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glava 11 shabalov n.p. detskie bolezni ii tom oglavlenie glava 11 zabolevaniya jelchevidelitelnoy sistemi ……………………………………….. 6 diskinezii ………………………………………………………………………………………………….. 6 ostriy xoletsistit …………………………………………………………………………………………. 12 xronicheskiy xoletsistit …………………………………………………………………………………… 14 jelchnokamennaya bolezn ………………………………………………………………………………….. 18 glava 12 xronicheskie zabolevaniya pecheni …………………………………………………………. 35 vrojdenniy gepatit ………………………………………………………………………………………... 36 xronicheskiy gepatit ……………………………………………………………………………………….. 43 jirovoy gepatoz ……………………………………………………………………………………………. 55 tsirroz pecheni ………………………………………………………………………………………………. 60 lechenie bolnix xronicheskimi gepatitami i tsirrozami pecheni ……………………………………… 73 glava 13 vrojdennie poroki serdtsa (k.f. shiryaeva) ………………………………………………... 81 vrojdennie poroki serdtsa s obogasheniem malogo kruga krovoobrasheniya …………………………… 85 vrojdennie poroki serdtsa s obedneniem malogo kruga krovoobrasheniya …………………………….. 94 vrojdennie poroki serdtsa s prepyatstviem vibrosu krovi iz jeludochkov …………………………… 99 lechenie i dispansernoe nablyudenie bolnix s vrojdennimi porokami serdtsa …………………….. 102 glava 14 priobretennie zabolevaniya serdechno-sosudistoy sistemi (v.v. yurev) …………………………………………….. 107 miokarditi …………………………………………………………………………………………………. 107 infektsionniy endokardit ………………………………………………………………………………… 113 perikarditi ………………………………………………………………………………………………… 117 aritmii u detey …………………………………………………………………………………………….. 121 funktsionalnie shumi serdtsa ……………………………………………………………………………. 126 serdechnaya nedostatochnost ………………………………………………………………………………… 127 distonii. gipertonicheskie …

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………………………………………………………….. 170 sistemnaya krasnaya volchanka ……………………………………………………………………………….. 173 dermatomiozit ……………………………………………………………………………………………… 176 smeshannaya bolezn soedinitelnoy tkani ……………………………………………………………….. 178 sistemnie vaskuliti ………………………………………………………………………………………. 178 glava 16 bolezni pochek i mochevivodyashix putey ………………………………………………… 180 ostriy poststreptokokkoviy glomerulonefrit ………………………………………………………… 183 jga-nefropatiya ……………………………………………………………………………………………... 199 bistroprogressiruyushie glomerulonefriti ……………………………………………………………. 201 nefroticheskiy sindrom …………………………………………………………………………………… 203 xronicheskie glomerulonefriti ………………………………………………………………………….. 219 dizmetabolicheskie nefropatii …………………………………………………………………………… 230 mochekamennaya bolezn ……………………………………………………………………………………... 234 pielonefrit ………………………………………………………………………………………………… 241 infektsii mochevivodyashix putey …………………………………………………………………………. 262 vrojdennie i nasledstvennie zabolevaniya pochek ……………………………………………………… 267 ostraya pochechnaya nedostatochnost ………………………………………………………………………… 281 xronicheskaya pochechnaya nedostatochnost ………………………………………………………………….. 291 glava 17 bolezni sistemi krovi …………………………………………………………………………. 296 anemii ………………………………………………………………………………………………………. 296 leykozi ……………………………………………………………………………………………………… 330 detskie gistiotsitozi …………...…………………………………………………………………………. 346 limfogranulematoz ………………………………………………………………………………………… 351 gemorragicheskie diatezi i gemorragicheskie zabolevaniya ……………………………………………… 384 disseminirovannoe vnutrisosudistoe svertivanie krovi …………………………………………….. 397 glava 18 endokrinnie zabolevaniya (v.l. lise) ……………………………………………………….. 402 saxarniy diabet ……………………………………………………………………………………………. 402 ojirenie ……………………………………………………………………………………………………. 420 bolezni gipotalamo-gipofizarnoy sistemi ……………………………………………………………... 424 bolezni shitovidnoy jelezi ………………………………………………………………………………. 434 bolezni okoloshitovidnix jelez …………………………………………………………………………. 452 zabolevaniya nadpochechnikov …

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…………………………………………………………………………….. 457 zabolevaniya polovix jelez ………………………………………………………………………………... 466 zaderjka polovogo razvitiya ……………………………………………………………………………….. 474 glava 19 nasledstvennie bolezni (l.v. erman) ……………………………………………………….. 492 xromosomnie bolezni ……………………………………………………………………………………… 492 gennie bolezni ……………………………………………………………………………………………… 492 mukovistsidoz ……………………………………………………………………………………………….. 535 mediko-geneticheskoe konsultirovanie …………………………………………………………………. 544 glava 20 neyrotsirkulyatornaya disfunktsiya (yu.v. sereda, n.p. shabalov) ……………………… 552 glava 21 narusheniya sna u detey (a.b. palchik, n.p. shabalov) ……………………………………….. 570 glava 22 bol i bolevoy sindrom u detey (a.b. palchik, n..p. shabalov) ………………………… 586 glava 23 ostrie otravleniya u detey (e.k. tsibulishn) ……………………………………………….. 602 glava 24 immunodefitstnie sostoyaniya ……………………………………………………………. 630 kletochnie i geneticheskie osnovi immunnogo otveta …………………………………………………… 631 immunitet v antenatalnom ontogeneze …………………………………………………………………... 640 pervichniy immunniy otvet ……………………………………………………………………………….. 642 funktsii hla sistemi ……………………………………………………………………………………... 645 pervichnie immunodefitsiti ……………………………………………………………………………… 647 lechenie immunodefitsitov ………………………………………………………………………………… 661 vtorichnie immunodefitsiti ……………………………………………………………………………… 665 glava 25 sindrom priobretennogo immuno defitsita vich-infektsii u detey 678 prilojenie 2. antibakterialnie preparati i ix dozi dlya detey 703 glava 11 zabolevaniya jelchevidelitelnoy sistemi videlyayut sleduyushie …

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skimi zabolevaniyami jeludochno-kishechnogo trakta naxodyat funktsionalnuyu ili organicheskuyu patologiyu jelchevivodyashix putey. u detey dostatochno redko viyavlyayut jelchnokamennuyu bolezn i eshe reje opuxoli i grubie poroki razvitiya jelchevivodyashix putey, xotya pri vnedrenii uzi v detskix poliklinikax s chastotoy 5-10 % viyavlyayut peretyajki, peregibi i drugie deformatsii jelchnogo puzirya. prichem nekotorie defekti ultrazvukovoy kartinki jelchnogo puzirya naxodili u 25 % i bolee detey s pishevoy allergiey. odnako traktovka etix naxodok zatrudnena, dannie po katamnesticheskim issledovaniyam takix detey s pishevoy allergiey krayne malochislenni. u vzroslix dominiruyushaya patologiya jelchevivodyashix putey – jelchnokamennaya bolezn, kotoroy stradaet kajdiy desyatiy jitel zemli, a v vozraste posle 40 let kamni v jelchnom puzire naxodyat u 25 %, posle 70 let – u 50 %. po dannim kafedri gastroenterologii vma, diskinezii jelchevivodyashix putey vstrechayutsya u 30-40 %, a anomalii jelchnogo puzirya – u 20 – 25 % lits v obshey populyatsii (batskov s.s. isoavt., 1996). diskinezii diskineziya jelchevivodyashix putey …

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niy obrazjizni; · nevrozi; · pishevaya allergiya, atonicheskiy diatez; · lyubaya xronicheskaya patologiya jeludochno-kishechnogo trakta (osobenno vospalitelnaya); · parazitozi jeludochno-kishechnogo trakta, osobenno lyamblioz; · nasledstvennaya predraspolojennost, xotya ona veroyatno vse je chashe svoditsya k semeynim osobennostyam obraza jizni, v chastnosti, pitaniya; · xronicheskie ochagi infektsii v organizme (lor-patologiyaidr.); · otravleniya, ekopatologiya, dlitelnoe zloupotreblenie v pitanii produktami promishlennogo konservirovaniya; · endokrinnie zabolevaniya (ojirenie, tireotoksikoz, saxarniy diabet). ris. 40. vnepechenochnie jelchnie puti (sxema). 1 – vetvi pechenochnogo protoka; 2 – obshiy pechenochniy protok i sfinkter miritstsi; 3 – puzirniy protok (gladkaya chast); 4 – puzirniy protok (klapannaya chast, sfinkter lyutkensa); 5 – obshiy jelchniy protok; 6 – sfinkter oddi; 7 – dvenadtsatiperstnaya kishka; 8 – pankreaticheskiy (virsungov) protok. patogenez v.a. galkin (1996) pishet: predstavlenie o diskineziyax jelchnogo puzirya kak chisto funktsionalnix rasstroystvax v nastoyashee vremya peresmatrivaetsya. ne tolko pri gipomotornix, no i pri gipermotornix formax diskinezii imeyut mesto organicheskie izmeneniya na urovne …

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glava 11 shabalov n.p. detskie bolezni ii tom oglavlenie glava 11 zabolevaniya jelchevidelitelnoy sistemi ……………………………………….. 6 diskinezii ………………………………………………………………………………………………….. 6 ostriy xoletsistit …………………………………………………………………………………………. 12 xronicheskiy xoletsistit …………………………………………………………………………………… 14 jelchnokamennaya bolezn ………………………………………………………………………………….. 18 glava 12 xronicheskie zabolevaniya pecheni …………………………………………………………. 35 vrojdenniy gepatit ………………………………………………………………………………………... 36 xronicheskiy gepatit ……………………………………………………………………………………….. 43 jirovoy gepatoz ……………………………………………………………………………………………. 55 tsirroz pecheni ………………………………………………………………………………………………. 60 lechenie bolnix xronicheskimi gepatitami i tsirrozami pecheni ……………………………………… 73 glava 13 vrojdennie poroki serdtsa (k.f. shiryaeva) ………………...

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