F aa t e Sst at S pat aas pat: st a tast

1. F??�a?a ??t???�?? ?e?????? S?st?�at?? S?�pa??t???? � ?a?as?�pa??t????: ?????st?? ?a? ??ta????st?? ?.?sa?????

2. ? ?? ??S (S?�pa??t??? ?a? ?a?as?�pa??t???) e??a? t? t�?�a t?? ?e?????? s?st?�at?? p?? ep?d?? �e f????e?t?e? ?e???de? se ??a ta e?te?est??? ???a?a t?? s?�at?? e?t?? ap? t?? ??a��?t?? �????? ??e?. ?? ?e?t????? p????e? ap? t??? ?p????? a????e? t? f?t??? s?st?�a �??s???ta? st?? e???fa?? ?a? t?? ??t?a?? �?e??

4. ?? S?S a????e? ap? t?? ???a???sf???? p????a t?? ??, d??ad? ap? t? 1? ???a???? (T1) ?? t? 2? ?sf???? ?e???t?�?? (?2). ?? pe??fe???? t�?�a e????eta? ap? t? ?? �e t?? p??s??e? ???e? ap? t? (T1 ,?2) ?e???t?�??, ap??????eta? ap? a?t?? �e t? �??f? ?e???? a?ast?�?t???? ???d??, p?? ?? ??e? t??? ?ata?????? sta s?�pa??t??? ??????a (s?�pa??t??? st??e??? ?a? p??sp??d?????). ?p? ta ??????a a?t? a??????? ?? �eta?a????a??? ??e? p?? f????ta? �e fa???? a?ast?�?t????? ???d??? sta ??t?a?a ?e??a, �e ta ?p??a ?ata??�??ta? se ???????? t? s?�a, e?te f????ta? se d??f??a sp????a �e t? �??f? a?e???t?t?? ???d?? e?te ?a? sa? pe??a??e?a?? p???�ata ??at?�?a S?S

7. ?? ??S a????e? ap? ???s�????? p????e? t?? e??ef???? ?a? t?? ?e??? �???a? t?? ??. ?? pe??fe???? t�?�a t?? ??a??a??? �???a? e????eta? �e 4 e??efa????? s?????e?, t? ????? ????t??? (???), p??s?p???(VII), ???ss?fa??????? (IX) ?a? p?e?�????ast???? (X). ?? pe??fe???? t�?�a t?? ?e??? �???a? e????eta? �e t?? p??s??e? ?e??? ???e? 2,3,4 ?a? f??eta? �?sa sta p?e???? ?e??a. ?? p???a????a??? ??e? t?? ??S ?ata?????? se pa?as?�pa??t??? ??????a p?? �??s???ta? ???t? ? ?a? �?sa sta ?e????�e?a ???a?a. ?p? ta ??????a a?t? ?e?????e �eta?a????a??? ?e???de? p?? ?? ap????e?? t??? ?ata?????? sta e?te?est??? ???a?a ??at?�?a ??S

9. ??S ?? p?e?�????ast???? f??e? t? 75% ???? t?? pa?as?�pa??t???? ???? ?a? ?ata??�e? t?? ??e? t?? st? ???a?a ?a? st?? ??????. ?? p?e?�????ast???? ?????e? pa?as?�pa??t??? ?e???s? st?? ?a?d??, p?e?�??e?, ??s?f???, st?�???, ?ept? ??te??, ?pa?, ????d??? ??st?, p????ea? ?a? ??? t�?�a �?t?a?. ? III? �?t? ? VII ? da????????, ????????, ?p????????? ad??e? ? IX ? pa??t?da ?? ?e??? pa?as?�pa??t???? ??e? s??�at????? ta p?e???? ?e??a p?? ?de???? st?? ??st?, ?at???, s??�?e?d??, ???? ?a? st? ?at?te?? t�?�a t?? �?t?a?

10. F?s??????a ??S ??e? ?? p???a????a??? ??e? (S?S+??S) e??a? ?????e?????? ?? �eta?a????a??? t?? ??S e??a? ?????e?????? ? p?e????f?a t?? �eta?a????a??? t?? S?S e??a? ad?e?e??????. ??a??es? ap?te???? ?? �eta?a????a??? s?�pa??t???? ??e? p?? ?ata?????? st??? ?d??t?p????? ad??e? ?a? t??? p??t????e?d????? sf???t??e? ???s�???? a??e??? ?a? e??a? ?????e??????

14. ???ad?e?a???? ?? ?e???�eta�?�ast??

15. ??a??p? d??s?? ?pa?ap??s???? ?????s? ?eta�???s�?? ap? ta ????�a ??? (�???a�???-??e?d?s?) ?a? COMT (?ate???-?-�e???t?a?sfe??s?) ???ad?e?a???? ?? ?e???�eta�?�ast??

22. Fa?�a????????? ?p?d??se?? ???e??s?spas? (d??�a-?ef???) ???e??d?ast??? sta a??e?a t?? s?e?et???? �??? ??????d?ast??? ??S, ?S?sta?t???t?ta? �???a?d??? (S?) ???t?�at?s�?? ??p???s? ?pat??? ???????????s? ?eta�???? st?? ?????s? ??s???????, ?e?????, ?p?f?s?a??? ??�????

24. ???????? ???se?? Tet???? ???t??p?? pa?????te? ??a ?s?sta?t???t?ta? �???a?d??? ???e??s?spast??? ??a ???: a) �et? ap? s?�pa??t??? ap???e?s�? �) ?at? t?? pe???d? ap?�?????s?? pe??sse?a? a?a?s??t???? pa?a???t?? ?) �???? t?? a?ap????s? e?da??e?a??? ?????. ???????? ?s?�a ???e????? shock S?�p????�at??? se t?p??? a?a?s??t???

26. ?p?d??e?? - ???e?t???t?ta ? e??e?t???t?ta t?? s?�pa??t???�?�?t???? st??? d??f????? ad?e?e??????? ?p?d??e?? e?a?t?ta? ap? t? ??�??? d?�? t?? fa?�????. ????st? a+� ad?e?e????? d?ast????t?ta t?? ?p?d???a p???a?e?ta? ap? t?? pa???s?a ?d????????? ?�?d?? sta ?t?�a 3,4 t?? �e??????? da?t????? t?? �-fe???e???a�????. ? ep??ef???? ??e? t?? ???st? ??�??? d?�? ??a p?????s? a+� ep?d??se?? ? fe???ef???? p?? de? ??e? 4-?? e??a? p?? as?e??? a+� d?e???t?? ap? t?? ep??ef???? a??? pe??ss?te?? e??e?t???? a????st?? t?? a1 ?p?d?????. Ge???? ta a??ste??st??fa ?s?�e?? e??a? p?? d?ast???

30. ?eta�???s�??: ?ate???a�??e?

34. ?p??ef???? ? ep??ef???? p?? ?????f??e? st?? ???a??s�? p?????eta? ?????? ap? ta ep??ef??d?a. ?? ?p?d??e?? p?? e?e???p?????ta? ap? t? ??????s? ep??ef????? ?a? ??a ? ??????? t?? d??s? e?a?t?ta? ap? t?? ???????�e?? d?s?. ? p?? ?s????? a????st?? st??? a-?p?d??e?? (2-10>???ep??ef????) a??? d?a ?a? st??? �1 ?a? �2. ? d??s? t?? st??? �-?p?d??e?? st?? ?a?d??, a??e?a ?a? �??????? e??a? e�fa??? se s?st?�at???? d?se?? 0,015?/kg/min. ??se?? > 0,15?/kg/min e?e???p????? a-?p?d??e?? ?a? p???a???? a??e??s?spas?.

35. ???????? ???se?? ???s???? se t?p??? a?a?s??t??? Te?ape?a ep????d???? ??a t? ??? a??e????? ?at? t?? ??? S??e?? ????s? ??a a???s? t?? �???a?d?a??? s?sta?t???t?ta?

36. ???ep??ef???? ??e?e??e? a+�1 ?p?d??e?? e?? de? ep?d?? ?a????? st??? �2 ?s????? a a????st?? ?a? p???a?e? ?s???? a??e??s?spas? t?s? se a?t???e? ?s? ?a? se f??�e?. ?e? ??e? ep?d?as? st??? �??????? ? s?????s�??? ??????? t?? ???s? (0,1?/kg/min) af??? as?e?e?? �e ?p?tas? ???? a??e??d?ast???? ? as?e?e?? �e ?atap????a. Ge???? ? ???s? t?? pe??????eta? ???? s?�a??? a?ep???�?t?? e?e??e??? ( a????�?e?, d?ata?a?? st? ?ef???? ?e?t?????a, ??t??? a??e??s?spas?) ?d?a?te?a ???s?�? se s?pt??? ?atap????a ???s??? se e?a??e??s? ? t?p??? a??e??s?spas? ?a? ?????s?

37. ?t?pa�??? S?�a?t???? ?e???�eta�?�ast?? st? ??S ?a? st? pe??fe???? ?e????? s?st?�a ??a st??? a,� ?a? st??? ?t?pa�??e??????? ?p?d??e?? (DA1 DA2) ? d??s? t?? e??a? d?s?e?a?t?�e?? ?a? ???? t?? ???????? �eta�???s�?? t?? ?????e?ta? se s??e?? ????s? 1-2?/kg/min ? d?ast??? t?? a??e??? t?? ?ef??? ?a? �ese?te???? �?s? DA1 �e ap?t??es�a ? ?ef????? ???? ?a? t?? spe??a�at???? d????s??. 2-10?/kg/min ? �1 ?p?d??e?? ? ?s?sta?t???t?ta? >10?/kg/min? a1 ?p?d??e?? ? a??e??s?spas?

38. ?p?tas? ??ad??a?d?a ?a?d???e??? shock ???????? ???se??

39. ?t?pa�???

40. S???et???? ?ate???a�??e?: ?s?p??te?e???? ???a? ? p?? ?s????? a????st?? ap? ??a ta s?�pa??t???�?�?t??? st??? �1 ?a? �2 ?p?d??e??, 2-3 >ep??ef???? ?a? 100> ???ep??ef???? Se s????e?? ???????? d?se?? de? ??e? a d??s? ?eta�????eta? ??????a ap? t?? COMT st? ?pa? ??a a?t? ?a? ?????e?ta? se s??e?? ????s? e?? ? epa?ap??s???? t?? e??a? e????st?