MKB_10

796
Ì˚`-10 Ìåæäóíàðîäíà æòàòLæòL÷åæŒà ŒºàæLôLŒàöLÿ íà ÆîºåæòLòå L ïðîƺåìLòå, æâœðçàíL æœæ çäðàâåòî ˜åæåòà ðåâLçLÿ Òîì 1 (÷àæò 1) Ñâåòîâíà çäðàâíà îðªàíLçàöLÿ ˘åíåâà

Transcript of MKB_10

  • `-10

    ,

    1 ( 1)

  • ICD

    - 10

    InternationalStatisticalClassificationof Diseases andRelated HealthProblems

    Tenth Revision

    Volume 1

    World Health Organization

    Geneva

    1992

  • ` - 10

    ,

    1 ( 1) - ` - ` , .

    2003

  • 1* - ` , , -

    2

    3

    * 1 - -. IXIII, XIVXXI, , , .

    , ` ; 10

    : 1 ; 2 ; 3

    1. I. : `10(NLM Classification: WB 15)

    ISBN 92 4 154419 8 (v. 1) ISBN 9548541122 (. 1)ISBN 92 4 154420 1 (v. 2) ISBN 9548541130 (. 2)ISBN 92 4 154421 X (v. 3) ISBN 9548541149 (. 3)

    ' World Health Organization, 1992' , 2003

    2 . , , - , , . .

    : : . `

  • ........................................................................................................1

    ...................................................................................................5

    .................................. 7

    ............................................................. 30

    ,

    I ..................................... 119

    II ............................................................................... 204

    III ` , , .............. 289

    IV ` , ............................... 313

    V ........................................ 359

    VI ` ......................................................... 453

    VII ` .............................................. 499

    VIII ` .................................... 533

    IX ` .................................. 547

    X ` .................................................... 597

    XI ` ........................................ 636

    XII ` ....................................... 691

    XIII ` - .............................................................. 726

    v

  • vi

    `

    `10 - .

  • -, - . - , . - .

    , , , 1893 . `- . 2. - , - , , - `. - , - - .

    ` 1983 ., `10. - - . - , - ` (10- ) 1984 1987 .

    -, - , 1984 1986 . , - , ` ( -

    1

  • ), . - , -, ` - . ` - , () - ( , - ).

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

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

    , ` ( III) . - , . , - , - .

    , - () (*) , , - .

    2

    `

  • `10

    :

    1. . : , - - , - , - , .

    2. . - , - 1, 1, - `. - , 1.

    3. . .

    * * *

    1989 . :

    -,

    - `,

    1. , :

    (1) - , , - , , 1 1993 .;

    3

  • (2) , , , , , ;

    (3) , , - .

    2. - -, .

    3. , :

    (1) - , - , , - , - ;

    (2) - .

    `

    `, 1948 ., . , - - . -, . - .

    4

    `

  • , , , , `, 9 .

    , - , `, , - , . ` , , , , , , - .

    , -, , , - .

    . :

    Australian Institute of HealthGPO Box 570Canberra ACT 2601,Australia

    Office of Population Censuses and SurveysSt. Catherines HouseKingsway 10London WC2B 6JPEngland

    National Center for Health Statistics6525 Belcrest RoadHyattsville, MD 20782United States of America

    5

  • 6 (, ) :

    Peking Union Medical College HospitalChinese Academy of Medical SciencesBeijing 100730China ( )

    INSERM44 Chemin de RondeF-78110 Le VsinetFrance ( )

    Department of Social MedicineUniversity HospitalS-751 85 UppsalaSweden ( )

    Faculdade de Sade Publica/Universidade de So PauloAvenida Dr Arnaldo 715,0255 So Paulo, SPBrazil ( )

    . , 103064. , 12 , -. .. ( )

    Centro Venezolano de Clasificatin de EnfermedadesEdificio Sur, 90 PisoM.S.A.S.,Centro Simon Bolivar,P.O. Box 6653CaracasVenezuela ( )

    6

    `

  • - - 25 2 1989 . 43 - , :

    ` ````

    7

  • - , - , - , 12 -, : , , , , - , , , - , , , - , .

    , - - J.-P. Jardel, . - Jardel, -- . , - , - , , - . , ` . - Jardel - , - -- ; ` , - - .

    :

    :- R. H. C. Wells ()

    -:- H. Bay-Nielsen ()- R. Braun ()- R. A. Israel ()- R. Laurenti (`)

    :- P. Maguin ()- E. Taylor ()

    8

    `

  • `

    :- J.-P. Jardel, , , ,

    - H. R. Hapsara, , ,

    , , ,

    - J.-C. Alary, , - , , , -

    - G. R. Brmer, , - , , , - ()

    - A. LHours, , - , , ,

    . W. Jnisch, ( )- T. Kruse, ( )- K. Kupka, ( )- L. Leowski, ( )- R. M. Loy,

    ( )- R. H. Seeman, ( )

    - - .

    , , , , () - .

    9

  • 1. (`)

    , XVIII . - , ( 1948 .) , , . -, , - . -, (,1975 .) [1] , , - - , .

    2. `

    , , - . - - .

    - - ` ( ). - 1984 . [2] 1987 . [3] .

    `, , , - - . `

    10

    `

  • `

    - - - - `.

    , , - . , ` , - -, - - . - ` , , - . , , , , , - - ` , , , , .

    , - , - , - - - , .

    , , , - . - , -- , . - -, - , - , - `, - . .

    11

  • 3.

    - - , - , . ( ) . 100 . 26 - 25; U , , - , - .

    , , . - - , , -- .

    17 2 - ( ) , , - ( V). - (, 1983 .) [4], , - , .

    . -- , : - , ` , , - , ` - . ` , -

    12

    `

  • `

    D.

    - ` , - 100 . : ` ( G) - ` ` - ( H).

    ` - , -, , , - - , XIV-XVII .

    - -, , 21. , -.

    ` , - :

    V. XIX. XX.

    II, , , .

    : ,

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

    , ( ) , -

    13

  • ; , , .

    - ; - , , - .

    - . -- `-10 - .

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

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

    , - , - , . , - - - , . , , . , -, , 82 - .

    14

    `

  • `

    , : - .

    -.

    ` , , -. , , . - .

    4. ,

    , , , , , . , .

    - , .

    - - , , .

    - , , -, , , - 42 , : , , (- . 669672, . 1, 2).

    15

  • - , .

    , - ( - ), - , (. .2).

    , , - , .

    - , .

    ` -, , -, , , -.

    5.,

    5.1

    - , ( ); , - .

    -

    16

    `

  • `

    , ( - 2).

    - - . - , - .

    , - . , - , .

    , , , - , , -, - ; , . I (d).

    - - (d) I - .

    5.2

    - .

    17

  • , - - - , - - .

    , - ` 1975 ., , - - , , ( ) - . ` , , , - , , per se -, .

    ; -, - -, . ( . 2.)

    , , `, ( *), - .

    - , - -.

    5.3

    , - , , ,

    18

    `

  • `

    , , . - , 5 - - . - 5 , - .

    - , - , - , .

    , , . - . 644657 (. 1, 2).

    - -, , . ` , - . , - - , , , . , - .

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

    19

  • , .

    6. ` ()

    6.1

    , ` - , - , - . 70- . - ` , , .

    , - , 1987 . , .

    , -.

    ` ,

    , , ( -) - , , - . ` - ( ) .

    20

    `

  • `

    ` , - `.

    ` () ,

    - ` - , ,

    - ,

    `( )

    ,

    ,

    ..

    -

    -,

    -

    , - -

    - -

    `(- -

    )

    21

  • , . ` , ` , , - , XXI .

    6.2 `

    . , , , - , - , - , . `, , .

    , (ICD-DA) - `. ICD-DA, , -.

    - (`); - , , - . `, , . 0080 , .

    ` - . , , . - , , , - .

    22

    `

  • `

    6.3

    1975., 1976 . . ` - , 2 ( , - ). - , - . 1978 . - [5].

    2000 ., 1978 ., - - . 2000 . (`, , 1982 .) [6] - , , , , - . - (, 1985 .)[7] , , - -, .

    , , , . - - , - . ` , , - , .

    23

  • 6.4 ,

    , - [8] 1980 . - 1975 . WHA29.35 [9], - 1976 . - .

    , - , -. , , `, . - - - , , -, . , , - .

    ` - , - . ` , .

    6.5

    (ICPM)[10] 1978 ., 1975 . WHA29.35 [9], - 1976 . - - .

    - , , - -

    24

    `

  • `

    , - , - . `.

    1987 . - , , - 5 ( ) ICPM. , -.

    - 1989 ., , - . - ( ) , .

    , , .

    6.6

    (`), `, 1970 . ().

    ` , . : , -, , , ( ). - , -, ( ), - .

    , (, - , ), - . -

    25

  • , , - , -, -, , ,- . , -, - .

    , - ` .

    - - .

    7. `

    - . , , , -, .

    - , , - . , -, , .

    -, - , . ` - .

    - , , -, , - , .

    26

    `

  • `

    , -, . . 1991 . 1992 .

    ` - , - 1993 .

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

    , , ,

    - 1 1993 .

    8. ` `

    , - , -.

    ` - - . - , -, - . ()

    27

  • U . , - 10 .

    , ,

    - . , - - .

    9. `

    ,

    , , - ,

    -, -, - ,

    , - , .

    28

    `

  • 1. , 1975 ., . 1., , 1977, . iii - xxiv.

    2. Report of the Expert Committee on the Internatioinal Classification ofDiseases - 10th Revision: First Meeting. Geneva, World Health Organiza-tion, 1984 (unpublished document DES/EC/ICD-10/84.34).

    3. Report of the Expert Committee on the Internatioinal Classification ofDiseases - 10th Revision: Second Meeting. Geneva, World Health Organi-zation, 1987 (unpublished document WHO/DES/EC/ICD-10/83.38).

    4. Report of the Preparatory Meeting on ICD-10. Geneva, World Health Or-ganization, 1983 (unpublished document DES/ICD-10/83.19).

    5. Lay reporting of health information. Geneva, World Health Organization,1978.

    6. International Conference on Health Statistics for the Year 2000. Budapest,Statistical Publishing House, 1984.

    7. Report of the Consultation on Primary Care Classification. Geneva,World Health Organization, 1985 (unpublished document DES/PHC/85.7).

    8. International Classification of Impairments, Disabilities, and Handicaps.Geneva, World Health Organization, 1980.

    9. WHO Official Records, No. 233, 1976, p. 18.10. International Classification of Procedures in Medicine. Geneva, World

    Health Organization, 1978.

    `

    29

  • I

    (0099)

    (0009)00 01 02 03 04 05 06 07 08 09

    (1519)15 , -

    16 , -

    17 18 19

    (2028)20 21 22 23 `24 25 26 27 28 ,

    30

    `

  • `

    (3049)30 [ Hansen]31 , 32 33 34 35 36 37 38 39 40 41 42 43 44 `46 48 , 49 `

    , (5064)50 51 52 53 54 55 ()56 , 57 58 , 59 60 [herpes simplex] 63 , , -

    64 `, ,

    , (6569)65 66

    31

  • 67 []68 69 ,

    , (7074)70 , Chlamydia psittaci71 74 ,

    (7579)75 77 [ ]78 -79

    (8089)80 81 82 `83 , 84 , 85 , 86 , 87 88 , -

    89 ,

    , (9099)90 [ ]91 , -92 , 93 , , -

    94 , , 95 96 98 , 99 ,

    32

    `

  • `

    , - (0009)00 - [herpes simplex] 01 [varicella]02 Herpes zoster03 04 , 05 `06 [ ]07 08 ,

    , 09 ,

    ,

    (1519)15 16 17 18 19 ,

    `, [HIV](2024)20 `,

    [HIV], 21 `,

    [HIV], 22 `,

    [HIV], 23 `,

    [HIV], 24 `,

    [HIV],

    (2534)25 26 27 30

    33

  • 33 , 34

    (3549)35 36 37 38 39 40 `41 42 43 44 45 46 47 48 , 49 ,

    (5064)50 , Plasmodium falciparum51 , Plasmodium vivax52 , Plasmodium malariae53 54 , 55 56 57 ` Chagas58 59 60 , 64 ,

    (6583)65 []66 67 68 69

    34

    `

  • `

    70 71 , 72 73 74 75 76 77 78 79 80 81 , 82 , 83

    , (8589)85 86 87 88 89 ,

    (9094)90 91 92 94 -

    `, (9597)95 , -

    96 , -

    97 , -

    (99)99

    35

  • II(C00D48)

    (C00C97)

    , - (C00C14)C00 C01 C02

    C03 C04 C05 C06

    C07 C08

    C09 C10 C11 C12 C13 C14

    ,

    (C15C26)C15 C16 C17 C18 C19 C20 C21 C22 -

    36

    `

  • `

    C23 C24

    C25 C26

    (C30C39)C30

    C31 C32 C33 C34 C37 C38 ,

    C39

    (C40C41)C40

    C41

    (C43C44)C43 C44

    - (C45C49)C45 C46 KaposiC47 -

    37

  • C48 -

    C49

    (C50)C50

    (C51C58)C51 C52 C53 C54 C55 -

    C56 C57

    C58

    (C60C63)C60 C61 C62 C63

    (C64C68)C64 ,

    C65 C66 C67 C68

    , - (6972)C69 C70

    38

    `

  • `

    C71 C72 , -

    - (7375)C73 C74 C75

    , - (7680)C76

    C77 -

    C78

    C79 C80

    , - (8196)C81 ` Hodgkin []C82 [] C83 C84 - C85 C88 C90 -

    C91 []C92 []C93 C94 C95 C96 -

    ,

    39

  • () - (97)C97 ()

    in situ (D00D09)D00 in situ , D01 in situ -

    D02 in situ D03 in situD04 in situ D05 in situ D06 in situ D07 in situ D09 in situ

    (D10D36)D10 ,

    D11 -

    D12 , ,

    D13 -

    D14 -

    D15 -

    D16 -

    D17 D18 D19 D20 -

    D21

    D22

    40

    `

  • `

    D23 D24 D25 D26 D27 D28 -

    D29 D30 D31 -

    D32 D33

    D34 D35 -

    D36 -

    (D37D48)D37 -

    D38

    , D39

    D40

    D41 -

    D42

    D43

    D44 -

    D45 D46

    41

  • D47 ,

    D48 -

    III` , , (D50D89)

    , (D50D53)D50 D51 12- D52 D53 ,

    (D55D59)D55 , D56 D57 - D58 D59

    (D60D64)D60 () [-

    ]D61 D62 D63* , D64

    , (D65D69)D65 [ -

    ]D66 VIIID67 IXD68

    42

    `

  • `

    D69

    (D70D77)D70 D71 - -

    D72 D73 ` D74 D75 D76 , -

    D77* -

    ,

    , (D80D89)D80 D81 D82 , D83 D84 D86 D89 , -

    IV` , (0090)

    ` (E00E07)00 01 ` , ,

    02 , 03 04 05 []

    43

  • 06 07

    (1014)10 11 12 , 13 14 ,

    (1516)15 16

    (2035)20 21 -

    22 23 24 Cushing25 26 27 28 29 30 , 31 32 ` 34 35* , -

    (4046)40 41 42 43 - , 44 `-

    44

    `

  • `

    45 , -

    46 `- ,

    (5064)50 51 52 []53 54 55 D56 58 59 60 61 63 64

    (6568)65 66 67 68

    (7090)70 71

    72 73 74 75 -

    76 77 78 -

    79 80

    45

  • 83 84 85 86 []87 - --

    88 89 , -

    , 90*

    ,

    V (F00F99)

    , , (F00F09)F00* AlzheimerF01 F02* , F03 , F04 ,

    F05 , -

    F06 , -

    F07 , -

    , F09 , -

    , (F10F19)F10 , -

    46

    `

  • `

    F11 , -

    F12 , -

    F13 , -

    F14 , -

    F15 , - ( )

    F16 , -

    F17 , -

    F18 , -

    F19 , -

    , (F20F29)F20 F21 F22 F23 F24 F25 F28 F29 ,

    [ ] (F30F39)F30 F31 ` F32 F33 F34 [ -

    ]F38 []F39 [],

    47

  • , (F40F48)F40 F41 F42 - F43 F44 [] F45 F48

    , (F50F59)F50 F51 F52 , -

    F53 , -

    , F54 , -

    , F55 , F59 ,

    ,

    (F60F69)F60 F61 F62 , -

    F63 F64 F65 F66 , -

    F68 -

    F69 , -

    48

    `

  • `

    (F70F79)F70 F71 F72 F73 F78 F79 ,

    (F80F89)F80 F81 F82 -

    F83 F84 F88 F89 ,

    , - (F90F98)F90 F91 F92 F93 , F94 ,

    F95 F98 , -

    (F99)F99

    49

  • VI` (G00G99)

    (G00G09)G00 ` , G01* , G02* , -

    G03 , G04 , G05* , , -

    G06 G07* -

    , G08 G09 -

    , (G10G13)G10 ` HuntingtonG11 G12 G13* ,

    ,

    (G20G26)G20 ` ParkinsonG21 G22* , G23 G24 G25 G26* ,

    50

    `

  • `

    (G30G32)G30 ` G31 , -

    G32* -

    ,

    (G35G37)G35 G36 G37 -

    (G40G47)G40 G41 G43 G44 G45 []

    G46* G47

    , (G50G59)G50 G51 G52 G53* , -

    G54 G55* , -

    G56 G57 G58 G59* ,

    51

  • (G60G64)G60 G61 G62 G63* , G64

    ` - (G70G73)G70 Myasthenia gravis - -

    G71 G72 G73* - -

    ,

    (G80G83)G80 G81 G82 G83

    (G90G99)G90 [] G91 G92 G93 G94* , -

    G95 G96 G97 ,

    G98 , -

    G99* , -

    52

    `

  • `

    VII` (0059)

    ` , (0006)00 01 02 03* , 04 ` 05 ` 06* , -

    ` (1013)10 11 13* ,

    ` , , (1522)15 ` 16 17 18 19* , -

    20 21 22* , -

    ` (2528)25 26 27 28* , -

    53

  • ` (3036)30 31 32* , -

    33 34 35 36* ,

    (4042)40 42* ,

    ` (4345)43 ` 44 ` 45* -

    ,

    ` (4648)46 47 [2-] 48* [2-]

    ,

    ` , , (4952)49 50 51 52

    (5354)53 54

    (5559)55 57

    54

    `

  • `

    58* , -

    59 -

    VIII` (6095)

    ` (6062)60 61 62* , -

    ` (6575)65 66 67* , -

    68 [] 69 [] 70 71 72 73 74 75*

    ,

    ` (8083)80 81 82* , 83

    55

  • (9095)90 , (-

    ) 91 92 93 , 94* , -

    95

    ,

    IX` (I00I99)

    (I00I02)I00 I01 I02

    (I05I09)I05 I06 I07 I08 ` I09

    (I10I15)I10 [] I11 I12 [ ]I13 I15

    (I20I25)I20 I21 I22

    56

    `

  • `

    I23 I24 I25

    ` (I26I28)I26 ` I27 I28

    (I30I52)I30 I31 I32* , I33 I34 I35 I36 I37 ` I38 I39* ,

    I40 I41* , I42 I43* , I44 I45 I46 I47 I48 I49 I50 I51 I52* , -

    (I60I69)I60 I61

    57

  • I62 I63 I64 , I65 , -

    I66 , -

    I67 I68* , -

    I69

    ` , (I70I79)I70 I71 I72 I73 I74 I77 I78 ` I79* , -

    ,

    ` , , - (I80I89)I80 I81 I82 I83 I84 I85 I86 I87 I88 I89

    58

    `

  • `

    (I95I99)I95 I97 ,

    I98* ,

    I99

    X` (J00J99)

    (J00J06)J00 []J01 J02 J03 J04 J05 [] J06

    (J10J18)J10 , J11 , J12 , J13 , Streptococcus pneumoniaeJ14 , Haemophilus influenzaeJ15 ` , J16 , , -

    J17* , J18

    59

  • (J20J22)J20 J21 J22 ,

    (J30J39)J30 J31 , J32 J33 J34 J35 J36 J37 J38 ` , -

    J39

    (J40J47)J40 `, J41 - J42 , J43 J44 J45 J46 [status asthmaticus]J47 `

    ` , (J60J70)J60 J61 , -

    J62 , , J63 , J64 , J65 , J66 ` ,

    60

    `

  • `

    J67 , J68 ,

    , , J69 , J70 ,

    , - (J80J84)J80 [] -

    J81 ` J82 ` , J84

    (J85J86)J85 J86

    (J90J94)J90 , J91* , J92 J93 J94

    (J95J99)J95 , -

    J96 , J98 J99* ,

    61

  • XI` (0093)

    ` , (0014)00 01 02 03 04 ` 05 06 07 [ -

    ]08 09 , 10 11 ` 12 13 14 `

    ` , (2031)20 21 22 23* , -

    25 26 27 28 29 30 31

    ` (3538)35 36

    62

    `

  • `

    37 , 38

    (4046)40 41 42 43 44 45 46 ,

    (5052)50 ` Chron [ ]51 52

    (5563)55 56 57 58 59 60 61 62 63

    ` (6567)65 66 67* , -

    ` (7077)70 71 72 , 73 , 74

    63

  • 75 76 77* , -

    ` , (8087)80 []81 82 83 85 86 87* , -

    ,

    (9093)90 91

    , 92 93* ,

    XII` (L00L99)

    (L00L08)L00 L01 L02 , L03 L04 L05 L08

    64

    `

  • `

    ` (L10L14)L10 L11 L12 L13 L14* ` ,

    (L20L30)L20 L21 L22 L23 L24 [irritant] L25 , L26 L27 L28 L29 L30

    (L40L45)L40 L41 L42 L43 L44 L45* , -

    (L50L54)L50 L51 Erythema multiformeL52 Erythema nodosumL53 L54* ,

    65

  • ` , (L55L59)L55 L56 , -

    L57 ,

    L58 L59 ,

    ` (L60L75)L60 ` L62* , L63 L64 L65 L66 L67 L68 L70 L71 L72 L73 L74 ` L75 `

    (L80L99)L80 L81 L82 L83 Acanthosis nigricansL84 L85 L86* , L87 ` L88 L89 L90 L91

    66

    `

  • `

    L92 L93 L94 L95 , L97 , L98 , -

    L99* ,

    XIII` - (0099)

    (0025)

    (0003)00 01*

    , 02 03* , -

    (0514)05 06 07* 08 [] 09* [] ,

    10 11 12 13 14* ,

    67

  • (1519)15 16 [ ]17 [ ]18 - 19

    (2025)20 21 22 23 24 25 ,

    (3036)30 31 32 lupus erithematodes33 34 35 36* ,

    (4054)

    (4043)40 41 42 43

    (4549)45 46 47 48 49* ,

    68

    `

  • `

    (5054)50 51 53 , 54

    ` (6079)

    (6063)60 61 62 63* ,

    (6568)65 66 67 68*

    ,

    (7079)70 , , -

    71 72 73* , -

    75 76 , 77 79 ,

    (8094)

    (8085)80 81 82* , 83

    69

  • 84 85

    (8690)86 87 88 ` Paget [ ]89 90* ,

    (9194)91 92 93 94

    - (9599)95 -

    96 -

    , 99 ` ,

    XIV` - (N00N99)

    (N00N08)N00 N01 ` N02 N03 N04 N05 , N06 N07 , N08* ,

    70

    `

  • `

    (N10N16)N10 N11 N12 , -

    N13 N14 ,

    N15 N16* ,

    ` (N17N19)N17 N18 N19 ` ,

    ` (N20N23)N20 N21 N22* , -

    N23 ` ,

    (N25N29)N25 , -

    N26 , N27 N28 ,

    N29* , -

    (N30N39)N30 N31 , -

    N32

    71

  • N33* ,

    N34 N35 N36 N37* , N39

    ` (N40N51)N40 N41 N42 N43 N44 N45 N46 ` N47 , N48 N49 , -

    N50 N51* , -

    ` (N60N64)N60 N61 N62 N63 , N64

    (N70N77)N70 N71 , N72 N73 N74* -

    , N75 ` ` N76

    72

    `

  • `

    N77* , -

    (N80N98)N80 N81 N82 N83 , -

    N84 N85 , -

    N86 N87 N88 N89 N90 N91 , N92 , N93 N94 ` ,

    N95

    N96 N97 ` N98 ,

    - (N99)N99 -

    ,

    73

  • XV`, (0099)

    `, (0008)00 [] 01 02 03 04 05 06 , 07 08 , -

    , -, (1016)10 , , -

    11 12 -

    13 -

    14 -

    15 16 ,

    , (2029)20 21 22 23 -

    24 25

    74

    `

  • `

    26 ,

    28 29

    , - (3048)30 31 , 32 -

    33 -

    34 -

    35 -

    36 -

    40 41

    42 43 44 45 [abruptio placentae]46 , 47 48

    (6075)60 61 62 63 64 -

    65 66

    75

  • 67 , - ,

    68 , [-]

    69 -

    70 71 72 73 74 -

    75 , -

    (8084)80 81 - -

    82 83

    84

    , (8592)85 86 87 88 89 90 , 91 , 92 , -

    , (9599)95 96 ,

    42 , - 97

    76

    `

  • `

    98 , , , -

    99 , , - ,

    XVI , (P00P96)

    , , (P00P04)P00 ,

    P01 -

    P02 ,

    , P03

    P04 -

    ,

    , - (P05P08)P05 P07 ,

    , P08 ,

    (P10P15)P10 ,

    P11 P12

    77

  • P13 P14 P15

    - , (P20P29)P20 P21 P22 P23 P24 P25 ,

    P26 ` , P27 , -

    P28 ,

    P29 - , -

    , (P35P39)P35 P36 P37 P38 P39 , -

    (P50P61)P50 P51 P52 -

    P53 P54 P55 P56 , P57

    78

    `

  • `

    P58 , P59 P60 -

    P61

    -, (P70P74)P70 ,

    P71

    P72 P74 -

    (P75P78)P75* P76 P77 P78 -

    , , (P80P83)P80 P81 P83 ,

    , (P90P96)P90 P91 P92 , P93 , -

    , P94 P95 P96 ,

    79

  • XVII [ ], (Q00Q99)

    [ ] (Q00Q07)Q00 Q01 Q02 Q03 Q04 [ ] Q05 Spina bifidaQ06 [ ]

    Q07 [ ]

    [ ] , , (Q10Q18)Q10 [ ] ,

    Q11 , Q12 [ ] Q13 [ ]

    Q14 [ ]

    Q15 [ ] Q16 [ ] , -

    Q17 [ ] Q18 [ ] -

    [ ] - (Q20Q28)Q20 [ ] -

    80

    `

  • `

    Q21 [ ] -

    Q22 [ ]

    Q23 [ ] -

    Q24 [ ] Q25 [ ] Q26 [ ] Q27 [ ] -

    Q28 [ ]

    [ ] (Q30Q34)Q30 [ ] Q31 [ ] Q32 [ ] -

    Q33 [ ] Q34 [ ] -

    [ ] (Q35Q37)Q35 [ ]Q36 [ ]Q37 [ -

    ]

    [ ] (Q38Q45)Q38 [ ] , -

    Q39 [ ] Q40 [ ]

    Q41 , Q42 , Q43 [ ]

    81

  • Q44 [ ] ,

    Q45 [ ] -

    [ ] (Q50Q56)Q50 [ ] , -

    Q51 [ ] -

    Q52 [ ]

    Q53 Q54 Q55 [ ]

    Q56

    [ ] Q60Q64)Q60 ` Q61 Q62

    Q63 [ ] Q64 [ ] -

    [ ] - (Q65Q79)Q65 Q66 Q67 - , , -

    Q68 - Q69 Q70 Q71 Q72

    82

    `

  • `

    Q73 Q74 [ ]

    ()Q75 [ ]

    Q76 [ ]

    Q77 -

    Q78 Q79 [ ] --

    ,

    [ ] (Q80Q89)Q80 Q81 Epidermolysis bullosaQ82 [ ] Q83 [ ] Q84 [ ]

    Q85 , Q86 [ ], -

    , -

    Q87 [ ],

    Q89 [ ], -

    , (Q90Q99)Q90 DownQ91 Edward PatauQ92 , -

    Q93 , Q95 ` -

    , Q96 TurnerQ97 , -

    83

  • Q98 , -

    Q99 ,

    XVIII, , , (R00R99)

    , - - (R00R09)R00 R01 R02 , R03 -

    R04 R05 R06 R07 ` R09 , --

    , (R10R19)R10 ` R11 R12 R13 R14 R15 R16 , R17 R18 R19 , -

    84

    `

  • `

    , (R20R23)R20 R21 R22 ,

    R23

    , - (R25R29)R25 R26 R27 R29 , -

    -

    , (R30R39)R30 `, R31 R32 , R33 R34 R35 R36 R39 , -

    , , -, (R40R46)R40 , R41 ,

    R42 R43 R44 ,

    R45 , -

    85

  • R46 , -

    , (R47R49)R47 , R48

    , R49

    (R50R69)R50 R51 R52 `, R53 R54 R55 [] R56 , R57 , R58 , R59 R60 , R61 R62 R63 , -

    R64 R68 R69

    , , (R70R79)R70 -

    []R71 R72 , R73 R74 R75 -

    [HIV]

    86

    `

  • `

    R76 , -

    R77 R78 ,

    R79

    , , - (R80R82)R80 R81 R82 , -

    , , , (R83R89)R83 , R84 ,

    R85 ,

    R86 ,

    R87 ,

    R89 ,

    ,

    , - , - (R90R94)R90 , -

    -

    R91 , -

    R92 , -

    87

  • R93 , - -

    R94 , -

    (R95R99)R95 R96 R98 R99

    XIX, (S00T98)

    (S00S09)S00 S01 S02 S03 , -

    S04 S05 S06 S07 S08 S09

    (S10S19)S10 S11 S12 S13 , -

    S14 S15

    88

    `

  • `

    S16 S17 S18 S19

    (S20S29)S20 S21 S22 (), -

    S23 , -

    S24 S25 S26 S27 S28

    S29

    , , - (S30S39)S30 , S31 , S32 S33 , -

    S34 -

    , S35 , S36 S37 S38 , -

    S39 ,

    (S40S49)S40 S41 S42

    89

  • S43 , -

    S44 S45 -

    S46

    S47 S48 S49

    (S50S59)S50 S51 S52 S53 , -

    S54 S55 S56 S57 S58 S59

    (S60S69)S60 S61 S62 S63 , -

    S64 S65 S66 S67 S68 S69

    (S70S79)S70 -

    90

    `

  • `

    S71 S72 S73 , -

    S74 S75

    S76 -

    S77 S78

    S79

    (S80S89)S80 S81 S82 , -

    S83 , -

    S84 S85 S86 S87 S88 S89

    (S90S99)S90 S91 S92 S93 , -

    S94 S95 S96 S97 S98

    91

  • S99

    , (0007)00 , 01 , 02 , 03 , , -

    04 , 05 , -

    06 , , -

    07 ,

    , - (0814)08 09 -

    10 11 12 13 14

    (1519)15 16 17 18 19 -

    (2032)

    , (2025)20 21

    92

    `

  • `

    22 ,

    23 24

    , 25 -

    (2628)26 , -

    27 28

    - (2932)29 30 31 , -

    32 , -

    (3335)33 34 35 , , -

    , - (3650)36 37

    38 , -

    , 39 , -

    40 []

    93

  • 41 42 , , -

    43 , -

    44 , -

    45 , , -

    , 46 , -

    - 47 , -

    48 ,

    49 ,

    , , -,

    50 -,

    , (5165)51 52 53

    54 55 56 57 58 59 , 60 61 ,

    62 ,

    63

    94

    `

  • `

    64 -

    65

    (6678)66 67 68 69 70 71 73 [-

    ]74 75 78 ,

    (79)79 ,

    , - (8088)80 , , -

    81 , 82 , -

    , 83 , - ,

    84 ,

    , 85 , ,

    86 87 , 88

    ,

    95

  • , - (9098)90 91 92 93 94 , ,

    95 , 96 ,

    97 ,

    98 -

    XX (V01Y98)

    (V01V99)

    , (V01V09)V01 , V02 ,

    V03 , , -

    V04 , -

    V05 , -

    V06 , -

    V09 ,

    96

    `

  • `

    , (V10V19)V10 , -

    V11 , V12 ,

    V13 , , -

    V14 , -

    V15 , -

    V16 ,

    V17 , -

    V18 ,

    V19 ,

    , (V20V29)V20 ,

    V21 , V22 ,

    V23 , ,

    V24 , -

    V25 , -

    V26 ,

    V27 ,

    V28 ,

    97

  • V29 , -

    , , - (V30V39)V30 ,

    -

    V31 ,

    V32 ,

    V33 , , -

    V34 , -

    V35 , -

    V36 ,

    V37 , -

    V38 ,

    V39 ,

    , (V40V49)V40 , -

    V41 , -

    98

    `

  • `

    V42 ,

    V43 , - ,

    V44 , -

    V45 , - -

    V46 , -

    V47 , -

    V48 , -

    V49 ,

    , (V50V59)V50 ,

    -

    V51 ,

    V52 ,

    V53 , , -

    V54 , -

    V55 , -

    99

  • V56 ,

    V57 , -

    V58 ,

    V59 ,

    , (V60V69)V60 ,

    V61 ,

    V62 ,

    V63 , ,

    V64 , -

    V65 , -

    V66 , -

    V67 ,

    V68 ,

    V69 ,

    100

    `

  • `

    , - (V70V79)V70 , -

    V71 , -

    V72 , -

    V73 , -

    , -

    V74 , -

    V75 , -

    V76 , -

    V77 , -

    V78 ,

    V79 , -

    , (V80V89)V80 , -

    , V81 ,

    V82 ,

    V83 , ,

    , -

    V84 , , ,

    101

  • V85 , , , -

    V86 , - , - , , -

    V87 ,

    V88 ,

    V89 -

    (V90V94)V90 -

    V91 V92 ,

    , V93 , -

    V94

    (V95V97)V95 ,

    , V96 ,

    , ,

    V97

    (V98V99)V98 V99 ,

    102

    `

  • `

    (W00X59)

    (W00W19)W00 , W01 ,

    W02 , ,

    -W03

    W04

    W05 , W06 , W07 , W08 , W09 , W10 W11 W12 W13 () W14 W15 ( )W16 , ,

    W17 W18 W19 ,

    (W20W49)W20 , W21 W22 W23 , ,

    W24 , -

    W25 W26 , W27

    103

  • W28 W29 -

    W30 W31 W32 W33 , -

    W34 W35 , W36 , W37 , ,

    W38 , -

    W39 W40 W41 W42 W43 W44 W45 W49

    (W50W64)W50 , , , ,

    W51 W52 ,

    W53 W54 W55 W56 W57 -

    W58 W59 W60 -

    104

    `

  • `

    W64

    (W65W74)W65 W66 W67 W68 W69 W70 W73 W74 ,

    (W75W84)W75 W76 W77

    W78 W79 , -

    W80 ,

    W81

    W83 W84 ,

    , , - - (W85W99)W85 , W86 ,

    W87 , W88 W89 W90 W91 , W92 W93

    105

  • W94 -

    W99 -

    , (0009)00 () -

    01 ()

    02 03 -

    04 05 ()06 -

    08 , -

    09 ,

    () (1019)10 , , -

    11 12 13 14 15 16 ,

    17 , 18 19 -

    (2029)20 21 22

    106

    `

  • `

    23 , 24 () -

    25 26 27 28 29

    (3039)30 31 32 33 34 35 36 ,

    37 38 39

    (4049)40 ,

    41 , -

    , , , -

    42 - [],

    43 -,

    44 - ,

    45 46 ,

    47 -

    107

  • 48 49 -

    , (5057)50 51 52 53 54 57 ,

    (5859)58 59

    (6084)60 -

    , 61 ,

    , , -,

    62 - [],

    63 ,

    64 ,

    65 66 -

    67 -

    68 69

    70 , -

    71 72

    108

    `

  • `

    73 ,

    74

    75 -

    76 , 77 , -

    78 79 80 81

    82

    83 84

    (85Y09)85 ,

    86 87 88 89

    90 -

    91 , 92 93 94 , -

    95

    96 97 , 98 ,

    109

  • 99 Y00 Y01 Y02

    Y03 Y04 Y05 Y06 Y07 Y08 Y09

    (Y10Y34)Y10 , -

    , Y11 , , -

    , , - ,

    Y12 [-], , -

    Y13 , - , -

    Y14 , ,

    Y15 , Y16 , -

    , -

    Y17 -,

    Y18 , -

    Y19 - ,

    Y20 , , Y21 ,

    110

    `

  • `

    Y22 , -

    Y23 , - ,

    Y24 -,

    Y25 , Y26 , , Y27 , , -

    Y28 , Y29 , Y30 , , -

    Y31 , ,

    Y32 , -

    Y33 ,

    Y34

    (Y35Y36)Y35 Y36

    (Y40Y84)

    , , - (Y40Y59)Y40 Y41

    Y42 , -

    Y43 Y44 , Y45 , -

    Y46

    111

  • Y47 , []

    Y48 Y49 , Y50 , , -

    Y51 , -

    Y52 , - -

    Y53 , -

    Y54 , ,

    Y55 ,

    Y56 ,

    , , , -

    Y57 Y58 ` Y59

    - (Y60Y69)Y60 , ,

    Y61

    Y62 -

    Y63 -

    Y64 Y65 -

    Y66 Y69

    ,

    112

    `

  • `

    , , (Y70Y82)Y70 , Y71

    - , Y72 , ,

    Y73 ,

    , Y74 -

    , Y75 , ,

    Y76 , -

    , Y77 , ,

    Y78 , -

    Y79 , -

    Y80 ,

    Y81 , -

    , Y82 ,

    , - , - (Y83Y84)Y83 ,

    , -

    Y84 , ,

    113

  • (Y85Y89)Y85 Y86 Y87 , -

    [], Y88

    Y89

    , - , (Y90Y98)Y90 , -

    Y91 , -

    Y95 Y96 , Y97 , Y98 ,

    XXI, (Z00Z99)

    , - (Z00Z13)Z00 ,

    Z01 ,

    Z02 Z03

    Z04 Z08 -

    114

    `

  • Z09 ,

    Z10

    Z11 -

    Z12 -

    Z13 -

    , - (Z20Z29)Z20 -

    Z21 ` ,

    [HIV]Z22 Z23 Z24

    Z25

    Z26 -

    Z27 -

    Z28 Z29

    , , - (Z30Z39)Z30 Z31 Z32 Z33 , Z34 Z35 , -

    `

    115

  • Z36 [- ]

    Z37 Z38 Z39

    , - (Z40Z54)Z40 Z41 , Z42 Z43 Z44 Z45 Z46 Z47 Z48 Z49 , Z50 , -

    Z51 Z52 Z53 , -

    Z54

    , - (Z55Z65)Z55 , Z56 , Z57 Z58 , Z59 , -

    Z60 , Z61 , -

    Z62 ,

    116

    `

  • Z63 , , -

    Z64 , -

    Z65 ,

    , - (Z70Z76)Z70 ,

    Z71 ,

    , Z72 , Z73 ,

    Z74 , , -

    Z75 , -

    Z76 , -

    , - , (Z80Z99)Z80 Z81 -

    Z82 , -

    , Z83 Z84 Z85 Z86 Z87 -

    Z88 , -

    Z89

    `

    117

  • Z90 , Z91 , -

    Z92 Z93 , Z94 Z95 Z96 Z97 Z98 Z99

    ,

    118

    `

  • (0099)

    : ,

    : (Z22.)

    ,

    , -, ( - , - [HIV]) (O98.)

    , - ( , , , [HIV]) (3539)

    (J00J22)

    :0009 1519 2028 A3049 5064 , 6569 , 7074 , 7579 8089 9099 , -

    0009 , -

    1519

    I

    119

  • 2024 `, [HIV]

    2534 3549 5064 6583 8589 , 9094 9597 `, 99

    (0009)

    00

    00.0 , 01, - cholerae

    00.1 , 01, - eltor -

    00.9 ,

    01

    01.0 , Salmonella typhi

    01.1

    01.2

    01.3

    01.4 , , Salmonella paratyphi `

    120

    `

  • `

    02 : ( ), -

    Salmonella , - S. typhi S. paratyphi

    02.0

    02.1

    02.2 (-): (01.3*) (G01*) (90.2*) (J17.0*) (N16.0*)

    02.8

    02.9 ,

    03

    03.0 , Shigella dysenteriae [ Shiga-Kruse]

    03.1 , Shigella flexneri

    03.2 , Shigella boydii

    03.3 , Shigella sonnei D

    03.8

    03.9 , ` `

    121

  • 04 : (05.)

    (18.3)

    04.0 , Es-cherichia coli

    04.1 , Es-cherichia coli

    04.2 , Es-cherichia coli

    04.3 , Escherichia coli

    04.4 , Escheri-chia coli, Escherichia coli `

    04.5 , Campylobacter

    04.6 , Yersinia enterocolitica : (28.2)

    04.7 , Clostridium difficile

    04.8

    04.9 ` , ` `

    05 : , Escherichia coli

    (04.004.4) (32.) -

    (02.)

    (6162)

    05.0

    122

    `

  • `

    05.1 ` , Clostri-dium botulinum

    05.2 , Clostridiumperfringens [Clostridium welchii] Pig-bel

    05.3 , Vibrio pa-rahaemolyticus

    A05.4 , Bacilluscereus

    05.8 -

    05.9 ` ,

    06 : , Entamoeba histoly-

    tica : (07.)

    06.0 `

    06.1

    06.2

    06.3 `

    06.4

    06.5 (J99.8*) ( )

    06.6 (G07*) ( )( )

    123

  • 06.7

    06.8 : (N51.2*)

    06.9 ,

    07

    07.0 `

    07.1 []

    07.2

    07.3 , Isospora belli Isospora hominis

    07.8

    07.9 , , (-):

    08 : -

    (J10.8, J11.8)

    08.0

    124

    `

  • `

    08.1 , Nor-walk Small round structured virus enteritis

    08.2

    08.3

    08.4 , (-): ` ` `

    08.5

    09 . , , -

    09, , , 52.9.

    [] ` ` ` : , ,

    (0008)

    (52.9) (P78.3)

    125

  • (1519)

    : , Mycobacterium tuberculosis Mycobacterium bovis

    : (P37.0), (J65) (90.) (J65)

    15 ,

    15.0 , - - (-):

    15.1 , , 15.0,

    15.2 , -, 15.0, -

    15.3 , - , 15.0, ,

    126

    `

  • `

    15.4 , :

    : (15.7)

    15.5 , , - :

    15.6 , : -

    , (15.7)

    15.7 , -

    15.8 , -

    :

    15.9 -, -

    127

  • 16 ,

    16.0 (-):

    16.1 , 16.0,

    16.2 - (-) ` ( - - )

    16.3 , : ` ( ) :

    , (16.7)

    128

    `

  • `

    16.4 , , : ` ( )

    16.5 , - : ` (

    )

    : (16.7)

    16.7 , (-): `

    16.8 , - - ` ( : )

    16.9 , ` `

    129

  • 17

    17.0 (G01*) ( )( )

    17.1 (G07*)

    17.8 - (G07*) (G07*)(-): (G07*) (G05.0*) (G05.0*) (G63.0*)

    17.9 , (G99.8*)

    18

    18.0 : (01.1*) (M01.1*) (M49.0*)(-): (M01.1*) (H75.0*) (M90.0*) (M90.0*) (M90.0*) (M68.0*) (M68.0*)

    130

    `

  • `

    18.1 - : (N33.0*) (N74.0*) (N29.1*) (N51.*) (N29.1*) (N74.1*)

    18.2 : :

    (15.4, 16.3)

    (18.3)

    (15.4, 16.3)

    18.3 , - : (93.0*) ()() (K93.0*) : (93.0*) (K67.3*)

    18.4 , : :

    ` (H03.1*)

    : (L93.)

    (M32.)

    131

  • 18.5 : (H32.0*) (H19.0*) (H19.2*) (H22.0*) () ()

    (H19.2*) : , (A18.4)

    18.6 (67.0*) : (A18.0)

    18.7 (E35.1*)` Addison

    18.8 : (I39.8*) (I41.0*) (K23.0*) (I32.0*) (E35.0*) (I68.1*)

    19 : :

    19.0 -

    19.1 -

    19.2 -

    19.8 19.9

    132

    `

  • `

    (2028)

    20 : , Yersinia pestis

    20.0 `

    20.1 -

    20.2 `

    20.3

    20.7

    20.8 `

    20.9 ,

    21 :

    , Francisella tula-rensis

    21.0 -

    21.1 -

    21.2 `

    21.3

    21.7

    21.8

    21.9 ,

    133

  • 22 : , Bacillus anthrcis

    22.0 (-):

    22.1 ` ` `

    22.2 -

    22.7

    22.8 (G01*)

    22.9 ,

    23 `: :

    23.0 `, Brucella melitensis

    23.1 `, Brucella abortus

    23.2 `, Brucella suis

    23.3 `, Brucella canis

    A23.8

    23.9 `,

    24

    24.0 , Pseudomonas mallei

    134

    `

  • `

    24.1 :

    24.2

    24.3

    24.4 , , Pseudomonas pseudomallei `` Whitmore

    25

    25.0

    25.1

    25.9 ,

    26

    26.0

    26.7 , Erysipelothrix

    26.8

    26.9 ,

    27

    27.0 -, Leptospira interrogans, - icterohaemorrhagiae

    27.8

    27.9 ,

    135

  • 28 ,

    28.0

    28.1 `

    28.2 : , Yersinia enterocolitica

    (04.6) (20.)

    28.8 , -

    28.9 ` ,

    (3049)

    30 [ Hansen]: , Mycobacterium lep-

    rae : (92)

    30.0 I

    30.1

    30.2

    30.3

    30.4 BL

    30.5 LL

    136

    `

  • `

    30.8

    30.9 ,

    31 , : (30.)

    (1519)

    31.0 ` , Mycobac-terium, Mycobacterium: avium intracellulare [Battey bacillus] kansasii

    31.1 , Mycobacterium Buruli, Mycobacterium: marinum ulcerans

    31.8 , Mycobacterium

    31.9 , Mycobacterium, - ` `

    32 : : ()

    (P37.2)

    32.0

    32.1 : (G01*) (G05.0*)

    32.7

    137

  • 32.8 :

    (I68.1*) (I39.8*)

    -

    32.9 ,

    33

    34

    35 ` : ():

    (33) (34)

    36

    36.0

    36.1

    36.2

    36.3 : (L08.1)

    36.8 : (H13.1*) (I41.0*) (G63.0*)

    36.9 ,

    138

    `

  • `

    37

    37.0 , Bordetella pertussis

    37.1 , Bordetella parapertussis

    37.8 , Borde-tella

    37.9 ,

    38 : (J02.0)

    39

    39.0 (G01*)39.1 Weterhouse-Friderichsen (E35.1*)

    39.2

    39.3

    39.4 , `

    39.5 : ` (I52.0*) (I39.8*) (I41.0*) (I32.0*)

    39.8 : (M01.0*) (H13.1*) (G05.0*) (H48.1*) (M03.0*)

    139

  • 39.9 , `

    40 : (75.3)

    : ,

    (0307, 08.0) (88.0) , -

    (80.2) (36.036.1) (81.4) (85)

    40.0 ,

    40.1 ,

    40.2 , D

    40.3 , Streptococcus pneu-moniae

    40.8

    40.9 ,

    140

    `

  • `

    41 : ` (49.9)

    (75.3): , -

    (0307, 08.0) (88.0) , -

    (80.2) ( )(): (42.7) (22.7) (37.7) Erysipelothrix (26.7) (28.2) (54.8) - (00.7) (32.7) (39.239.4) (36.) (81.4) (85) (40.) (21.7): (24.1) (20.7) (48.3)

    41.0 , Staphyloccocus aureus

    41.1 , -, -

    41.2 , -

    41.3 , Haemophilus influen-zae

    141

  • 41.4 , : (48.0)

    41.5 , - , - `

    41.8

    41.9 ,

    42 : (47.1)

    42.0 `

    42.1

    42.2

    42.7

    42.8

    42.9 ,

    43

    43.0 `

    43.1

    43.8

    43.9 ,

    44 `

    44.0 Oroya

    44.1

    44.8

    142

    `

  • `

    44.9 `,

    46 : -

    (86.8)

    48 , : (47.1)

    48.0 (-) Clostridium:

    48.1 `

    48.2 ` [Pontiac]

    48.3 : ` (R57.8)

    ` (41.9)

    48.4 ` , Haemophilus aegyptius

    48.8

    49 ` : -

    , (9596)

    , `(74.9)

    ` (39.9), `

    (79.9), `

    (69.9)

    143

  • 49.0 ,

    49.1 ,

    49.2 , Haemophilus influen-zae,

    49.3 , , -

    49.8 -

    49.9 ` , ` `

    , (5064) : ,

    [HIV] (2024) (N34.1) Reiter (02.3)

    A50

    50.0 , (): (-):

    144

    `

  • `

    50.1 , , - -

    50.2 , `,

    50.3 (H19.2*) , (H58.8*) : Hutchinson (50.5)

    50.4 [ -] (-): (-): (G05.0*) (G01*) (G63.0*) - . : Hutchinson (50.5)

    145

  • 50.5 - , -- - Clutton (M03.1*)Hutchinson-(-): (-) (-): (I98.*) :

    (M03.1*) (M90.2*)

    50.6 , , - -- -

    50.7 , ` -

    50.9 ,

    51

    51.0 `

    51.1

    51.2

    51.3 (-): (L99.8*) (L99.8*)

    146

    `

  • `

    51.4 (-)(-) (-)(-): (N74.2*) (H22.0*) (G01*) (M63.0*) , (H58.8*) (M90.1*)

    51.5 (), , -- - -

    51.9 ,

    52 52.0 -

    - ` (I98.0*)(-): (I79.0*) (I39.1*) (I79.1*) (I68.1*) ` (I39.8*) (I41.0*) (I32.0*) (I39.3*)

    52.1 Charcot (M14.6*)(-) (-): (H94.0*) (G05.0*) (G01*) (H48.0*) (G63.0*) (H48.1*) (G22*)

    147

  • 52.2

    52.3 , () () `

    52.7 (N08.0*) () , 52.052.3(-)(-) (-)(-): (M73.1*) (H32.0*) (H19.0*) (N74.2*) (L99.8*) , (H58.8*) (K67.2*) () ( ): (M90.2*) (K77.0*) (J99.8*) (M63.0*) (M68.0*)

    52.8 (), , -- , -

    52.9 ,

    53

    53.0 , `

    148

    `

  • `

    53.9 , , Treponema pallidum ` () ` : ` -

    (50.2)

    54

    54.0 -- - : ` ` ` ` : :

    - (54.1) (54.1)

    54.1 --

    54.2 - (-): (N51.1*) (N74.3*) (N51.1*) (N51.0*) : (A54.8)

    54.3 : (H13.1*) (H22.0*)

    149

  • 54.4 - -: (M01.3*) (M73.0*) (M90.2*) (M68.0*) (M68.0*)

    54.5

    54.6

    54.8 (-)(-): (G07*) (I39.8*) (G01*) (I41.0*) (I32.0*) (K67.1*) (J17.0*) : (A54.2)

    54.9 ,

    55 () ` Durand-Nicolas-Favre

    150

    `

  • `

    56 , : , , -

    Chlamydia trachomatis : (-):

    (55) (-):

    (39.1) (23.1)

    , 74.

    56.0 -- :

    56.1 - (-): (N51.1*)

    (N74.4*) (N51.1*)

    56.2 - ,

    56.3

    56.4

    56.8 ,

    57

    151

  • 58 ,

    59 : (07.8)

    59.0 () (N51.0*) Trichmonas (vaginalis)

    59.8

    59.9 ,

    60 -[herpes simplex]

    60.0 - - : (N77.1N77.1*) (N51.*)

    60.1 -

    60.9 - , -

    63 , , : (08.1)

    (D26.0)

    63.0 ()

    63.8 ,

    152

    `

  • `

    64 `, , `

    , (6569)

    : (27.) (5053)

    65 Bejel Njovera

    66 : bouba

    ()pian

    66.0 , ,

    66.1 --

    153

  • 66.2 - - () () ()() ()

    66.3 () ()

    66.4 ()

    66.5

    66.6 () () () ()

    66.7

    66.8 , , -

    66.9 ,

    67 []

    67.0 () () []

    154

    `

  • `

    67.1 []

    67.2 - (I98.1*) : []

    67.3 []

    67.9 ,

    68 : : (69.2)

    68.0 , Borrelia recurrentis

    68.1 , Borrelia, - Borrelia recurrentis

    68.9 ,

    69 ,

    69.0 `

    155

  • 69.1 Vincent (): - Vincent:

    69.2 , Borrelia burg-dorferi

    69.8

    69.9 ,

    , (7074)

    70 , Chlamydia psittaci

    71 : (94.0)

    71.0

    71.1 ():

    71.9 ,

    156

    `

  • `

    74 , : (J16.0)

    (-) (-): (39.1) (23.1) , -

    (5556)

    74.0 (13.1*)

    74.8 (K67.0*)

    74.9 , `

    (7579)

    75 : , Ehrlichia sennetsu

    (79.8)

    75.0 , Rickettsia prowazekii () ()

    75.1 [ Brill]` Brill-Zinsser

    75.2 , Rickettsia typhi ( )

    75.3 , Rickettsia tsutsugamushi () (Tsutsugamushi)

    157

  • 75.9 , () `

    77 [ ]

    77.0 , Rickettsiarickettsii Sao Paulo

    77.1 , Rickettsiaconorii

    77.2 , Rickettsiasiberica

    77.3 , Rickettsia aus-tralis

    77.8

    77.9 , `

    78 -, Coxiella burnetti

    158

    `

  • `

    79

    79.0

    79.1 , Rickettsia akariKew Garden

    79.8 , Ehrlichia sennetsu

    79.9 , , `

    (8089)

    : : (91) (94.1)

    80

    80.0 ,

    80.1 ,

    80.2 ,

    80.3 ,

    80.4

    80.9 ,

    159

  • 81 : prion

    81.0 ` Creutzfeldt-Jakob

    81.1 Dawson- Van Bogaert

    81.2 `

    81.8

    81.9 - , Prion

    82 `

    82.0

    82.1

    82.9 `,

    83 , : , -

    : (92.2)

    83.0

    83.1

    83.2

    83.3 St Louis

    160

    `

  • `

    83.4 `, Kunjin-

    83.5 La Crosse

    83.6 `, Rocio-

    83.8 ,

    83.9 , ,

    84 , :

    84.0 [ -- ]

    84.1

    84.8 ` Louping`, Powassan-

    84.9 ,

    85 , : :

    , ,

    : (G93.3)

    , : - [herpes simplex] (00.4) - (05.0) (26.2) (80.) - (02.0) (87.2)

    161

  • 85.0 (G05.1*)

    85.1 (G05.1*)

    85.2 , , -

    85.8 ` Economo-Cruchet

    86 , : ` `

    87 : , :

    - [herpes simplex] (00.3) - (05.1) (26.1) (80.) - (02.1)

    87.0 (G02.0*)

    87.1 (G02.0*)87.2

    87.8

    87.9 ,

    162

    `

  • `

    88 , : :

    ` (86) ` (87.9)

    88.0 [`]

    88.1

    88.8

    89 ,

    , (9099)

    90 [ ] : , dengue-

    (91)

    91 , dengue-

    92 , : (33.1)

    163

  • 92.0 `, Chikungunya- Chikungunya

    92.1 Onyong-nyong

    92.2 (-) (-): ,

    92.3 -

    92.4 - [ ]

    92.8 , -

    92.9 , ,

    93 , ,

    93.0 `, -

    93.1

    93.2

    93.8 , -`, Piry-`, [ ]

    94 , , ` `

    164

    `

  • `

    95

    95.0

    95.1

    95.9 ,

    96

    96.0 Junin

    96.1 Machupo`

    96.2 Lassa

    96.8

    96.9 ,

    98 , : chikungunya (92.0)

    dengue (91)

    98.0 ( -)

    98.1 Omsk

    98.2 Kyasanur

    98.3 Marburg

    98.4 Ebola

    165

  • 98.5 : `, Hantaan-

    98.8

    99 ,

    , (0009)

    00 - [herpes simplex] : - (60.)

    - (35.2)-- (27.0) (08.5)

    00.0

    00.1 - : : () - 2

    166

    `

  • `

    00.2 - --

    00.3 - (G02.0*)00.4 - (G05.1*)

    -

    00.5 - -: (H13.1*) (H03.1*) (H22.0*) (H22.0*) (H19.1*) (H19.1*) (H22.0*)

    00.7 - -

    00.8 - -(-): (77.0*)

    00.9 - , `

    01 [varicella]

    01.0 (G02.0*)01.1 (G05.1*)

    01.2 (J17.1*)01.8

    01.9 `

    167

  • 02 [herpes zoster]:

    zona

    02.0 (G05.1*)

    02.1 (G02.0*)02.2 -

    (-): (G53.0*) (G63.0*) (G53.0*)

    02.3 : (H03.1*) (H13.1*) (H22.0*) (H22.0*) (H19.2*) (H19.2*) (H19.0*)

    02.7

    02.8

    02.9 `

    03 1

    04 ,

    1 1980 . , .

    168

    `

  • `

    05 `: morbilli : (81.1)

    05.0 `, (G05.1*)

    05.1 `, (G02.0*)

    05.2 `, (J17.1*)

    05.3 `, (H67.1*)

    05.4 `

    05.8 ` (H19.2*)

    05.9 ` ` `

    06 [ ] : (35.0)

    06.0 : (G05.1*) (G02.0*) (G05.1*)

    06.8 (-): (01.4*) (J17.1*)

    06.9 `

    169

  • 07 : : () (63.0)

    : (D41.4) (D26.0) (D14.1)

    08 , , : , -

    (93.8)

    08.0 [ ] : , -

    (04)

    08.1

    08.2 ( )

    08.3 ( )

    08.4

    08.5

    170

    `

  • `

    08.8 , - Tana- Yaba-

    09 , ,: ` `

    (1519)

    : (25.1)- [herpes simplex] (00.8) (94.2)

    15

    15.0

    15.9 () () `

    16

    16.0 - ()

    16.1 - ()

    16.2 -

    171

  • 16.9 ()() `

    17

    17.0 -() -

    17.1

    17.2

    17.8 , ()(),

    18

    18.0 -

    18.1 -

    18.2

    18.8

    18.9 ,

    19 ,

    19.0

    19.9 `

    172

    `

  • `

    `, [HIV](2024)

    : 2023 - , - -.

    : , - [HIV] (Z21)

    20 `, [HIV], : HIV (23.0)

    20.0 `, HIV, - `, HIV,

    20.1 `, HIV,

    20.2 `, HIV, --

    20.3 `, HIV,

    20.4 `, HIV, -

    20.5 `, HIV,

    20.6 `, HIV, -, Pneumocystis carinii

    173

  • 20.7 `, HIV, -

    20.8 `, HIV,

    20.9 `, HIV, - `, HIV, , `

    21 `, [HIV],

    21.0 `, HIV, Kaposi-

    21.1 `, HIV, Burkitt-

    21.2 `, HIV,

    21.3 `, HIV, , -

    21.7 `, HIV, -

    21.8 `, HIV,

    21.9 `, HIV, -

    174

    `

  • `

    22 `, [HIV],

    22.0 `, HIV, -HIV

    22.1 `, HIV,

    22.2 `, HIV, `, HIV, - [ ]

    22.7 `, HIV, - , :

    . 2.

    23 `, [HIV],

    23.0 HIV-

    23.1 `, HIV, (-)

    23.2 `, HIV, - , -

    23.8 `, HIV,

    175

  • 24 `, [HIV], []`- [] `

    (2534)

    25 : (35.1)

    (27.1)

    25.0 (J17.1*)25.1 (K77.0*)25.2 (K87.1*)25.8

    25.9 ,

    26 : :

    26.0 (N51.1*)26.1 (G02.0*)26.2 (G05.1*)26.3 (K87.1*)

    176

    `

  • `

    26.8 (-): (M01.5*) (I41.1*) (N08.0*) (G63.0*)

    26.9 , : ` `

    27 :

    Pfeiffer

    27.0 -- , Epstein-Barr

    27.1

    27.8

    27.9 ,

    30 : , :

    [herpes simplex] (00.5) (02.3)

    30.0 , (H19.2*)

    30.1 , (H13.1*)

    30.2

    177

  • 30.3 () (H13.1*), : - 24 - 70 ()()

    30.8 (H13.1*) Newcastle

    30.9 ,

    33 ,

    33.0 ` Bornholm

    33.1 Ross River Ross River

    33.2

    33.3 , - `

    33.8

    34 : ` (25.9)

    - [herpes simplex] `(00.9)

    ` (33.3) , -

    (97.)

    34.0 ,

    178

    `

  • `

    34.1 , ` `

    34.2 ,

    34.3 ,

    34.4 ,

    34.8 -

    34.9 , `

    (3549) : ,

    (J67.) (G84.0)

    35 :

    , Epidermophy-ton, Microsporum Trichophyton

    , - 36.

    35.0

    35.1

    179

  • 35.2

    35.3

    35.4

    35.5

    35.6

    35.8 :

    35.9 , `

    36 36.0

    :

    36.1

    36.2 ` `

    36.3

    36.8

    36.9 ,

    180

    `

  • `

    37 :

    : (37.5)

    37.0

    37.1 `

    37.2 : : (L22)

    37.3 (N77.1*)

    37.4 : (N51.2*) (N37.0*)

    37.5 (G02.1*)37.6 (I39.8*)37.7

    37.8 :

    37.9 , `

    38 38.0

    38.1

    181

  • 38.2 ` ,

    38.3

    38.4 (G02.1*)38.7

    38.8

    38.9 ,

    39

    39.0 , His-toplasma capsulatum

    39.1 , Histoplasma capsulatum

    39.2 ` ,

    39.3

    39.4 ,

    39.5 , Histoplasma duboisii

    39.9 ,

    40 ` : (41.)

    (48.0)

    40.0

    40.1

    40.2 ` ,

    40.3

    182

    `

  • `

    40.7

    40.8

    40.9 `,

    41 :

    Lutz

    41.0 `

    41.7

    41.8

    41.9 ,

    42

    42.0 ` (J99.8*)42.1

    42.7

    42.8

    42.9 ,

    43

    43.0

    43.1

    43.2

    43.8

    43.9 ,

    183

  • 44 :

    44.0

    44.1

    44.2

    44.7

    44.8

    44.9 ,

    45

    45.0 `

    45.1 (G02.1*)

    45.2

    45.3

    45.7

    45.8

    45.9 ,

    46

    46.0 `

    46.1

    46.2

    46.3

    46.4

    184

    `

  • `

    46.5 ,

    46.8

    46.9 , `

    47

    47.0 ,

    47.1

    47.9 , `

    48 ,

    48.0 ` Lobo

    48.1

    48.2 , Pseudallescheria boydii : (47.0)

    48.3

    48.4

    48.7 , , , - . - , .

    185

  • 48.8

    49 , `

    (5064) : (06.)

    (07.)

    50 , Plasmodiumfalciparum: , -

    Plasmodium falciparum -

    50.0 , Plasmodium falciparum `

    50.8 , Plasmodium falciparum , Plasmodium falciparum, `

    50.9 , Plasmodium falciparum,

    51 , Plasmodiumvivax: , -

    Plasmodium vivax , Plasmodiumfalciparum

    : , Plasmodium falciparum(50.)

    186

    `

  • `

    51.0 , Plasmodium vivax -

    51.8 , Plasmodium vivax -

    51.9 , Plasmodium vivax , Plasmodium vivax, `

    52 , Plasmodiummalaria: , -

    Plasmodium malariae , Plasmodium falciparum Plasmodium vivax

    : Plasmodium: falciparum (50.) vivax (51.)

    52.0 , Plasmodium malaria

    52.8 , Plasmodium malariae

    52.9 , Plasmodium malariae , Plasmodium malariae, `

    53

    53.0 , Plasmodium ovale : Plasmodium:

    falciparum (50.) malariae (52.) vivax (51.)

    187

  • 53.1 , : Plasmodium:

    falciparum (50.) malariae (52.) ovale (53.) vivax (51.)

    53.8 , - `

    54 ,

    55

    55.0 ---

    55.1

    55.2 -

    55.9 ,

    56

    56.0 , Trypanosoma brucei gambiense-

    56.1 - , Tripanosoma brucei rhodesiense

    56.9 , ` `, -

    188

    `

  • `

    57 ` Chagas:

    , Trypanosoma cruzi

    57.0 Chagas (I41.2*, I98.1*) Chagas : , (I98.1*) (I41.2*)

    57.1 Chagas Chagas `

    57.2 ` Chagas () - (I41.2*, I98.1*) `` Chagas () (): ` , (I98.1*) (I41.2*) `, - Chagas

    57.3 ` Chagas () -

    57.4 ` Chagas () -

    57.5 ` Chagas ()

    58 : , Toxoplasma gondii : (37.1)

    58.0 (H32.0*)

    58.1 (K77.0*)58.2 (G05.2*)

    189

  • 58.3 ` (J17.3*)58.8

    : (I41.2*) (M63.1*)

    58.9 ,

    59 , Pneumocystis carinii

    60 , : (07.2)

    (07.3) (A07.8)

    60.0 `

    60.1 , Acanthamoeba (H13.1*), Acanthamoeba (H19.2*)

    60.2 (G05.2*)

    60.8

    64 ,

    (6583)

    65 []:

    65.0 , Schistosomahaematobium [ ]

    190

    `

  • `

    65.1 , Schistosoma man-soni [ ]

    65.2 , Schistosoma japo-nicum [ ]

    65.3

    65.8 , Schistosoma: intercalatum mattheei mekongi

    65.9 ,

    66

    66.0 , : Opisthorchis (felineus)(viverrini)

    66.1 `, -, Clonorchis sinensis`,

    66.2 , Dicrocoelium dendriticum,

    66.3 , Fasciola: gigantica hepatica indica,

    191

  • 66.4 , Paragonimus`, `

    66.5 , Fasciolopsis buski

    66.8 ,

    66.9 ,

    67 : []

    67.0 , chino-coccus granulosus

    67.1 , Echino-coccus granulosus

    67.2 , Echinococcusgranulosus

    67.3 -, Echinococcus granulosus

    67.4 , Echinococcus granulosus,

    67.5 , Echino-coccus multilocularis

    67.6 -, Echinococcus multilocu-laris

    192

    `

  • `

    67.7 , Echinococcus multilocu-laris,

    67.8 ,

    67.9 , `

    68 : (69.)

    68.0 , Taenia solium ()

    68.1 , Taenia saginata (), Taenia saginata

    68.9 ,

    69 : ,

    Taenia solium

    69.0

    69.1

    69.8

    69.9 ,

    70

    70.0 , Diphyllobothrium (latum)(pacificum)( ) () : (70.1)

    193

  • 70.1 , : Sparganum (mansoni)(proliferum) Spirometra larva

    71 ,

    71.0 () ()

    71.1 ()

    71.8

    71.9 , , , `

    72 , Dracunculus medinensis

    73 , Onchocerca volvulus

    74 : (73)

    () `(J82)

    74.0 , Wuchereria bancrofti:

    194

    `

  • `

    74.1 , Brugia malayi

    74.2 , Brugia timori

    74.3 , , Loa loa

    74.4 , Mansonella: zzardi erstans streptocerca

    74.8

    74.9 ,

    75 , Trichinella species

    76 :

    76.0 , Ancylostoma species

    76.1 , Necator americanus

    76.8

    76.9 , `

    77 :

    77.0

    195

  • 77.8

    77.9 ,

    78 : (81.2)

    78.0

    78.1

    78.7

    78.9 ,

    79

    80 ()

    81 , : , Para-

    strongylus cantonensis (83.2)

    81.0 , Anisakis

    81.1 `, Capillaria philippinensis : (83.8)

    81.2

    81.3 , Parastrongylus costa-ricensis

    196

    `

  • `

    81.4 , 65.081.3 81.8 `

    81.8 , : Oesophagostomum [] Ternidens diminutus []

    82 ,

    82.0 ,

    82.9 ,

    83 : :

    ` (81.1) (81.1)

    83.0 , [Larva migrans]

    83.1

    83.2 a, Parastron-gylus cantonensis (G05.2*) : (81.3)

    83.3

    83.4 (88.3) : (88.3)

    83.8

    197

  • 83.9 , ` : ` (82.0)

    , (8589)

    85

    85.0 , Pediculus humanuscapitis

    85.1 , Pediculus humanuscorporis

    85.2 ,

    85.3 , : Phthirius pubis

    85.4 , - 85.085.3

    86 ,

    87 : ,

    198

    `

  • 87.0

    87.1

    87.2

    87.3

    87.4

    87.8

    87.9 ,

    88

    88.0 , : Demodex species Dermanyssus gallina Liponyssoides sanguineus : (86)

    88.1 [ ]

    88.2

    88.3 ` : (83.4)

    88.8 , Vandellia cirrhosa

    `

    199

  • 88.9 , () ` ` `

    89 ,

    (9094):

    , 0089, . , , - , - , , - . , - , . 2.

    90 90.0

    90.1 --

    90.2 -

    90.8 -

    90.9

    `

    91

    200

    `

  • 92

    94

    94.0 94.1 94.2 94.8

    94.9

    `, (9597): -

    . , , - .

    95 ,

    95.0 , -

    95.1 , -

    95.2 D ,

    95.3 Streptococcus pneumonia ,

    `

    201

  • 95.4 , -

    95.5 ,

    95.6 Staphylococcus aureus ,

    95.7 , -

    95.8 ,

    96 ,

    96.0 Mycoplasma pneumoniae [M. pneumoniae] - , Pleuro-pneumonia-like-organism [PPLO]

    B96.1 Klebsiella pneumonia [K. pneumonia] - ,

    96.2 Escherichia coli [E. coli] ,

    96.3 Haemophilus influenzae [H. influenzae] - ,

    96.4 Proteus (mirabilis)(morganii) -,

    96.5 Pseudomonas (aeruginosa)(mallei)(pseudomallei) - ,

    96.6 Bacillus fragilis [B. fragilis] -,

    96.7 Clostridium perfringens [C. perfringens] - ,

    96.8 ,

    202

    `

  • 97 ,

    97.0 , -

    97.1 , - -

    97.2 , -

    97.3 , -

    97.4 - ,

    97.5 ,

    97.6 , -

    97.7 , -

    97.8 ,

    (99)

    99

    `

    203

  • II

    (00D48)

    :0075 , -

    , , () 0014 , -

    1526 -

    3039

    4041

    4344 4549 -

    50

    5158 -

    6063 -

    6468

    6972 , -

    7375

    7680 , -

    8196 , - ,

    204

  • 97 (-)

    D00D09 in situD10D36 D37D48

    ( . 280)

    1. , , - 7680 - , , , . .

    2. , . - -, IV., , , 74, 27.5; , Cushing, D35.2, 24.0.

    3. () : , - ; ; , ; ( );; ; . - , , - . - . II -, , .

    `

    205

  • . . 616643, 1, 2, , . (`), , -. 6 : - ; ( , , .. , insitu, , -); - , - .

    4. II - .8 ( 5). , , .7.

    5. , - .8(, -) 0075 - (). , . -, -, , - .8 (, ), . , 16.0 (), - , 02.8. , , ,

    206

    `

  • 02.1, . , , - ( ). , , (, 67.) - , . , , - . :

    02.8 ,

    08.8 ,

    14.8 , , -

    21.8 , , -

    24.8 ,

    26.8 ,

    39.8 , - -

    41.8 ,

    49.8 , -

    57.8 , -

    63.8 , -

    68.8 ,

    `

    207

  • 72.8 - ,

    , 26.8 ( , - ).

    6. , , (25.9).

    7. -

    , , , . 3 . - II - , -.

    8. (`)

    II , . - ` , - , - II (0077, 80). [ (), -, in situ ]. ( -, , - ) ` -.

    208

    `

  • `

    (0097)

    , (0014)

    00 : (43.0, 44.0)

    00.0 : ` [vermilion border]

    00.1 : `

    00.2 , `

    00.3 , : ()

    00.4 , :

    209

  • 00.5 , , , :

    00.6

    00.8 , [ 5 . 206]

    00.9 ,

    01 `

    02

    02.0 - , : (01)

    02.1

    02.2 - ,

    02.3 - , ` `

    02.4 : ` (09.9)

    210

    `

  • `

    02.8 , [ 5 . 206] , - 0102.4

    02.9 ,

    03 :

    :

    (41.041.1)

    03.0

    03.1

    03.9 ,

    04

    04.0 -

    04.1

    04.8 , [ 5 . 206]

    04.9 ,

    05

    05.0

    211

  • 05.1 :

    (11.3)

    05.2 ()

    05.8 , [ 5 . 206]

    05.9 ,

    06

    06.0 `

    06.1 ` () ()()` () ()()

    06.2

    06.8 , - [ 5 . 206]

    06.9 , , `

    07 ()

    212

    `

  • `

    08 :

    ,

    ` (06.9)

    (07)

    08.0 ()

    08.1 ()

    08.8 , -[ 5 . 206]

    -, 0708.1

    08.9 , () `

    09 () : (02.4)

    (11.1)

    09.0

    09.1 () ()

    09.8 , [ 5 . 206]

    213

  • 09.9 , : `

    10 () : (09.)

    10.0

    10.1 , - (-) : () ` (32.1)

    10.2

    10.3

    10.4 ` ` [ ]

    10.8 , [ 5 . 206]

    10.9 ,

    11 ()

    11.0

    11.1

    214

    `

  • `

    11.2 Rosenmuller

    11.3 ()() - : ()

    11.8 , [ 5 . 206]

    11.9 , `

    12

    13 : (12)

    13.0

    13.1 , - : ` () : , -

    (32.1)

    13.2

    215

  • 13.8 , [ 5 . 206]

    13.9 , `

    14 , : ` (06.9)

    14.0 ,

    14.2 Waldeyer ()

    14.8 , , [ 5 . 206] , , - 0014.2

    216

    `

  • `

    (1526)

    15 : -

    :.0.2 .3.5

    , , , , - .

    15.0

    15.1

    15.2

    15.3

    15.4

    15.5

    15.8 , [ 5 . 206]

    15.9 ,

    217

  • 16

    16.0

    16.1

    16.2

    16.3

    16.4

    16.5 , , 16.116.4

    16.6 , , 16.016.4

    16.8 , [ 5 . 206]

    16.9 , `

    17

    17.0 ()

    17.1

    17.2 : - (18.0)

    17.3 Meckel

    218

    `

  • `

    17.8 , [ 5 . 206]

    17.9 ,

    C18 ()

    18.0 -

    18.1

    18.2

    18.3

    18.4

    18.5

    18.6

    18.7 () : (19)

    18.8 , [ 5 . 206]

    18.9 , `

    19 ()

    20 ()

    219

  • 21

    21.0 , : (-):

    (43.5, 44.5) (43.5, 44.5) (43.5, 44.5)

    21.1

    21.2

    21.8 , , [ 5 . 206] , , - 2021.2

    22 : ` (24.9)

    (78.7)

    22.0 ,

    22.1

    22.2

    22.3 Kupffer

    220

    `

  • `

    22.4

    22.7

    22.9 , -

    23

    24 : (22.1)

    24.0 `

    24.1 Vater

    24.8 , [ 5 . 206] , , 22.024.1

    24.9 -,

    25

    25.0

    25.1

    221

  • 25.2

    25.3

    25.4

    25.7

    25.8 , [ 5 . 206]

    25.9 , -

    26 : (48.)

    26.0 , `

    26.1 : Hodgkin (81.)

    (8285)

    26.8 , -[ 5 . 206] -, 1526.1 : (16.0)

    26.9 - ` `

    222

    `

  • `

    (3039): : (45.)

    30

    30.0 () : (41.0)

    `(76.0) (72.2)

    (11.3) (43.3, 44.3)

    30.1 : () (43.2, 44.2)

    () (41.0) (49.0) () (43.2, 44.2)

    31

    31.0 ( Highmore) ()

    31.1

    223

  • 31.2

    31.3

    31.8 , [ 5 . 206]

    31.9 , -

    32

    32.0 () () `

    32.1 , ( ) ` () : (10.1)

    : ` (13.1) (13.1) (13.1)

    32.2

    32.3

    32.8 , [ 5 . 206]

    32.9 , -

    224

    `

  • `

    33

    34

    34.0 ( )

    34.1 ,

    34.2 ,

    34.3 ,

    34.8 , [ 5 . 206]

    34.9 ` ,

    37

    38 , : (45.)

    38.0 : (49.3)

    38.1

    38.2

    38.3 ,

    38.4

    225

  • 38.8 , , [ 5 . 206]

    39 : ` (76.1)

    ` (76.1)

    39.0 ,

    39.8 , [ 5 . 206] , 3039.0

    39.9 `

    (4041) : ` (96.7)

    (49.)

    40

    40.0 ()

    226

    `

  • `

    40.1

    40.2

    40.3

    40.8 , - [ 5 . 206]

    40.9 , -

    41 : (40.)

    : (49.0) (32.3) (40.) (30.0)

    41.0 () () : , -

    : (31.0) (03.0) () (41.1)

    41.1 () : , -

    : ` (03.9) (03.1) (41.0)

    227

  • 41.2 : (41.4)

    41.3 ,

    41.4 ,

    41.8 , -[ 5 . 206]

    -, - 4041.4

    41.9 ,

    (4344)

    43 : 872879 -

    /3 :

    (5152, 60., 63.)

    43.0 : (00.000.2)

    43.1 ,

    43.2

    43.3

    228

    `

  • `

    43.4 -

    43.5 : : ` (21.0)

    43.6 , -

    43.7 , -

    43.8 , [ 5 . 206]

    43.9 , () `

    44 : :

    : Kaposi (46.) (43.) (5152, 60.,

    63.)

    44.0 ` :

    (00.)

    229

  • 44.1 , - : (49.0)

    44.2 : (49.0)

    44.3

    44.4

    44.5 : : ` (21.0)

    44.6 ,

    44.7 , -

    44.8 , [ 5 . 206]

    44.9 , -

    (4549)

    45 : 905

    /3

    230

    `

  • `

    45.0 :

    (38.4)

    45.1 ()() : -

    (48.)

    45.2 : -

    (38.0)

    45.7

    45.9 ,

    46 Kaposi: 9140

    /3

    46.0 Kaposi

    46.1 Kaposi

    46.2 Kaposi ()

    46.3 Kaposi

    46.7 Kaposi

    46.8 Kaposi

    46.9 Kaposi,

    47 :

    231

  • 47.0 , : (69.6)

    47.1 ,

    47.2 ,

    47.3

    47.4

    47.5

    47.6 - ,

    47.8 , - [ 5 . 206]

    47.9 ,

    48 : Kaposi (46.1)

    (45.)

    48.0

    48.1 :

    48.2 ,

    232

    `

  • `

    48.8 , -[ 5 . 206]

    49 :

    , ( )

    : : (4041) (32.3) (30.0) (50.) Kaposi (46.) (45.)

    (47.) (48.) (48.0)

    49.0 , : : (69.6)

    49.1 ,

    49.2 ,

    233

  • 49.3 : (50.)

    (38.0) (38.138.3) (37)

    49.4

    49.5

    49.6 , - `

    49.8 , [ 5 . 206] , - 4749.6

    49.9 , -

    234

    `

  • `

    (50)

    50 : : (43.544.5)

    50.0

    50.1

    50.2

    50.3

    50.4

    50.5

    50.6

    50.8 , [ 5 . 206]

    50.9 ,

    235

  • (5158)

    :

    51

    51.0 ()`

    51.1

    51.2

    51.8 , [ 5 . 206]

    51.9 , `

    52 ()

    53 ()

    53.0

    53.1

    53.8 , [ 5 . 206]

    53.9 ,

    236

    `

  • `

    54

    54.0

    54.1

    54.2

    54.3 ()

    54.8 , [ 5 . 206]

    54.9 ,

    55

    56

    57

    57.0

    57.1

    57.2

    57.3 `

    57.4 ,

    57.7

    237

  • 57.8 , [ 5 . 206] , 5157.7, 58--

    57.9 , - `

    58 ` ` : () (D39.2)

    : ` (O01.9) (D39.2) (D39.2)

    (6063):

    60

    60.0

    60.1

    60.2

    238

    `

  • `

    60.8 , [ 5 . 206]

    60.9 , `

    61

    62

    62.0 [ ] [ ]

    62.1

    62.9 , -

    63

    63.0

    63.1

    63.2

    63.7 ( )

    239

  • 63.8 , [ 5 . 206] , 6063.7

    63.9 , - `

    (6468)

    64 , : :

    (65) (65)

    65 `

    66 : (67.6)

    67

    67.0

    240

    `

  • `

    67.1

    67.2

    67.3

    67.4

    67.5

    67.6 ()

    67.7

    67.8 , [ 5 . 206]

    67.9 ,

    68 : - `:

    (57.9) (63.9)

    68.0 : (67.5)

    68.1

    68.8 , [ 5 . 206] , 6468.1

    68.9 -, `

    241

  • , (6972)

    69 : (49.0)

    (43.1, 44.1) (72.3)

    69.0

    69.1

    69.2

    69.