +0 /0 0 &0 0
',0800(0=0/4-(0&>0 0&;
0*)))0(/=0&,0 0 (=0@+00 +
+ (0?
* 0?)0&?040/00?+008;
+0 4/0 &0 ?0 /+0 8 0 &?0 4
?+40 0 +0 8(0 8(0 0 C;
+=0 D=0 /4-(0 &0 40 (4/)0 ;
0800/=0&)=0&?+=0?
8=0)/0?+0 ,08+0&?+0?00>/0?;
0 8 0 &?0 & )0 0 +,-)0 /
V5525N$05"W
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&?'00?0/8()0>/0(=0&)
0-08=0&/,-(08+0/+00&+0>/
8
50+(?+0?)0&?0<0++ 050, ;
04/,-0/0',-(0++8(0+=08
0/ 0(0 00+0?&800/8,)0
/0=08>)00'+0*(/04/0;
/0000+0 0++&00`0+0;
=008 0&?0&?,)0000H^_=0 0;
8(00 +0'0/00&4/,0+=0;
00+&',-000 @0 8?80/>
4/0/00/00
)000?+00)40? ,
,=0/)4,00)4,0+8M00/0<0,=0;
/,00?)4,M00(0<0 ,00 ,08 ;
,0 &?0 *0 +0 /0 80 ?&0 ?)=
0=00L<E;0/=040@0'0?))0/0P;0/)
*0+0/080880/0&?0-)
/0E<F0/0N0?)00)40&?0 ,)
?+03+)0)?0+4/0 +0/08=0 ;
0?)0&?000)4,
680++8A08>0+80=0 0+;
(0?=088)004=0=0&00(0/0?;
,)0)0@+?+0(=0+/=0+=0?+48
8=08=08=0?80/40 048
88)0 +8A0 +0 &,/)0 '=0 @+?8
/&800/&808008+0?/+0*0;
+0/080+ )00)40++=0&?0+;
40000 0>03?+)0008
?&)0 (?,)0 0 0 8+0 +'?+
50?)00 0?&)=00/>+0+40 )
.?
,000/00/08;
00/(0&8(000(0 0;
80.'80/?0/)00,=0=0;
8+0@?++=0+?++
" 00(0 )(=0/08 )0&?0?)
00 0>=0 &80+))0<0+0
(
00)48(0 )(0&?=0&004)(0/'=0;
=0 0 +8=0 +),0 /8=00=0;
+0+0*0848(08(0))(0? ,0;
/80 80 80 C&=0 =0 =
/0/D=00(0<0+ 80/0+8
80C=0=000/D=0/=08
')0?,0>=00/ 0@800&0;
(0 +(0 &?0 .)0 +>)0 ?/0 +/,0 80 8=
&)0E<KQ08+0+0+0*0?)+0? ,
0/0++ 0/0?'0/40&80
+0 >+=0 0 40 0 )40 0 /)40 ++
8 0&?
*?
&8 0&)8=0?0, +0 0;
0>
LKP
V*5X0237
*?, )00/>+0>
-8(00'8(0800++;&=00;
0 +)0 80 0 +0 ?)+0 *0 +,-)
&?'00(0>/=0>/080?,0 ;
0 ++;&0 "'+=0 >+0 8 ,0 &?=
?-)0&00+)=000>/+
.)0 8))0 8>0 0 0 80 /)
/000/0040';
0&8A0,0/0080)004=0
0?/0EAEPP=00?+0C00'D0<00?/0EAEP
*0 '+0 ?0 /)0 4,0 &0 0 P=P0 +
80 0 ?/0 EAEPPP0 C0 '=0 /48(0 0 ;
+0')+D00EAEPP0*048(0&(0+),0 ;
0 ++;&0 " &0 /0 80 /)0 0 +;
/ ?/00/++0? 0+8(0
/
*+"
,.0<0')0&?=0(?,-))0';
8+0 +=0(/=0840'=0??;;
(08,=04+0/00'00+
0 )-0 +)0 )0 0 0 ?,-()0 =
0<0/
?&/0<0)0* 0<0/480+';
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