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.. , .. , ..

2007

617.5
54.5
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1.

1.1.

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1.2.

14

1.3.

20

1.4.

42

2.

57

2.1.

57

2.2.

60

3.

90

3.1.

90

3.2.

91

3.3.

92

3.4.

99

4.

4.1.

115
115

4.2.

5.

124
129

5.1.

129

5.2.

133

5.3.

138

5.4.

141

6.

146

7.
-

157

7.1.

157

7.2.
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164

8.

168

8.1.

168

8.2.

170

9.

184

10.

195

10.1. -

196

10.2. -

200

10.3. -

204

10.4.

209

10.5.

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11.

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12.

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RJ, 1977; Sheps SG, Kincaid OW, Hunt JC, 1972; Stanley JC, Fry WJ, 1975).

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Nakao K. et al., 1967; Vinijchaikul K., 1967; Hachiya J.;1970; Lupi-Herrera E. et al.,
1977; A.B. , 1979; Ishikawa K., 1978; Hall S. et al., 1985).
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L.H., 1992).
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Mann D.L., Fauci A.S.,1982; Numano F et al., 1979).
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II .

.

.

, . . ,
.
,
(Garvas H., Brunner H., 1973).

,
, .
. ,

-- ,
. ,
, .
,
,
.
-, . .
.

,
.
,

.
, .

1.

55

, . .
.
. , ,
, .

, , 53,6%
( .., 1990).

, .
,
.
-- - ( 1 ).
- (13 ).

.
3
.
,
(35, 39, 41,
57, 58, 59, 62, 65, 66).
, , .
,
, , .
,
,
,
.
,
, ,
(. 1.15).

.

56


(2 )

. 1.15. -

2 . 1 .
. . ..
2389 .

. ,

.
,
, .
, .

:
,
(IV
);
,
30 . . ,
( 23 . ./)
;
I
, ;
23
;
60 -
, -

58

, ,
, , .

: ,
.
(51,2%)
, 220 . .

.
(44,1%)
220 . .
, ,
, 3 220
. .
.
, -,
, , , .
(4,7 %)

220300
. . . :
.

. 100110 .
.
, . 2.1.

.2.1.

2.

59

,
- .
.
.
, -
(.2.2.). 62 (2,6%)
, 14 , 4 .

. 2.2.

,
.
. , , ,

.
.
.
(68,7%).

(. 2.3). ,
- , (62,9%
37,1%).

(19,1 %).

(57,6 %). ,
36 25

60

. 2.3. , ,

, 57
XII .
. ,

, ,
.
,

( 25%).
-
,
( .., .., 2000).

(, ),
,
.
.

. -
.
,

.

2.2.


. , -

2.

61

,

.
,
, , ,
,
(EyierW.R. etal., 1962; Holley K.E.,etal. 1964; Hansen K.J., Dean R.H.,
2000).

(Dustan H.P. et al., 1964). ,

.
,
,
,
. ,
,
. ,
,
(Simon N. et al., 1972).

.
, ,
.
,
.
.




.
-
,
( .., .., 1984; Rosental J., 1983).
,
.
, ,
.
,
, , ,
. ( .., , 1979; Sauda L., 1982).

62

-

, 10.00 22.00.
92
180/120 .. 59 (64,1%)
17,25+4,34 //. 67 (72,8%)
1,5,

.
,

.



, - , , .
.

(. 2.4.) :
1- ;
2-
;
3-




.
,



.


:
. 2.4.

2.

63

13 , 1550 ,
2,0 .

. .. Maxwell . (1964),


,
89% .
,
,

,
(- ).

1952 . . Oeser . Bilion ,


|311-.

(Winter ., 1956) 13lI-urokon (Taplin G.V. et al., 1956)
. .. Winter (1956) ,
,
. 1956 . R.R.M. Borghgraef and R.F. Pitts chlormerodrin l-(3(chlromercuri)-2-methoxypropyl)-urea Neohydrin 203Hg (
47,9 , - 279 Kev,
(-). 12
( )
. 203-
(Blau M., Bender M.A., 1959).
197
1963 . D.B. Sodee Hg (
2,7 , - 77 Kev),

. ,
()
|3|
1- (Tubis M. et al., 1960, Nordyke R.A. et al., 1960).
|31
1- .
, 92 %
13|1-
(Meade R.C. et al., 1965, Tauxe W.N., Maher P..,

"
64

1965). |3'1-,
(Smith W.W. and Smith H.W., 1938),
. , ,
,
, ,
, , , .

, , ,
,
.
(McAfee J.H. et al., 1981)
.
, |3 '1
, , " . "-
(99mTc-MAG3) (Fritzberg A.R. et al., 1986, Taylor A., Eshima D., 1988; Schaap
G.H. et al., 1988; Bubeck B. et al, 1990). , "mTc-MAG3
5065% ,3'1-.
"mTc-MAG3
(Taylor .. et al., 1988, Bagni . et
al., 1988; Muller-Suur R. et al., 1990).
(Stabin M. et al., 1992)
, "mTc-MAG3
|3|1- .
, 1311- |231-,
-
| 2 3 1. , | 2 3 1,

|23
1-.

.

. ,

(Alving A.S. and Miller B.F., 1940).
60- . , : 51-
ll3m
(EDTA, Stacy B.D. and Thorburn G.D., 1966), ln- l69
(DTPA, Reva R.C. et al., 1968), Yb-DTPA (Hosain F. et al., 1969),
l4(l
La-DTPA (Bianchi C, Blaufox M.D., 1968).
1970- . W. Hauser (1970), W.C. Eckelman, P. Richards
(1970), Klopper J.F et al. (1971), "mTc-DTPA,
.

2.

65

1311-
. ,
. , "mTc-DTPA
, ,
. ,
1- " MAG3. A. Taylor (1999)
"mTc-MAG3.
, ,

( .., .., 1964; Maxwall M.N. et al., 1968; Britton K.F. et al.,
1968; OB .. ., 1977). . . . (1997) 1530%
,
. .. .. (1998),
,
(13'1-, |231- 99mTc-MAG3) ("mTc-DTPA)
: 7485% 7085%, (Mann S. et al., 1991; Morton
. et al., 1991).
(. 2.5, 2.6).

. 2.5. (
)

66

. 2.6. 1- (
)
- ( ),
.
.. (1994)
7180%
( ) 9093% ( 25 per os).

(MainiA. et al., 2000).
,
. ,
- (
) ,
(Taylor ., 1999).
,
.
(Dubovsky E.V. et al., 1975; Hilson
A.J. et al., 1978) ,
|3
"mTc-MAG3 - "mTc-DTPA (Dubovsky E.V. et al., 1990).

,
(Ojo A.O. et al., 1997),
.

2.

67



,
,
. .

, ,

. , ,

.
60% .
,
.
.
.

,
,
.

34 .

, .
57 .

(
.., 1990; .., ..,1998).


, .

.

( 2/3 )

.

( ),
( ) (
) (.
2.7, 2.8, 2.9).

68

. 2.7. .

. 2.8. .
.
. 2.1.


1,8 /

3,5. -

2.

69

. 2.9. .


.


.
2.1

( .., .., 2001)

Vs (/)

Vd (/)

Vm (/)

Ri

Pi

S/D

0,8-1,2

0,30-0,35

0,45-0,55

0,65-0,7

1,1-1,2

2,6-3,3

0,5

0,2+0,01

0,3+0,01

0,59+0,02 0,98+0,07

2, 55+0,3

0,31

0,140,03

0,17+0,02

0,6+0,03

1,02+0,1

2,61+0,19

0,21

0,09+0,01

0,11+0,01

0,6+0,03

0,95+0,04

2,4+0,1

: Vs , Vd
, Vm , Ri , Pi
, S/D .

70

,
9
. ,

85 100%, 90 99% (SchwerkW.B. etal., 1994; Helenon
. et al., 1995; Rollin O.C. et al., 1994).
20%.
63%.
20% , 80%
( .. , 1995).

.

.
,
,
.


.
, ,

.

.
.
, , ,
, .
,
.
,
7501000 . 750

80 ./.
100140 /.
10
- ,
50100 .
-
, -

2.

71

.
, .

.
, ,
. -

.
,

. . (, )
(, , .)
300350 / (6070%).
,
,
,
(Katayama H., et al., 1990; Palmer F.J., 1988.).

, - ,

. ,
, (
),
(Fishman E.K., 1996).

,
(
.. ., 1997; Kim . et al., 1998).
, ,
.

(1520 ),
. ,

.
,
.


.

.

72


.
.
80160
300 350 /
(60 70%).
.
, , 20
50 . .
(. 2.10.):
1- () -
50 ;
2- 1

;
3- -
10 2
.

. 2.10.
( .. .., 1998)

- :
, , .
,

2.

73

. .
.
2050 .
,
.
, ,
.

,
.
35 / 1820G.


. : (), (),
(), ,
, (), ,
, .

23 . 520
. 20 .
2550%
.

; z
(11,5). -
,
.


.
,
,
.
, .
.
, ,
.
,

.
2030 23 /
.

74

.

,
.

. , 30- ,
3 /, 90 .


100130 .
,
.

.
,
, .


. 300350
/
3,54,0 /
.
250350 ,

. 400 ,
.

, . -

.
.
300500 ,
.
.
-

.
,

. ,
.
,
,
.

2.

75



,
,
. .
(
, .).

, .

.
(. 2.11).

(
.., .., 1998).

. 2.11. ( )



(,
).
.

76

-
- ()
- ()
( .. ., 1994; .., .., .., 1996.; Edelman R.R., 1993).
80- . (Pavone E., Bongardz G., Marchal G., 1993),

.

( + , Na 23 , 13, 3 ' .)
.
. ,
,
.
.
, ,
, .. . ,
.
, ,
, ,
,
,
, .

. ,
, ,
1 2 . 1 -

, 2 -,
.

: -, -
.
, Tl, T
2 .
-
1981 . -
.

.
- ,
- , -

2.

77

.

(. 2.12).
-
,
( .., 1995).

. 2.12. - ,

,
. ,
,
( ., 1996; Lanser P.,
Yoganathan .., 1991; Pavone E Bongardz G., Marchal G., 1993). 1-, T2-
- ,
.
- , ,

. -
,

100 , ( 2040 ),
(1 12 )
( 2060).
,

.
. ,
,
( .. ., 2000; .., 1995).
,
, -

78

- ( ., 1993;
Lanser P., Yoganathan . ., 1991). .

. -
.

.
,
, .
,

. ,
. , , ,
, .

, . ,
, .
, ,
, .

,
.
,
( .. ., 2000).

,
. , ,
.
.

.
.
, . -

.
, .
,
.

, ,
( .., .., .., 1996).

2.

79

, .
- ,
, ,
.
. , ,
.

. ,
,
- .
- ,
( .. ., 2000).
,

.
- -
, ,
. .
(<5060%)
, .
, .
.
(Gd-DTPA Gd-DTPA-BMA),
.

.
-
() , .

.

. 23
12 / 20
. 2030 1000
(
R-R)
. ,

. (3040 )
, ,
.

80

,


. -
, ,
.
,
(Casolo G.G., 1993; Higgins ., Kaufman L., Crooks
L.E., 1985).

, , --
, .
, ,

. , ,
-
.

, ,
.
2030 , ..
.
, ,
( ).
.

.
.
,
.
- , ,
.
,
. ,
, , .


.

. -

2.

81

. ,
,
.
.
-
-
, .
, -

.
.
.
- -

,
, .
-
.


, ,
Doss (1948) , ,
, ,
( B.C., 1974).

. ,
(92,3 98,7 %)
, - -.
, , .
(, ) , ,
, .
,
, ( ) (NHLBI Workshop on
Renovascular Disease, 1984).

. 50
.
. (Stanley J., Whitehouse W.M., 1984; Webb J.A., Talner
L.B., 1979). , , ,

82

3343% . .
,
,
(NHLBI Workshop on Renovascular Disease 1984).

(Hillman B.J., 1983). ,

.


,
(Novick A.C., 1981; Stewart B.H. et al., 1970).
, ,
,
.

. ,
, , ,
.
.
-
,
, .
3:1 , , (
43,768,2 %) 2040 (Chuang V.P.,
Ernst ., 1985; Hunt J., et al., 1972). -
, 50 (
.., .., 1985; Stewart B.H., et al., 1970; Ekelund L., et al., 1978).
5 % - (NHLBI Workshop on Renovascular Disease, 1984).

,
.
-
,
, , .

- (85 %) (NHLBI Workshop on
Renovascular Disease, 1984).
. -

2.

83

,
.
,
,
(Hillman B.J., 1983).

, .

(Chuang V.P., Ernst ., 1985).
, .

13 , (Hillman
B.J., 1983).
40 (Meaney T.F., Baghery S.A., 1982).
- 10 %
, - (NHLBI Workshop on Renovascular Disease, 1984).
30 (Meaney T.F., Baghery S.A., 1982).
.
, , ,
.
,
,
(Hillman B.J., 1983). ,
, (Meaney T.F., Baghery S.A.S.,
1982). -

, (Chuang V.P., Ernst
., 1985).
, - ,
. ,
, - ,
. .
,
, -
, ,

.

.
-
,
;

84

. ,
( ).

.
( .., 2005; Lagneau P., Michel J.., Vuong P.N.,
1987).
-
.
,
, , .



.

, , ,
,
(. 2.13).
,
,
. ,
, ,

,

.


.


.
,
.

.
.
.
,

2.

85

. 2.13. :
; ,
, , ,
, ,

.

, ,
.

.
,
, -

86

- ,
. ,
,
. ,
,
. ,
,
,
,
.
,
.
,

.
, - ,
,

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, .
,
, ,

.
,

.
,
, ,
.
, ,

.
(
),
.
,
,
.

,

2.

87

,
8387 %. 520 %

(Havey R.J. et al., 1985; Roccatello D. et
al., 1992; Smith C.W. et al., 1982; Harrington D.P. et al., 1983; Cark R.A. et al., 1983;
DeSomer F.M. et al., 1984; Jackson B. et al., 1985; Buonocore E. et al.,. 1981)
,
.


, ,
.
,
.

. , -


13 .
.
,
, , .

.
, ,
- .

. , A.Kolin (1936),
,
, , ,
(. 2.14).

, ,
.
.
. ( .., ..,
2
1972) , 1
3,39 / .
( Hunt).
.
(
.., 1998).

88

. 2.14.
:
;


,
.

.


.
,
, - -

.

- -
.

.
, -

2.

89

, ,
( )
.

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, .
,
(
).
:
1. ,
50 .
2. , ,
.
3.
.
4.
.
5.
.
6. - .
7.
.
8. ,
, .


.
,
.

,
, -
- .
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(,
). -
.

3.1.

.

50 %
,
.


.

.

, .
.
,
:
1) ;
2) ;
3) ;
4) ;
5)
( , ).


,
. , ,
, - -

3.

91

, ,

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,
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, .
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,
.
,
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.
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.

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.
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-
,
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,
.

3.2.


,
.

.

,

92

,

.


,
, (. 3.1).
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+
+

+
+

+
+

+
+

+
+

+
+

: - ;

.

.
.
-
.

. .



.

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:
.
.

3.

93


.
,
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.

60
.
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.
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.
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94

,
.

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.
13
.
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95

(.
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.
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.
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.
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(. 3.2. ). , .
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(. 3.3, .).

96

. 3.3. :
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3

3.

97

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23 ,

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.
.
(. 3.5).

98

. 3.4.

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3.

99

.
,
.

3.4.

.
.
.
.
.

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,
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.
.
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2025 810 (. 3.6, ).

.
.
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.

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100


.
.
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.
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101


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.
.
.

(. 3.7). ,
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:
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(. 3.8, ).

(. 3.8, ).

(. 3.8, ).
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.

102

, .
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.
5/0 16 (. 3.8, ).

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103

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. 1015


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;

104


(. 3.9, ).

.
(2500 250 ).

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(. 3.10, )

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105

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23 (. 3.11. , ). ,

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. 3.12.
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107

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.
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108

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109

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111

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112

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113

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114

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116


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117


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118

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, :
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:
60% , -; 60%
. 40%.
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0,92, 0,8.
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,
. .
.
,
, .
: , ;
, ;
.

4.

119


,

, 22.04.98.

Gore-Tex
Gore-Tex. 320.
800 .
,
.
34 . .
3
Gore-Tex. 23 .
.
. .
. 3,5 .
. 4/0

. 4.3.
Gore-Tex:
1 ; 2 ; 3 ; 4

120

Gore-
(. 4.3). 40.
.
120/ 70
. . 29.05.98:
.
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4.

121


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.
(. 4.6).

. 28
23.04.99. , ,
. (200/110
..) 1998 . 3
: , .
250/120 . .

122

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3 .
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01.04.99
. . .
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4.7, ,). .

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4/0 (. 4.7., ). , .
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4.

123

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140/90 . .

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.

124

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4.

125

.

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.

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: .
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(80%), (80%),
(70%) (. 4.8, ).
: (50%),
(50%).
: .
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126

18.01.00. :
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, .
8, .
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, (. 4.8, ).

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5000

(. 4.9, ). ,
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.
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5/0 (. 4.9, )
, .

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. 40 , 32 .
.
. .

4.

127

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.
,
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128

. 4.10.
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.

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(.5.1, , ).
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130


.

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5.

131

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:
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132



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5.

133

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134

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5.

135

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.

136


., 63 .
17.09.02. ,
2 .
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.
, .
. ,
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.
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137

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138

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(. 5.7).
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5.

139


(. 5.8, , ).
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7-
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.

140

.
,
.

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.


.
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.
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.

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:
;
;

5.

141

,
.
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.

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,

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5.4.




.
- (. 5.10, , ).

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.
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.
.
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,
7- .
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142


:
,
(. 5.10, , ),
(. 5.11).

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:



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., 23 .,
29.10.01 , ,
, 10 .
1995 .


. . 2000 .
170/90 . .
.
.
.
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: .
. .
: /
. . 14

5.

143

30 , 8 15 ,
15 19 .
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: ,
.
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(. 5.11, ).
:
;
. .
.
1995 .
15.11.01 :

.
7- .
. . ,
.

. 5.11. . , ,
.
:
1 ; 2
; 3 ; 4 ; 5

144

.
.
. , (.
5.12., ).

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;

. .
6 (. 5.12, ).

( 5 ).
1,5 .

. 5.12. :
1 ; 2 ; 3 .
:
1 ; 2 ; 3
; 4

5.

145


(. 5.12, ).
.

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. (. 5.12, ).
.
( ).
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.


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( , .),
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.
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,

. 6.1.
:
;

;

6.

147

,

.
.
, ,
. .

(. 6.1.).

,
(. 6.2.).

. 6.2. .


, ,
.
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.
., 37, 20.03.00
, 200/120 . . ,
8.03.00
.
. 10
.
.
.
,
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.

148


2%.
.
5
. 24 .
,
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.
5
. ,
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-
(. 6.3).
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, ,
.
, 3 %.
: . .
. . .
23.03.00
,
.

,
.
8

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, )

6.

149

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( ):
,
;

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, 3
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6.4, ). .
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22
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25 , 34 , 48
. ,
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150

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.
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.

( .., 2000; Farber A., 2002; Brecht
G., 1981; Mukohara N., 1986; Stierli P., 2001; Mozes G., 2002; Kibria S.M., 2000)
, .

, . Debakey,

IV . Debakey .

. 35 ,
21.10.02. 1998 . 230/ . . 4.10.02.
3- . 7.10.02
.

, ,
, .
,
. .
.
: .
58 . -

6.

151

,
- .
: 4,6 , 3,4 .
.

6,57, 4,38.
1,5 . 1,3 . .



(.
6.5).
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. .
26.10.02 , ,
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.
6 ,
8 . 1,7
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.
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78 , , 3
.
. .
. ,
. 6.5.

:
1
; 2

152

, ,
.
.
.
22 10 10 .
.
.
.
. .

.
(. 6.6).

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.
.
, .

.
. . .

6.

153

.
. . .
.
,
.
.
. fi-,
, .
125130/8090 .
.

( 5 ) .

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.

., 49 ,
20.09.04 , ,
, .
,
180/100 .. 270/170 ..
. 200/110 ..
72 ./.,
, .
: 5,7/4,5 , 3,6 .
2,4. 4,04,7. I.
1,4 .
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.

. ,
.
, . .
.
.

, . .
4,02,82,0 .
, .

154

:
3,7 . 3,8
. 3,6 . 3,6 , 4,8 .
4,6 , 4,3 .
,

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44 . ,

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(15% 2 )
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.
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,

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.

6.

155

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, 14.10.04
:
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. (. . 6.7)
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.

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156


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.
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, ,
.
.
(
)
.

7



-


- .

25-90% (De Bakey M.E. et al., 1964; Crawford E.S. et al., 1981; Hertzer N.R.
et al., 1984; .. ., 1988; .. ., 1992;
.., .., 1995, .., 1994).

.

.

7 . 1 .


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III ()
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.

.

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158

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.

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.

X., 55 ,
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, , ( 200/120 . .).
1987 ,
. . 1988 .
.
.
1995 .
.
.
, 92 . - ,
- .

I ,
ST 1,5 .
, = 60%. ,
.
, - .

7. -

159


.

50%, I 80%, -. 50%,
, 70%,
. 0,77;
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: 1 ,
-. ,
30%, 70%.
50%, ,
(. 7.1).

. 7.1. X.:
;
, ;
50% ;

160

. 7.2. X. ,
.
/3 90%; 85%;
.
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, -. ,
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7.06.95 :
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,
,
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ST ,
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20.09.95 : .
.
.
,
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16.11.95. -
, , - .

7. -

161

400 . 2900 .
.
,
. 40 . 140150/
70 . .
,
.
,
.

, .



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.
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,
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.
., 67,
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200 . ., .
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1 .

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.
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70% .

162


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,
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.
08.10.96 :
,
,

(. 7.3).

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;

7. -

163

,

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.
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. .

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6
.
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.
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1,5 .
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, .
18
3/0 22 .
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164

, . .
4 35 .
,
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.

.
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. (
)

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.

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,
.


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23 .
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.
, 63 ,
10.04.03. . -

7. -

165

1995 . 220/100 ..
2003 .
, 34 ( ).
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.
. :
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, 1 3 ,
1 (1- ).
ST .
,
.

. . .

90% 15
80% 23. 1 40%.
80%
3 .
: .
, .
II . . . .
. .
, .
. III . .
.

.
22.04.03. :
. .
, 6.05.03 :

. ,
.

. 23.05.03 .
90%.
,

.
.

166


. .
26.05.03.
:
. 10
. ,
. 2
90%.
Gore- 8 .
.
, 2 .
.
. , 2
Gore-Tex
9 .
(. 7.4)
.
.
. 9 ,
.


:
.

. 7.4. :
1 ; 2 ; 3

7. -

167

, , ,
.


.

,
.

. ,

.

.


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8.1.

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.
. ,

0,86,5% . , ,
.

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( ,
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.
.
.
I. :
;
;
;
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;

8.

169

(
).
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;
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;
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III.
:
;
;
;
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;
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V. :
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75 , 3,0%
.
7,2+1,4 .

- .


. ,
.
,

.
,
, 37 (53,6%)
, 9 (13,0%)
.
4 (5,8%) .

170



.
.

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.

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8.2.


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.
5 (71,4%) , 2 (38,6%) .

() , 1520 .

.

., 52 , , .
180/110 . .
8.
(. 8.1).

8.

171

. 8.1. :
( ;
)
, .
10
.
.
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15 20 , .
1- 2-

(. 8.2).
.

.

. 8.2. .:
;

172


26 . 15

11 .

., 47,
3. 05.06.
,
.
, 115/80 ..
.
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. 9,9 . 8,0 .
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). ,
.
( 2,0 ). . . .
.
,
(. 8.).

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: S
, ( 1,3 /);
( 0,9/). ,

8.

173

VS=0,4M/C , VS=3,8M/C .
, (),
, .

9,6 7,4 8,5 ,
(. 8.4).

. 8.4. .:
, ;
(1), (2)
1,9x3,7 . ,
. . .
5,1 5,3 10 , .

174

. 8. 5. . ( ):
(1 , 2
); ; (1
, 2
); ,

; ( )

8.

175

. .
0,56 , 0,54 . .
: .
. .
10.05.06 :
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9- .
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.


.
.
.
,

176

,
.
.

.

., 22,
08.12.03 .
, 1995 . 160/90
. . 1998 . ,
80%.
250/130 . . .
, 75 . 1 .
, -, .
5,3/3,3 , 3,8 .
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: 7,2 4,9 8,5
, 6,3 5,7' 8,5 . , -
. 2,0 ,
2,1 , 1,5
. 0,54 ,
0,53 . 1,1
. 1,2
1,6. 1,25 .

1,0 (. 8.6.).

. 8.6. III.:
;

8.

177

: .
. , .
, .
23.12.03 .
10 .
, . .
. .
1,5
2 (. 8.7, ) .
3,5 2.
1,5
. 4,5 .
.
4 . 5000 . .
.
.
(. 8.7, ).
(. 8.7, ).
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. 55 .
, , .
.
, .
150/90 . .
.
14 01.04
.
. 10- ,
. . 76 1 . 140150/80 . .
: 1,3 %, 5 %,
90,53 /.

(. 8.8).
.

178

. 8.7. . ( ):
;
;
; (1 , 2 ,
3 , 4 )

, 23 ,
24.10.00 ,
160/110 ..
5 .
,

. .
(. 8.9).

. ,
.

8.

179

. 8.8. .

,
76 , , 150/110 ..
, . .
, .
. .
.
, 1,3 .
7
. 13,5 .
, , .

. 8.9. .

180


, , .
, (. 8.10).

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1 , ,
; 2

.
31.10.00 (. 8.11).
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, .

8.

181

10 , , .
15 .
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.

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15 (. 8.12, ),
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.
. ,
3/0.
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. ,
23
(. 8.12, ).

(. 8.12., ).

1,5 . 3 .
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.
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2 , 450 .
.
.
, , (350 /).
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.
120130/80 . . 2-
.
140/90 . . .
1-
, 3- ,

182

. 8. 12. . ( ):
(1 , 2
); ;
;
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); ,
;

8.

183

( 3,3 , 6,4).
40 %, 1,5 %.
14- .
1
, 110130/80..
, ,
.

,
.
.
.
.


.
,
.
.

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(,
). ,
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.
, ,
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9.

1 85

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.

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;
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. 9.2. :
; J5 ,

186


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;
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:
; ;

9.

1 87


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07.03.02 ,
, ,
.
1999 . (
) , , .
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, .
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, 78./.
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:
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.
.
3
. 1025 (146%
).
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1,8 .
.
3,0 3,4 . .
1,5 .
.

188

- 6,8 ,
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32 , (
),
18 .
1,9 2,1 .
.
: - ,
.
, 15x8 .
10 6 ,
4 .
, ,
(. 9.5).
: -
. -
.

. 9.5. . . - :
1 ; 2 ; 3
25.03.02 : -
.
7
.
, , .

9.

189

,
.
(. 9.6).

. 9.6. . ( ).

. 9.7. . ( ).

190

.
, .
2 3
.
. (. 9.7).
.
4/0. .
37.
.
706 /, 1248 /.
12
5,8 . .
.


.

.
.
,
.

( .., 1993; ConnJ.H., 1967; Dingeldein G.P., 1977.)
, , 1517% ,
56%. 50%
48 , 75% 4 . 25%
1 .


.
,
,
.
(Gattegno ., 1981; Memis
A. 1992;OkamuraT., 1998.).

., 15 ,
10.01.05
140150/90 . .
1 , .
2004 .

9.

191

. ,
,
(. 9.8).

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1 ; 2


.
.
. :
, , .
. , , ,
. , .
. 150/90 ..
, 70/.
. .
: .
. . .
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1. .. // . 1998. 4.
2. .., .. . // ; . . , 1997. . 128130.
3. .., .. . ., 1967.
4. .. //
. 1996. 1. . 130139.
5. . ., .. ( I)
// . 1999. .5. 3. . 116118.
6. .., .. (
III) // . 2000. .6. 1. . 123125.
7. .., .., .. .
. . 1997. 95 .
8. .., .., ..
// . 1995.
7.-.
17-22.
9. .., .., .. .
MP- // . 1994.
4. - . 33-36.
10. .., ..
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,
// . 2003. .9.
1. - . 91-101.

237

12. .., .., .. .


//. 1999. .9.
. 28-31.
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111 //
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14. .., .., ..
// -
. 2002. .4. - . 5357.
15. .., .., .., ..

// -
. 2002. 2. 7476.
16. .., . ., . . . // . 2003. . 1. . 5758.
17. .., .., .., ..
//
. 2004. >!. . 137139.
18. .., .., .., ..
// , 2004. 5.. .
52-56.
19. .., .., .., ..
//
. - 2006. -!.- .64-67.
20. .., B.C., ..
. . . , 1997. 530 .
21. .., ..
// . 1996. 1. . 7387.
22. .. .
.
. . . ., 1983.
23. . . - / . .. .
., 1989.
24. ..
. ., 1994. 95 .
25. .., .., ..
// . XI . . .
- . ., 1997. . 1920.
26. ..
. . . ... . . . ., 1990.
27. .. . ., 1997. 400 .
28. .., .., .. ( ) // .
1996. -ML- .62-66.

238

29. .., .., .., ..


.
.: , 2000. - 140 .
30. . . ,
: . ... - . : 1999. 234 .
31. ., .., .. .
// . . 1994. 2. .38
42.
32. - .., ..
, // . 2000.
3. - . 3-5.
33. .., .. . . 2004. . 8. 1. . 721.
34. .., .., .. . .
. - // , .
1990. - . 60. -8.- 140-145.
35. , , .
// . 1998. 34.
. 71-78.
36. .., ..
// - . 1992. 1112.
. 11-14.
37. ..
: . ...- ..
, 1986.
38. .. II. . 1998., 158 .
39. .., .. . .
// , .
. 2000. .45. 1. . 4547
40. .. ,
: .
. ... . . . , 1980.
41. .., .., P.M.
LHA-
// . 1997. 1.
. 118-127
42. . . .: , 1983. .231.
43. .. // .
1973. -8. . 29-36.
44. .., .., . . . ,
// . . 1984. - 10. - . 106-110.

239

45. .., .
,
// . . 1975. 1. . 1116.
46. .., .
// . 1974.
6. - . 38-44.
47. .., .
. :, 1974.
48. . .
. . ... . . . 1986. 24 .
49. .., ..
. :
. . . 1985. . 272274.
50. . ., .., .. .

,
//
. 1995. 5. .2836.
51. .., .., .
:
//. 2004. . 8. - 3. - . 15-21.
52. .
. .: , 1983.
53. .., . . . .:
. - 1999. 280 .
54. .., ..
. ., , 1975.
55. .., ., .. . //
. 2000. 1. . 3439.
56. ..
// . 1978. 1.
. 5-15.
57. .. . . 1970. 376 .
58. B.C., .. . . .,
2001. - 463 .
59. .., A.M.
// .
2004. - . 8- .1. - . 22-28.
60. .., .., .. .

. .
, . 2003. - 6(44). - . 38-42.

240

61. ... . .: , 1960. 442 .


62. .., .., .. . .,
1984.- 150 .
63. .., .. 40-
// .
2003; 9(2). - .8-12.
64. .., . ., ..
.
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65. . ., B.C.
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66. .. Nonspecific aortoarteritis. In Rutherford R.B. (ed): Vascular
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67. .. . .: . 1979. 324 .
68. .. : / . ..
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69. .., .. .
// . 1986. 6.
44-50.
70. .., .., ..

// . 1977. 3. . 311.
71. . ., ..
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72. .. // . 1995. 4.
. 69-70.
73. .., .., .. .
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74. .. : . . ... - . . ., 1983.
75. , .
. .: 2004.
76. .., .., ..

// . 1981. 9. . 69 73.
77. .., , . . .
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78. .., ..
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1992. - . 88-90.

241

79. .. .
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80. ., ..
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81. .. . .: , 1974. 415 .
82. (1999)
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93. .., .. . .
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94. .., .., ..
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95. .. : . . ... -
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96. .., .., ..
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242

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. 1996. 4. . 3644.
98. - .. -
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99. .. // 1996. 1.
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100. XXI .
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