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Аутогемотрансфузія в профілактиці післяопераційних ускладнень при кесаревому розтині: Автореф. дис… канд. мед. наук / С.В. Чермних, Ін-т педіатрії,

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?INOEOOO IAAe?AO???, AEOOA?NOAA OA A?IAEIEIA??

AEAAeAI?? IAAeE*IEO IAOE OE?A?IE

*A?IIEO NA?OEAIA AIEIAeEIE??AIA

OAeE
618.5-089.888.61-089.168.1-06-08-039.71:615.381

AOOIAAIIO?AINOOC?ss A I?IO?EAEOEOe? I?NEssIIA?AOe?EIEO ONEEAAeIAIUe I?E
EANA?AAIIO ?ICOEI?

14.01.01.-Aeooa?noai ? a?iaeieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai

nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

EE?A – 1998

Aeena?oaoe??th ? ?oeiien.

?iaioo aeeiiaii a Aeiiaoeueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?
?i.I.Ai?ueeiai.

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? *AEEA
Aieiaeeie? Ee?eeiae/,

Aeiiaoeueeee iaaee/iee oi?aa?neoao IIC Oe?a?ie,

caa?aeoth/ee eaoaae?ith aeooa?noaa, a?iaeieia??
oa ia?eiaoieia?? OII

Io?oe?ei? iiiiaioe:

– aeieoi? iaaee/ieo iaoe, i?ioani? AeAOEAAE*
Aaeaioeia ?aaeieei?aia,

?inoeooo iaae?ao???, aeooa?noaa ? a?iaeieia??
AII Oe?a?ie,

caa?aeoth/a aeooa?nueeei a?aeae?eaiiyi
aeno?aaai?oaeueieo caoai?thaaiue aaa?oieo

– aeieoi? iaaee/ieo iaoe, i?ioani? AAeIAE*AIEI
TH??e Iao?iae/,

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii?
ina?oe ?i.I.E.Ooieea IIC Oe?a?ie, caa?aeoth/ee eaoaae?ith
aeooa?noaa oa a?iaeieia?? ? 3

I?ia?aeia onoaiiaa:

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao
?i.I.I.Aiaiiieueoey, eaoaae?a aeooa?noaa oa a?iaeieia?? ? 1 (i.Ee?a)

Caoeno aeena?oaoe?? a?aeaoaeaoueny “ 26 ” n?/iy 1999?. i 13
aiae. ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae.26.553.01 ii
caoenoo aeena?oaoe?e ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaoe ca
niaoe?aeueiinoyie “Iaae?ao??y”, “Aeooa?noai ? a?iaeieia?y” i?e ?inoeooo?
iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050, i.Ee?a-50,
aoe.Iaio?euenueeiai, 8).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe?
?inoeoooo iaae?ao???, aeooa?noaa oa a?iaeieia?? AII Oe?a?ie (252050,
i.Ee?a-50, aoe.Iaio?euenueeiai, 8).

Aaoi?aoa?ao ?ic?neaiee “ 25 ” a?oaeiy 1998 ?ieo.

A/aiee nae?aoa? niaoe?ae?ciaaii?

a/aii? ?aaee EAAOI?IA E.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. Eana?aaee ?icoei a iao /an ? iaea?eueo
iioe?aiith iia?aoe??th a aeooa?noa?, /anoioa yeiai eieeaa?oueny a
oe?ieeo iaaeao ? i?iaiaeeoueny o 2 – 20 % an?o iieia?a
(A.ss.Aieioa,1989; A.E.Noaiaie?anueea, 1994; A.E.Aeeaiacyi, 1995;
A.A.*a?iooa, 1997; A.I.Na?ia e niaao., 1998). Iaeiae, aein? aiia
caeeoa?oueny ia aeoaea aacia/iith aeey iaoa?? o ca’yceo c aenieith
/anoioith e?iaiao?ao oa ai?eii-naioe/ieo i?neyiia?aoe?eieo oneeaaeiaiue,
ye? ?icaeaathoueny /anoi ia oii? aiai?e (A.E.E?aniiiieueneee e
niaao.,1993; TH.I.Aaeiae/aiei ? ni?aaao.,1994; A.O.Ieoaeeaiei,1995).
Aaeeea e?euee?noue ai?eii-naioe/ieo oneeaaeiaiue a i?neyiieiaiaiio
ia??iae? i?eoiaeeoueny ia ae?iie, eio?ei aoei aeeiiaii eana?aaee ?icoei
(A.I.Aaioeueeianueeee,1989; D.H.Watts et al.,1990).

Iaeiei c oaeoi??a, yeee ni?ey? ?icaeoeo i?neyiia?aoe?eieo
oneeaaeiaiue, ? i?aeaeuaia oa ia a?aeiiaeaia a/anii e aaeaeaaoii
e?iaiao?aoa i?ae /an eana?aaiai ?icoeio (N.ss.Nieueneee oa
ni?aaao.,1986; A.E.Noaiaie?anueea oa ni?aaao.,1989).

Aeei?enoaiiy aeiii?nueei? e?ia? oa ?? eiiiiiaio?a aeey
a?aeiiaeaiiy e?iaiao?aoe iia’ycaii c iiaeeeaeie iani?eyoeeaeie
iane?aeeaie: ?ioiiiiina?aaeeiaai? oa ia?ioii? oneeaaeiaiiy, o?aini?n?ai?
caoai?thaaiiy – a??oniee aaiaoeo, NI?Ae, oeeoiiaaaeia??onia, aa?iaoe/ia
oa ?io? ?ioaeoe?? (O.A.Aieiniaa, 1992; A.A.Ii?ieia, 1992; E.E.Oeyooaiei
e niaao.,1995). Ne?ae a?aooaaoe oaeiae aeao?oe?o ? aenieo
eiooiai?noue aeiii?nueei? e?ia? oa ?? eiiiiiaio?a a iao /an.

?aaeueiith iiaeeea?noth aeeeth/eoe i?neyo?ainooc?ei?
oneeaaeiaiiy, ae??oeoe i?iaeaio aacia/ieo oa aenieiaoaeoeaieo cania?a
a?aeiiaeaiiy

e?iaiao?aoe, noathoue i?ia?aie aooiaeiii?noaa (E.A.Aeooeaae/, 1994;
A.A.Aieiaei e niaao.,1995; I.I.Iao?ia e niaao.,1996). sse iaeei c
iaoiae?a aooiaeiii?noaa a aeooa?noa? caneoaiao? oaaae ia?aaeiia?aoe?eia
caaioiaea aooie?ia? aaa?oiei, ye? aioothoueny aei ieaiiaiai eana?aaiai
?icoeio.

Iacaaaeath/e ia cia/iee aeina?ae aeei?enoaiiy aooiaaiio?ainooc?e
i?e ??cieo o??o?a?/ieo iia?aoe?yo (C.I.*ai/eaa e niaao.,1995;
I.I.Oeoaa?aeeaa e niaao., 1995), a aeooa?noa? oeae iaoiae ia io?eiaa
aaaeaiiai ?iciianthaeaeaiiy ? ia aea/aiee aei e?ioey (A.Ae.Aethaaaa e
niaao., 1993; I.Ae.Oiiei, 1995; A.I.Aaoaaee?iaa e niaao., 1996). Ia
?ic?iaeaii aeai?eoi aeeth/aiiy aaa?oii? a i?ia?aio aooiaeiii?noaa, iaia
/?oeeo iaoiaee/ieo ?aeiiaiaeaoe?e uiaei aeai?o iioeiaeueieo ia’?i?a ?
oa?i?i?a aaiiaenooc??, a?aenooi? iia?aeiieaiiy i?i ii??aiyeueio
aoaeoeai?noue ??cieo aa??aio?a ?iooc?eii-o?ainooc?eieo i?ia?ai, a oiio
/ene? oeo, ye? ia?aaeaa/athoue aooiaaiio?ainooc?th, a oaeiae aeai? i?i
aieea aaiiaenooc?? oa ianooiii? aooiaaiio?ainooc?? ia ?ioiieia?/i?,
eiioeaio?aoe?ei?, eiaaoeyoe?ei? iieacieee e?ia? o aaa?oieo oa
ii?iae?eue.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie,ieaiaie,oaiaie.
Aeena?oaoe?eia ?iaioa ? o?aaiaioii aea?aeaaii? i?ia?aie “Aacia/ia
iaoa?einoai-a?ae ca/aooy aei ia?iaeaeaiiy” IIC Oe?a?ie (? aea?aeaaii?
?a?no?aoe?? 0197V002121, oeo? oaie IE 97.06.17), eio?a aeeth/a? ?ic?iaeo
eiiieaena e?eoaaeueii-i?io?eaeoe/ieo caoiae?a, ye? ni?eyee a
i?aeaeuaiith aacia/iino? iaoa?einoaa ? iie?ioaiith caei?ia’y ii?iae?eue
? iaiiaeyo.

Iaoa ?iaioe. Cieceoe /anoioo i?neyiia?aoe?eieo oneeaaeiaiue
i?e eana?aaiio ?icoei? oeyoii ei?aeoe?? e?iaiao?aoe aooie?ia’th.

Iniiai? caaea/? aeine?aeaeaiiy.

1. Ioe?ieoe cia/aiiy aaiio?ainooc?? i?ae /an iia?aoe?? eana?aaiai
?icoeio a i?io?eaeoeoe? i?neyiia?aoe?eieo oneeaaeiaiue.

2. Aea/eoe aieea aenooc?? e?ia? a ia’?i? 3-4 ie/ea iane ia
?ioiieia?/i?,eiioeaio?aoe?ei? oa eiaaoeyoe?ei? iieacieee e?ia? o
aaa?oieo, noai ieiaea ? iiaiia?iaeaeaiiai.

3. I?iaanoe ii??aiyeueio ioe?ieo noaio aiiainoaco ? ia?aa?ao
i?neyiia?aoe?eiiai ia??iaeo o ii?iae?eue i?ney eana?aaiai ?icoeio i?e
aeei?enoaii? aooiaaiio?ainooc?? oa aac ia?.

4. ?ic?iaeoe i?ia?aio aooiaeiii?noaa aeey aaa?oieo, ye? caieaiiaai? aeey
iia?aoeaiiai ao?o/aiiy.

Iaoeiaa iiaecia ?iaioe. Aia?oa eiiieaenii aea/aii aieea aeiciaaii?
aaiiaenooc?? (3-4 ie/ea iane) oa ianooiii? aooiaaiio?ainooc?? ia
aeeiai?eo iieaciee?a /a?aiii? e?ia? oa ne?iaaoeiaiai cae?ca, iieaciee?a
aoii?aeueiiai ?ioi?oaoo, aaiinoaoe/iiai iioaioe?aeo o aaa?oieo ?
ii?iae?eue. Aeiaaaeaii, ui aenooc?y e?ia? a oeacaiiio ia’?i? o
aaa?oieo, ye? aioothoueny aei ieaiiaiai eana?aaiai ?icoeio, noeioethth/e
aieeaa? ia aaiiiiac ? ia i?eaiaeeoue aei ii?ooaiue aiiainoaco, noaio
ieiaea oa iiaiia?iaeaeaiiai.

Onoaiiaeai? iioeiaeuei? no?iee caaioiaee aooieia?/ii? e?ia? aaa?oiei i?e
i?aeaioiaoe? ?o aei ?iaei?ic??oaiiy oeyoii iia?aoe?? eana?aaiai ?icoeio.

Iieacaii ia?aaaao ?io?aiia?aoe?eieo ?iooc?eii-o?ainooc?eieo i?ia?ai, aei
yeeo aoiaeeoue o?ainooc?y aooie?ia?, o ii??aiyii? c iiae?aieie, eio??
aeeth/athoue aeiii?nueeo e?ia aai iiai?noth aeeeth/athoue ??
aeei?enoaiiy.

I?iaaaeaii ii??aiyiiy aeeiai?ee aea/aieo iieaciee?a oa ia?aa?ao
i?neyiia?aoe?eiiai ia??iaeo o ii?iae?eue i?e ??cieo aa??aioao
?iooc?eii-o?ainooc?eieo i?ia?ai i?ae /an iia?aoe?? eana?aaiai ?icoeio.
Aeiaaaeaii, ui o?ainooc?y aooieia?/ii? e?ia? i?ae /an iia?aoe??
eana?aaiai ?icoeio a?eueo aoaeoeaia, i?ae ia?aeeaaiiy aeiii?nueei?
a?eo?ioeeoii? iane. Aooiaaii-o?ainooc?y ni?ey? a?eueo oaeaeeiio
a?aeiiaeaiith ea?oeie /a?aiii? e?ia?, ?ioiieia?/ii? ?aaeoeaiino?
i?aai?cio, aeeeth/ath/e i?e oeueiio ?ecee i?neyo?ainooc?eieo ?
cieaeoth/e /anoioo i?neyiia?aoe?eieo oneeaaeiaiue.

I?aeoe/ia cia/aiiy ?iaioe. ?ic?iaeaii aeai?eoi aeeth/aiiy aaa?oieo, ye?
aioothoueny aei ieaiiaiai eana?aaiai ?icoeio, aei i?ia?aie
aooiaeiii?noaa. Aeiaaaeaii, ui aooiaaiio?ainooc?y ciaioo? iio?aao a
i?aia?aoao aeiii?nueei? e?ia?, aeicaiey? cieceoe e?euee?noue
ai?eii-caiaeueieo caoai?thaaiue oa aiai?e.

Cai?iiiiiaaia i?ia?aia aooiaeiii?noaa aacia/ia aeey aaa?oii? ? ieiaea,
ia iio?aao? aeiaeaoeiaiai iaeaaeiaiiy, oa iiaea aooe c oni?oii
ai?iaaaeaeaia ia o?eueee a ee?i?eao, aea e a i?aeoeoe? ?iaeiaeiiii?aeieo
onoaiia.

I?ia?aia aooiaeiii?noaa aaa?oieo ai?iaaaeaeaia a Aeiiaoeueeiio
aea?aeaaiiio ?aa?iiaeueiiio oeaio?? ii ioi?ii? iaoa?einoaa oa aeeoeinoaa
ia aac? a?aeae?eaiiy a?aa?oaoe?eii? o??o?a?? e?ia?, a oaeiae a i?aeoeeo
?iaeiaeiiii?aeieo onoaiia OeIE ? 3 i.Iae??aee, OeIE ? 24, ? 6 ? IEE
i.Aeiiaoeueea.

Oai?aoe/i? iieiaeaiiy oa i?aeoe/i? ?aeiiaiaeaoe?? aeena?oaoe?eii? ?iaioe
aeei?enoiaothoueny a eaeoe?yo oa ia i?aeoe/ieo caiyooyo aeey ?ioa?i?a,
ia eo?nao i?aeaeuaiiy eaae?o?eaoe??, noaaeoaaiiy oa ?ioi?iaoe?? aeey
e?ea??a aeooa??a-a?iaeieia?a Aeiiaoeueei? iaeano?, ia eaoaae??
aeooa?noaa, a?iaeieia?? oa ia?eiaoieia?? Aeiiaoeueeiai iaaee/iiai
oi?aa?neoaoo.

Iniaenoee aianie caeiaoaa/a:

1. Aecia/aia iaoa ? caaaeaiiy aeena?oaoe??.

2. I?iaaaeaii ee?i?ei-noaoenoe/iee aiae?c /anoioe ? no?oeoo?e
i?neyiia?aoe?eieo oneeaaeiaiue i?e aaaeii?iaeueiiio ?iaei?ic??oaii? ca
iaoa??aeaie 329 ?noi??e iieia?a.

3. I?iaaaeaii ee?i?/ia eiiieaenia ianoaaeaiiy 160 iaoe??ioie, ye? aoee
?iaei?ic??oai? iaoiaeii iia?aoe?? eana?aaiai ?icoeio.

4. Cae?eniaii i?aea?? aaa?oieo aeey o/ano? a i?ia?ai? aooiaeiii?noaa c
o?aooaaiiyi iiaeeeaeo i?ioeiieacaiue, eiio?ieue ca iia?aoe??th
aaiiaenooc??.

5. Aea/aii aieea aaiiaenooc?? a ia’?i? 3-4 ie/ea iane ia aaiiaeeiai?eo,
a oaeiae eiioeaio?aoe?ei?, a?io?i?/i?, ?ioiieia?/i? iieacieee e?ia? oa
aaiinoac, noai oo?iaiiai ieiaea o 100 aaa?oieo, ye? acyee o/anoue a
i?ia?ai? aooiaeiii?noaa.

6. I?iaaaeaia ii??aiyeueia ioe?iea aoaeoeaiino? ??cieo ?io?aiia?aoe?eieo
?iooc?eii-o?ainooc?eieo i?ia?ai ia i?aenoaa? ee?i?ei-eaai?aoi?iiai
aiae?co ia?aa?ao aanoaoe?eiiai, iia?aoe?eiiai ? i?neyiia?aoe?eiiai
ia??iae?a.

7. ?ic?iaeaii aeai?eoi o/ano? aaa?oii? a i?ia?ai? aooiaeiii?noaa.

8. I?iaaaeaii aiae?c io?eiaieo ?acoeueoao?a oa ?o noaoenoe/ia ia?iaea.

Ai?iaaoe?y ?iaioe. Iniiai? iieiaeaiiy aeena?oaoe?? aeiiia?aeaeeny ? aoee
iaaiai?ai? ia can?aeaiiyo iaeanii? ni?eee aeooa??a-a?iaeieia?a,
Aeiiaanueei? anioe?aoe?? “N?i’y ? caei?ia’y” (Aeiiaoeuee, 1997),
eaoaae?e aeooa?noaa, a?iaeieia?? oa ia?eiaoieia?? OII AeiiAIO
(Aeiiaoeuee, 1997), A/aii? ?aaee Oe?a?inueeiai IAe? iaaee/ieo i?iaeai
n?i’? (Aeiiaoeuee, 1997), ia i?aeiaeani?e iaoeiai-i?aeoe/i?e
eiioa?aioe?? “I?io?eaeoeea ? e?eoaaiiy ai?eii-naioe/ieo oneeaaeiaiue a
aeooa?noa?, a?iaeieia??, ia?eiaoieia?? oa iaae?ao???” (Aeiiaoeuee,
1997); ia V-e eiioa?aioe?? Iineianueeiai oiaa?enoaa aaiaoa?aco (Iineaa,
1997), i?aeia?iaeiiio nai?ia?? “A?aa?oaoe?eia o??o?a?y e?ia? a
aeooa?noa?, a?iaeieia?? oa ee?i?/i?e iaaeeoeei?” (Iineaa, 1996), O-io
c’?cae? aeooa??a-a?iaeieia?a Oe?a?ie (Iaeana, 1996); XV-io Anana?oiueiio
Eiia?an? aeooa??a-a?iaeieia?a (Eiiaiaaaai, 1997), 2-e iaoeiai-i?aeoe/i?e
eiioa?aioe?? Anioe?aoe?? aeooa??a-a?iaeieia?a Oe?a?ie c i?iaeaie
“Eana??a ?icoei o no/aniiio aeooa?noa?” (?aiaoi??y, 1998).

Ioae?eaoe??. Ca oaiith aeena?oaoe?? iioae?eiaaii 13 ae?oeiaaieo ?ia?o, a
oiio /ene? 4 noaoo? a oeaio?aeueieo iaaee/ieo aeo?iaeao, 2 – a ca??ieeo
iaoeiaeo i?aoeue ? 7 – a oacao eiioa?aioe?e ? nai?ia??a, c ieo 3 ?iaioe
– ca ei?aeiiii.

Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 157 noi??ieao
iaoeiiieniiai oaenoo ? neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, oanoe
?icae?e?a aeanieo aeine?aeaeaiue, aiae?co oa ocaaaeueiaiiy io?eiaieo
?acoeueoao?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e ? e?oa?aoo?iiai
iieaae/eea, yeee aeeth/a? 289 aeaea?ae. ?iaioa ?ethno?iaaia 20
oaaeeoeyie ? 15 ?enoieaie, ye? aeeeaaeai? ia 29 noi??ieao.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Aeey ae??oaiiy iinoaaeaieo
caaaeaiue i?iaiae?ciaaii 329 ?noi??e iieia?a ae?iie, ye? ciaoiaeeeeny
i?ney iia?aoe?? eana?aaiai ?icoeio a iieiaiaiio a?aeae?eaii?
Aeiiaoeueeiai aea?aeaaiiai ?aa?iiaeueiiai oeaio?o ii ioi?ii? iaoa?einoaa
oa aeeoeinoaa. Iniaeeao oaaao i?e oeueiio aoei caa?iaii ia ia’?i
e?iaiao?aoe i?ae /an iia?aoeaiiai ?ic?iaeaeaiiy, aaeaeaaoi?noue ?
nai?/ani?noue ?? a?aeiiaeaiiy, /anoioo ? no?oeoo?o i?neyiia?aoe?eieo
oneeaaeiaiue.

Aacia/i?noue aeiciaaii? aenooc?? e?ia? i?ae /an aaa?oiino? aoea aea/aia
i?e i?iaaaeaii? aaiiaenooc?? 100 iaoe??ioeai, ye? i?eeiyee o/anoue a
i?ia?ai? aooiaeiii?noaa.

Ii??aiyeueia aoaeoeai?noue ??cieo ?io?aiia?aoe?eieo
?iooc?eii-o?ainooc?eieo i?ia?ai aoea iieacaia ia i?aenoaa?
ee?i?ei-eaai?aoi?iiai aiae?co ia?aa?ao aanoaoe?eiiai, iia?aoe?eiiai oa
i?neyiia?aoe?eiiai ia??iae?a o 30 ae?iie, ye? i?ieoee i?ia?aio
aooiaeiii?noaa (3 a?oia) i?e i?aeaioiaoe? aei ieaiiaiai eana?aaiai
?icoeio, ? 60 ae?iie, yeei aoei aeeiiaii iia?aoe?th eana?aaiai ?icoeio
ca iiae?aieie iieacaiiyie, i?e/iio 30-oe c ieo i?ae /an iia?aoe?? aoei
ia?aeeoi aeiii?nueeo e?ia (2 a?oia), a 30-oe aaiio?ainooc?th ia
i?iaiaeeee (1 a?oia).

Ee?i?/ia ianoaaeaiiy aaa?oieo ? ii?iae?eue on?o a?oi i?iaiaeeeiny ca
caaaeueiii?eeiyoith noaiith ? aeeth/aei e??i caaaeueiiai o?ce/iiai ?
niaoe?aeueiiai aeooa?nueeiai ianoaaeaiiy oaeiae eaai?aoi?i? aiae?ce:
eiioeaio?aoe?ei? iieacieee e?ia? (??aaiue aaiiaeia?io, aaiaoie??o,
e?euee?noue a?eo?ioeeo?a), i?ae?aooaaiiy e?eueeino? eaeeioeeo?a ?
aecia/aiiy eaeeioeeoa?ii? oi?ioee oa oaeaeeino? in?aeaiiy a?eo?ioeeo?a,
a?io?i?/iee aiae?c e?ia? c aecia/aiiyi ??aiy caaaeueiiai a?eea,
a?e??oa?ia. E??i oeueiai, aecia/aee ??aaiue ne?iaaoeiaiai cae?ca
oioiiao?e/iei iaoiaeii (Garsia A. 1979, Caccahan J.H., Cook K.O., 1982)
ca aeiiiiiaith iaai?o A?i-Eaoano “Cae?ci”, a oaeiae iieacieee
aoii?aeueiiai ?ioi?oaoo (?ioiiaeiaoe?ie A, I,G) iaoiaeii i?inoi?
?aae?aeueii? aeeooc?? ca Mancini et al. (1965).

Aeine?aeaeaiiy i?iaiaeeeeny a ee?i?/i?e oa a?io?i?/i?e eaai?aoi??yo
ae?aaiinoe/iiai a?aeae?eaiiy Aeiiaoeueeiai aea?aeaaiiai ?aa?iiaeueiiai
oeaio?o ii ioi?ii? iaoa?einoaa oa aeeoeinoaa, a oaeiae a ?ioiieia?/i?e
eaai?aoi??? e?eoaaeueii-ae?aaiinoe/iiai oeaio?o ee?i?/ii? ?ioiieia?? oa
aea?aieia?? Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo.

I?iaiaeeee oaeiae ioe?ieo nenoaie aaiinoaco: e?euee?noue o?iiaioeeo?a,
i?io?iia?iiaee ?iaeaen, /an ?aeaeueoeeo?eaoe?? ieacie, oiea?aioi?noue
ieacie aei aaia?eio, eiioeaio?aoe?y o?a?eiiaaio ca ?.A.?ooaa?aii.

Aeacai? iieacieee aea/aee ia?aae iia?aoeaiei ao?o/aiiyi, ia 1-o, 3 –
4-o, 6 – 7-o aeiao i?neyiia?aoe?eiiai ia??iaeo, a o aaa?oieo c
aooiaaiio?ainooc??th – aeiaeaoeiai aei ? i?ney aaiiaenooc?? ia 1-o,
3-4-o aeiao.

An? iaoe??ioee aoee ianoaaeai? ia neo?e?n, iin?enoai a??on?a aaiaoeoa ?
A?E. Iaia’yceiai an?i aoee aecia/ai? a?oia e?ia? oa ?acon-iaeaaei?noue.

I?ae /an aaiiaenooc?? a aeeiai?oe? i?iaiaeeee eiio?ieue ca noaiii
nenoaie e?iaiia?ao: aecia/eee /anoioo na?oeaaeo nei?i/aiue, aei??thaaee
a?oa??aeueiee oene c i?ae?aooaaiiyi na?aaeiueiai a?oa??aeueiiai oeneo
(NAO), i?iaiaeeee ioeueniao ieneiao??th ca aeiiiiiaith ii?oaoeaiiai
ioeuenieneiao?a “Oximeter 30406”. An? aeai? caiineee aei i?ioieieo
caai?a aooie?ia?.

Aeey oaeaeei? ioe?iee noaio nenoaie cai?oaiiy ? o?a?eiie?oe/ii?
aeoeaiino? o aaa?oieo aei ? i?ney aaiiaenooc?? i?iaiaeeee
aeaeo?ieiaaoeia?aio ia eiaaoeia?ao? I-334 c aecia/aiiyi ia i?ioyc? 15
oaeeei ii/aoeo, cae?i/aiiy, o?eaaeino? oa oaeaeeino? cai?oaiiy e?ia?,
ii/aoeo ?ao?aeoe?? oa o?a?eiie?co e?ia’yiiai caonoeo.

Aeey ioe?iee noaio ieiaea i?iaiaeeee iai?yio ea?ae?ioieia?ao?th (EOA)
oaoaeueiei iii?oi?ii “Kranzbunler – medizische systeme”. EOA ii/eiaee ca
20 oaeeei aei aaiiaenooc??, i?iaeiaaeoaaee i?ae /an caae?aiiy aooie?ia?
e cae?i/oaaee /a?ac 20 oaeeei i?ney oe??? iia?aoe??. Aiae?coaaee
ianooii? ia?aiao?e ea?ae?ioieia?aie: aacaeueiee ?eoi, aa??aaaeuei?noue,
aeoeaea?aoe?? oa aeaoeaea?aoe??, aiie?ooaeo ? /anoioo inoeeeyoe?e.
?ioa?i?aoaoe?th io?eiaieo aeaieo i?iaiaeeee ca oeaeith W.Fischer et al.
(1976).

Noai iiaiia?iaeaeaiiai ioe?ithaaee ca oeaeith W.Apgar. Aecia/aee
nooi?iue c??eino? iiaiia?iaeaeaiiai, o?ce/iee ?icaeoie, ee?i?/iee
ia?aa?a iaiiaoaeueiiai ia??iaeo, ??aaiue aaiiaeia?io.

Ioe?ieo e?iaiao?aoe i?iaiaeeee a?aa?iao?e/iei iaoiaeii ? ia’?i ??
aecia/aee ca oi?ioeith I.A.E?aiaa (1960).

An? iaoa??aee ia?iaeaii ia ia?niiaeueiiio eiii’thoa?? c aeei?enoaiiyi
i?ia?ai A?? INFO 6 i Microsoft Excel. Aeey aecia/aiiy
aeinoia??iino? ??cieoeue iieaciee?a aeei?enoiaoaaee e?eoa??? No’thaeaioa
? O?oa?a. ??cieoey iieaciee?a aaaaeaeany aeinoia??iith i?e ?0,05).

Ca?aeii c iaoeie niinoa?aaeaiiyie, aenooc?y e?ia? a ia’?i?
3-4 ie/ea iane o aaa?oieo ia i?eaiaeeoue aei aeinoia??ii? ci?ie ??aiy
aaiiaeia?io (1 aeiaa i?ney aaiiaenooc?? 114,90+3,20 a/e, 3-4 aeiaa –
113,45+3,23 a/e i?e 117,12+3,10 a/e aei aaiiaenooc??, ?>0,05),
aaiaoie?eoo (34,11+0,71 %, 33,10+0,70 % ? 34,42+0,80 % a?aeiia?aeii,
?>0,05), a oaeiae e?eueeino? a?eo?ioeeo?a, o?iiaioeeo?a, eaeeioeeo?a,
ai?noo cae?ca a ne?iaaooe? e?ia? (14,0+1,5, 13,4+1,45 ? 15,3+1,6
ieiieue/e, ?>0,05), ia ii?ooo?oueny ? a?eeiaee iai?i (66,90+1,50,
67,80+1,8 ? 67,50+2,10 a/e, ?>0,05). I?e oeueiio aeinoia??ii
i?aeaeuo?oueny a?aeiiniee ai?no ?aoeeoeioeeo?a a 1,36 ?ace, ye
aaeaioeaia ?aaeoe?y (?0,05). Caaaeueiee ia’?i
?io?aiia?aoe?eii? ?iooc?eii-o?ainooc?eii? i?ia?aie aeinoia??ii ia
a?ae??ciyany ? noaiiaea a 1-e a?oi? 1102,33±169,3 ie, o 2-e –
1247,0±395,1 ie ? a 3-e – 1268,0±186,2 ie, aea oey i?ia?aia
a?ae??ciyeany a aeine?aeaeaieo a?oiao ca ye?niei neeaaeii: a 1-e a?oi?
aoei aeei?enoaii, a iniiaiiio, ?ic/eie e?enoaei?ae?a ? aoaeaaiae?a; a
2-e a?oi? – e??i oeueiai aoei i?iaaaeaii aaiio?ainooc?th aeiii?nueei?
a?eo?ioeeoii? iane (228,30±51,43 ie); a 3-e – iiia?aaeiueicaaioiaaii?
aeanii? e?ia? iaoe??ioee (275,3±45,0 ie), i?e/iio aeiey ?? o
a?aeiia?aei?e ?iooc?eii-o?ainooc?ei?e i?ia?ai? aoea a 2,0 ?ace iaioa,
i?ae aeiey aeiii?nueei? e?ia? o 2-e a?oi? (21,71 % ? 44,82 %
a?aeiia?aeii), ? ia’?i ?? neeaa o 1,53 ?ace iaioo /anoeio, i?ae
aeiii?nueea e?ia o 2-e a?oi? a?ae na?aaeiueiai ia’?io e?iaiao?aoe a oeeo
a?oiao (a?aeiia?aeii 77,39% ? 49,89%) i?e ia?a?aooieo ia’?ia
a?eo?ioeeoii? iane ia oe?eueio aeiii?nueeo e?ia. ?aaeoe?? ia ia?aeeaaiiy
eiiiiiaio?a aeiii?nueei? e?ia? oa aooie?ia? a?aei?/aii ia aoei.

Ee?i?ei-eaai?aoi?iee aiae?c ia?aa?ao i?neyiia?aoe?eiiai
ia??iaeo o ii?iae?eue c ??cieie aa??aioaie ?iooc?eii-o?ainooc?eieo
i?ia?ai iieacaa ianooiia (oaae.2).

Iaea?eueo cia/ia cieaeaiiy iieaciee?a /a?aiii? e?ia?
a?aei?/aeiny a 1-e a?oi? ii?iae?eue (o yeeo iia?aoe?y eana?aaiai ?icoeio
ia noi?iaiaeaeoaaeany aaiio?ainooc??th) ia 3-4 aeiao ioa?ia??y:
aaiiaeia?i noaiiaea 98,63±4,13 a/e (84,13 % a?ae ii/aoeiaiai) (?0,05), a?eo?ioeeoe – 3,300,06o1012/e (97,35 % a?ae
ii/aoeiaiai, i?e ?>0,05), aaiaoie?eo – 32,610,70% (97,93% i?e ?>0,05).

A 2-?e a?oi? ii?iae?eue ia 1-o aeiao i?ney iia?aoe?? ??aaiue
aaiiaeia?io, iieacieee aaiaoie?eoo, e?euee?noue a?eo?ioeeo?a ia
a?ae??ciyeeny a?ae ii/aoeiaeo, aea ia 3-7-o aeiao ioa?ia??y aiie
aeyaeeeny cia/ii ieae/eie, i?ae iieacieee aei iia?aoe??: aaiiaeia?i
107,173,23a/e (91,22 % a?ae ii/aoeiaiai, ?

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