revmatizm

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slayd 1 prof. eliseeva m. r. laboratoriya arterialnoy gipertenzii i molekulyarno-geneticheskix issledovaniy ii vek. rheumatismus – istechenie, katar. klavdiy galen. diagnosticheskie kriterii revmatizma 1940 god kisel a. «absolyutnie priznaki revmatizma» «dlya revmatizma absolyutnimi priznakami yavlyayutsya revmaticheskie uzelki, krugovaya eritema, xoreya i osobaya forma artrita, bistro perexodyashaya s odnogo sustava na drugoy. mojet bit, k absolyutnim priznakam sledovalo bi eshe otnesti sovershenno svoeobraznoe porajenie serdtsa u detey … postoyannoe progressirovanie poroka serdtsa…» jones t.d. “diagnosis of rheumatic fever”, 1944. kriterii kiselya- djonsa osobennosti terminologii revmaticheskaya lixoradka (rheumatic fever) - anglosaksonskaya ostriy sustavnoy revmatizm (rheumatisme articulaire aigu) ili bolezn buyo ( maladie de bouillaud) –frantsuskaya revmaticheskiy poliartrit ili ostraya revmaticheskaya lixoradka - nemetskaya revmatizm - russkaya rabochaya klassifikatsiya i nomenklatura revmatizma (1964 g.) posleduyushie godi – razrabotka klassifikatsiy… «kajdaya novaya klassifikatsiya ne est vpolne zakonchennaya sistema znaniya i opita, a lish uzlovoy etap nauchnogo progressa, kotoriy po mere nakopleniya znaniy budet smenen …

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koy lixoradki. nauchno-prakticheskaya revmatologiya № 2, 2004. klassifikatsiya revmaticheskoy lixoradki (arr, 2003) * - po klassifikatsii n.d.strajesko i v.x.vasilenko; ** - funktsionalniy klass po nyha *** - vozmojno nalichie postvospalitelnogo kraevogo fibroza klapannix stvorok bez regurgitatsii, kotoroe utochnyaetsya s pomoshyu exo-kg; **** - pri nalichii vpervie viyavlennogo poroka serdtsa neobxodimo, po vozmojnosti, isklyuchit drugie prichini ego formirovaniya (infektsionniy endokardit, pervichniy antifosfolipidniy sindrom, kaltsinoz klapanov degenerativnogo geneza i dr.). peresmotrennie kriterii djonsa bolshie proyavleniya: kardit poliartrit xoreya koltsevidnaya eritema podkojnie uzelki malie proyavleniya: klinicheskie: lixoradka poliartralgiya ekg: udlinenie intervala p-r laboratornie: povishennie znacheniya ostrofaznix prob (soe, kolichestvo leykotsitov, c-reaktivniy belok) rheumatic fever and rheumatic heart disease. report of a who expert consultation geneva, 29 october–1 november 2001. who 2004. podtverjdenie perenesennoy a-streptokokkovoy infektsii v techenie predshestvuyushix 45 dney: uvelichenniy ili uvelichivayushiysya uroven asl-o ili drugix antistreptokokkovix antitel ili pozitivnaya a-streptokokkovaya kultura, videlennaya iz zeva ili bistriy antigen-test na streptokokki gruppi a …

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xarakterno dlya orl, no pri etom trebuetsya differentsialnaya diagnostika s karditami inoy etiologii (v pervuyu ochered - virusnoy). nasonova v.a. kuzmina i.i. , belov b. s. klassifikatsiya i nomenklatura revmaticheskoy lixoradki. nauchno-prakticheskaya revmatologiya № 2, 2004. revmaticheskaya lixoradka i revmaticheskaya bolezn serdtsa ostraya revmaticheskaya lixoradka vozvratnaya revmaticheskaya lixoradka bez revmaticheskoy bolezni serdtsa vozvratnaya revmaticheskaya lixoradka s revmaticheskoy boleznyu serdtsa revmaticheskaya xoreya pozdniy revmokardit xronicheskaya revmaticheskaya bolezn serdtsa rheumatic fever and rheumatic heart disease. report of a who expert consultation geneva, 29 october–1 november 2001. who 2004. kriterii diagnostiki revmaticheskoy lixoradki i revmaticheskoy bolezni serdtsa osnovannie na peresmotrennix kriteriyax djonsa (voz, 2004) a mojet nablyudatsya tolko poliartrit (ili tolko poliartralgiya ili monoartrit) s neskolkimi (3 ili bolee) drugimi malimi klinicheskimi proyavleniyami, naryadu s priznakami nedavno perenesennoy a-streptokokkovoy infektsii. opravdannim yavlyaetsya schitat ix sluchayami «veroyatnoy revmaticheskoy lixoradki» (pri uslovii isklyucheniya drugogo diagnoza) i rekomendovat regulyarnuyu vtorichnuyu profilaktiku. takim patsientam trebuetsya posleduyushee regulyarnoe …

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kardit. drugie bolshie klinicheskie proyavleniya ili nalichie predshestvuyushey a-streptokokkovoy infektsii dlya podtverjdeniya diagnoza ne trebuyutsya xronicheskoe porajenie klapanov u patsientov s rbs (izolirovanniy mitralniy stenoz ili sochetannoe porajenie mitralnogo i/ili aortalnogo klapanov). ne trebuyutsya nalichie nikakix drugix diagnosticheskix kriteriev pri nalichii ustanovlennoy rbs rheumatic fever and rheumatic heart disease. report of a who expert consultation geneva, 29 october–1 november 2001. who 2004. revmaticheskaya bolezn serdtsa rol exokardiografii diagnostika ostrogo revmokardita opredelenie virajennosti klapannoy nedostatochnosti diagnostika pozdnego revmokardita diagnostika xronicheskix klapannix porajeniy diagnostika vozvratnogo revmokardita diagnostika subklinicheskix revmokarditov rheumatic fever and rheumatic heart disease. report of a who expert consultation geneva, 29 october–1 november 2001. who 2004. primeri postroeniya diagnoza po klassifikatsii a.i.nesterova (1964) osn.: revmatizm, aktivnaya faza, aktivnost 2. podostroe techenie. artrit, koltsevidnaya eritema, pervichniy revmokardit. osl.: nk ii a. ______________________________________________________________________ osn.: revmatizm, aktivnaya faza, aktivnost 1. neprerivno- retsidiviruyushee techenie. vozvratniy revmokardit. kombinirovanniy mitralno-aortalniy porok serdtsa (stenoz mitralnogo otverstiya, nedostatochnost …

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ii. osn.: vozvratnaya revmaticheskaya lixoradka c rbs: kardit , kombinirovanniy mitralno-aortalniy porok serdtsa (stenoz mitralnogo otverstiya 1 stepeni, nedostatochnost aortalnogo klapana 2 stepeni). osl.: xsn iia, fk i ______________________________________________________________ osn.: revmaticheskaya xoreya. osn.: pozdniy revmaticheskiy kardit. primeri postroeniya diagnoza v sootvetstvii s klassifikatsiy voz (2003) osn.: xrbs: kombinirovanniy mitralno-aortalniy porok serdtsa (nedostatochnost mitralnogo klapana 2 stepeni, nedostatochnost aortalnogo klapana 2 stepeni) osl.: xsn iia, fk ii. osn.: xrbs: sochetanniy mitralniy porok (nedostatochnost mitralnogo klapana 2 stepeni, stenoz mitralnogo otverstiya 3 stepeni). osl.: xsn iib,fk iii. primeri postroeniya diagnoza v sootvetstvii s klassifikatsiy voz (2003) osn.: xrbs: operirovanniy mitralniy stenoz. zakritaya komissurotomiya (data). restenoz ii stepeni. osl.: xsn iia,fk ii. osn.: xrbs: operirovanniy mitralno-aortalniy porok serdtsa. otkritaya mitralnaya komissurotomiya i protezirovanie aortalnogo klapana (data). osl.: xsn i, fk i. primeri postroeniya diagnoza v sootvetstvii s klassifikatsiy voz (2003) pervichnaya profilaktika rl rheumatic fever and rheumatic heart disease. report of a who …

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slayd 1 prof. eliseeva m. r. laboratoriya arterialnoy gipertenzii i molekulyarno-geneticheskix issledovaniy ii vek. rheumatismus – istechenie, katar. klavdiy galen. diagnosticheskie kriterii revmatizma 1940 god kisel a. «absolyutnie priznaki revmatizma» «dlya revmatizma absolyutnimi priznakami yavlyayutsya revmaticheskie uzelki, krugovaya eritema, xoreya i osobaya forma artrita, bistro perexodyashaya s odnogo sustava na drugoy. mojet bit, k absolyutnim priznakam sledovalo bi eshe otnesti sovershenno svoeobraznoe porajenie serdtsa u detey … postoyannoe progressirovanie poroka serdtsa…» jones t.d. “diagnosis of rheumatic fever”, 1944. kriterii kiselya- djonsa osobennosti terminologii revmaticheskaya lixoradka (rheumatic fever) - anglosaksonskaya ostriy sustavnoy revmatizm (rheumatisme articu...

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