.

Реконструктивно-відновна хірургія пошкоджень каркасу грудної стінки та їх наслідків: Автореф. дис… д-ра мед. наук / В.Г. Гетьман, Київ. мед. акад. п

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28

I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

EE?ANUeEA IAAeE*IA AEAAeAI?ss I?NEssAeEIEIIII? INA?OE

?I. I.E.OOIEEA

AAOUeIAI Aaaeei A?eai?iae/

OAeE 616.712-001-089.844

?AEIINO?OEOEAII-A?AeIIAIA O??O?A?ss

IIOEIAeAEAIUe EA?EANO A?OAeII? NO?IEE OA ?O IANE?AeE?A

14.01.03 – o??o?a?y

Aaoi?aoa?ao aeena?oaoe??

ia caeiaoooy iaoeiaiai nooiaiy

aeieoi?a iaaee/ieo iaoe

Ee?a – 1998

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Ee?anuee?e iaaee/i?e aeaaeai?? i?neyaeeieiiii? ina?oe
?i.I.E.Ooieea IIC Oe?a?ie

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani?, aeaaeai?e AII oa IAI Oe?a?ie Oae?iia
Ieaenaiae? Ieaen?eiae/, ii/aniee aee?aeoi? ?inoeoooo ee?i?/ii? oa
aenia?eiaioaeueii? o??o?a?? AII Oe?a?ieaeieoi? iaaee/ieo iaoe, i?ioani?
?aae?iiia Ai?en Aaneeueiae/, caa?aeoaa/ a?aeae?eo oi?aeaeueii? o??o?a??
iaoeiai-aeine?aeiiai ?inoeoooo ooec?ao??? ? ioeueiiiieia??
?i. O.A.ssiianueeiai AII Oe?a?ieaeieoi? iaaee/ieo iaoe I?eueeia Ai?en
Ieaaiae/, i?ioani? eaoaae?e oaeoeueoaonueei? o??o?a?? Aoeiaeinueei?
aea?aeaaii? iaaee/ii? aeaaeai?? IIC Oe?a?ieI?ia?aeia
onoaiiaaOa?e?anueeee iaoeiai-aeine?aeiee ?inoeooo caaaeueii? oa
iaa?aeeeaaeii? o??o?a?? IIC Oe?a?ie, a?aeae?e o?aaiaoe/iiai oieo,
?aai?iaoe?? ? ?ioaineaii? oa?ai?? Caoeno a?aeaoaeaoueny “ 30 ”
eenoiiaaea 1998 ?. i 14-00aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii?
?aaee Ae 26.613.02 i?e Ee?anuee?e iaaee/i?e aeaaeai?? i?neyaeeieiiii?
in-a?oe ?i. I.E.Ooieea IIC Oe?a?ie (254112, i.Ee?a, aoe.
Aei?iai-aeeoeueea, 9).

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Ee?anueei?
iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe ?i.I.E.Ooieea IIC Oe?a?ie
(254112, i.Ee?a, aoe.Aei?iaiaeeoeueea, 9).

Aaoi?aoa?ao ?ic?neaiee “25” aeiaoiy 1998 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee

eaiaeeaeao iaaee/ieo iaoe, aeioeaio AAICAessE I.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. I?iaeaia ae?aaiinoeee, o??o?a?/iiai e?eoaaiiy ?
caiia?aaiue iane?aeeai oa oneeaaeiaiiyi iioeiaeaeaiue a?oaeii? no?iee ?
aaaeeeaith ia o?eueee a o??o?a??, aea e a nioe?aeueii-aeiiii?/iiio
ieai?. E?euee?noue iino?aaeaeaeeo c iioeiaeaeaiiyie a?oaeii? ee?oee ia
ia? ?noioii? oaiaeaioe?? aei ciaioaiiy. Iaaiaee, inoaii?ie ?ieaie
niinoa??aa?oueny ca?eueoaiiy e?eueeino? iaea?eueo oyaeeeo o?aai a?oaeii?
no?iee, ye? noi?iaiaeaeothoueny iiiaeeiieie, o?aaiaioiaaieie oa
aeaia?/ieie ia?aeiiaie ?aaa?, a?oaeeie, ?aaa?ieo aeoa, eeth/eoeue,
eiiaoie, a?oaeiiai a?aeae?eo o?aaoa, aaaeeeie ?oeioaaiiyie i’yeeo oeaiei
(Aaaia? ?.A., Eocuei?/ia I.I., Ia?aeueiai I.?., 1985; Oaiio TH.A., 1986;
Aieiai?iaeueei I.E. oa ni?aaao., 1994; Shapiro M.I., 1993; Ciraulo D.L.
et al., 1994).

O?aaeaiiy a?oaeii? no?iee, ui ?icaeaathoueny aiane?aeie cae?eoeo o?aai,
? iaeiioe?ai?oeie oi?aeaeueieie iioeiaeaeaiiyie, ye? neeaaeathoue
50-70%, a i?e niieo/aieo o?aaiao – 90,8% (Aaaia? ?.A., 1981; Oeeae?ia
E.A., I?eueeia A.I., Eoea/ae O.A., 1989; Oeeaoeye A.I., 1995; Besson A.,
Saegesser F., 1983). Ia?aeiie e?noeiai-o?yuiaiai ea?eano ? iieacieeii
aaaeei? o?aaie, ca yei? a?eueo ye 90% oai?eo iathoue noiooi? o?aaeaiiy,
a 12% aeiooue a?ae naieo iioeiaeaeaiue (Ziegler D.W., Agarwal N.N.,
1994). O aeiaaeeao, ye? noi?iaiaeaeothoueny o?aaiaioiaaieie ia?aeiiaie
?aaa?, eaoaeuei?noue neeaaea? aeecueei 50% (Oaiio TH.A., 1986;
Aieiai?iaeueei I.E. oa ni?aaao., 1994; Pete L.W., 1989).

Aeey noaa?e?caoe?? ea?eano a?oaeii? no?iee /ano?oa canoiniaothoue ??ci?
aeaee ciai?oiuei? o?enaoe??, neaeaoiiai aeoyaaiiy aai iiaaiaoe/io
noaa?e?caoe?th oeiooth/i? /anoee a?oaeii? no?iee. I?ioa oe? iaoiaee
e?eoaaiiy iathoue nooo?a? iaaeie?ee: iaaaeaeaaoia ?aiiceoe?y oa iano?eea
oo?eiaiiy iieaiaieo o?aaiaio?a, ?icaeoie i?ieaaei?a oa iaaiithaaiue o
i?noeyo ?icoaooaaiiy o?enaoi??a, iiaaiioi?aeno oa iiaaiiiaae?anoeioio,
ai?eii-caiaeueieo o?aaeaiue aa?oi?o aeeoaeueieo oeyo?a oa
ieaa?ieaaaiaaeo oneeaaeiaiue (Eocuei?/ia I.I., Nieieia A.A., 1984; Oaiio
TH.A. oa ni?aaao., 1990; Ao?eoea A.A., 1996; Richardson I. et al., 1982;
Lindenmaier H. et al., 1990). Inoaii? i?e o?eaaeiio aeei?enoaii? ooo/ii?
aaioeeyoe?? eaaai?a ? i?e/eiith nia?o? aeecueei 40% oai?eo, yeeo
e?eoaaee oeei iaoiaeii (Oeeaoeye A.I., 1995).

O??o?a?/i? iaoiaee ei?aeoe?? iioeiaeaeaiue a?oaeii? no?iee
canoiniaothoue ca iaaeoi iaiaaeaieie iieacaiiyie, iaa?oue o oeo
aeiaaeeao, eiee iiaeeeai i/?eoaaoe ni?eyoeeaeo ?acoeueoao?a a?ae ?o
aeei?enoaiiy. Aeiiei? iaia? ?aeeii? aeoiee ia o?eueee i?i iaiao?aei?noue
iia?aoeaiiai e?eoaaiiy oeeo oai?eo, aea e i?i iieacaiiy ? i?ioeiieacaiiy
aei iueiai, eiai ia’?i oa iaoiaee (Eocuei?/ia A.I., Nieieia A.A., 1981;
Oeeae?ia E.A. oa ni?aaao., 1989; Ao?eoea A.A., 1996).

Iaiiaii ae??oai? ieoaiiy iia?aoeaiiai e?eoaaiiy aaaeeeo iioeiaeaeaiue
a?oaeeie, ?aaa?ieo aeoa, eeth/eoeue o ?ac? iaeii/anieo ?oeioaaiue
e?noeiai- o?yuiaiai ea?eano, iiiaeeiieo oa aeaia?/ieo eiai o?aaeaiue
(Oeeae?ia E.A. oa ni?aaao., 1989; Oeeaoeye A.I., 1995). I?e ia?aeiiao
a?oaeeie aeei?enoiaothoue ia?aaaaeii cae?eoo ?aiiceoe?th aai neaeaoia
aeoyaaiiy (Aaaia? ?.A., 1981; O?oai?eia A.O., 1984; Oeeae?ia E.A. oa
ni?aaao., 1989). A ?ac? iioeiaeaeaiue eeth/eoeue aeei?enoiaothoue
ia?aaaaeii e?eoaaiiy ca aeiiiiiaith iaoiae?a ciai?oiuei? o?enaoe??
(Oaiio TH.A. oa ni?aaao., 1990).

A e?oa?aoo?? ia ciaeoee aeinoaoiueiai aena?oeaiiy ieoaiiy, uiaei
i?iaiinoe/iiai cia/aiiy iioeiaeaeaiue e?noeiai-o?yuiaiai ea?eano i?e
eieioi-??caieo ii?aiaiiyo a?oaeii? ee?oee. Iaeiaio aea/aieie ? ieoaiiy,
uiaei o??o?a?/iiai e?eoaaiiy oai?eo c? noi?iii?ie o?eaie oa
i?neyo?aaiaoe/ieie a?eaeaie a?oaeii? no?iee, ai?eii-aeano?oeoeaieie
o?aaeaiiyie ?aaa? oa a?oaeeie.

Aca?iica’ycie oiiae?eoo oa inoaii??eeoo c ??cieie aeaeaie o?aai a?oaeii?
ee?oee aecia/aii a 31,6-83,6% aeiaaee?a (?ae A.A. oa ni?aaao., 1990;
Aae??a I.I. oa ni?aaao., 1990; A??aeaeaa I.O. oa ni?aaao., 1990;
Eioaeoeueeee N.A. oa ni?aaao., 1990). Aeai? uiaei i?e/ei aeieeiaiiy oa
iaoai?ci?a ?icaeoeo ai?eii-aeano?oeoeaieo caoai?thaaiue ?aaa? ? a?oaeeie
?ica?aei?. I?e e?eoaaii? aeei?enoiaothoue iae?aoeai? iaoiaee iia?aoe?e –
?ice?eooy iaaeieie?noeiaeo iaaii?iue, o?nooeiiae?aeoii??,
naeaano?aeoii??, cae/aei? ?acaeoe?? ?aaa? oa a?oaeeie ( Aaooa?ia N.N.,
Aaaania A.A., 1990; A??aeaeaa I.O. oa ni?aaao., 1990; Skoutelis A.T.,
1993). I?iaeiaaeo?oueny aeeneon?y i?i iaiao?aei?noue iiaoaiieo /e
iaeiiiiiaioieo iia?aoe?e (??iieia A.N., Eoo?i A.A., 1990; Oeeae?ia E.A.
oa ni?aaao., 1990). ?aoeeaeeae oiiae?eoo oa inoaii??e?oo i?ney iia?aoe?e
neeaaeathoue a?ae 2,6% aei 35,4%, a na?aaeiueiio – 14,5% (Eioaeoeueeee
N.A. oa ni?aaao., 1990; E?aaoia TH.I. oa ni?aaao., 1990; A??theia TH.A.
oa ni?aaao., 1990) ? ni?e/eiythoue /ano? iiaoi?i? iia?aoeai? ao?o/aiiy.
Caeeoa?oueny iaae??oaiei ieoaiiy, uiaei cae?eooy aeaoaeo?a a?oaeii?
no?iee i?ney oe?ieeo ?? ?acaeoe?e oa aeai?a iaoiaeo ieanoeee (I?eaiia
I.I., Oeeia A.E., 1990; O?ai?ci?eia I.I. oa ni?aaao., 1990).

Oaeei /eiii, iaaaaeai? a e?oa?aoo?? aeai? na?ae/aoue, ui i?iaeaia
a?aeiiaii? oa ?aeiino?oeoeaii? o??o?a?? iioeiaeaeaiue ea?eano a?oaeii?
no?iee, ?o iane?aee?a oa oneeaaeiaiue caeeoa?oueny iaae??oaiith. Ia
aea/ai? iiaeeeaino? ?ino?oiaioaeueieo aiaeineii?/ieo aeine?aeaeaiue a
ae?aaiinoeoe? i?neyo?aaiaoe/ieo iaoiii?oieia?/ieo ci?i a?oaeii? no?iee
oa aioo??oi?o i?aai?a a?oaeii? ii?iaeieie, ia ?ic?iaeaia nenoaia
ia?aaeiia?aoe?eii? i?aeaioiaee oa i?neyiia?aoe?eiiai e?eoaaiiy oai?eo,
ia cai?iaaaeaeai? aacia? iieiaeaiiy aeei?enoaiiy a?aeiiaieo ?
?aeiino?oeoeaieo oa iiaeo aoaeoeaieo iia?aoeaieo ao?o/aiue, ia aea/ai?
?acoeueoaoe o??o?a?/iiai e?eoaaiiy i?ney oaeeo iia?aoe?e.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?eia
?iaioa aoiaeeea aei ieaio iaoeiai? i?ia?aie Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E. Ooieea IIC Oe?a?ie ye
naiino?eia iaoeiaa oaia (aea?ae?a?no?aoe?eiee iiia? 0198 UO 02932).
?ic?iaea ? ai?iaaaeaeaiiy a ee?i?/io i?aeoeeo iiaeo iaoiae?a
o??o?a?/iiai e?eoaaiiy iioeiaeaeaiue a?oaeii? ee?oee, iniaeeai
?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e ia ?? ea?ean?, c iaoith iie?ioaiiy
?acoeueoao?a e?eoaaiiy ? aeooaeueiith, ui oaeiae i?aeoaa?aeaeo?oueny
aeeth/aiiyi oe??? i?iaeaie a ieai i??i?eoaoieo iai?yie?a
ia?iaeii-ainiiaea?nueeiai cia/aiiy a Oe?a?i?. Oaia caoaa?aeaeaia
Iaaee/iith ?aaeith IIC Oe?a?ie (iaeac ? 859 a?ae 13.10.1997 ?.,
aea?ae?a?no?aoe?eiee iiia? 0197 UO 14700).

Iaoa ? caaaeaiiy aeine?aeaeaiiy. Iaoith ?iaioe ia?aii iie?ioaiiy
?acoeueoao?a o??o?a?/iiai e?eoaaiiy iioeiaeaeaiue a?oaeii? no?iee, ?o
iane?aee?a oa oneeaaeiaiue oeyoii noai?aiiy ?aoe?iiaeueii? nenoaie
ae?aaiinoeee, ?ic?iaee iiaeo ?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e ?
canoinoaaiiy i?i?iaeueii o?aaiaoe/ieo aiaeineii?/ieo ao?o/aiue.

Aeey aeeiiaiiy oe??? iaoe iaie aoee iinoaaeai? oae? caaaeaiiy:

1. Ia iniia? ee?i?/ieo, ii?oieia?/ieo oa iaoio?c?ieia?/ieo i?iya?a
iioeiaeaeaiue a?oaeii? ee?oee ?ic?iaeoe iieacaiiy oa i?ioeiieacaiiy aei
?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e ia e?noeiai-o?yuiaiio ea?ean?
a?oaeii? no?iee.

2. Oaeineiiaeeoe oa ?ic?iaeoe iia? iaoiaeeee noaa?e?caoe?? ia?aeii?a
?aaa?, ?aaa?ieo aeoa, a?oaeeie, eeth/eoeue i?e ??cieo ?o aeaeao.

3. Aea/eoe iniaeeaino? ee?i?/ieo i?iya?a ? iaoiii?oieia?/ieo ci?i
i?neyo?aaiaoe/ieo a?eae a?oaeii? no?iee oa ?ic?iaeoe ia iniia?
nenoaiaoecaoe?? io?eiaieo ?acoeueoao?a aeine?aeaeaiiy ?o eeaneo?eaoe?th.

4. ?ic?iaeoe iaoiaee no/anii? ae?aaiinoeee cauaieaiiy i?aai?a a?oaeii?
ee?oee i?e a?eaeao a?oaeii? no?iee ? iia? aiaeineii?/i? iaoiaee ?o
e?eoaaiiy.

5. I?iaanoe aiae?c iniaeeainoae ee?i?/ieo i?iya?a noi?iii?o o?e
a?oaeii? no?iee ? iiaeeeainoae iaoiae?a ae?aaiinoeee o aeyaeaii? ?o aeey
aecia/aiiy ?aoe?iiaeueii? o??o?a?/ii? oaeoeee oa iieacaiue aei ??cieo
niinia?a iia?aoeaiiai e?eoaaiiy.

6. ?ic?iaeoe iia? aiaeineii?/i? ?ino?oiaioe aeey aeeiiaiiy i?i?iaeueii
o?aaiaoe/ieo ao?o/aiue i?e e?eoaaii? iioeiaeaeaiue a?oaeii? no?iee.

7. I?iaanoe ?ao?iniaeoeaiee aiae?c /eiiee?a ?eceeo aeieeiaiiy ?
?icaeoeo i?neyo?aaiaoe/ieo ai?eii-aeano?oeoeaieo o?aaeaiue ?aaa? ?
a?oaeeie.

8. ?ic?iaeoe iia? iaoiaee ?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e aeey
e?eoaaiiy oiiae?eoo ? inoaii??e?oo c aeei?enoaiiyi aeanieo oeaiei, a
oaeiae iia? niiniae e?eoaaiiy ai?eii-aeano?oeoeaieo o?aaeaiue
e?noeiai-o?yuiaiai ea?eano a?oaeii? ee?oee.

9. Aea/eoe iaeaeeae/? oa a?aeaeaeai? ?acoeueoaoe
?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aiia iieyaa? a oiio, ui ia
iniia? eiiieaeniiai aea/aiiy ??cieo aeae?a iioeiaeaeaiue a?oaeii?
no?iee, ?o iane?aee?a oa oneeaaeiaiue, a oiio /ene? iaoiaeii
oi?aeineii??, aia?oa ?ice?eo? iniaeeaino? ee?i?ei-ooieoe?iiaeueieo oa
iaoio?c?ieia?/ieo i?iya?a oeeo a?aaeaiue ? ae?noaee iiaeaeueoiai
?icaeoeo iaoiaee ?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e. Oaeineiiaeai?
iaoiaee inoaineioaco ?aaa?. I?iaaaeai? aeine?aeaeaiiy aeicaieeee
?ic?iaeoe iiaee aiaeineii?/iee o??o?a?/iee ?ino?oiaioa??e aeey e?eoaaiiy
iioeiaeaeaiue a?oaeii? no?iee (aaoi?nueea na?aeioeoai N?N? ia aeiao?ae ?
1618397 a?ae 8 aa?aniy 1990 ?.), iiaee iaoiae o??o?a?/iiai e?eoaaiiy
i?neyo?aaiaoe/ieo ai?eieo aeano?oeoe?e ?aaa?ieo aeoa ? a?oaeeie
(aaoi?nueea na?aeioeoai N?N? ia aeiao?ae ? 1734713 a?ae 22 n?/iy 1992
?.), a oaeiae iiaee aeae ?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e aeey
ieanoeee i?neyo?aaiaoe/ieo aeaoaeo?a a?oaeii? no?iee (iaoaio ?in?enueei?
Oaaea?aoe?? ia aeiao?ae ? 2064288 a?ae 28 eeiiy 1996 ?.).

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. A?aoiaioiaaia
iine?aeiai?noue aeeiiaiiy ?ino?oiaioaeueieo oa aiaeineii?/ieo iaoiae?a
aeine?aeaeaiiy aeey aeyaeaiiy ii?oieia?/ieo ci?i a?oaeii? no?iee i?ney
??cieo aeae?a ?? iaoai?/ieo iioeiaeaeaiue, a oaeiae ?o iane?aee?a ?
oneeaaeiaiue. ?ic?iaeai? aacia? iieiaeaiiy a?aeiiaieo iia?aoe?e a ?ac?
iiiaeeiieo ? o?aaiaioiaaieo ia?aeii?a ?aaa? oa ai?iaiaai? iaoiaeeee
ao?o/aiue i?e ieo ? ia?aeiiao ?aaa?ieo aeoa, a?oaeeie, eeth/eoeue, a
oaeiae ?oeioaaiiyo i’yeeo oeaiei a?oaeii? no?iee. Noai?aia eeaneo?eaoe?y
i?neyo?aaiaoe/ieo a?eae a?oaeii? no?iee ? cai?iiiiiaaiee iaoiae
aiaeineii?/iiai onoiaiiy cauaieaiiy eaaai? i?e oeueiio aeae? a?eae.

?ic?iaeai? iniiai? iieiaeaiiy o??o?a?/iiai e?eoaaiiy iioeiaeaeaiue
a?oaeii? no?iee, ?o iane?aee?a oa oneeaaeiaiue, caniiaai? ia
aeei?enoaii? ?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e a aino?ee ia??iae
o?aai a?oaeii? ee?oee, iia?aoeaii? oi?aeineii??, iiaeo niinia?a
o??o?a?/iiai e?eoaaiiy oiiae?eoo ? inoaii??e?oo ?aaa? ? a?oaeeie,
aeaoaeo?a a?oaeii? no?iee, aeicaieeee: nei?ioeoe /an ia?aaoaaiiy oai?eo
a noaoe?iia??, aeinyaoe aee?eoaaiiy 96% oai?eo oa ?o nioe?aeueii? ?
o?oaeiai? ?aaa?e?oaoe?? c iacia/ieie ooieoe?iiaeueieie ao?aoaie.
Io?eiai? ?acoeueoaoe aeicaieeee ?aeiiaiaeoaaoe ?ic?iaeai? iaoiaee
ae?aaiinoeee oa ?aeiino?oeoeaii-a?aeiiaiiai e?eoaaiiy iioeiaeaeaiue
a?oaeii? no?iee, ?o iane?aee?a oa oneeaaeiaiue aei ai?iaaaeaeaiiy a
ee?i?/io i?aeoeeo a?aeae?eaiue oi?aeaeueii? o??o?a??, iaeanieo oa
i?nueeeo e?ea?aiue Oe?a?ie.

Iaoa??aee aeena?oaoe?eii? ?iaioe aeei?enoai? a iaa/aeueiiio i?ioean?
eaoaae?e ioeueiiiieia?? Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii?
ina?oe ?i. I.E.Ooieea IIC Oe?a?ie oa eaoaae?e a?enueeiai? o??o?a??
A?enueeiai-iaaee/iiai ?inoeoooo Oe?a?inueei? a?enueeiai-iaaee/ii?
aeaaeai??. ?acoeueoaoe oa iniiai? iieiaeaiiy aeena?oaoe?? ai?iaaaeaeai?
a i?aeoeeo ?iaioe oi?aeaeueieo a?aeae?eaiue ee?i?/ii? e?ea?i? ? 17 i.
Ee?aa, iaoeiai-i?aeoe/iiai ia’?aeiaiiy oaeaeei? iaaee/ii? aeiiiiiae ?
iaaeeoeeie eaoano?io i. Ee?aa, oi?aeaeueieo a?aeae?eaiue AEeoiie?nueei?,
?aaii-O?aie?anueei?, Ee?anueei?, E??iaia?aaenueei?, *a?eanueei? iaeanieo
e?ea?aiue.

Iniaenoee aianie caeiaoaa/a. Iaoa oa caaaeaiiy aeine?aeaeaiiy aecia/ai?
aaoi?ii. Iniaenoi aaoi?ii aeeiiai? iaoaioiee oa e?oa?aoo?iee iiooe,
ee?i?/ia ianoaaeaiiy oa e?eoaaiiy 168 (74.7%) oai?eo, i?iaaaeaia
?ic?iaea a?o?aiiai iaoa??aeo 225 (100%) ?noi??e oai?ia, a?eueo?noue
iia?aoe?e aeeiiaia aaoi?ii oa ca eiai o/anoth. Noaoenoe/ia ia?iaea,
aiae?c oa ?ioa?i?aoaoe?y iaoa??aeo iaeaaeaoue aaoi?o. An? iaaaaeai? a
?iaio? eiie?aoi? ?acoeueoaoe aeine?aeaeaiue aoee io?eiai? iniaenoi
caeiaoaa/ai.

Naiino?eii io?eiaii aaoi?nueea na?aeioeoai ia i?eno??e “O?iaea?” oa
?aoe?iiae?caoi?nueeo i?iiiceoe?th “Neiaa aeey inoaineioaco ?aaa?”. O
ni?aaaoi?noa? c eao?aaoii Aea?aeaaii? i?ai?? Oe?a?ie i?ioani?ii eaoaae?e
ioeueiiiieia?? Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe ?i.
I.E.Ooieea IIC Oe?a?ie I.I. Aaa??iaei ca ?ic?iaeo ? ai?iaaaeaeaiiy
?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e io?eiaii aaoi?nueea na?aeioeoai ia
“Niin?a e?eoaaiiy oiiae?eoo ?aaa?ieo aeoa ? inoaii??e?oo a?oaeeie” oa
iaoaio ia “Niin?a ieanoeee aeaoaeoo a?oaeii? no?iee”.

Aaoi?ii naiino?eii aeaeaia iiiia?ao?y “Ee?i?/ia oi?aeineii?y” (Ee?a,
“Caei?ia’y”, 1995), a oaeiae o ni?aaaoi?noa? c i?ioani?aie
I.I. Aa?eiaith oa A.A. Iaea?iaei iiiia?ao?y “Oi?aeineii?y a
iaa?aeeeaaei?e a?oaei?e o??o?a??” (Ee?a, “Caei?ia’y”, 1986).

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee oa iniiai? iieiaeaiiy
?iaioe aeiiia?aeaeeny ? iaaiai?thaaeeny ia Ana?in?enuee?e eiioa?aioe??
o??o?a?a c ieoaiue o?aaie a?oaeii? ee?oee (Ia?i, 1985), can?aeaii?
a?iioiioeueiiiieia?/ii? naeoe?? iaoeiaiai oiaa?enoaa o??o?a?a Eacaonoaio
(Aeia-Aoa, 1986), XVI c’?cae? o??o?a?a Oe?a?inueei? ?N? (Iaeana, 1988),
Ananithci?e Eiioa?aioe?? “Aeooaeuei? i?iaeaie ieanoeee o i?io?eaeoeoe?
oa e?eoaaii? oneeaaeiaiue i?ney iia?aoe?e ia a?oaei?e no?ioe?, i?aaiao
na?aaeino?iiy oa eaaaiyo” (Iineaa, 1990), VIII ?icoe?aiiio ieaioi?
i?iaeaiii? eii?n?? “A?oaeia o??o?a?y” (?eaa, 1990), I I?aeia?iaeiiio
eiia?an? oi?aeaeueieo oa na?oeaai-noaeeiieo o??o?a?a e?a?i Aaeoeee
(?eaa, 1990), iaoeiai-i?aeoe/i?e eiioa?aioe?? “I?iaeaie oi?aeaeueii?
o??o?a??” (Eai?ia?aae, 1991), iaoeia?e eiioa?aioe?? “Aeooaeuei? ieoaiiy
oi?aeaeueii? o??o?a??” (E?aniiaea?, 1992), iaoeia?e eiioa?aioe??,
i?enay/ai?e 75-??/iiio tha?eath Ee?anueeiai aea?aeaaiiai ?inoeoooo
oaeineiiaeaiiy e?ea??a (Ee?a, 1993), can?aeaii? iaoeiaiai oiaa?enoaa
o??o?a?a Ee?aa oa Ee?anueei? iaeano? (Ee?a, 1995), ?in?enueeiio
neiiic?oi? “Oneeaaeiaiiy aiaeineii?/ii? o??o?a??” (Iineaa, 1996),
iaoeiai-i?aeoe/i?e eiioa?aioe?? “No/ani? aniaeoe iaa?aeeeaaeii?
iaaee/ii? aeiiiiiae” (Euea?a, 1997), II Iineianueeiio i?aeia?iaeiiio
eiia?an? c aiaeineii?/ii? o??o?a?? (Iineaa, 1997), VIII eiia?an?
o??o?a?a ?anioae?ee Iieaeiae (Eeoei?a, 1997), I?aeia?iaeiiio eiia?an?
oi?aeaeueieo o??o?a?a (Aieiiuey, 1998), II Eiia?an? /anueeeo o??o?a?a
(Ieuecaiue, 1998).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iaae?oeiaaii 40 iaoeiaeo
i?aoeue, c ieo 2 iiiia?ao??, 15 – o iaoeiaeo aeo?iaeao, 2 – o ca??ieeao
iaoeiaeo i?aoeue, 18 – o oacao eiioa?aioe?e, c’?cae?a, neiiic?oi?a oa
eiia?an?a, 3 – a aaoi?nueeeo na?aeioeoaao ? iaoaioao ia aeiaoiaee.

No?oeoo?a aeena?oaoe??. ?iaioa aeeiiaia ia 336 noi??ieao, ?ethno?iaaia
11 oaaeeoeyie ? 26 iaethieaie. Aeena?oaoe?y neeaaea?oueny ?c anooio, 9
?icae?e?a aeanieo aeine?aeaeaiue, cae?i/aiiy, aeniiae?a, i?aeoe/ieo
?aeiiaiaeaoe?e, nienea aeei?enoaieo e?oa?aoo?ieo aeaea?ae.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. I?ae iaoei iaaeyaeii ciaoiaeeeenue
225 oai?eo (205 /ieia?/i? oa 20 ae?ii/i? noao?) c iioeiaeaeaiiyie
ea?eano a?oaeii? no?iee oa ?o iane?aeeaie. A?e ianoaaeaieo oai?eo – a?ae
8 ?ie?a aei 71 ?ieo. Aeae?eaii 8 a?oi oai?eo c ??cieie ca oa?aeoa?ii oa
aaaee?noth iioeiaeaeaiyie, a oiio /ene? c iiiaeeiieie ? o?aaiaioiaaieie
ia?aeiiaie ?aaa? (59-26,2%), iiaieie ia?aeiiaie a?oaeeie (18-8%),
?aaa?ieo aeoa (21-9,3%), iioeiaeaeaiiyie eeth/eoeue i?e ia?aeiiao ?aaa?
(26-11,6%), i?neyo?aaiaoe/ieie a?eaeaie (16-7,1%) oa noi?iii?ie o?eaie
(16-7,1%) a?oaeii? no?iee, iioeiaeaeaiiyie e?noeiai-o?yuiaiai ea?eano
i?e eieioi-??caieo ii?aiaiiyo (28-12,5%) oa i?neyo?aaiaoe/iei oiiae?eoii
? inoaii??e?oii ?aaa? ? a?oaeeie (41-18,2%).

Oai?eo anaa?/ii ianoaaeoaaee. Iaoiaee ae?aaiinoeee aoee ni?yiiaai? ia
ooi/iaiiy naiiai iioeiaeaeaiiy oa aecia/aiiy noaio aeeoo?ai aaaeeeaeo
i?aai?a oa nenoai. Ia iniia? caaaeueiiee?i?/ieo iaoiae?a aea/aee
neiioiiaoeeo, iniaeeaino? ee?i?/ieo i?iya?a iioeiaeaeaiue a?oaeii?
ee?oee oa ?o iane?aee?a. Nooi?iue aaaeeino? aiaoii?/ieo iioeiaeaeaiue
ioe?ithaaee ca oeaeith ?OS (Aaiiiaa?, O?A), ye iaea?eueo ?ioi?iaoeaiith
o ii??aiyii? c ?nioth/eie oeaeaie ioe?iee aaaeeino? iioeiaeaeaiue.

?aioaaiieia?/ia aeine?aeaeaiiy ia?aaeaa/aei aaaaoii?iaeoe?eio
?aioaaiineii?th, iie?iiceoe?eio ?aioaaiia?ao?th, oiiia?ao?th,
o?nooeia?ao?th. Eiii’thoa?io oiiia?ao?th aeeiioaaee ia aia?ao? “SOMATOM
DP-2” o??ie SIEMENS (Aa?iai?y). O?aoaia?iioineii?th aeeiioaaee i?ae
i?noeaaith aianoac??th oa caaaeueiei ciaaiethaaiiyi ca aeiiiiiaith
a?iioineii?a o??ie “OLYMPUS” ? “PENTAX” (ssiii?y), a oaeiae aei?noeiai
a?iioineiia O??aeaey (Aa?iai?y). Oi?aeineii?th aeeiioaaee ?ea?aeiei
oi?aeineiiii Aa?e?inueei? oaa?eee iaaee/ii? aia?aoo?e. Oa?iia?ao?th
?iaeee ia aia?ao? “A?iaiae”. Ooieoe?th ciai?oiueiai aeeoaiiy aea/aee
ia?aae iia?aoeaiei ao?o/aiiyi a i?aeaoaiiee, iaeaeeae/ee oa a?aeaeaeaiee
i?neyiia?aoe?eiee ia??iae ca aeiiiiiaith aia?aoa “IOEIA-01” (Aieaa??y).
Aeine?aeaeaiiy aaciaiai neeaaeo e?ia?, eeneioii-eoaeiiai noaio,
iieaciee?a ooiooaaiiy e?iaioieo a iaeiio eie? e?iaiia?ao aeeiioaaee ca
aeiiiiiaith “RADIOMETER ABL 520” (Aeai?y). Noaoenoe/io ia?iaeo
i?iaiaeeee ia ia?niiaeuei?e aeaeo?iiii-ia/enethaaeuei?e iaoei?.

Iniiai? ?acoeueoaoe aeine?aeaeaiue. A?aeiiai? iia?aoe?? aoee aeeiiai? o
59 oai?eo c iiiaeeiieie oa o?aaiaioiaaieie ia?aeiiaie ?aaa?, ye?
noi?iaiaeaeoaaeenue iaoieia?/iith ?ooii?noth a?oaeii? no?iee. Aaaee?noue
iane?aee?a o?aai a?oaeii? ee?oee o oeeo oai?eo aecia/aeanue ia o?eueee
oa?aeoa?ii ia?aeii?a e?noie ?? ea?eano, aea e o?aaeaiiyie aioo??oi?o
i?aai?a, ?o iane?aeeaie oa oneeaaeiaiiyie. Iaeiia?/iee ia?aeii 3-6 ?aaa?
aoa o 23 (39%), 7-10 ?aaa? – o 22 (37,3%), aeaia?/iee 4-14 ?aaa? – o 13
(22%) oai?eo. Eeoa o iaeiiai oai?iai aoa o?aaiaioiaaiee ia?aeii 2 ?aaa?.
Aaaee?noue iioeiaeaeaiue ?aaa? aeiiiaithaaee ia?aeiie ?ioeo e?noie
a?oaeii? ee?oee, ui iineethaaei ?iceaaee aeeoaiiy, aaiiaeeiai?ee oa
i?iyae oieo, a oaeiae oneeaaeithaaei aea?? iaoiaeo e?eoaaiiy. O 12
(20,3%) iino?aaeaeaeeo iaeii/anii aoee ia?aeiie eeth/eoeue, o 5 (8,5%) –
eiiaoie, o 3 (5,1%) – a?oaeeie, o 2 (3,4%) – ?aaa?ieo aeoa, o 1 (1,7%) –
a?oaeieo o?aaoe?a.

Iao? ee?i?/i? niinoa?aaeaiiy na?ae/aoue, ui ?oeioaaiiy ea?eano a?oaeii?
ee?oee i?e iiiaeeiieo ia?aeiiao ?aaa? noi?iaiaeaeo?oueny aaaeeeie
iioeiaeaeaiiyie aioo??oi?o i?aai?a. Oae, o 50 (84,7%) oai?eo aoa ?ic?ea,
o 43 (72,8%) – caa?e, o 2 (3,4%) – a?ae?ea oa caai?io, o 11 (18,6%) –
aoaeaeoac eaaai?, o 14 (23,7%) – aioo??oiueieaaaiaa? aaiaoiie, o 2
(3,4%) – ?ic?ea aaeeeeo a?iio?a, o 19 (32,2%) – noaeei, o 5 (10,2%) –
ae?ao?aaie ? o 1 (1,7%) – na?oey. Oie aoa o 36 (61%) oai?eo. ?cieueiaai?
iioeiaeaeaiiy a?oaeii? ee?oee aoee o 30 (50,8%), niieo/ai? – o 29
(49,2%) oai?eo. I nooi?iue aaaeeino? niieo/aieo iioeiaeaeaiue ca oeaeith
PTS aoa aecia/aiee o 16 (27,1%), II – o 13 (22,1%) iino?aaeaeaeeo.
Na?aae oai?eo c oaeeie o?aaiaie a?oaeii? ee?oee aaaee?noue aiaoii?/ieo
iioeiaeaeaiue ca oeaeith PTS a na?aaeiueiio noaiiaeea 21,3 aaea    0,98
aaea. Aaaee?noue iioeiaeaeaiue aioo??oi?o i?aai?a a?oaeii? ee?oee o
oai?eo c iiiaeeiieie oa o?aaiaioiaaieie ia?aeiiaie ?aaa? i?aeoaa?aeaeo?
oaeiae cia/ia /anoioa aaii- oa iiaaiioi?aeno. ??ci? aeaee aaiioi?aeno
aoee aeyaeai? aei iia?aoeaiiai ao?o/aiiy ia ea?ean? a?oaeii? ee?oee o 46
(77,9%), iiaaiioi?aeno – o 38 (64,4%) oai?eo.

Eiiieaenia aea/aiiy ee?i?/ieo oa ooieoe?iiaeueieo i?iya?a ci?i aeeoaiiy
a ?ac? iiiaeeiieo oa o?aaiaioiaaieo ia?aeii?a ?aaa? aecia/eei aeeoaeueio
iaaeinoaoi?noue I nooiaiy o 4 (6,8%), II – o 30 (50,8%), III nooiaiy – o
25 (42,4%) iino?aaeaeaeeo. O 14 iaoe??io?a c iiiaeeiieie ?
o?aaiaioiaaieie ia?aeiiaie ?aaa? aecia/ai? ia?aaaaeii cia/i? oa ??ce?
ci?ie ia’?iieo oa oaeaee?nieo iieaciee?a ooieoe?? ciai?oiueiai aeeoaiiy
(oaae. 1).

Oaaeeoey 1.

Iieacieee (%) ooieoe?? ciai?oiueiai aeeoaiiy o oai?eo c iiiaeeiieie ?
o?aaiaioiaaieie ia?aeiiaie ?aaa? aei aeeiiaiiy a?aeiiaii? iia?aoe?? (Mm)

IieacieeeAei iaeaaeieo aaee/eiCia/i? ci?ie??ce? ci?ieCaaaeueia noia
cia/ieo ? ??ceeo ci?i AE?E57,14,135,75085,7OAE?E484,228,662,492,81
AE?E39,23,614,278,692,8Eiao?oe??io Oeooii64,54,635,721,457,1Io?eiai? ca
aeiiiiiaith ee?i?/ieo, eaai?aoi?ieo, ?ino?oiaioaeueieo, ooieoe?iiaeueieo
iaoiae?a ae?aaiinoeee aeieace i?i oa?aeoa? oa iniaeeaino? iioeiaeaeaiue
i?aai?a a?oaeii? ee?oee o oai?eo c iiiaeeiieie oa o?aaiaioiaaieie
ia?aeiiaie ?aaa?, aeiiiaiai? ?acoeueoaoaie aeeiiaieo o?aoaia?iioi-,
oi?aeineii?e oa iia?aoe?eieo ?aa?c?e, aecia/eee iaea?eueo nooo?a?
/eiieee aeeoaeueii? iaaeinoaoiino? oa /anoioo ?o i?iyao. Oaeeie
/eiieeaie aoee: aieueia? iaiaaeaiiy aeeoaiiy (95,1%), ciaioaiiy
aeeoaeueieo aeneo?n?e ae?ao?aaie (54,2%), ia?aaeienaeuei? ?ooe a?oaeii?
no?iee (49,1%), cieaeaiiy aeeoo?ai? ?ieino? eaaai?a oa ca?eueoaiiy
ia?oaiai i?inoi?o (23,8%), i?eai?/aiiy iaoai?ci?a i/euaiiy oa iaoo?aoe?y
aeeoaeueieo oeyo?a (18,6%), eiiooc?y oa ?ic?ea eaaai? (86,4%),
ieaa?aeuei? oneeaaeiaiiy o aeaeyae? iiaaiiaaiioi?aeno (81,3%), cia/ia
e?iaiao?aoa (27,1%).

Ee?i?/i? niinoa?aaeaiiy na?ae/aoue i?ioa, ui oeioaoe?y ?aaa?ieo eeaiai?a
caeaaeeoue ia o?eueee a?ae a?aeiieo /eiiee?a, aea e a?ae anoaiiaeaieo
iaie: ?oeioaaiiy i?ae?aaa?ieo i’yc?a, ?ici??o ?o ?ic?eao, niieo/aiiy
ia?aeii?a ?aaa? c ia?aeiiaie a?oaeeie, eeth/eoeue, ?aaa?ieo aeoa,
iiaaiioi?aeno. Iaie aeiaaaeaii, ui nooi?iue oeioaoe?? iaieio/i
aecia/a?oueny aaee/eiith ci?uaiiy o?aaiaioiaaieo ?aaa?, yea
ca?eueoo?oueny c? ca?eueoaiiyi /ano i?ney iioeiaeaeaiiy. Aiie?ooaea
oeioaoe?? iniaeeai ca?eueoo?oueny a ?ac? niieo/aiiy ia?aeii?a ?aaa? ?
a?oaeeie, eeth/eoeue, ?aaa?ieo aeoa. ?acoeueoaoe aeeiiaieo
oi?aeineii?/ieo aeine?aeaeaiue oa iia?aoe?eii? ?aa?c?? aeiaaee
iayai?noue oae caaii? aioo??oiuei? iaoieia?/ii? ?ooiiino? a?oaeii?
no?iee a ieaa?aeueio ii?iaeieio, iniaeeai ca iayaiino? caaeiueiaieiaeo
oa caaei?o eeaiai?a.

Aea?? iaoiaeo iia?aoeaiiai e?eoaaiiy oai?eo c iiiaeeiieie oa
o?aaiaioiaaieie ia?aeiiaie ?aaa? nie?aany ia aeno?aio ae?aaiinoeeo
i?neyo?aaiaoe/ieo ii?oiooieoe?iiaeueieo ci?i ea?eano oa i?aai?a a?oaeii?
ee?oee ca aeiiiiiaith o?ceeaeueieo, ?aioaaiieia?/ieo iaoiae?a
aeine?aeaeaiiy, oi?aei-, o?aoaia?iioi-, eaia?ineii??, aaciaiai neeaaeo
?A I2 oa ?A NI2. Aaaeo/ith ia?aaeoiiaith iaiao?aeiino? aeei?enoaiiy
iia?aoeaiiai a?aeiiaeaiiy ianoaa?eueii? a?oaeii? no?iee ? iiaiee
ae?aaiic iioeiaeaeaiiy. Ia?aaeiia?aoe?eia i?aeaioiaea aeeth/aea
canoinoaaiiy iaa?aeeeaaeieo ?ioaineaieo, a oiio /ene? o??o?a?/ieo,
cania?a e?eoaaiiy (oaae. 2).

Oaaeeoey 2

Ia?aaeiia?aoe?eia e?eoaaiiy oai?eo c iiiaeeiieie ? o?aaiaioiaaieie
ia?aeiiaie ?aaa? a aino?ee ia??iae iioeiaeaeaiue a?oaeii? ee?oee (n=59)

Aeae e?eoaaiiy*enei oai?eoI?ioeaioCiaaiethaaeuei? aeieaaee (i?noeue
ia?aeii?a, i?ia?aeieeiaa, iicaa?oaeeiia, i?ia?aeieeiai-noaieaa?aeueia
a?eyo?aaoiaa ca TH.A.Oaiioii, aioo??oiueiieaa?aeueia) 5495,1Ioieoe?y
ieaa?aeueii? ii?iaeieie4576,2Ae?aioaaiiy ieaa?aeueii?
ii?iaeieie3457,6Aeaeiii?an?y aio?caie na?aaeino?iiy23,4Aeaeiii?an?y
aio?caie i’yeeo oeaiei a?oaeii? ee?oee711,9Naiaoe?eia
o?aoaia?iioineii?y2440,6I?e?io?aoainoii?y915,2Ooo/ia aaioeeyoe?y
eaaai?a35,1Aeiiii?aeia ooo/ia aaioeeyoe?y eaaai?a11,7Aioo??oiy
“iiaaiaoe/ia” noaa?e?caoe?y ea?eano a?oaeii? no?iee46,8Aioo??oiueiaaiia
?iooc?eii-o?ainooc?eia oa?ai?y5898,3?a?iooc?y e?ia?711,9Cae?eoee ianaae
na?oey23,4?iiia?e?caoe?y ia?aeii?a e?ioe?aie1220,3O??o?a?/ia ia?iaea ?ai
46,8Eaoaoa?ecaoe?y i?aeeeth/e/ii? /e ?ioi? aaeeei? aaie59100Ee?i?/i?
niinoa?aaeaiiy cana?ae/othoue, ui aei a?aeiiaii? iia?aoe?? o oai?eo c
iiiaeeiieie oa o?aaiaioiaaieie ia?aeiiaie ?aaa? a na?aaeiueiio
iaiao?aeii aeei?enoaoe 5-6 iaoiaeee niaoe?aeueiiai e?eoaaiiy.
O?eaae?noue ia?aaeiia?aoe?eiiai e?eoaaiiy oai?eo, o yeeo aoee
anoaiiaeai? aeeoo?a? oa oa?i?iia? iieacaiiy aei iia?aoe??, noaiiaeea
a?ae 30-60 oa ? aei 24-72 aiae. A ?ac? a?aeno?i/aieo iieacaiue aei
a?aeiiaiiai iia?aoeaiiai ao?o/aiiy o?eaae?noue e?eoaaiiy noaiiaeea a?ae
4 aei 35 ae?a.

Aeey aeeiiaiiy a?aeiiaieo iia?aoe?e ia ea?ean? a?oaeii? ee?oee aoee
aeei?enoai? ??ci? aeaee iia?aoeaieo ?icoei?a: iine?aeiaii aeeiiai?
eaia?i- aai oi?aeioii?? o 2 (3,4%), ?icoeie i’yeeo oeaiei aac
oi?aeioii?? – o 10 (16,9%), ??ci? aeaee oi?aeioii?e – o 47 (79,7%)
oai?eo. Iaie oaeineiiaeaiee aa?oeeaeueiee a?eya?oaeeiiee ?icoei c
?icaaaeaiiyi i’yciaeo aieieii a?oaeieo i’yc?a iaae i?noeyie ia?aeiio
?aaa?, ui ni?eyei ciaioaiith o?aaiaoe/iino? iia?aoe??, a oaeiae
?ic?iaeaiee caaei?e einiaa?oeeaeueiee ?icoei, ui ni?eya a?eueo
iioeiaeueiiio aeeiiaiith a?aee?eoi? ?aiiceoe?? oa o?enaoe?? ceaiaieo
?aaa?. O 12 (20,3%) iino?aaeaeaeeo c iiiaeeiieie ia?aeiiaie ?aaa? oa
iaeii/anieie ia?aeiiaie ?ioeo e?noie a?oaeii? ee?oee (a?oaeeie,
eeth/eoeue, ?aaa?ieo aeoa) aoee aeei?enoai? eiia?iiaai? iia?aoeai?
?icoeie. Ee?i?/i? niinoa?aaeaiiy aeiaaee, ui o aeiaaeeao niieo/aieo
iioeiaeaeaiue e?noie a?oaeii? ee?oee, eiee iaia? aeeoo?aeo iieacaiue aei
iia?aoe??, oa a ?ac? iaiao?aeiino? a?aeiiaieo iia?aoe?e ia ieo ne?ae
iine?aeiaii aeeiioaaoe noaa?e?caoe?th eeth/eoe? (eeth/eoeue), a?oaeeie,
?aaa?. I?e oi?aeioii?? ?icoei ne?ae aanoe iaae ai?oeaio?ii iioeiaeaeaiiy
iiiaeeiieo ia?aeii?a ?aaa?. Iaie aeiaaaeaii, ui oeae i?eeii caaacia/o?
a?eueo c?o/iee ?icoei aei i?noeue ia?aeii?a.

Iaie aea/ai? iaoiii?oieia?/i? ci?ie o oai?eo 5 a?oi c iiiaeeiieie oa
o?aaiaioiaaieie ia?aeiiaie ?aaa? caeaaeii a?ae oa?i?io i?ney
iioeiaeaeaiiy: ia 1-oo – 3-oth aeiao (35), 4-oo – 5-oo aeiao (8), 6-oo –
10-oo aeiao (9), 11-oo – 28-io aeiao (5) oa /a?ac 1-3 i?n (2). Iaie
anoaiiaeaii, ui iaee?au? oiiae aeey aeei?enoaiiy a?aeiiaieo iia?aoeaieo
ao?o/aiue ? a 1-oo – 5-oo aeiao. A a?eueo i?ci? oa?i?ie i?ie?oa?aoeai?
i?ioeane, ye? i?eaiaeyoue aei ?oaoeaai-neea?ioe/ieo oa ao?io?/ieo ci?i a
i?noeyo ia?aeii?a ?aaa? oa iaaeiei ieo, iio?aaothoue niaoe?aeueii?
i?aeaioiaee a?aeeaie?a e?noie ? canoinoaaiiy iaoiae?a o?enaoe??, ui
caaacia/othoue iaae?eia i?aaeeueia ?o oo?eiaiiy.

Iaie ?ic?iaeai? aacia? iieiaeaiiy uiaei canoinoaaiiy a?aeiiaieo
iia?aoe?e i?e e?eoaaii? iiiaeeiieo oa o?aaiaioiaaieo ia?aeii?a ?aaa?,
aei yeeo iaeaaeaoue:

· caaaeueia ciaaiethaaiiy i?e iia?aoe?yo ne?ae aeiiiaithaaoe i?noeaaith
i?ia?aeieeiaith aianoac??th i?ae?aaa?ieo, aeoeath/iai, ae?ao?aaiaeueiiai
ia?a?a oa ia?aneiiaoe/iiai noiaao?a;

· iia?aoeaiee ?icoei ? naia ao?o/aiiy iathoue aooe i?i?iaeueii
o?aaiaoe/ieie;

· i?e iia?aoe??? aeeiio?oueny a?aee?eoa ?aiiceoe?y oa o?enaoe?y oeo
?aaa?, a?aeeaiee yeeo iaea?eueo ?ooii? oa ci?uai?;

· cae?enith?oueny ne??ieaiiy a?aeeaie?a oeo ?aaa?, i?ney noaa?e?caoe??
yeeo aoaea aeinyaiooi i?aaeeueia iieiaeaiiy ?ioeo /anoei ?aa?a oa
i?eeaaeeo ceaiaieo ?aaa?;

· iia?aoeaia ao?o/aiiy iiaeiii caaacia/oaaoe onoiaiiy iaoieia?/ii?
?ooiiino? oa aeaoaeo?a oi?ie a?oaeii? no?iee, a?aeiiaeaiiy ia’?io
a?oaeii? ii?iaeieie;

· a?aeiiaeaiiy e?noeiai-o?yuiaiai ea?eano a?oaeii? ee?oee i?e
oi?aeioii?yo aeeiiothoue i?ney onoiaiiy iioeiaeaeaiue i?aai?a a?oaeii?
ii?iaeieie oa ?o iane?aee?a;

· o aeiaaeeao iiiaeeiieo ia?aeii?a ?aaa?, ui noi?iaiaeaeothoueny
oeioaoe??th ia?aaei?o, ia?aaeiueiaieiaeo /anoei a?oaeii? no?iee,
iioeiaeaeaiiyi eeth/eoeue, a?oaeeie, oa ca a?aenooiino? iieacaiue aei
oa?i?iiai? oi?aeioii?? iine?aeiaii canoiniaothoue inoaineioac
eeth/eoeue, a?oaeeie, ?aaa?;

· a?aee?eoa ?aiiceoe?y oa o?enaoe?y an?o ceaiaieo ?aaa? iai?eionoeia ?
ia?aoe?iiaeueia aiane?aeie ca?eueoaiiy o?eaaeino? oa o?aaiaoe/iino?
iia?aoe??; o?eaae?noue ao?o/aiiy a aino?ee ia??iae iioeiaeaeaiue
a?oaeii? ee?oee ia? aooe yeiiiaa i?i?iaeueiith;

· i?e ia?aeiiao o o?yuia?e oa e?noeia?e /anoei? ?aaa? nii/aoeo
aeeiiothoue inoaineioac e?noee.

Oe? iieiaeaiiy a?aoiaothoue i?e an?o niiniaao inoaineioaco ?aaa?.
*eneaii? aa??aioe iiiaeeiieo ? o?aaiaioiaaieo ia?aeii?a ?aaa? (ca
eieae?caoe??th, e?euee?noth, /eneii e?i?e iioeiaeaeaiue, niieo/aiiyi c
ia?aeiiaie ?ioeo e?noie, o?aaeaiiyie i’yeeo oeaiei ? aioo??oi?o i?aai?a
a?oaeii? ee?oee) aeiaaaee ?iaeea?aeoaeueiiai aeiai?o iaoiae?a o?enaoe??
e?noeiaeo oeaie?a ? noaa?e?caoe?? iaoieia?/ii ?ooiii? /anoeie a?oaeii?
no?iee. Iniiaieie caniaaie aoee e?aaoo?iee oa iaoaeiinoaineioac.
I?iaaaeai? iaie aeine?aeaeaiiy iaoiii?oieia?/ieo iniaeeainoae ia?aeii?a
?aaa? aeicaieythoue c?iaeoe aeniiaie i?ioa, ui ia ?nio? oi?aa?naeueiiai
caniao o?enaoe?? oeaie?a oeeo e?noie. Oo?eiaiiy a o?yuia?e /anoei?
cae?enithaaee ia?aaaaeii ieoeaie, a e?noeia?e – ??cieie iaoiaeaie
iaoaeiinoaineioaco. O eiaeiiai ae?oaiai iia?iaaiiai oai?iai iaiao?aeii
aoei canoiniaoaaoe ??ci? niiniae o?enaoe?? oeaie?a. I?e a?aeiiaeaii?
oe?eino? o?yu?a iaie canoiniaaia i?aeaioiaea e?ioe?a ?aaa? c iaoith
i?aaeeueii? aaeaioaoe?? oa i?oeiiai c’?aeiaiiy oeaie?a. Iaie oaeiae
?ic?iaeai? ?io? i?aaeea:

· i?aia?oaaoe ia???oaeueio ieaa?o ia a?aenoai? 5-6 ii a?ae e?ath
ia?aeiio;

· ieoee i?iaiaeeoe /a?ac anth oiauo a i?noeyo iaea?eueoeo ?ici???a o?yua
e?oaeith aieeith ia a?aenoai? 7-8 ii a?ae e?ath ia?aeiio;

· caa’ycoaaoe ieoee i?ney o?enaoe?? ?ioeo /anoei ?aaa?.

Iaie oaeineiiaeaia neiaa aeey inoaineioaco ?aaa? (?aoe?iiae?caoi?nueea
i?iiiceoe?y ? 2956 a?ae 9.02.1998 ?.), yea aeicaiey? caaacia/eoe
noaa?eueia ?o oo?eiaiiy a o?ueio eii?aeeiaoieo iai?yieao, a oaeiae
iiia?aaeaeo? ci?uaiiy naiiai o?enaoi?a. Aiia aeicaiey? o?enoaaoe
a?aeeaiee aac aeiaeaoeiai? o?aaiaoecaoe?? ia???oaeueii? ieaa?e oa
i?ae?aaa?ieo i’yc?a, noai?th? e?au? oiiae aeey ?aaaia?aoe?? e?noeiai?
oeaieie, ui aeicaiey? nei?ioeoe oa?i?i e?eoaaiiy oai?eo oa iiia?aaeaeo?
?icaeoie a?oai? e?noeiai? iicie? oa iiaeaeueoi? i?neyo?aaiaoe/ii?
i?ae?aaa?ii? iaa?aea??.

I?iaaaeai? iaie aeine?aeaeaiiy aeicaieeee iaa?oiooaaoe iieacaiiy ?
i?ioeaiiieacaiiy aei a?aeiiaieo iia?aoe?e i?e iioeiaeaeaiiyo
e?noeiai-o?yuiaiai ea?eano a?oaeii? ee?oee. Iaie aecia/ai? o?e a?oie
caaaeueieo iieacaiue aei iia?aoeaiiai e?eoaaiiy iiiaeeiieo oa
o?aaiaioiaaieo ia?aeii?a ?aaa? caeaaeii ia o?eueee a?ae
i?neyo?aaiaoe/ieo aiaoiii-ooieoe?iiaeueieo ci?i a?oaeii? ee?oee ?
iioeiaeaeaiue ?ioeo ae?eyiie o?ea, aea e a?ae /ano aeeiiaiiy a?aeiiaieo
iia?aoe?e c iiiaioo o?aaie: aeeoo?a?, oa?i?iia?, a?aeno?i/ai?.
Iaeii/anii aiie aeeth/aee iieacaiiy, aecia/ai? oaeeie i?noeaaeie
i?neyo?aaiaoe/ieie aiaoiii-ooieoe?iiaeueieie ci?iaie a?oaeii? no?iee ye:

· ia?aeii ?aaa? ii aeaio (aai a?eueoa) e?i?yo c iayai?noth ia?aaei?o,
ia?aaeiueiaieiaeo oa aieiaeo ?ooiieo /anoei a?oaeii? no?iee;

· ia?aeii ?aaa? ii aeaio (aai a?eueoa) e?i?yo ? ia?aeii a?oaeeie,
?aaa?ii? aeoae (aeoa), eeth/eoe? (eeth/eoeue), ?ic?ea i?ae?aaa?ieo
i’yc?a a?eueoa i?ae 5 ni, ye? noi?iaiaeaeothoueny iaoieia?/iith
?ooii?noth a?oaeii? no?iee;

· iiiaeeii? ia?aeiie ?aaa? ?c ci?uaiiyi e?noeiaeo o?aaiaio?a o
iiia?a/iiio ?o ?ici??? oa acaeiaae aeiaai? ?o a?n? aai ae?anoacii
a?aeeaie?a ? iaoieia?/iith ?ooii?noth;

· i?neyo?aaiaoe/ia aeaoi?iaoe?y a?oaeii? no?iee, iaoiiaeaia iiiaeeiieie
ia?aeiiaie ?aaa? ?c ci?iaie oi?ie oa ia’?io a?oaeii? ee?oee.

Iaie anoaiiaeai? i?ioeiieacaiiy:

· aaaeea /a?aiii-iiceiaa o?aaia c neiioiiaie eiii?an??, caaith ?
?ico?iuaiiy iiceo oa oeaio?aeueieie ?iceaaeaie aeeoaiiy;

· caa?e eaaai? III-IV nooiaiy (ca ?.A. Aaaia?ii) c o?aaeaiiyi aeaio
/anoie ? a?eueoa;

· caa?e na?oey;

· aioo??oiuei/a?aaia e?iaioa/a, ui o?eaa?, na?aaei?e ? aaeeeee
aaiiia?eoiiaoi, ui aeeeeeaiee o?aaiith i?aai?a /a?aaii? ii?iaeieie;

· o?aaiaoe/iee oie.

I?ney a?aeiiaieo iia?aoe?e o an?o oai?eo c iiiaeeiieie oa
o?aaiaioiaaieie ia?aeiiaie ?aaa? aoea onoiaia iaoieia?/ia ?ooii?noue
a?oaeii? no?iee, iie?ioeeenue ? noaa?e?coaaeenue iieacieee
aaiiaeeiai?ee. O iaoe??io?a a 78% i?iyae aeeoaeueii? iaaeinoaoi?no?
cia/ii ciaioeeenue. Noai ooieoe?? aeeoaiiy o oeeo iia?iaaieo oai?eo
aeicaieya ciaoiaeeoenue ?i ia naiino?eiiio aeeoaii?. Eeoa o 22% oai?eo
i?ney a?aeiiaii? iia?aoe?? ia ea?ean? a?oaeii? no?iee aoei iaiao?aeii
canoinoaaiiy ooo/ii? aaioeeyoe?? eaaai?a. Aiia aeiiiaithaaea iia?aoeaia
ao?o/aiiy, a ia i?ioenoaaaea eiio, ? aoea iaeiei ?c iaoiae?a e?eoaaiiy
aeeoaeueii? iaaeinoaoiino?, iaoiiaeaii?, ia?o ca ana, caai?i eaaai?a.

*a?ac 8-30 ae?a i?ney a?aeiiaii? iia?aoe?? o oai?eo c iiiaeeiieie oa
o?aaiaioiaaieie ia?aeiiaie ?aaa? a?aecia/aee iie?ioaiiy ye ia’?iieo, oae
? oaeaee?nieo iieaciee?a ooieoe?? ciai?oiueiai aeeoaiiy a ii??aiyii? c
aeiiia?aoe?eieie (oaae. 3).

Oaaeeoey 3.

Iieacieee (%) ciai?oiueiai aeeoaiiy o oai?eo c iiiaeeiieie ?
o?aaiaioiaaieie ia?aeiiaie ?aaa? i?ney iia?aoe?? (8-ia – 30-oa aeiaa,
n=13)

IieacieeeAei iaeaaeieo aaee/eiCia/i? ci?ie??ce? ci?ieCaaaeueia noia
cia/ieo ? ??ceeo ci?iAE?E63,83,946,22369,2OAE?E59,94,72315,438,41
AE?E53,74,030,82353,8Eiao?oe??io Oeooii68,72,7—O a?aeaeaeaiee ia??iae
i?ney a?aeiiaieo iia?aoe?e iieacieee ooieoe?? ciai?oiueiai aeeoaiiy
cia/ii iie?iooaaeenue ? i?eoiaeeee aei iaeaaeieo aaee/ei.

Oneeaaeiaiiy a i?neyiia?aoe?eiee ia??iae o 27 (45,7%) oai?eo aoee
iaoiiaeai? ia?aaaaeii aaaee?noth iioeiaeaeaiue ??cieo a?aeae?e?a
e?noeiai – o?yuiaiai ea?eano ? i?aai?a a?oaeii? ee?oee ? cia/ii ??aeoa –
naiei iia?aoeaiei ao?o/aiiyi.

Iaeoaeaiiy aeinyaiooi o 50 (84,8%) oai?eo. O?eaae?noue aini?oaeueiiai
e?eoaaiiy oai?eo i?ney a?aeiiaieo iia?aoe?e i?e iiiaeeiieo oa
o?aaiaioiaaieo ia?aeiiao ?aaa?, o yeeo aoei aeinyaiooi iaeoaeaiiy,
noaiiaeea a?ae 6 aei 55 ae?a, na?aaeiy – 26,9 aeiae. Nia?oi?noue na?aae
iaoe??io?a c ?cieueiaaiith o?aaiith a?oaeii? ee?oee noaiiaeea 10% (3 ?c
30), oiae? ye na?aae iaoe??io?a ?c niieo/aieie o?aaiaie aiia neeaaeaea
20,6% (6 ?c 29), ui cia/ii iaioa a ii??aiyii? c ?acoeueoaoaie e?eoaaiiy,
iaaaaeaieie a e?oa?aoo??. E?euee?noue eaoaeueieo iane?aee?a aoea cia/ii
a?eueoith o oai?eo c iiiaeeiieie ? o?aaiaioiaaieie ia?aeiiaie ?aaa?, ui
noi?iaiaeaeoaaeenue oeioaoe??th ia?aaei?o, ia?aaeiueiaieiaeo oa aieiaeo
?aaa?ieo eeaiai?a ii??aiyii c iino?aaeaeaeeie, o yeeo aoee
caaeiueiaieia? ? caaei? ?aaa?i? eeaiaie (19% i?ioe 8,7%).

Oi?aeioii?th ne?ae aaaaeaoe iaeiei ?c /eiiee?a, ui aieeioa ia ?acoeueoao
e?eoaaiiy. Eaoaeuei?noue o oai?eo, yeei aoea aeeiiaia oi?aeioii?y, aoea
cia/ii a?eueoith, i?ae eiee ao?o/aiiy aeeiioaaeinue iicaieaa?aeueii (8
iiia?eeo i?ioe 1). ?acoeueoaoe e?eoaaiiy aeyaeeeny a?eueo ni?eyoeea?oeie
a ?ac? aeeiiaiiy a?aeno?i/aieo iia?aoeaieo ao?o/aiue. Oae, 7 (35%) c 20
iaoe??io?a iiia?ee, eiee o??o?a?/ia ao?o/aiiy i?iaiaeeee a ia?o? 24 aiae
a?ae iiiaioo o?aaie, ? o?eueee 2 (5,1%) c 39 – i?e aeeiiaii? iia?aoe??
i?ci?oa 24 aiae. Noaoenoe/iei aiae?cii anoaiiaeaii, ui a?oie iia?iaaieo
oai?eo a oa?i?i aei 24 aiae (n=20) oa i?ney 24 aiae (n=39) ca aaaeeinoth
aiaoii?/ieo iioeiaeaeaiue, ye? ioe?iai? ca oeaeith PTS, noaoenoe/ii
ii??aiyii? (p>0.01). I?e/eiaie nia?o? aoee: iiaaiii?y o iino?aaeaeaeeo c
aeaia?/ieie caaiyie eaaai?a (4), na?oeaaa (4) oa iie?i?aaiia
iaaeinoaoi?noue (1).

A?aeiiai? iia?aoe?? aoee aeeiiai? o 18 oai?eo c iiaieie ia?aeiiaie
a?oaeeie. Niieo/ai? o?aaie aoee o 44,4% oai?eo, i?e/iio o an?o
iino?aaeaeaeeo aoa I nooi?iue aaaeeino? iioeiaeaeaiue ca oeaeith PTS.

Iaie aea/ai? iaoiii?oieia?/i? ci?ie i?noeue ia?aeii?a a?oaeeie caeaaeii
a?ae /ano, ui ieioa i?ney iioeiaeaeaiiy. A iaeaeeae/? 4-5 ae?a aoee
aeyaeai? e?iaiaeeeae a?ey ia?aeiio c noaeei e?noee oa iae?noy a i?eeaae?
oeaieie. Anoaiiaeaii, ui oeae oa?i?i aeey i?aaeeueii? ?aiiceoe?? oa
aaeaioaoe?? oeaie?a iaea?eueo iioeiaeueiee. Iiaeaeueo?
caiaeueii – ?io?eueo?aoeai? oa i?ie?oa?aoeai? i?ioeane oneeaaeiththoue
aeeiiaiiy ao?o/aiue oa iio?aaothoue aeiaeaoeiai? i?aeaioiaee e?a?a
oeaie?a: onoiaiiy a?aioeyoe?e, ?oaoe?a, no?iie ii?iaeiei, ui
oi?iothoueny a?ey ia?aeiio.

*eneaii? ee?i?ei-iaoiii?oieia?/i? i?iyae iiaieo ia?aeii?a a?oaeeie,
e?iaioa/?, aeeoaeuei? ?iceaaee, oie, aecia/athoue ??cio o??o?a?/io
oaeoeeo. Iniiaieie ?? iieiaeaiiyie ? ooi/iaiiy aeaeo ? aaaeeino? an?o
i?neyo?aaiaoe/ieo iane?aee?a ? oneeaaeiaiue c onoiaiiyi oeo, ye?
caa?iaeothoue aeeooth iino?aaeaeaeiai. Iao? aeine?aeaeaiiy iieacaee, ui
a?aeiiai? iia?aoe?? ne?ae aeei?enoiaoaaoe o oaeeo aeiaaeeao:

· ia?aeii a?oaeeie, ui noi?iaiaeaeo?oueny na?aaei?i ? aaeeeei
aaiioi?aenii, caa?oaeeiiith aaiaoiiith, aaiiia?eea?aeii;

· iaoieia?/ia ?ooii?noue a?oaeeie oa oeioaoe?y a?oaeii? no?iee /a?ac
ia?aeiie ?aaa?, eeth/eoeue, ?ic?eae i?ae?aaa?ieo i’yc?a;

· iiaea?eiee ia?aeii a?oaeeie;

· ia?aeii a?oaeeie oa o?e a?oaeieo o?aaoe?a;

· ianoaa?euei?noue a?oaeeie i?ney ciai?oiuei? o?enaoe?? c ooai?aiiyi
iani?aaaeiueiai noaeiaa;

· ?ioaineaiee iino?eiee aieueiaee neiae?ii.

Iniiaieie iaoiaeaie noaa?e?caoe?? ceaiaieo o?aaiaio?a a?oaeeie aoee
e?aaoo?iee oa ca aeiiiiiaith iaoaeiinoaineioaco. Aoee canoiniaai? ??ci?
iiaeeo?eaoe?? e?aaoo?ii? o?enaoe?? eai?iiiaeie ieoeaie, i?iaaaeaieie
ia?a?ea/anoi, O- /e I-iiae?aii, ? iaoaeiinoaineioaco: noa?aeiyie,
nieoeyie E??oia?a, ne??ieaie aia?aoa N?E*-22, iae?noeiaeie ieanoeiaie.
A?aoiaoth/e ie?ai? iacaaeia?euei? ?acoeueoaoe e?aaoo?ii? o?enaoe?? o
aeaeyae? /anoeiai? ?ooiiino? a?aeeaie?a a?oaeeie, ia?aaaao ne?ae
a?aeaeaaaoe iaoaeiinoaineioaco aai niieo/aiith oeeo iaoiaeee. O ?ac?
ia?aeii?a, ?icoaoiaaieo i?ae ?o/eith oa o?eii e?noee, a?eueo iaae?eiith
? o?enaoe?y a?aeeaie?a noa?aeiyie, i?iaaaeaieie ia?aeaeueii iaeei aei
iaeiiai, a i?e iioeiaeaeaii? o?ea – O-iiae?aii aioo??oiueie?noeiai
?icoaoiaaieie nieoeyie. ?acii c oei, iia?aoe?ei? niinoa?aaeaiiy aeyaeee,
ui iaoaeaa? o?enaoi?e ia caaaeaee aa?aioothoue i?oeia oo?eiaiiy
a?aeeaie?a, oiio iaiao?aeia aeiaeaoeiaa o?enaoe?y ?o ieoeaie. Noaa?eueii
ooieoe?iiaeueio o?enaoe?th ne??ieaie aia?aoa N?E*-22 ne?ae
aeei?enoiaoaaoe i?e iaeii/aniiio ?oeioaaii? neioiiae?ic?a, a
iaoaeiinoaineioac a?oaeeie – iae?noeiaeie ieanoeiaie a ?ac? ia?aeii?a
?o/ee e?noee.

A i?neyiia?aoe?eiee ia??iae iia?aoeaia a?aeiiaeaiiy a?oaeeie i?ecaaei
aei onoiaiiy /e cia/iiai ciaioaiiy aieth, iaoieia?/ii? ?ooiiino?
a?oaeii? no?iee, ?iceaae?a aeeoaiiy, iiia?aaeaeaei ?icaeoie ?ioeo
caiaeueieo ieaa?ieaaaiaaeo oa iaae?anoeiaeueieo oneeaaeiaiue,
iani?aaaei?o noaeia?a. Iaeii/anii aiii aeicaieyei oai?iio aooe aeoeaiei,
ia aeiaaaei o?eaaeiai aeio?eiaiiy iniaeeaeo aeiia uiaei o?enaoe??
a?aeeaie?a, iaia’yceiaeo o aeiaaeeao aeei?enoaiiy ciai?oiuei? o?enaoe??
oa neaeaoiiai aeoyaaiiy aai i?e ?aee?iaoe?? ia aaeeeo, yea oaeiae ia?
i?ioeiieacaiiy a ?ac? ia?aeii?a a?oaeieo o?aaoe?a. Aea/aiiy a?aeaeaeaieo
?acoeueoao?a e?eoaaiiy aeyaeei a 94,4% aeiaaee?a aeia?? ?acoeueoaoe:
noaa?eueio o?enaoe?th a?aeeaie?a, iie?ioaiiy oa ii?iae?caoe?th
iieaciee?a ciai?oiueiai aeeoaiiy ii??aiyii c aeiiia?aoe?eieie,
a?aenooi?noue caiaeueieo oneeaaeiaiue.

O??o?a?/ia a?aeiiaeaiiy ?aaa?ieo aeoa aoei aeeiiaii o 21 oai?iai, a oiio
/ene? o 14 a 1-oo – 22-ao aeiao ? o 7 – /a?ac 1 i?n – 10 ?ie?a i?ney
o?aaie. Iaiao?aei?noue iia?aoeaiiai a?aeiiaeaiiy ?aaa?ieo aeoa i?e ?o
ia?aeiiao aoei aeiaaaeaii o iia?iaaieo oai?eo ye o aino?ee, oae ? o
a?aeaeaeaiee ia??iae iioeiaeaeaiue. I?ney ia?aeiio ?aaa?ii? aeoae i?e
aeei?enoaii? eiina?aaoeaieo iaoiae?a e?eoaaiiy o o?aoeie oai?eo
?icaeaa?oueny no?eea ianoaa?euei?noue ea?eano a?oaeii? ee?oee /a?ac
ae?anoac oeaie?a, oi?ioaaiiy iani?aaaeiueai noaeiaa, aeieea?
aeaoi?iaoe?y an??? ?aaa?ii? aeoae.

Ia?aeiie ?aaa?ieo aeoa aoee ia?aaaaeii ce?aa (80,9%), ii
na?aaeiueieeth/e/i?e ? ia?aaei?e iaoaia?e e?i??. ??aeoa aiie aoee ii
a?oaeeii?e e?i?? oa o aeaeyae? ?oeioaaiiy neioiiae?ic?a. Iaeii/anii o
oai?eo aoee aeyaeai? ia?aeiie ?aaa? a e?noeia?e /anoei? (14,2%), a oiio
/ene? o?aaiaioiaai?, ?ic?eae iaae?aaa?ieo i’yc?a (4,8%).

Iino?eiith iciaeith ia?aeiio ?aaa?ii? aeoae aoa a?eue, yeee a?ae/oaaee
an? iino?aaeaeae?. Iaie anoaiiaeaii, ui iaea?eueo /anoeie oa?aeoa?ieie
i?iyaaie iioeiaeaeaiue ?aaa?ieo aeoa aoee: no?aeoeaiiae?aia aeaoi?iaoe?y
(85,7%), oai?iaeea?noue o i?noe? ia?aeiio (61,9%), iaoieia?/ia
?ooii?noue (28,5%), e?ai?oaoe?y (19%) oeaie?a. Ia?aeiie, ui ia c?ineeny,
oa i?neyo?aaiaoe/ia aeaoi?iaoe?y ?aaa?ii? aeoae noi?iaiaeaeoaaeenue
oaeiae ieaa?eoii ? ae?ao?aaiaeueii-a?oaeiith a?eaeath, ciaioaiiyi ia’?io
aai?oi?aeno ? ci?iith ooieoe?? ciai?oiueiai aeeoaiiy. Iao? ee?i?/i?
niinoa?aaeaiiy aeiaaee, ui iia?aoeaia a?aeiiaeaiiy ?aaa?ieo aeoa i?e ?o
ia?aeiiao ne?ae aeeiioaaoe o aeiaaeeao:

· aieueiaiai neiae?iio;

· iaoieia?/ii? ?ooiiino? oeaie?a;

· oeioaoe?? a?oaeii? no?iee /a?ac ia?aeii ?aaa?, ui neeaaeathoue aeoao
ii aeaio e?i?yo;

· eiee ianoa? c?iuaiiy ia?aeiio ?aaa?ii? aeoae o aeaeyae?
iani?aaaeiueiai noaeiaa;

· ae?anoaco oeaie?a aeoae /a?ac ?ic?ea i?ae?aaa?ieo i’yc?a;

· ae?ao?aaiaeueii-a?oaeii? a?eaee a cii? ia?aeiio ?aaa?ii? aeoae;

· aeaoi?iaoe?? aeoae a ia?aaeiueicaaeiueiio iai?yieo a?eueoa i?ae ia 3
ni.

I?e iia?aoeaiiio a?aeiiaeaii? ?aaa?ieo aeoa canoiniaothoue iioa?ia?
?icoeie i’yeeo oeaiei a i?noeyo ia?aeii?a /e oi?aeioii?th. Iioa?iaee
?icoei aaaeaoueny ia?aeaeueii aai ia?iaiaeeeoey?ii e?i?? ia?aeiio. A
?ac? ?icoeio oeaiei ia?iaiaeeeoey?ii e?i?? ia?aeiio caa??aa?oueny
oe?e?noue i’yc?a ii aa?oi?e oa ieaei?e /anoei? ?aaa?ii? aeoae, ui
caaacia/o? a?eueo i?oeia oo?eiaiiy oeaie?a i?ney ?o o?enaoe??. Iaeiae
i?e oeueiio ?icoei? iiaeeeaa a?eueoa iioeiaeaeaiiy a?eie i?ae?aaa?ieo
ia?a?a. Eiee ?icoei aaaeaoueny ia?aeaeueii e?i?? ia?aeiio aeoae, eiai
i?iaeoe?y ci?uo?oueny aeua /e ieae/a a?ae ieiueie ia?aeiio. Oi?aeioii?th
canoiniaothoue o ?ac? noiooi?o a?eae a?oaeii? no?iee oa
ae?o?aaiaeueii-a?oaeieo a?eae, aeaoi?iaoe?? on??? ?aaa?ii? aeoae.

A?aee?eoa ?aiiceoe?y oeaie?a ?aaa?ii? aeoae i?eionea? aeei?enoaiiy
??cieo niinia?a, ui caaacia/othoue i?aaeeueio aaeaioaoe?th e?ioe?a
ceaiaieo o?yu?a ? a?eueo i?oeia ?o oo?eiaiiy i?ney o?enaoe??. C oe??th
iaoith aeei?enoaii eina /e no?aeoeaiiae?aia ?o ae??coaaiiy ?
a?aeiiaeaiiy i’yciai-aiiiaa?ioe/iiai oooey?o. O?enaoe?th oeaie?a
?aaa?ieo aeoa aeeiiothoue eai?iiiaeie ieoeaie, i?iaaaeaieie /a?ac o?yu
O- /e I-iiae?aii. I?e canoa??eeo ia?aeiiao, ye? ia c?ineeny, o in?a c
ineo?eaoe??th o?yu?a oeaiee ne?ae o?enoaaoe ne??ieaie aia?aoa N?E*-22.
Noiooi? oneeaaeiaiiy o aeaeyae? a?eae, iaoieia?/ii? ?ooiiino? a?oaeii?
no?iee onoaathoue aei o?enaoe?? ceaiaieo o?aaiaio?a aeoae.

Aea/aiiy a?aeaeaeaieo (oa?i?i a?ae 8 i?n aei 13 ?ie?a) ?acoeueoao?a
iia?aoeaiiai a?aeiiaeaiiy ?aaa?ieo aeoa o an?o oai?eo ia aeyaeei
oneeaaeiaiue oa ooieoe?iiaeueieo ci?i aeeoaiiy.

A?aeiiai? iia?aoe?? aoee aeeiiai? o 26 oai?eo c iioeiaeaeaiiyie
eeth/eoeue. Iaeii/anii o 25 (96,1%) iino?aaeaeaeeo aoee ia?aeiie ?aaa? o
5 (19,2%) – ?ioeo e?noie a?oaeii? ee?oee: eiiaoie, a?oaeeie, ?aaa?ieo
aeoa. Ia?aeiie ?aaa? aoee iaeiia?/ieie (76,9%) ? aeaia?/ieie (19,2%),
i?e/iio o 80,7% oai?eo iiiaeeiieie (a?ae 4 aei 15) oa o 26,9% –
o?aaiaioiaaieie. Aino?a aeeoaeueia iaaeinoaoi?noue aoea o 69,2%, oie – o
42,3% oai?eo. Niieo/ai? o?aaie c o?aaeaiiyie 2-3 ae?eyiie o?ea I nooiaiy
aaaeeino? ca oeaeith PTS aoee o 46,1% oai?eo.

Ee?i?/i? niinoa?aaeaiiy na?ae/aoue, ui ia?aeii eeth/eoeue o ?ac?
iaeii/aniiai ia?aeiio ?aaa? oa ?ioeo e?noie a?oaeii? ee?oee ni?ey?
iineeaiith ii?ooaiue ea?eaniino? a?oaeii? ee?oee /a?ac ci?io iai?yieo
oyae a?oaeieo i’yc?a ? ae?? ia a?oaeio no?ieo iane aa?oiuei? e?ioe?aee
/a?ac ao?a/aio iii?io ooieoe?th eeth/eoe?. Oea i?ecaiaeeoue aei
a?eueoiai ci?uaiiy ?aaa?, ciaioaiiy ia’?io a?oaeii? ee?oee, ao?aoe oyae
a?oaeieo i’yc?a, ui ni?e/eith? cia/i? ii?ooaiiy ooieoe?? aeeoaiiy. Ie??i
oeueiai, ia?aeii eeth/eoe? ii?ooo? ooieoe?th aa?oiuei? e?ioe?aee.
Iia’ycee oa oeie a oeeo aeiaaeeao ia o?eueee ia oo?eiothoue oeaiee
eeth/eoe? a i?aaeeueiiio iieiaeaii?, aea e aiane?aeie iaoai?/ii? ae??
i?e ao?a/ai?e ea?eaniino? a?oaeii? ee?oee ni?e/eiththoue aeiaeaoeiaa
ci?uaiiy ceaiaieo ?aaa?, /ei ni?eythoue iineeaiith ?iceaae?a aaioeeyoe??
eaaai? ? caiaeueiei oneeaaeiaiiyi.

Ine?eueee naia ia?aeii eeth/eoeue o oai?eo c iaeii/aniei ia?aeiiii ?ioeo
e?noie ea?eano ? iaeiei c /eiiee?a aeeoaeueii? iaaeinoaoi?no?, yea
caa??aa?oueny, iaie iae?aany noaa?eueii ooieoe?iiaeueiee niin?a
inoaineioaco eeth/eoeue. Eiai aea?? oaeiae aecia/aany naieie
iniaeeainoyie ia?aeii?a eeth/eoeue, ine?eueee ia?aaaaeii aoee ein?
(65,3%) oa ineieeia? (61,5%), ia?aeiie c? ci?uaiiyi (92,3%) oeaie?a a?ae
1,5 aei 5 ni aai ae?anoacii 2 ni ? a?eueoa. Iioeiaeaeaiiy i?aeeeth/e/ieo
noaeei o 4 (15,3%) oa ia?a?a o 3 (11,5%) oai?eo oaeiae ?iaeei iaieio/ei
iia?aoeaia e?eoaaiiy.

Aoa aeei?enoaiee ia?aaaaeii iaoaeiinoaineioac noa?aeiyie Aiaaeaiiaa,
Aiaea?a, nieoeyie E??oia?a, iae?noeiaeie ieanoeiaie, oo?oiii, ne??ieaie
aia?aoa N?E*-22 oa ae?ioii. Eeoa a iaeiiio aeiaaeeo o?enaoe?th oeaie?a
a?oaeeiiiai e?ioey eeth/eoe? aoei aeeiiaii eai?iiiaeie ieoeaie.

Iao? niinoa?aaeaiiy na?ae/aoue i?ioa, ui iieacaiiyie aei noaa?eueii
ooieoe?iiaeueiiai inoaineioaco eeth/eoeue o ?ac? iaeii/anieo ia?aeii?a
?aaa? oa ?ioeo e?noie a?oaeii? ee?oee ?:

· a?aeiiaeaiiy ea?eaniino? a?oaeii? ee?oee i?e iiiaeeiieo,
o?aaiaioiaaieo oa aeaia?/ieo ia?aeiiao ?aaa?;

· ci?uaiiy e?noeiaeo o?aaiaio?a eeth/eoe? ii aeiaaeei? oa oe?ei? c
caoiaeaeaiiyi oeaie?a aei 1,5-5 ni i?ae eooii aai ?o ae?anoacii aei 2 ni
? a?eueoa;

· ia?aeii eeth/eoe?, ui aeeeeeaa iioeiaeaeaiiy i?aeeeth/e/ieo noaeei;

· ia?aeii eeth/eoe?, ui i?eca?a aei ieaeneoo /e ia?aco aa?oiuei?
e?ioe?aee;

· iac?iuaiee ia?aeii o aeaeyae? oeaiiai noaeiaa.

Iao? aeine?aeaeaiiy iieacaee, ui ia?aaaaa iia?aoeaiiai noaa?eueii
ooieoe?iiaeueiiai a?aeiiaeaiiy ia?aeii?a eeth/eoeue iieyaa? o
iiaeeeaino? aeinyaoe a?eueo i?aaeeueiiai ?icoaooaaiiy ceaiaieo ?aaa? oa
iie?ioaiiy oiia aeey ?o eiinie?aeaoe?? , ciaioaiiy iaoieia?/ii?
?ooiiino? a?oaeii? no?iee. Oiio noaa?eueii ooieoe?iiaeueiee
iaoaeiinoaineioac eeth/eoeue i?e iaeii/anieo iiiaeeiieo o?aaiaioiaaieo ?
aeaia?/ieo ia?aeiiao ?aaa? ne?ae ?icaeyaeaoe ye iaeei c aeae?a ?o
ciai?oiueiaiaieuaaiai inoaineioaco. Aeinyaiooa i?ney iia?aoe??
iie?ioaiiy aaioeeyoe?? eaaai?a ni?ey? ?aaaia?aoe?? e?noeiai? oeaieie ?
i?io?eaeoeoe? eaaaiaai-ieaa?aeueieo caiaeueieo oneeaaeiaiue. A?aeaeaeai?
?acoeueoaoe iia?aoeaiiai e?eoaaiiy ia?aeii?a eeth/eoeue aea/ai? o 20
(77%) oai?eo /a?ac 1 ??e – 14 ?ie?a i?ney iia?aoe??. Aeine?aeaeaiiy
ooieoe?? ciai?oiueiai aeeoaiiy anoaiiaeei o an?o iaoe??io?a ciaioaiiy
i?iya?a aeeoaeueii? iaaeinoaoi?no? oa ii?iae?caoe?th iieaciee?a ooieoe??
ciai?oiueiai aeeoaiiy. A?aeaeaeai? ooieoe?iiaeuei? ?acoeueoaoe ioe?iai?
ye aeia?? (85%) oa caaeia?euei? (15%).

I?neyo?aaiaoe/i? a?eae? a?oaeii? no?iee, ye i?aaeei, aoee iane?aeeii
iaiaaeaii? ae?? aenieiaia?aaoe/iiai oaea?o. Iaeiae i?e oeueiio
a?aeaoaaeiny ?oeioaaiiy ia o?eueee i’yeioeaieiieo no?oeoo? i?ae?aaa?ieo
i?inoi??a – i’yc?a, ieaa?e, aioo??oiueia?oaeii? oanoe??, noaeei, aea e
?aaa?. Ia?aeiie ?aaa?, a oiio /ene? iiiaeeii? ? o?aaiaioiaai?, aoee o 15
(93,8%) oai?eo. Iaeii/anii o oai?eo c i?neyo?aaiaoe/ieie a?eaeaie
a?oaeii? no?iee aoee aeyaeai? iioeiaeaeaiiy eaaai?, noaeei, na?oey,
na?aaeino?iiy. Ia?aaaaeaee iioeiaeaeaiiy eaaai? o aeaeyae? caaith
(62,5%), ?ic?eao (50%), cauaieaiiy (50%), ye? noi?iaiaeaeoaaeenue
iiaaii- (75%) oa aaiioi?aenii (56,2%). I?i aaaee?noue iioeiaeaeaiue
i?aai?a a?oaeii? ee?oee na?ae/eee oaeiae iiaaii- ? aaiiiaae?anoeioi,
aaiiia?eea?ae, ye? aoee o 18,7% oai?eo.

Aeine?aeaeaiiy, aeeiiai? iaie, aeicaieeee nenoaiaoecoaaoe aeai? i?i
i?neyo?aaiaoe/i? a?eae? a?oaeii? no?iee ? ?ic?iaeoe ?o
ee?i?ei-ii?oieia?/io eeaneo?eaoe?th.

Eeaneo?eaoe?y i?neyo?aaiaoe/ieo a?eae a?oaeii? no?iee

Ca i?noeai o?aaeaiiy· I?aaia?/i?

· E?aia?/i?

· Aeaia?/i?Ca ?icoaooaaiiyi· Ia?aaei?, aieia?, caaei?

· Aa?oi?, na?aaei?, ieaei?Ca aaee/eiith a?eaeiaeo ai??o· Iae? (aei 3 ni)

· Na?aaei? (3-5 ni)

· Aaeee? (a?eueoa i?ae 5 ni)Ca iayaiinoth a?eaeiaiai i?oea· Ni?aaaei?

· Iani?aaaei?Ca oa?i?iii ?nioaaiiy· Aino??

· O?ii?/i?Ca oa?aeoa?ii noiooi?o iioeiaeaeaiue· C ii?ooaiiyi oe?eino?
?aaa? /e aac iueiai

· C iioeiaeaeaiiyi aioo??oi?o i?aai?a /e aac iueiaiCa iayaiinoth
oneeaaeiaiue· C oneeaaeiaiiyie /e aac ieo Ae?aaiinoeeo aaeeeeo a?eae
(i?e aaee/ei? a?eaeiaeo ai??o a?eueoa i?ae 5 ni) cae?eniaii ca
aeiiiiiaith o?ceeaeueieo iaoiae?a aeine?aeaeaiiy. Iaeii/anii
?aioaaiia?ao?y a?oaeii? ee?oee a eineo iiceoe?yo aeyaeyea o oai?eo c
aaeeeeie a?eaeaie ?icoe?aiiy i?ae?aaa?ieo i?inoi??a, ca?eueoaiiy ia’?io
i’yeeo oeaiei /a?ac ci?uaiiy ?o iia?o?yi /e ia?ai?uaiith eaaaiath. A
?ac? iaeeo a?eaeiaeo ai??o a ie?aieo aeiaaeeao aeyaeaii ia??aiii??ia
niaaeaiiy eaaai? i?e iiaaiioi?aen? ? iaiaaeaio ?? o?enaoe?th a i?noe?
ia?aeiio ?aaa?. Iaeiae nai?/ania ? oi/ia ?ici?ciaaaiiy a?eae a?oaeii?
no?iee i?e iae?e aaee/ei? ?? ai??o aoei iiaeeeaa eeoa ca aeiiiiiaith
oi?aeineii?? /e iia?aoe?eii? ?aa?c??.

Aeey e?eoaaiiy i?neyo?aaiaoe/ieo a?eae a?oaeii? no?iee, oneeaaeiaieo
cauaieaiiyi eaaai?, canoiniaoaaee iia?aoeaio oi?aeineii?th ca
?ic?iaeaiith iaie iaoiaeeeith. O an?o oai?eo aiia aeicaieeea onoiooe
cauaieaiiy eaaai?. O aeiaaeeao aaeeeeo i?neyo?aaiaoe/ieo a?eae a?oaeii?
no?iee aoee canoiniaai? a?aeiiai? iia?aoe?? oeyoii oi?aeioii??.
Iieacaiiyie aei ieanoeee a?eaeiaeo ai??o aoee aaeee? ?ici??e ?o (a?eueoa
i?ae 5 ni), oeioaoe?y a?oaeii? no?iee, a oaeiae noiooi? iioeiaeaeaiiy
i?iea?aea, aaeee? ca i?ioyaii ?ic?eae eaaai?, aaii?aa?/i? oneeaaeiaiiy:
na?aaei?e oa aaeeeee aaiioi?aen, aaiiiaae?anoeioi, aaiiia?eea?ae.

A?aeiiaeaiiy oe?einono? a?oaeii? no?iee i?e a?eaeao aaeeeeo ?ici???a
aeeiiothoue c canoinoaaiiyi ?icoeio oeaiei iaae i?noeai iaeneiaeueiiai
?o aeieiaiiy. Ieanoeeo a?eaeiaeo ai??o o an?o aeiaaeeao aeeiiaii
aeanieie oeaieiaie c aeei?enoaiiyi oa?a iaaeiei noi?aeieo ?aaa? aai
iie?nianoieo. I?e aeyaeaii? o?aaiaioiaaieo ia?aeii?a ?aaa? o cii?
o?aaeaiiy canoiniaaii o?enaoe?th e?noeiaeo o?aaiaio?a.

Aea/aiiy ?acoeueoao?a a?aeiiaieo iia?aoe?e /a?ac 1 ??e – 19 ?ie?a ia
aeyaeei ?aoeeaeea?a a?eae oa ci?i iieaciee?a ooieoe?? ciai?oiueiai
aeeoaiiy.

Noi?iii? o?ea a?oaeii? no?iee aoee a 16 oai?eo iane?aeeii
eieioi-??caieo, aiaiaiaeueieo, iaaiaiaiaeueieo ineieeiaeo iioeiaeaeaiue,
iia?aoeaieo ao?o/aiue ? iaaee/ieo iai?ioeyoe?e. O 11 (68,8%) oai?eo aiie
aoee o?eniaai? ia o?eueee a i?e, aea e o ?ioeo i?aaiao a?oaeii? ee?oee.
Noi?iii? o?ea ia?aaoaaee a a?oaei?e no?ioe? o 10 (62,5%) oai?eo
oi?iaeiaaeae 1-72 aiae ? o 6 (37,5%) – caeeoaeenue o?eniaaieie
oi?iaeiaae i?nyoe?a ? iaa?oue ?ie?a.

?ici?ciaaaiiy noi?iii?o o?e a?oaeii? no?iee a?oiooaaeinue ia
aiaiianoe/ieo a?aeiiinoyo oa ?ioi?iaoe??, io?eiai?e ca aeiiiiiaith
aaaaoiinueiai? ?aioaaiineii?? oa aaaaoii?iaeoe?eii? ?aioaaiia?ao??,
aiaeineii??, iia?aoe?eii? ?aa?c?? ?ai oa ?aiiaeo eaiae?a. Iaie
?ic?iaeai? iniiai? i?eioeeie iia?aoeaieo ao?o/aiue, ye? aeicaieythoue
ciaioeoe e?euee?noue ?io?a- oa i?neyiia?aoe?eieo oneeaaeiaiue:

· aeyaeaiiy ii?oieia?/ieo ci?i a?oaeii? no?iee oa aioo??oi?o i?aai?a,
iaoiiaeaieo noi?iii?i o?eii;

· aeaeaeaiiy o?eueee i?ae a?coaeueiei eiio?ieai a oiiaao, ui
aeicaieythoue iiia?aaeaeeoe oa e?ea?aeoaaoe oneeaaeiaiiy, ui
?icaeaathoueny i?e aeoyaiaii? noi?iiiueiai o?ea;

· aeei?enoaiiy o??o?a?/ieo iaoiaeee oa i?eeii?a, ui cieaeothoue
o?aaiaoe/i?noue iia?aoe??.

Iaie ?ic?iaeai? iieacaiiy aei aeaeaeaiiy noi?iii?o o?e a?oaeii? no?iee:

· ni?e/eiai? noi?iii?ie o?eaie aaii?aa?/i? oneeaaeiaiiy;

· ?icoaooaaiiy noi?iii?o o?e iiaeeco aaeeeeo noaeei, o?aoa?, a?iio?a,
no?aaioiaeo;

· ?icoaooaaiiy noi?iii? o?ea a aeae?eueeio aiaoii?/ieo ae?eyieao;

· aieueiaee neiae?ii.

Aeaeaeaiiy ??ciiai aeaeo noi?iii?o o?e a?oaeii? no?iee aoei aeeiiaii ?c
canoinoaaiiyi o??o?a?/ieo oa aiaeineii?/ieo iaoiaeee. ?acii c
o?aaeeoe?eieie iaie aoee ?ic?iaeai? oa canoiniaai? iaio o?aaiaoe/i?
iaoiaee ?o aeaeaeaiiy niiniaii oi?aeineii??. C oe??th iaoith iaie
cai?iiiiiaaiee iia?aoe?eiee o?iaea?, ui iie?ioo? oiiae aeeiiaiiy
aioo??oiueia?oaeieo iia?aoe?e. I?e canoinoaaii? oi?aeineii?? noi?iii?
o?ea aoee aeeo/ai? o 50% oai?eo. Eiee aeaeaeaiiy noi?iiiueiai o?ea o
oaeee niin?a aoei iaiiaeeeaei, aeeiioaaee i?i?iaeuei? ?ic??ce oeaiei
iaae /anoeiith noi?iiiueiai o?ea, iaiaaeai? iia?aoeai? ?icoeie c
eiio?iethaaiiyi aioo??oiueia?oaeieo iai?ioeyoe?e /a?ac aiaeineii.
Noi?iii? o?ea aoee aeeo/ai? a on?o oai?eo.

A?aeiiaeaiiy iioeiaeaeaiue e?noeiai-o?yuiaiai ea?eano a?oaeii? no?iee
i?ney ?? eieioi-??caieo ii?aiaiue aeeiiaii o 28 oai?eo. O a?oi? oai?eo c
eieioi-??caieie iioeiaeaeaiiyie aoei aeyaeaii ?oeioaaiiy ??cieo
a?aeae?e?a e?noeiai-o?yuiaiai ea?eano: ?aaa?, ?aaa?ieo aeoa, a?oaeeie,
eiiaoee. Ee?i?/i? niinoa?aaeaiiy iieacaee, ui /ano?oa aoaathoue
iioeiaeaeaiiy ?aaa? (92,8%) o ?o o?yuia?e /anoei? (85%). Iioeiaeaeaiiy
e?noeiai-o?yuiaiai ea?eano aoee ca oiaeii ?aiiaiai eaiaeo, i?ioa aiie
eeoa o 39,2% oai?eo aoee ?icoaoiaai? a i?iaeoe?? ?aie a?oaeii? no?iee. O
?ioeo oai?eo aoa ia?aoei ?aaa? aeua aai ieae/a a?ae ?aie i’yeeo oeaiei
a?oaeii? no?iee. *ano?oa niinoa??aaeinue iiaia iioeiaeaeaiiy iaeiiai
?aa?a. ?acii c oei aiie aoee aaae/eie i?e o?aaeaii? aeaio ?aaa?, i?e/iio
a ??cieo a?aeae?eao a?oaeii? ee?oee, ?aaa?ii? aeoae oa a?oaeeie. E?i?y
ia?aoeio o?yua ? e?noie a?oaeii? ee?oee o a?eueoino? oaeeo oai?eo eoea
ia?aaaaeii iiia?a/ii aeiaa?e in? ?aaa? oa a?oaeeie. Ci?uaiiy
iioeiaeaeaieo /anoei e?noeiai-o?yuiaiai ea?eano a ?ac? iiaiiai ia?aoeio
iaeiiai ?aa?a aoei iaaaeeeei. I?ioa iaoieia?/ia ?ooii?noue aoea caaaeaee
a?eueo ae?aaeaiith o aeiaaeeao iioeiaeaeaiiy aeaio ?aaa? ? a?eueoa.
?acoeueoaoe ee?i?/ieo, ?aioaaiieia?/ieo aeine?aeaeaiue oa iia?aoe?eii?
?aa?c?? ?ai, ?aiiaeo eaiae?a ? aioo??oi?o i?aai?a na?ae/aoue i?i cia/io
aaaee?noue oeeo aeae?a iioeiaeaeaiue, a oaeiae aeacothoue ia aaeeeo
?iia??i?noue ii?aiaiue aioo??oi?o i?aai?a a?oaeii? oa /a?aaii?
ii?iaeiei. O ?ac? ii?aiaiue e?noeiai-o?yuiaiai ea?eano aoee aeyaeai?
iioeiaeaeaiiy ieaa?e o 27 (96,4%), i?ae?aaa?ieo noaeei – o 21 (75%),
aioo??oiuei? a?oaeii? a?oa??? – o 3 (10,7%),
ia?eea?ae?aeueii-ae?ao?aaiaeueii?, aa?oiuei? iaae/a?aaii? oa iaeiath/i?
a?oa??? eiiaoee – o 3 (10,7%) oai?eo. O 10 (39,2%) oai?eo oaeiae
aecia/ai? ii?aiaiiy eaaai?a, o 4 (14,2%) – na?oey, o 3 (10,7%) –
ia??ea?aeo oa eiai ee?oeiaeie, o 2 (7,1%) – iaae?anoeiaeueii? ieaa?e, o
8 (28,5%) – ae?ao?aaie, o 4 (14,2%) – oeoiea, o 5 (17,8%) – ia/?iee, o 1
(3,5%) – ie?ee ? o 2 (7,1%) – naeueieea. O iino?aaeaeaeeo oaeiae
ae?aaiinoiaai? aaaee? oneeaaeiaiiy: oie – o 17 (60,7%), e?iaioa/a a
ieaa?aeueio ii?iaeieio – o 25 (89,2%), ia?eea?ae?aeueio – o 4 (14,2%),
/a?aaio ii?iaeieio – o 5 (17,8%) oai?eo.

Iao? aeine?aeaeaiiy iieacaee, ui o 25 (89,2%) oai?eo c iioeiaeaeaiiyie
e?noeiai-o?yuiaiai ea?eano a?oaeii? ee?oee a ?ac? eieioi-??caieo
ii?aiaiue aoei iaiao?aeia oa?i?iiaa iia?aoeaia ao?o/aiiy oeyoii oi?aei-
aai eaia?ioii?? o ca’yceo c a?aee?eoei iiaaiioi?aenii, aaiiia?eea?aeii,
na?aaei?i ? aaeeeei aaiioi?aenii, aaiiia?eoiiaoiii, ui aoee ni?e/eiai?
ii?aiaiiyi noaeei, na?oey, eaaai?a, ae?ao?aaie, ii?iaeieiieo ?
ia?aio?iaoicieo i?aai?a /a?aaii? ii?iaeieie.

Iioeiaeaeaiiy e?noeiai-o?yuiaiai ea?eano aoei ae?aaiinoiaaii o 21 (75%)
oai?iai i?e oi?aeioii?? ? o 7 (25%) – i?e ia?aeii?e o??o?a?/i?e ia?iaoe?
?ai. ?aioaaiieia?/i? aeine?aeaeaiiy aeey ae?aaiinoeee oeeo aeae?a
iioeiaeaeaiue iaeiaio ?ioi?iaoeai?, ui iaoiiaeaii a?aenooi?noth
a?aeia?aaeaiiy o?yu?a ia ?aioaaiia?aiao, iaiao?aei?noth canoiniaoaaoe
niaoe?aeueia oeeaaeaiiy oai?iai, ui a a?eueoino? aeiaaee?a iaiiaeeeai
/a?ac aaaee?noue noaio iino?aaeaeaeiai. Oaeei /eiii, iaeaoaeoeai?oei
iaoiaeii ae?aaiinoeee iioeiaeaeaiue e?noeiai-o?yuiaiai ea?eano a?oaeii?
ee?oee o ?ac? ?? eieioi-??caieo ii?aiaiue aeyaeeanue iia?aoe?eia ?aa?c?y
?ai oa ?aiiaeo eaiae?a.

Iao? ee?i?/i? niinoa?aaeaiiy iieacaee, ui aeyaeai? iaoiii?oieia?/i?
ci?ie i?e ii?aiaiiyo e?noeiai-o?yuiaiai ea?eano oae?, ui aeiaaathoue
eiai o??o?a?/iiai a?aeiiaeaiiy. Aiii aeicaiey? oieeiooe ?iceaae?a,
iaoiiaeaieo iaoieia?/iith ?ooii?noth a?oaeii? no?iee ye o ?aii?e
i?neyiia?aoe?eiee ia??iae, oae ? a iiaeaeueoiio. A?aeiiaeaiiy ?aaa?,
a?oaeeie, ?aaa?ieo aeoa aeeiiaii ia caeeth/iiio aoai? o??o?a?/iiai
ao?o/aiiy, eiee aiii aoei cae?eniaii ca aaniethoieie iieacaiiyie.
I?yieie iieacaiiyie aei a?aeiiaeaiiy ?aaa? ? a?oaeeie aoa iiaiee ia?aoei
iaeiiai (? a?eueoa) ?aa?a, a?oaeeie, ?aaa?ii? aeoae, ui
noi?iaiaeaeoaaany aeaeeiith oa iaoieia?/iith, ui i?iiaoeoaaeanue,
?ooii?noth ea?eano a i?noe? iioeiaeaeaiiy a?oaeii? no?iee, ?aiith c
a?aee?eoei iiaaiioi?aenii. A?aeiiaeaiiy oe?eino? iioeiaeaeaieo /anoei
e?noeiai-o?yuiaiai ea?eano a?oaeii? ee?oee ? onoiaiiy iaoieia?/ii? eiai
?ooiiino? c?iaeaii e?aaoo?iei iaoiaeii a ??cieo iiaeeo?eaoe?yo. Aeey
i?io?eaeoeee ?ioaeoe?eieo oneeaaeiaiue canoiniaaii /anoeiaa
a?ae??coaaiiy e?ath iioeiaeaeaiiai o?yua aei 0,5 ii, i?e/iio aeey a?eueo
noaa?eueii? o?enaoe?? eiai e?aua aeeiioaaoe a einiio iai?yieo a?aeiinii
aeiaai? in? ?aa?a.

Aiae?c ?acoeueoao?a e?eoaaiiy iioeiaeaeaiue ?aaa?, a?oaeeie, eiiaoee i?e
eieioi-??caieo ii?aiaiiyo a?oaeii? no?iee iieacaa, ui aeeiiaia aei 6
aiae ia?aeiia o??o?a?/ia ia?iaea ?ai, ?aiiaeo eaiae?a ? a?aeiiaia
iia?aoe?y ia o?yu? aai e?nooe? o 92,8% oai?eo ni?eyee i?io?eaeoeoe? ia
o?eueee iaaii?iith ?ai, aea ? oiiae?eoo oa inoaii??e?oo a iaeaeeae/ee ?
a?aeaeaeaiee ia??iaee. O?enaoe?y iioeiaeaeaieo ?aaa?, a?oaeeie
caaacia/oaaea a iiaeaeueoiio no?eeo ?o noaa?e?caoe?th ? aoea iaae?eiith
i??ith i?io?eaeoeee iaoieia?/ii? ianoaa?eueiino? ea?eano a?oaeii?
ee?oee.

Oiiae?eo ? inoaii??e?o ?aaa? ? a?oaeeie ? aaaeeeie, /anoeie, aaaeei
e?eiaaieie iane?aeeaie a?aee?eoeo oa cae?eoeo iioeiaeaeaiue a?oaeii?
ee?oee. ?ao?iniaeoeaiee aiae?c /eiiee?a ?icaeoeo i?neyo?aaiaoe/ieo
ai?eii-aeano?oeoeaieo ci?i ?aaa? ? a?oaeeie aeyaea iaea?eueo nooo?a? c
ieo. O oai?eo c a?aee?eoeie iioeiaeaeaiiyie a?oaeii? ee?oee, /eiieeaie,
ui i?ecaaee aei ?icaeoeo oiiae?eoo oa inoaii??e?oo ?aaa?, aoee oae?:

· oe?iea ?oeioaaiiy ea?eano ? i’yeeo oeaiei a?oaeii? no?iee (16,6%);

· ianeaia ?io?eoaaiiy oeaiei a?oaeii? no?iee (35,7%);

· na?aaei?e ? aaeeeee aaiioi?aen (70,8%);

· iiaaiioi?aen (66,6%);

· oie (70,8%);

· ianai?/ani? ae?aaiinoeea ? onoiaiiy ?aii?o i?neyo?aaiaoe/ieo
oneeaaeiaiue (8,3%);

· iia?aoe?eia o?aaia ?aaa? (12,5%);

· ?io?eiaai?noue iia?aoe?eii? ?aie (8,3%);

· iai?aaeeueia o??o?a?/ia ia?iaea ?ai (37,5%);

· o?aaiaoe/iee i?ae?aaa?iee oia (33,3%);

· ?aoi?aeioii?y (12,5%),

· ai?eii-caiaeuei? oneeaaeiaiiy – iaaiithaaiiy ?ai, aii??ia,
ia?eea?aeeo, ia?eoii?o (70,8%).

O oai?eo c cae?eoeie iioeiaeaeaiiyie a?oaeii? ee?oee /eiieeaie, ui
ni?eyee ?icaeoeo oiiae?eoo ? inoaii??e?oo ?aaa? ? a?oaeeie, aoee oae?:

· iiiaeeii? ia?aeiie ?aaa? (23,5%);

· ?oeioaaiiy i’yc?a a?oaeii? no?iee (5,8%);

· ianai?/ania onoiaiiy aaii?aa?/ieo oneeaaeiaiue – aaiaoii i’yeeo
oeaiei ? aaiioi?aeno (47%);

· ?io?eoaaiiy ?ai i?e iia?aoeaieo ao?o/aiiyo (5,8%);

· aeaoaeoe o??o?a?/ii? oaeoeee (11,7%);

· ?ioaeoe?ei? oneeaaeiaiiy i?ney iia?aoe?e (47%);

· iaaiithaaeuei? caoai?thaaiiy ?ioi? eieae?caoe?? (11,7%).

E??i aeyaeaieo /eiiee?a aaaeeeaa cia/aiiy iaee ye aeciaaii?, oae ?
aiaeiaaii? aeaea?aea i?e?ioei?e. Aeine?aeaeaiiy iieacaee, ui ai?eia
aeano?oeoe?y ?aaa? ? a?oaeeie aoea ni?e/eiaia iaoiaaiiith (71%) ?
iaiaoiaaiiith (16%) i?e?ioei?ith. Eieia? aeaee i?e?ii?aai?ci?a aeyaeyee
aeaui /ano?oa (66%), i?ae ??ci? aeaee a?aiiaaaoeaieo i?e?ia?a (63%).
Anoaiiaeaii oaeiae ia o?eueee aenieo /anoioo aeyaeaiiy anioe?aoe?e 2-4
aeae?a i?e?ii?aai?ci?a (40,7%), aea e no?ee?noue ?o aei i?ioei?e?iaieo
i?aia?ao?a.

Na?aaeiy o?eaae?noue caoai?thaaiiy aei aini?oae?caoe?? a ee?i?eo o
oai?eo c oiiae?eoii ? inoaii??e?oii ?aaa?, ui aeieeee i?ney a?aee?eoeo
ooeiaeaeaiue a?oaeii? ee?oee, noaiiaeea 14,5 i?n. O oai?eo c cae?eoeie
iioeiaeaeaiiyie aiia noaiiaeea 21,4 i?n. Na?aaeiy o?eaae?noue
caoai?thaaiiy on?o oai?eo noaiiaeea 17,6 i?n.

Iaie aeae?eai? aeae?eueea ee?i?/ieo aa??aio?a ia?aa?ao oiiae?eoo oa
inoai??e?oo ?aaa? ? a?oaeeie: ?io?eueo?aoeaii-caiaeueiee, aieueiaee,
ii?eoeaaee, aii??ii- ? iaae?anoei?oiiiae?aiee, ci?oaiee, a oaeiae
iaeineiioiiiee. Iaie aeiaaaeaii, ui ?ioi?iaoeai?noue ?aioaaiia?ao?? c
aeyaeaiy iciae i?neyo?aaiaoe/iiai oiiae?eoo oa inoaii??e?oo ?aaa? ?
a?oaeeie noaiiaeea 82,9%. O an?o oai?eo, yeei aoea canoiniaaia
oiiia?ao?y oa eiii’thoa?ia oiiia?ao?y, aoee aeyaeai? iciaee
aeano?oeoeaieo ci?i e?noee, ui aeicaiey? aeciaaaoe ?o iaea?eueo
?ioi?iaoeaieie iaoiaeaie aeine?aeaeaiiy. Io?eiaia ca aeiiiiiaith
o?nooeia?ao??, niaoe?aeueieo ?aioaaiieiio?anoieo iaoiae?a aeine?aeaeaiiy
oa oa?iia?ao?? ?ioi?iaoe?y aeiiiaithaaea oyao i?i oa?aeoa? ?
iioe?ai?noue ci?i o iaaeieeoi?o oeaieiao, ieaa??, eaaai?, aca?iica’ycie
iaoieia?/iiai aiaieua c ?ioeie na?icieie ii?iaeieiaie aai ?o i?aaiaie.
I?eoe?eueia ?aioaaiia?ao?y, oiiia?ao?y ? o?nooeia?ao?y ? iaia’yceiaeie
iaoiaeaie aeine?aeaeaiiy o eiiieaen? ianoaaeaiiy oai?eo.

I?iaaaeaii o??o?a?/ia e?eoaaiiy 41 oai?iai i?neyo?aaiaoe/iei oiiae?eoii
? inoaii??e?oii ?aaa? ? a?oaeeie, i?e/iio 4,9% o aino??e noaae??
caoai?thaaiiy ? 95,1% – ca oiiae o?ii?/iiai ia?aa?ao i?ioeano. Iao?
ee?i?/i? niinoa?aaeaiiy na?ae/aoue i?ioa, ui a iniia? o??o?a?/iiai
e?eoaaiiy i?neyo?aaiaoe/iiai oiiae?eoo oa inoaii??e?oo ?aaa? ? a?oaeeie
eaaeeoue o??o?a?/ia oaeoeea, ui ia?aaeaa/a? aeei?enoaiiy iia?aoe?e, ye?
caaacia/othoue ?aaeeeaeueia aeaeaeaiiy ia o?eueee ci?iaieo /anoei o?yua
? e?noee, aea e ?ioeo oeaiei, a oaeiae canoinoaaiiy ??cieo aeae?a
i’yciai? ieanoeee.

Iao? aeine?aeaeaiiy iieacaee, ui o??o?a?/ia e?eoaaiiy oiiae?eoo ?
inoaii??e?oo ?aaa? ? a?oaeeie, iaoiiaeaieo o?aaiaie, i?eionea?
canoinoaaiiy ??cieo aeae?a iia?aoeaieo ao?o/aiue, i?e/iio
i?aeiaaee?nie/ii? ?acaeoe?? ?aaa? eeoa o 9,8% oai?eo. A ?aoo? aeiaaee?a
ia’?i iia?aoe?? cia/ii oe?oee. E??i ?acaeoe?? ?aaa? iaiao?aeii aeeiiaiiy
?acaeoe?? a?oaeeie, ?aaa?ieo aeoa, i’yeeo oeaiei a?oaeii? no?iee,
ieaa?e, eaaai?. Oaeeie aeaeaie iia?aoeaieo ao?o/aiue aoee:
i?aeiaaee?nie/ia ?acaeoe?y ?aaa? ? ae??coaaiiy ii?eoeaaeo oiae?a
(48,7%), i?aeiaaee?nie/ia ?acaeoe?y ?aaa?, ae??coaaiiy ii?eoeaaeo oiae?a
? iaiaaeaieo ii?iaeiei, a oiio /ene? ieaa?aeueieo, ooeaaiiy
a?iio?aeueieo ii?eoeue (9,8%), ?acaeoe?y ?aaa?ieo aeoa, ?aaa? ?
ae??coaaiiy ii?eoeaaeo oiae?a (7,3%), ?acaeoe?y a?oaeeie, ?aaa? ?
ae??coaaiiy ii?eoeaaeo oiae?a (4,9%), ?acaeoe?y a?oaeeie, ?aaa?ieo aeoa
? ae??coaaiiy ii?eoeaaeo oiae?a (4,9%), oi?aeioii?y, ooeaaiiy
a?iio?aeueieo ii?eoeue, ?acaeoe?y eaaai?, ieaa?aeoii?y, ?acaeoe?y ?aaa?,
ae??coaaiiy ii?eoeaaeo oiae?a, i’yciaa ieanoeea (12,2%), a oaeiae
naeaano?aeoii?y c ae?aioaaiiyi iicaa?oaeeiiiai aanoeano (2,4%).

Ia’?i iia?aoeaiiai ao?o/aiiy iiaea ci?ithaaoenue ai?iaeiaae iia?aoe??.
Oey ei?aeoe?y iaoiiaeaia oei, ui i?ae /an iia?aoe?eii? ?aa?c?? ?
iiaeeea?noue iaea?eueo i?aaeeueii aecia/eoe ia’?i o?aaeaiiy. sse
na?ae/eoue iao aeina?ae, oae? aeaee iia?aoe?e, ye naeaano?aeoii?y ?
ae?aioaaiiy aiiye?a i’yeeo oeaiei iiaeeco ciie aiaieua, a oaeiae
?cieueiaai? i?aeiaaee?nie/i? ?acaeoe?? ?aaa?, ne?ae aeei?enoiaoaaoe
??aeei, ine?eueee aiie i?ecaiaeyoue aei /anoeo ?aoeeaeea?a
caoai?thaaiiy. ?acaeoe?? ?aaa?, ae??coaaiiy ii?eoeaaeo oiae?a i’yeeo
oeaiei, a oaeiae ii?iaeiei, onoiaiiy a?iioiieaa?aeueieo ii?eoeue ?
iaea?eueo iioe?aieie ? aoaeoeaieie na?aae ??cieo aeae?a iia?aoeaieo
ao?o/aiue, ui ?o canoiniaothoue o e?eoaaii? oiiae?eoo ? inoaii??e?oo
?aaa? ? a?oaeeie. ?acii c oei o /anoeie iaoe??io?a aeieea?
iaiao?aei?noue cia/ii ca?eueooaaoe ia’?i iia?aoeaiiai ao?o/aiiy.
Iia?aoe?? cae?eniththoue oeyoii oi?aeioii?? ? iiaeii? aeeth/aoe, ie??i
??cieo aa??aio?a ?acaeoe?? a?oaeii? no?iee, ao?o/aiiy ia ieaa??, eaaai?.

C iaoith iiia?aaeaeaiiy i?neyiia?aoe?eieo oneeaaeiaiue ? ciaioaiiy
o?aaiaoe/iino? iia?aoe?? iaie ?ic?iaeaiee oa ai?iaiaaiee a ee?ieoe?
iiaee niin?a e?eoaaiiy aeano?oeoeaiiai oiiae?eoo ?aaa?ieo aeoa ?
inoaii??e?oo a?oaeeie (aaoi?nueea na?aeioeoai N?N? ? 1734713 a?ae 22
n?/iy 1992 ?.). Aeey onoiaiiy aaeeeeo iiaieo aeaoaeo?a a?oaeii? no?iee
i?ney ?acaeoe?? ?aaa?, ?aaa?ieo aeoa, a?oaeeie iaie ?ic?iaeaiee iiaee
niin?a ieanoeee aeaoaeoo a?oaeii? no?iee (Iaoaio ?in?enueei? Oaaea?aoe??
? 2064288 a?ae 27 eeiiy 1996 ?.).

Aeia?ee ?acoeueoao io?eiaii o 37 (90,3%) iaoe??io?a ?c 41 iia?iaaiiai.
?aoeeaeea caoai?thaaiiy aoa o 4 (9,7%) oai?eo, eiai onoiaii iiaoi?iith
iia?aoe??th.

Oneeaaeiaiiy a i?neyiia?aoe?eiee ia??iae, iia’ycai? aaciina?aaeiuei c
iia?aoeaiei ao?o/aiiyi, niinoa??aaee o 19 (8,4%) iia?iaaieo oai?eo on?o
a?oi. Iae/ano?oeie oneeaaeiaiiyie aoee: ci?uaiiy o?eniaaieo e?noeiaeo oa
o?yuiaeo a?aeeaie?a oa oei/aniaa iaiaaeaia iaoieia?/ia ?o ?ooii?noue (o
5-2,2%) ? i?a?aoe?y o?enaoi??a (o 4-1,8%). ??aeoa niinoa??aaeenue:
?icaeoie oiiae?eoo oa inoaii??e?oo ?aaa? (o 3-1,3%), e?aaoo?i? ii?eoe?
(o 2-0,9%), e?iaioa/a c ?aie (o 1-0,44%), iaaii?iiy ?aie (o 1-0,44%),
caeeoeiaa ieaa?aeueia ii?iaeieia (o 1-0,44%), noi?iii? o?ei a i?e (o
1-0,44%), ia?eea?aeeo (o 1-0,4%). Ci?uai? o?enaoi?e aoee aeeo/ai?. O
oai?eo c ai?eii – aeano?oeoeaieie o?aaeaiiyie ?aaa?, e?iaioa/ath c ?aie
oneeaaeiaiiy aee?eoaai? o??o?a?/ieie iaoiaeaie. Iayai?noue noi?iiiueiai
o?ea ieaa?aeueii? ii?iaeieie anoaiiaeaia ia aooiin??.

Iaeoaeaiiy aeinyaiooi o an?o iaoe??io?a, ca aeiyoeii oai?eo c
iiiaeeiieie oa o?aaiaioiaaieie ia?aeiiaie ?aaa?. Caaaeueiee ??aaiue
eaoaeueiino? neeaa 4%, oiae? ye na?aae iaoe??io?a c iiiaeeiieie
ia?aeiiaie ?aaa? a?i aoa 15,2%. O a?aeaeaeai? oa?i?ie (a?ae 1 ?ieo aei
19 ?ie?a) aea/ai? ?acoeueoaoe o 178 (79,1%) oai?eo i?ney ??cieo
a?aeiiaieo oa ?aeiino?oeoeaieo ao?o/aiue. I?e oeueiio iaea?eueo
aaaeeeaeie e?eoa??yie ioe?iee ?acoeueoao?a aoei c’ynoaaiiy
aiaoiii-ooieoe?iiaeueiiai noaio a?oaeii? ee?oee oa ?? i?aai?a, aeyaeaiiy
oneeaaeiaiue oa ?aoeeaeea?a o ?ac? ai?eii-aeano?oeoeaieo caoai?thaaiue.
Aeia?? ?acoeueoaoe aoee o 155 (87%), caaeia?euei? – o 16 (9%) ?
iacaaeia?euei? – o 7(4%) oai?eo. Inoaii? iia’ycai? c ?icaeoeii oa
?aoeeaeeaii ai?eii-aeano?oeoeaieo o?aaeaiue o?yua oa e?noie.

Oaeei /eiii, aea/aiiy ?acoeueoao?a ?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e,
canoiniaaieo i?e iioeiaeaeaiiyo ea?eano a?oaeii? no?iee oa ?o
iane?aeeao, iieacaei aenieo aoaeoeai?noue iia?aoeaieo ao?o/aiue. Aiie
aeaee ciiao io?eiaoe caaeia?eueiee aaciina?aaei?e oa a?aeaeaeaiee
?acoeueoao o 96% oai?eo.

AENIIAEE

1. Iaea?eueo aaaeeeaith ia?aaeoiiaith canoinoaaiiy a?aeiiaieo iia?aoe?e
i?e iiiaeeiieo ? o?aaiaioiaaieo ia?aeiiao ?aaa? ? oi/iee ae?aaiic
i?neyo?aaiaoe/ieo ii?oiooieoe?iiaeueieo ci?i, aeyaeaiee
caaaeueiiee?i?/ieie, ?aioaaiieia?/ieie, ?ino?oiaioaeueieie oa
aiaeineii?/ieie iaoiaeaie ae?aaiinoeee – oi?aeineii??th oa
o?aoaia?iioineii??th.

2. Iaiao?aei?noue canoinoaaiiy a?aeiiaii? iia?aoe?? o oai?eo c
iiiaeeiieie oa o?aaiaioiaaieie ia?aeiiaie ?aaa? iiaeiia a?oioiaoaaoeny
ia o?eueee ia caaaeueieo iieacaiiyo (aeeoo?aeo, oa?i?iiaeo,
a?aeno?i/aieo), aea e ia i?noeaaeo i?neyo?aaiaoe/ieo
aiaoiii-ooieoe?iiaeueieo ci?iao. ?io?aoi?aeaeuei? ao?o/aiiy ne?ae
cae?enithaaoe eeoa a ?ac? oaeiai iioeiaeaeaiiy i?aai?a, yea iiaeia
e?ea?aeoaaoe, canoiniaoth/e oi?aeioii?th.

3. Niiniae o?enaoe?? oeaie?a ?aaa? iathoue aooe aecia/ai?
?iaeea?aeoaeueii, aea a a?eueoino? aeiaaee?a ne?ae canoiniaoaaoe
eiia?iiaai? iaoiaee oo?eiaiiy e?noeiaeo o?aaiaio?a ye iaea?eueo
oi?aa?naeuei?. Oaeineiiaeai? oa ?ic?iaeai? iia? oaoi?/i? caniae ?
niiniae o?enaoe?? oeaie?a ni?eyee ciaioaiith e?eueeino? eaoaeueieo
iane?aee?a aei 15,2%.

4. Iiai? ia?aeiie a?oaeeie, ye? noi?iaiaeaeothoueny aaaeeeie
aaii?aa?/ieie oneeaaeiaiiyie, aeeoaeueiith iaaeinoaoi?noth aiane?aeie
ia?aeii?a ?ioeo e?noie oa oeioaoe?? a?oaeii? no?iee, ?oeioaaiiyi e?noee
ii aeaio e?i?yo, ao?aoith ea?eaniino? a?oaeii? ee?oee ii aeaio
aa?oeeaeueieo inyo, ?icaeoeii iani?aaaeiueai noaeiaa, ?ioaineaiei
aieueiaei neiae?iiii, i?aeeyaathoue a?aeiiaeaiith iia?aoeaiei oeyoii.
I?e noaa?e?caoe?? a?aeeaie?a a?oaeeie ia?aaaao ne?ae a?aeaeaaaoe
iaoaeiinoaineioaco aai eiia?iaoe?? iaoaeiinoaineioaca ? e?aaoo?ii?
o?enaoe?? ye iaea?eueo iaae?eiei caniaai oo?eiaiiy e?noeiaeo o?aaiaio?a.

5. Ia?aeiie eeth/eoeue i?e iaeii/aniiio iiiaeeiiiio ia iaeii?iaiiiio
aioe? ia?aeii? ?aaa? aeiaaathoue canoinoaaiiy noaa?eueiiai
ooieoe?iiaeueiiai inoaineioaco. Iieacaiiy aei iueiai aecia/athoueny ia
o?eueee i?noeaaeie iniaeeainoyie ia?aeiia eeth/eoeue (ein?, ineieeia?,
c? ci?uaiiyi oa ae?anoacii oeaie?a, iioeiaeaeaiiyi noaeei, ia?a?a), aea
e iaoyaeaiei ia?aa?aii o?aaie a?oaeii? ee?oee /a?ac aeeoaeueio
iaaeinoaoi?noue. O?enaoe?y e?noeiaeo oeaie?a eeth/eoeue iaea?eueo
?aoe?iiaeueia c aeei?enoaiiyi iaoaeiinoaineioaco, yeee i?e i?aaeeueiiio
canoinoaaii? ? caniaii iicaaiaieuaaiai inoaineioaco ?aaa?.

6. A?aeiiaeaiiy oe?einono? ?aaa?ieo aeoa canoiniao?oueny i?e aieueiaiio
neiae?ii?, iaoieia?/i?e ?ooiiino? a?aeeaie?a ? oeioaoe?? a?oaeii?
no?iee, noiooi?o ae?ao?aaiaeueii-a?oaeieo a?eaeao, aeaoi?iaoe?? a?oaeii?
ee?oee, yea caeia? anth ?aaa?io aeoao. O?enaoe?y a?aeeaie?a ?aaa?ii?
aeoae e?aaoo?iei niiniaii oa ne??ieaie aia?aoa N?E*-22 aoaeoeaii onoaa?
?? iaoieia?/io ?ooii?noue ? aeaoi?iaoe?th oa aeicaiey? aeinyaiooe
caaeia?eueieo a?aeaeaeaieo ?acoeueoao?a.

7. I?neyo?aaiaoe/i? a?eae? a?oaeii? no?iee, ye? ? iane?aeeii
aenieiaia?aaoe/iiai oaea?o, ni?yiiaaiiai ia iaiaaeaio iiaa?oith,
noi?iaiaeaeothoueny ia o?eueee ?oeioaaiiyi i’yeeo oeaiei i?ae?aaa?’y,
aea e ?aaa?, aioo??oi?o i?aai?a, ?icaeoeii oneeaaeiaiue – aaii?aa?/ieo
aai aiane?aeie cauaieaiiy oa ia?ae?ooo ci?uaieo i?aai?a. Ae?aaiinoeea
iaeeo ca ?ici??aie a?eaeiaeo ai??o iiaeeeaa o?eueee iaoiaeii
oi?aeineii??. Iia?aoeaia oi?aeineii?y aoaeoeaii onoaa? cauaieaiiy
eaaai?. Ieanoeea a?eaeiaeo ai??o iaiao?aeia i?e aaee/ei? ?o a?eueoa i?ae
5 ni, ? ?? ne?ae aeeiioaaoe aeanieie oeaieiaie.

8. Noi?iii? o?ea a?oaeii? no?iee, ?icoaoiaoth/enue ia o?eueee a i?e, aea
a 60,8% aeiaaee?a a ?ioeo a?aeae?eao a?oaeii? ee?oee, iiaeooue aeeeeeaoe
o?aaeaiiy ieaa?e, eaaai?, noaeei, i?iea?aea ? ae?ao?aaie ia o?eueee i?e
i?iieeiaii?, aea e i?e aeoyaaii?, ui aecia/a? noai?aiiy aacia/ieo oiia
aeey ?o aeeo/aiiy. Noi?iii? o?ea a?oaeii? no?iee i?aeeyaathoue
aeeo/aiith a ?aii?e ia??iae iioeiaeaeaiue c aeei?enoaiiyi iaoiae?a, ui
aeiiiaiththoue iaeei iaeiiai: aiaeineii?/iiai ? o??o?a?/iiai, ye?
caaacia/othoue aeyaeaiiy ii?oieia?/ieo ci?i oeaiei, a?coaeueia
eiio?iethaaiiy iai?ioeyoe?e i?e aeeo/aii? ? ciaioaiiy o?aaiaoe/iino?
ao?o/aiiy.

9. O?aaeaiiy e?noeiai-o?yuiaiai ea?eano i?e eieioi-??caieo ii?aiaiiyo
a?oaeii? ee?oee ne?ae a?aeiineoe aei iaea?eueo iino?eieo iciae, yea
na?ae/eoue i?i aaaee?noue iioeiaeaeaiiy. Aiii a 96% aeiaaee?a
noi?iaiaeaeo? i?iieei? ii?aiaiiy, a 75% – ii?aiaiiy i?ae?aaa?ieo oa a
21,4% – ?ioeo noaeei. A?aeiiaeaiiy iioeiaeaeaiue e?noeiai-o?yuiaiai
ea?eano ne?ae aeeiioaaoe ia caeeth/iiio aoai? iia?aoe?e, ui
cae?eniththoueny a 82,2% aeiaaee?a ca aaniethoieie iieacaiiyie, i?e
aeaeei?e oa i?iiaoeoaai?e iaoieia?/i?e ?ooiiino? eiai, ca oiiae iiaiiai
ia?aoeio ?aaa?, ?aaa?ii? aeoae, a?oaeeie, c?yth/eo ?ai c a?aee?eoei
iiaaiioi?aenii. O?enaoe?th aeeiiothoue i?inoeie oa aeinooiieie iaoiaeaie
c canoinoaaiiyi ieoie ia?a?ea/anoei, O-iiae?aiei aai iie?nianoiei oaii.

10. Iaeiioe?ai?oeie /eiieeaie ?eceeo ?icaeoeo i?neyo?aaiaoe/iiai
oiiae?eoo oa inoaii??e?oo ?aaa? ? a?oaeeie ?: aaeeea ?oeioaaiiy ea?eano
? i’yeeo oeaiei a?oaeii? no?iee, ?ynia ?io?eoaaiiy i?noeue
iioeiaeaeaiue, iane?aeee o?aaie o aeaeyae? e?iaioa/?, iiaaiiaaiioi?aeno,
oieo, ?o ianai?/ania ae?aaiinoeea ? onoiaiiy, iaaiithaaeuei?
caoai?thaaiiy ?ioi? eieae?caoe??, iai?aaeeueia o??o?a?/ia ia?iaea ?aie,
iia?aoe?eia o?aaia ?aaa?, ?io?eoaaiiy iia?aoe?eii? ?aie, o?aaiaoe/iee
i?ae?aaa?iee oia, ?aoi?aeioii?y, ai?eii-caiaeuei? i?neyiia?aoe?ei?
oneeaaeiaiiy.

11. Iniiaiei iaoiaeii e?eoaaiiy i?neyo?aaiaoe/iiai oiiae?eoo ?
inoai??e?oo ?aaa? oa a?oaeeie ? o??o?a?/iee c aeei?enoaiiyi
?aaeeeaeueieo iia?aoe?e, ui onoaathoue ia o?eueee o?aaeaiiy e?noee ?
o?yua, aea e ?ioeo i?aai?a ? oeaiei, a oaeiae canoinoaaiiy ??cieo aeae?a
i’yciai? ieanoeee.

12. Caaeia?euei? a?aeaeaeai? ?acoeueoao? aeoeaiiai ?aaeeeaeueiiai
o??o?a?/iiai e?eoaaiiy oai?eo c i?neyo?aaiaoe/iei oiiae?eoii ?
inoaii??e?oii ?aaa? ? a?oaeeie, aeinyaioo? o 90,3% aeiaaee?a i?e
canoinoaaii? ?ic?iaeaieo niinia?a e?eoaaiiy caoai?thaaiiy ? ieanoeee
aeaoaeo?a a?oaeii? no?iee, aeicaieythoue aeciaoe cacia/ai? iaoiaee
ia?niaeoeaieie o ae??oaii? oe??? neeaaeii? i?iaeaie oi?aeaeueii?
o??o?a?? oa ?aeiiaiaeoaaoe ?o aeey aeei?enoaiiy a ee?i?/i?e i?aeoeoe?.

NIENIE IIOAE?EIAAIEO I?AOeUe CA OAIITH AeENA?OAOe??

1. Ee?i?/ia oi?aeineii?y. – E.: Caei?ia’y, 1995. – 208 n.

2. Oi?aeineiiey a iaioeiaeiie a?oaeiie oe?o?aee. – E.: Caei?ia’y, 1986.
– 128 n. (niaao.I.I.Aaeeiaa, A.A.Iaea?ia).

3. I iaoaiecia iia?aaeaeaiey e?aeiai i?e cae?uoie o?aaia a?oaee //
Aanoi. oe?o?aee ei.E.E.A?aeiaa. – 1982. – ? 3. – N. 113-115.

4. Iaioeiaeiay oi?aeineiiey i?e cae?uouo o?aaiao a?oaeiie eeaoee //
A?oaeiay oe?o?aey. – 1984. – ? 2. – N.52-56.

5. Niinia aaaaeaiey oi?aeineiia /a?ac aeeao?aaio i?e
oi?aeiaaaeiieiaeueiuo ?aiaieyo // Aanoi. oe?o?aee ei. E.E.A?aeiaa. –
1986. – ? 7. – N.128 (niaao. A.A.Iaea?ia, A.A.Aaoeei, A.I.Aaicaeaa).

6. I?e/eiu e i?ioeeaeoeea iinoo?aaiaoe/aneeo yiieai ieaa?u // A?oaeiay
oe?o?aey. – 1987. – ? 5. – N.35-39 (niaao. I.I.Aaeeiaa).

7. Eciee?iaaiiia iia?aaeaeaiea eaaie aioo?ea?oaeiie a?oa?ee i?e cae?uoie
o?aaia a?oaee // Aanoi. oe?o?aee ei.E.E.A?aeiaa. – 1988. – ? 4. –
N.85-86.

8. Aeeaaiinoeea e oaeaeaiea eii?iaeiuo oae a?oaeiie iieinoe i?e
oi?aeineiiee // A?oaeiay oe?o?aey. – 1989. – ? 4.- N.50-55.

9. Aeeaaiinoeea e ea/aiea iinoo?aaiaoe/aneeo aeeao?aaiaeueiuo a?uae //
Eeei. oe?o?aey. – 1989. – ? 10. – N.25-26.

10. Ioeaee aeeaaiinoeee o?aaiaoe/aneeo a?uae aeeao?aaiu i?e cae?uouo
iia?aaeaeaieyo a?oaee // Aanoi. oe?o?aee ei. E.E.A?aeiaa. – 1988. – ? 2.
– N. 96-99. (niaao. I.I.Aaeeiaa, A.A.Iaea?ia).

11. I?iieeathuee ?ac?ua ieiea?aea i?e cae?uoie o?aaia // Aanoi. oe?o?aee
ei. E.E.A?aeiaa. – 1989. – ? 9. – N.82-85 (niaao. A.I.Aaicaeaa,
I.E.Ac?eeaae/, N.A.Aeeaeaiei).

12. Iniaaiiinoe oe?o?ae/aneiai ea/aiey oiiae?eoa e inoaiieaeeoa ?aaa? e
a?oaeeiu // Aanoi. oe?o?aee ei. E.E.A?aeiaa. – 1990. – ? 3. – N. 124-126
(niaao. A.A.Iaea?ia, I.I.Aaae?ia).

13. I?e/eiu, oe?o?ae/aneia ea/aiea e i?ioeeaeoeea oiiae?eoa e
inoaiieaeeoa ?aaa? e a?oaeeiu // A?oaeiay e na?aea/ii-ninoaeenoay
oe?o?aey. – 1991. – ? 5. – N.52-55.

14. O?aaiaoe/aneee ?ac?ua ienoiaeyuaai ioaeaea a?oaeiie /anoe ai?ou //
Eeei. oe?o?aey. – 1991. – ? 7. – N.69-70 (niaao. E.E.Neoa?,
E.I.E?aa/aiei, I.Ae.Aeaaiea).

15. I aeeaaiinoeea e oe?o?ae/aneii ea/aiee aiieii-ainiaeeoaeueiuo
ii?aaeaiee ?aaa?iuo aeoa // Aanoi. oe?o?aee ei. E.E.A?aeiaa. – 1992. –
O.148, ? 3. – N. 344-347 (niaao. I.I.Aaae?ia, A.I.Aaicaeaa).

16. Neo/ae aeeaaiinoeee ?ac?uaa i?aaiai aeaaiiai a?iioa i?e oi?aeineiiee
// A?oaeiay e na?aea/ii-ninoaeenoay oe?o?aey. – 1994. – ? 4. – N.76-77
(niaao. A.A.Iaea?ia, N.A.Iaiaeen, I.E.Aeecithe-Oiaei?ianeay)

17. I?eiaiaiea oi?aeineiiee aeey ea/aiey iinoo?aaiaoe/aneiai
naa?ioaoaainy aaiioi?aena // Ee?i. o??o?a?y. – 1996. – ? 10. – N.8-9
(niaao. A.A.Iaea?ia, Aaaeo Ao?aneaa-iaeu, I.N.Ieiioaeee, A.A.Aaoueiai).

18. A.n. 1618397 NNN?, IEE 5 A 61 A 17/34. O?iaea?. Cayaeaii 18.07.88;
Iioae. 07.01.91. Athe. ? 1.

19. A.n.1734713 NNN?, IEE 5 A 61 A 17/56. Niinia ea/aiey aeano?oeoeaiiai
oiiae?eoa ?aaa?iuo aeoa e inoaiieaeeoa a?oaeeiu. – Cayaeaii 17.01.90;
Iioae. 23.05.92. Athe. ? 19 (niaao. I.I.Aaae?ia).

20. Iaoaio 2064288. ?inneeneay Oaaea?aoeey, IEI 6 A 61 A 17/00. Niinia
ieanoeee aeaoaeoa a?oaeiie noaiee / Cayaeaii 22.05.91; iioae. 27.07.96,
Athe. ? 21 (niaao. I.I.Aaae?ia, Oe?aeia).

21. Aeeaaiinoeea e ea/aiea cae?uoie ni/aoaiiie o?aaiu a?oaee e aeeaioa
// Ni/aoaiiay o?aaia a?oaee (eeeieea, aeeaaiinoeea, ea/aiea): Na. iao/.
o?., O.58. – I.: Ecae-ai IC ?NON?, IEE nei?ie iiiiue ei.
I.A.Neeeoinianeiai, 1984. – N. 45-47 (niaao. I.I.Aaeeiaa, A.A.Iaea?ia,
A.A.Aaoeei, A.N.Aii/a?aiei).

22. I?ioeeaeoeea ieaa?ieaai/iuo ineiaeaiee i?e oe?o?ae/aneii ea/aiee
iia?aaeaeaiee eaaeiai // Oac. aeiee. ?anoe?aiiiai ieaioia i?iaeaiiie
eiiennee “A?oaeiay oe?o?aey”, “Oe?o?aey eaaeeo e ieuaaiaea”
(iaaeeei-oaoie/aneea aniaeou). – Aeoaane, 1988. – N. 88-89 (niaao.
A.A.Iaea?ia, A.N.Aii/a?aiei).

23. Iooe eioaineoeeaoeee e iiauoaiey yooaeoeaiinoe ieacaiey
niaoeeaeece?iaaiiie iiiiue iino?aaeaaoei n o?aaiaie a?oaeiie eeaoee //
Oac. aeiee. XVI nuacaea oe?o?aia ONN?. – E., 1988. – N.24-25 (niaao.
A.A.Iaea?ia, O.N.Aeoi/a?, A.N.Aii/a?aiei, A.A.Neeiueei, I.N.Ieiioaeee,
Aaaeo Ao?aneaa-iaeu, A.E.Iaeyoeeee, A.I.Aaicaeaa).

24. Ainnoaiiaeaiea, ieanoeea e ?acaeoeey a?oaeiie noaiee a ino?ii e
ioaeaeaiiii ia?eiaea io iia?aaeaeaiee // Oac. aeiee. Ananithci. eiio.
“Aeooaeueiua i?iaeaiu ieanoeee a i?ioeeaeoeea e ea/aiee ineiaeiaiee
iinea iia?aoeee ia a?oaeiie noaiea, i?aaiao n?aaeinoaiey e eaaeeo”. –
I., 1990. – N. 96-97 (niaao. A.A.Iaea?ia).

25. Ainnoaiiaeoaeueiua iia?aoeee ia a?oaeiie noaiea i?e cae?uouo o?aaiao
a?oaee // Oac. aeiee. VIII ?anoe?aiiiai ieaioia i?iaeaiiie eiiennee
“A?oaeiay oe?o?aey”, “Oe?o?aey a?oaeiie noaiee e ea/aiea ea?aeeiniacia”.
– ?eaa: ?IE, 1990. – N.63-64 (niaao. A.A.Iaea?ia, O.N.Aeoi/a?,
A.I.Neoa?ee).

26. Iiuo oe?o?ae/aneiai ea/aiey aiieii-ainiaeeoaeueiuo ii?aaeaiee
ea?eana a?oaeiie noaiee // Oac. aeiee. VIII ?anoe?aiiiai ieaioia
i?iaeaiiie eiiennee “A?oaeiay oe?o?aey”, “Oe?o?aey a?oaeiie noaiee e
ea/aiea ea?aeeiniacia”. – ?eaa: ?IE, 1990. – N.11-12 (niaao.
I.I.Aaae?ia, A.A.Iaea?ia).

27. Iiaoi?iua iia?aoeee i?e iicaeieo ineiaeiaieyo iia?aaeaeaiee a?oaee
// Oac. aeiee. IX Oe?. iao/. – i?aeo. eiio. ii a?oaeiie oe?o?aee
“Aeooaeueiua aii?inu oe?o?aee eaaeeo ia nia?aiaiiii yoaia”. – E.,. 1990.
– N. 86-88 (niaao. A.A.Iaea?ia, A.A.Neeiueei, A.N.Aii/a?aiei,
A.I.Aaicaeaa, I.E.Ac?eeaae/, A.A.?iniianeee).

28. Surgical correction of acute removed consequences of thorax injuries
// I st. International Congress of Cardiovascular and Thoracic Surgery.
– Riga, 1990. – P.26 (niaao. A.V.Makarov).

29. Surgical treatment of wound and closed thorax traumas in specialized
departments // I st International Congress of Cardiovascular and
Thoracic Surgery. – Riga, -1990. – P. 24. (niaao. A.V. Makarov, F.S.
Glumcher, Vagif Afrasiab-ogly, N.S.Ninoshvili, I.Ya.Kelemen,
B.N.Gvosdev, E.L.Malyatskij, V.I.Titarenko).

30. Aiieii-naioe/aneea ieaa?aeueiua ineiaeiaiey iia?aaeaeaiee a?oaee //
Oac. aeiee. eiio.. “I?iaeaiu oi?aeaeueiie oe?o?aee”. – Naieo-Iaoa?ao?a,
1991. – N.83-85 (niaao. A.A.Iaea?ia, I.I.Aaae?ia).

31. Niaoe?ae?ciaaia iaaee/ia aeiiiiiaa iioa?i?eei c o?aaiaoe/ieie
iioeiaeaeaiiyie a?oaeii? ee?oee // Ca. iaoe. i?aoeue ni?a?ia?oiee?a,
i?enay/aiee 75-??/iiio tha?eath EAe?OE. – E., 1993. – N. 98-99 (ni?aaao.
A.A.Iaea?ia, I.N.I?iioa?e?, Aaa?o Ao?an?aa iaee, A.N.Aii/a?aiei).

32. Oe?o?ae/aneia ea/aiea iicaeieo eaai/ii-ieaa?aeueiuo ineiaeiaiee
iia?aaeaeaiee a?oaeiie eeaoee // Oac. aeiee. eiio. “O?aaia. Aianoacey e
eioaineaiay oa?aiey”. – Eoaaine – Eooee, 1994. – N.33 (niaao.
A.A.Iaea?ia).

33. Oe?o?ae/aneay oaeoeea i?e ioe?uouo e cae?uouo iia?aaeaeaieyo
a?oaeiie eeaoee // Iaoa??aee iaoe. – i?aeo. eiio. “Aeooaeuei? i?iaeaie
iiaeaiiy aeno?aiii? iaaee/ii? aeiiiiiae i?e iaa?aeeeaaeieo noaiao”. –
E., 1995. – N.55-56 (niaao. A.A.Iaea?ia).

34. I?aaiecaoeey niaoeeaeece?iaaiiie iiiiue i?e o?aaia a?oaee //
Iaoa??aee 2 iaoe?iiaeueiiai eiia?ano aianoac?ieia?a Oe?a?ie. – E.: Aeua
oe., 1996. – N.23-24 (niaao. A.A.Iaea?ia., O.N.Aeoi/a?, A.I.Neoa?ee).

35. Iia?aoeaiia ea/aiea ia?aeiiia a?oaeei // Rezumatele lucrarilor
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36. Oaeaeaiea eii?iaeiuo oae a?oaeiie eeaoee iaoiaeii o?aaeeoeeiiiie
oi?aeineiiee // Oac. aeiee. 2 Iineianeiai Iaaeaeoia?iaeiiai eiia?anna ii
yiaeineiie/aneie oe?o?aee. – I., 1997. – N.233-234 (niaao.A.A.Iaea?ia,
Aaaeo Ao?aneaa-iaeu, A.A.Aaoueiai).

37. Iiuo oi?aeineiie/aneie oe?o?aee i?e iia?aaeaeaiee a?oaeiie eeaoee //
Oac. aeiee. 2 Iineianeiai Iaaeaeoia?iaeiiai eiia?anna ii
yiaeineiie/aneie oe?o?aee. – I., 1997. – N. 238-240 (niaao. A.A.Iaea?ia,
A.A.Aaoueiai).

38. Iia?aoeaia e?eoaaiiy ia?aeii?a ?aaa?ieo aeoa // Iaoa??aee tha?eaeii?
iaoe. – i?aeo. eiio., i?enay/aii? OOV-??//th noai?aiiy Euea?anueei?
i?nueei? ee?i?/ii? e?ea?i? oaeaeei? iaaee/ii? aeiiiiiae. – Ei. II. –
Euea?a, 1997. – N. 45 (niaao. A.A.Iaea?ia, A.A.?oaeaiei, A.A.Aaoueiai).

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317-320 (niaao. A.V.Makarov, V.V.Getman).

40. The results of surgical treatment of chest wall injuries //
Miniinvazivni terapie II Eesky chirurgicky kongres s mezinarodni ueasti
– abstracta.-Srpen 1998.-P.65-66 (niaao. A.V.Makarov, V.V.Getman).

AIIOAOe?ss

Aaoueiai A.A. ?aeiino?oeoeaii-a?aeiiaia o??o?a?y iioeiaeaeaiue ea?eano
a?oaeii? no?iee oa ?o iane?aee?a. – ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaaee/ieo iaoe ca
niaoe?aeuei?noth 14.01.03 – o??o?a?y. Ee?anueea iaaee/ia aeaaeai?y
i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC Oe?a?ie, Ee?a, 1998

Aeena?oaoe?y i?enay/aia ieoaiiyi ae?aaiinoeee oa o??o?a?/iiai e?eoaaiiy
iiiaeeiieo ? o?aaiaioiaaieo ia?aeii?a ?aaa?, iiaieo ia?aeii?a a?oaeeie,
?aaa?ieo aeoa, iioeiaeaeaiue eeth/eoeue i?e ia?aeiiao ?aaa?,
i?neyo?aaiaoe/ieo a?eae oa noi?iii?o o?e a?oaeii? no?iee, iioeiaeaeaiue
e?noeiai-o?yuiaiai ea?eano i?e eieioi-??caieo ii?aiaiiyo oa
i?neyo?aaiaoe/iiai oiiae?eoo ? inoaii??e?oo ?aaa? ? a?oaeeie.
Aeine?aeaeai? ee?i?/i? i?iyae oa iaoiii?oieia?/i? ? ooieoe?iiaeuei?
ci?ie a?oaeii? ee?oeie ? ?? i?aai?a o oai?eo c aaaeeeie iioeiaeaeaiiyie
a?oaeii? no?iee. Ai?iaaaeaeaia ?aoe?iiaeueia nenoaia ?ici?ciaaaiiy
iioeiaeaeaiue ea?eano a?oaeii? ee?oee oa ?o iane?aee?a. Aecia/ai? /?oe?
iieacaiiy ? i?ioeiieacaiiy aei aeeiiaiiy ??cieo aeae?a
?aeiino?oeoeaii-a?aeiiaieo oa aiaeineii?/ieo iia?aoe?e i?e o?aaiao
a?oaeii? no?iee, ?ic?iaeai? aacia? iieiaeaiiy ?o aeeiiaiiy.
Cai?iiiiiaai? oa ai?iaiaai? iia? ?ino?oiaioe oa caniae aeey e?eoaaiiy
iioeiaeaeaiue a?oaeii? no?iee ? ?o iane?aee?a. Ai?iaaaeaeaiiy
?aeiino?oeoeaii-a?aeiiaieo ? aiaeineii?/ieo iia?aoeaieo ao?o/aiue
aeicaieeei o ii??aiyii? c o?aaeeoe?eieie caniaaie ciaioeoe eaoaeuei?noue
oai?eo c iiiaeeiieie ? o?aaiaioiaaieie ia?aeiiaie ?aaa? aei 15,2%, ui a
1,5-2 ?ace iaioa a?ae aiaeia?/ieo ?acoeueoao?a, i?eaaaeaieo o
a?o/eciyieo oa ca?oa?aeieo i?aoeyo. O iia?iaaieo oai?eo ?ioeo a?oi
aeinyaiooi iaeoaeaiiy an?o iino?aaeaeaeeo. Aea/aiiy a?aeaeaeaieo
?acoeueoao?a ?aeiino?oeoeaii-a?aeiiaieo iia?aoe?e i?e o?aaiao ea?eano
a?oaeii? no?iee oa ?o iane?aeeao aeiaaei, ui aiie aeaee ciiao io?eiaoe
caaeia?eueiee aiaoiii-ooieoe?iiaeueiee noai a?oaeii? ee?oee oa ??
i?aai?a a 96% aeiaaee?a.

Eeth/ia? neiaa: ia?aeii ?aaa?, a?oaeeie, ?aaa?ii? aeoae, eeth/eoe?,
a?eaea, noi?iii? o?ea a?oaeii? no?iee, oiiae?eo, inoaii??e?o,
?aeiino?oeoeaii-a?aeiiaia, oi?aeineii?/ia iia?aoe?y.

AIIIOAOeEss

Aaoueiai A.A. ?aeiino?oeoeaii-ainnoaiiaeoaeueiay oe?o?aey iia?aaeaeaiee
ea?eana a?oaeiie noaiee e eo iineaaenoaee. – ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie aeieoi?a iaaeeoeeineeo iaoe ii
niaoeeaeueiinoe 14.01.03 – oe?o?aey. Eeaaneay iaaeeoeeineay aeaaeaiey
iineaaeeieiiiiai ia?aciaaiey ei. I.E.Ooieea IC Oe?aei, Eeaa, 1998.

Aeenna?oaoeey iinayuaia aii?inai aeeaaiinoeee e oe?o?ae/aneiai ea/aiey
iiiaeanoaaiio e o?aaiaioe?iaaiio ia?aeiiia ?aaa?, iieio ia?aeiiia
a?oaeei, ?aaa?io aeoa, iia?aaeaeaiee eeth/eoe i?e ia?aeiiao ?aaa?,
iinoo?aaiaoe/aneeo a?ae e eii?iaeieo oae a?oaeiie noaiee, iia?aaeaeaiee
einoii-o?yuaaiai ea?eana i?e eieioi-?acaiio ?aiaieyo,
iinoo?aaiaoe/aneiai oiiae?eoa e inoaiieaeeoa ?aaa? e a?oaeei.
Enneaaeiaai eeeie/aneea i?iyaeaiey, iaoiii?oieiae/aneea e
ooieoeeiiaeueia eciaiaiey a?oaeiie eeaoee e aa i?aaiia o aieueio
oyaeaeie iia?aaeaeaieyie a?oaeiie noaiee. ?ac?aaioaia ?aoeeiiaeueiay
nenoaia aeeaaiinoeee iia?aaeaeaiee ea?eana a?oaeiie eeaoee e eo
iineaaenoaee. Ii?aaeaeai /aoeea iieacaiey e i?ioeaiiieacaiey e
aiieiaieth ?acee/io aeaeia ?aeiino?oeoeaii-ainnoaiiaeoaeueio e
iaeineiie/aneeo iia?aoeee i?e o?aaiao a?oaeiie noaiee, ?ac?aaioai aaciaa
iieiaeaiey eo aiieiaiey. I?aaeeiaeai e ai?iae?iaai iiaa eino?oiaio e
niinia aeey ea/aiey iia?aaeaeaiee a?oaeiie noaiee e eo iineaaenoaee.
Aiaae?aiea ?aeiino?oeoeaii-ainnoaiiaeoaeueio e iaeineiie/aneeo
iia?aoeaio aiaoaoaeuenoa iicaieeei ii n?aaiaieth n o?aaeeoeeiiiie
iaoiaeaie ea/aiey oiaiueoeoue eaoaeueiinoue o aieueio n iiiaeanoaaiiie e
o?aaiaioe?iaaiiie ia?aeiiaie ?aaa? aei 15,2%, /oi a 1,5-2 ?aca ieaea
aiaeiae/io ?acoeueoaoia, i?eaaaeaiio a ioa/anoaaiio e ca?oaaaeio
?aaioao. O iia?e?iaaiio aieueio ae?oaeo a?oii aeinoeaiooi acaei?iaeaiea
o anao iino?aaeaaoeo. Eco/aiea ioaeaeaiio ?acoeueoaoia
?aeiino?oeoeaii-ainnoaiiaeoaeueio iia?aoeee i?e o?aaiao ea?eana a?oaeiie
noaiee e eo iineaaenoaeyo aeieacaei, /oi iie iicaieeee iieo/eoue
oaeiaeaoai?eoaeueiia aiaoiii-ooieoeeiiaeueiia ninoiyiea a?oaeiie eeaoee
e aa i?aaiia a 96% neo/aaa.

Eeth/aaa neiaa: ia?aeii ?aaa?, a?oaeei, ?aaa?iie aeoae, eeth/eoe, a?aea,
eii?iaeia oaea a?oaeiie noaiee, oiiae?eo, inoaiieaeeo
?aeiino?oeoeaii-ainnoaiiaeoaeueiay, oi?aeineiie/aneay iia?aoeey.

SUMMARY.

Getman V.G. Surgical treatment of chest wall injuries and of their
sequelae. – Manuscript.

The thesis to obtain the Degree of Doctor of Medical Science in
speciality 14.01.03 – surgery. Kiev Medical Academy for Postgraduate
Education of Ministry of Health of Ukraine, Kiev, 1998.

The thesis is designed to evaluate and elaborate diagnostic and
treatment options in multiple rib fractures with or without flail chest,
complete fractures of the sternum or a costal arc (arcs), injuries of a
clavicle (clavicles) associated with rib fractures, costo – chondral
injuries in stab chest wounds and posttraumatic chondritis and
osteomylelitis of the sternum and / or ribs. Clinical manifestations and
pathologic and functional changes are investigated in patients with
severe chest wall trauma. A step-by-step protocol of the diagnosis of
chest wall injury and its sequelae is introduced. Strict indications and
contraindications for different types of surgical and endoscopic
procedures in chest wall injuries are defined and basic technical
aspects of these procedures are worked up. New devices and surgical
instruments are introduced into the surgical treatment of chest wall
injuries and their sequelae. Introduction of surgical and endoscopic
procedures into the treatment protocol of multiple rib fractures with or
without flail chest has allowed us to decrease a mortality rate to 15,2%
in comparison with traditional methods of treatment. This rate is
smaller by factor 1,5-2 than the same results published in Ukrainian and
foreign literature. All patients in other groups have totally been
recovered. Analysis of long – term follow up of patients after surgical
treatment of chest wall injuries and their sequelae has proved that good
functioning of the chest wall and intrathoracic organs has been restored
in 96 % of patients.

Key words: Rib fracture, fracture of the sternum, costal arc fracture,
fracture of clavicle, hernia, foreign bodies of the chest wall,
chondritis, osteomyelitis, surgical treatment, thoracoscopic treatment.

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