СОДЕРЖАНИЕ

ПРЕДИСЛОВИЕ АВТОРА........................................................................................................................................................................................................................................

ОСНОВНЫЕ ЭТАПЫ РАЗВИТИЯ ПАТОЛОГИЧЕСКОЙ АНАТОМИИ B УКРАИНЕ.......................................................................................................... IO

Часть I. ОБЩАЯ ПАТОЛОГИЧЕСКАЯ АНАТОМИЯ

ГлаваІ. ВВЕДЕНИЕ......................................................................................... i.......................................................................................................................................................... 17

Глава 2. УЛЬТРАСТРУКТУРНЫЕ ОСНОВЫ ПАТОЛОГИИ КЛЕТКИ............................................................................................................................................. 25

ЦИТОПЛАЗМАТИЧЕСКАЯ МЕМБРАНА....................................................................................................................................................................................................... 29

ЦИТОПЛАЗМА............................................................................................................................................................................................................................................................ 32

МИТОХОНДРИИ ..................................................................................................................................................................................................................................................... 32

ЭНДОПЛАЗМАТИЧЕСКИЙ РЕТИКУЛУМ...................................................................................................................................................................................................

АППАРАТ ГОЛЬДЖИ.............................................................................................................................................................................................................................................. 34

ЛИЗОСОМЫ................................................................................................................................................................................................................................................................. 35

ПАТОЛОГИЯ НЕМЕМБРАННЫХОРГАНЕЛЛ............................................................................................................................................................................................. 37

ЯДРОИЕГОАНОМАЛИИ...................................................................................................................................................................................................................................... 38

Глава 3. ПОВРЕЖДЕНИЯ. ПАРЕНХИМАТОЗНЫЕ ДИСТРОФИИ.................................................................................................................................................. 43

ДИСТРОФИЯ................................................................................................................................................................................................................................................................ 43

МОРФОГЕНЕЗ ДИСТРОФИЙ............................................................................................................................................................................................................................. 44

ПАРЕНХИМАТОЗНЫЕДИСТРОФИИ.............................................................................................................................................................................................................. 45

Паренхиматозные белковые дистрофии (диспротеинозы)........................................................................................................................................................

Паренхиматозные жировыедистрофии................................................................................................................................................................................................... 48

Паренхиматозные углеводные дистрофии............................................................................................................................................................................................ 49

Глава 4. СТРОМАЛЬНО-СОСУДИСТЫЕ ДИСТРОФИИ...................................................................................................................................................................... 54

СТРОМАЛЬНО-СОСУДИСТЫЕ БЕЛКОВЫЕ ДИСТРОФИИ.............................................................................................................................................................. 54

Мукоидное набухание......................................................................................................................................................................................................................................... 55

Фибриноидное набухание................................................................................................................................................................................................................................ 56

Гиалиноз......................................................................................................................................................................................................................................................................... 56

Амилоидоз.................................................................................................................................................................................................................................................................... 57

СТРОМАЛЬНО-СОСУДИСТЫЕ УГЛЕВОДНЫЕ ДИСТРОФИИ.......................................................................................................................................................

Глава 5. СМЕШАННЫЕДИСТРОФИИ............................................................................................................................................................................................................ 65

НАРУШЕНИЯ ОБМЕНАХРОМОПРОТЕИДОВ (ЭНДОГЕННЫЕ ПИГМЕНТАЦИИ)............................................................................................................. 66

Нарушения обмена гемоглобиногенных пигментов...................................................................................................................................................................... 66

Нарушения обмена протеиногенных (тирозин-триптофановых) пигментов................................................................................................................ 71

Нарушения обменалипидогенных пигментов (липопигментов)......................................................................................................................................... 71

НАРУШЕНИЯ ОБМЕНА НУКЛЕОПРОТЕИДОВ....................................................................................................................................................................................... 72

НАРУШЕНИЯ МИНЕРАЛЬНОГО ОБМЕНА (МИНЕРАЛЬНЫЕ ДИСТРОФИИ)..................................................................................................................... 73

Глава 6. НЕКРОЗ, АПОПТОЗ, АТРОФИЯ .................................................................................................................................................................................................... 80

НЕКРОЗ............................................................................................................................................................................................................................................................................ 80

АПОПТОЗ.......................................................................................................................................................................................................................................................................

АГРОФИЯ....................................................................................................................................................................................................................................................................... 86

Глава 7. НАРУШЕНИЯ КРОВООБРАЩЕНИЯ........................................................................................................................................................................................... 92

ОБЩИЕ НАРУШЕНИЯ КРОВООБРАЩЕНИЯ.......................................................................................................................................................................................... 93

Общее артериальное полнокровие (hyperaemia universalis arteriosa)................................................................................................................................. 93

Общее венозное полнокровие (hyperaemia universalis venosa)............................................................................................................................................... 93

Общее малокровие (anaemia um"versaLis)..........................................................................................................................

. 95 . 95 . 96 . 96 . 96 . 97

. 99 100 100 101 102 102 103 106 110 111

114

115

Общее острое малокровие (anaemia universalis acuta)...............................................................................................

Общее хроническое малокровие (anaemia universaLis chronica)........................................................................

Сгущение крови (anhydraemia,inspisatio sanguinis)........................................................................................................

Разжижение крови (hydraemia)..................................................................................................................................................

Шок................................................................................................................................................................................................................

Синдром диссеминированного внутрисосудистого свертывания крови (ДВС-синдром, тромбогеморрагический синдром, коагулопатия потребления) МЕСТНЫЕ НАРУШЕНИЯ КРОВООБРАЩЕНИЯ...........................................................................................................................................................................................................................

Местное артериальное полнокровие (hyperaemia arteriosa localis)

Местное венозное полнокровие (hyperaemia venosa localis).......................................................

Стаз.......................................................................................................................................................................................

Кровотечение...............................................................................................................................................................

Тромбоз............................................................................................................................................................................

Эмболия............................................................................................................................................................................

Местное малокровие, или ишемия................................................................................................................

Инфаркт .*.......................................................................................................................................................................

НАРУШЕНИЯ ЛИМФООБРАЩЕНИЯ..............................................................

НАРУШЕНИЯ СОДЕРЖАНИЯ ТКАНЕВОЙ ЖИДКОСТИ

Глава 8. КОМПЕНСАТОРНО-ПРИСПОСОБИТЕЛЬНЫЕ ПРОЦЕССЫ............................................................................................................................................ 120

ГИПЕРТРОФИЯ ...................................................................................................................................................................................................................................................... 120

ГИПЕРПЛАЗИЯ ....................................................................................................................................................................................................................................................... 122

РЕГЕНЕРАЦИЯ ......................................................................................................................................................................................................................................................... 123

ОРГАНИЗАЦИЯ ...................................................................................................................................................................................................................................................... 129

МЕТАПЛАЗИЯ........................................................................................................................................................................................................................................................... 129

ГлаваЭ. ВОСПАЛЕНИЕ...................................................................................................................................................................................................................................... 133

АЛЬТЕРАЦИЯ............................................................................................................................................................................................................................................................ 133

ЭКССУДАЦИЯ........................................................................................................................................................................................................................................................ 135

ПРОЛИФЕРАЦИЯ................................................................................................................................................................................................................................................... 137

РЕГУЛЯЦИЯ ВОСПАЛЕНИЯ ........................................................................................................................................................................................................................... 137

ОСНОВНЫЕ КЛИНИЧЕСКИЕ ПРИЗНАКИ ОСТРОГО ВОСПАЛЕНИЯ................................................................................................................................... 137

ТЕРМИНОЛОГИЯ ВОСПАЛЕНИЯ................................................................................................................................................................................................................ 138

КЛАССИФИКАЦИЯ ВОСПАЛЕНИЯ ............................................................................................................................................................................................................ 138

Альтеративное воспаление.............................................................................................................................................................................................................................. 138

Экссудативное воспаление.............................................................................................................................................................................................................................. 138

Пролиферативное воспаление...................................................................................................................................................................................................................... 144

ДЕФИЦИТЫ ВОСПАЛИТЕЛЬНОГО ОТВЕТА.......................................................................................................................................................................................... 148

Глава 10. ИММУНИТЕТ (А.А.Селезнёв)....................................................................................................................................................................................................... 153

ХАРАКТЕРИСТИКИ ИММУННОГООТВЕТА........................................................................................................................................................................................... 153

АНТИГЕНЫ ................................................................................................................................................................................................................................................................ 154

КЛЕТОЧНАЯ ОСНОВА ИММУННОГО ОТВЕТА................................................................................................................................................................................... 155

Лимфоциты............................................................................................................................................................................................................................................................... 155

Макрофаги (моноциты крови и гистиоциты тканей).................................................................................................................................................................... 159

ИММУНОГЛОБУЛИНЫ (АНТИТЕЛА)......................................................................................................................................................................................................... 159

РАСПОЗНАВАНИЕ АНТИГЕНОВ И ОСНОВЫ РАЗНООБРАЗИЯ АНТИГЕННЫХ РЕЦЕПТОРОВ............................................................................. 161

ВОЗНИКНОВЕНИЕ РАЗНООБРАЗИЯ: ГЕН-«ПЕРЕТАСОВЫВАЮЩИЙ» МЕХАНИЗМ ................................................................................................. 162

РЕЗУЛЬТАТЫ ВЗАИМОДЕЙСТВИЯ АНТИТЕЛ C АНТИГЕНАМИ................................................................................................................................................ 162

КОМПЛЕМЕНТ......................................................................................................................................................................................................................................................... 162

ТИПЫ ИММУННОГО ОТВЕТА....................................................................................................................................................................................................................... 163

Глава 11. АНОМАЛИИ ИММУННОГО ОТВЕТА (Т.И.Шевченко).................................................................................................................................................... 164

ИММУННАЯ ГИПЕРЧУВСТВИТЕЛЬНОСТЬ............................................................................................................................................................................................ 164

ОТТОРЖЕНИЕ ТРАНСПЛАНТАТА................................................................................................................................................................................................................. 170

АУТОИММУННЫЕ БОЛЕЗНИ...................................................................................................................................................................................................................... 172

НЕДОСТАТОЧНОСТЬ ИММУННОГО ОТВЕТА .................................................................................................................................................................................... 175

ВРОЖДЕННЫЙ (ПЕРВИЧНЫЙ) ИММУНОДЕФИЦИТ........................................................................................................................................................................ 175

ВТОРИЧНЫЙ (ПРИОБРЕТЕННЫЙ) ИММУНОДЕФИЦИТ................................................................................................................................................................ 178

Глава 12. ОБЩЕЕ УЧЕНИЕ ОБ ОПУХОЛЯХ............................................................................................................................................................................................... 184

ЭТИОЛОГИЯ ОПУХОЛЕЙ .................................................................................................................................................................................................................................. 184

ТЕОРИИ РАЗВИТИЯ ОПУХОЛЕЙ.................................................................................................................................................................................................................... 190

МОРФОГЕНЕЗОПУХОЛЕЙ................................................................................................................................................................................................................................... 191

МОРФОЛОГИЯ ОПУХОЛЕЙ.............................................................................................................................................................................................................................. 193

Глава 13. ЭПИТЕЛИАЛЬНЫЕ ОПУХОЛИ..................................................................................................................................................................................................... 201

ПАПИЛЛОМА............................................................................................................................................................................................................................................................... 201

АДЕНОМА....................................................................................................................................................................................................................................................................... 202

РАК, ИЛИ КАРЦИНОМА................................................................................ ,..................................................................................................................................................... 204

Глава 14. НЕЭПИТЕЛИАЛЬНЫЕОПУХОЛИ СГ.И.Шевченко).......................................................................................................................................................... 206

ОПУХОЛИ МЯГКИХТКАНЕЙ.............................................................................................................................................................................................................................. 206

Глава 15. РАКИ ОТДЕЛЬНЫХОРГАНОВ....................................................................................................................................................................................................... 215

РАКЖЕЛУДКА............................................. :................................................................................................................................................................................................................ 215

РАКПИЩЕВОДА.......................................................................................................................................................................................................................................................... 216

РАККИШЕЧНИКА ..................................................................................................................................................................................................................................................... 217

РАКПЕЧЕНИ................................................................................................................................................................................................................................................................... 217

PAK ПОДЖЕЛУДОЧНОЙ ЖЕЛЕЗЫ................................................................................................................................................................................................................. 217

РАКЛЕГКИХ.................................................................................................................................................................................................................................................................... 217

PAK МОЛОЧНОЙ ЖЕЛЕЗЫ................................................................................................................................................................................................................................. 218

PAK МАТКИ .................................................................................................................................................................................................................................................................. 219

РАКЯИЧНИКОВ.......................................................................................................................................................................................................................................................... 219

PAK ПОЧЕК.................................................................................................................................................................................................................................................................... 220

Глава 16. ОПУХОЛИ КРОВЕТВОРНОЙ ТКАНИ...................................................................................................................................................................................... 226

ЛЕЙКОЗЫ (ЛЕЙКЕМИИ)....................................................................................................................................................................................................................................... 226

ЛИМФОМЫ................................................................................................................................................................................................................................................................... 231

НЕХОДЖКИНСКИЕЛИМФОМЫ....................................................................................................................................................................................................................... 231

ЛИМФОМА ХОДЖКИНА...................................................................................................................................................................................................................................... 234

Часть II. ЧАСТНАЯ ПАТОЛОГИЧЕСКАЯ АНАТОМИЯ

Глава 17. БОЛЕЗНИ СЕРДЕЧНО-СОСУДИСТОЙ СИСТЕМЫ ......................................................................................................................................................... 238

АТЕРОСКЛЕРОЗ........................................................................................................................................................................................................................................................... 238

ГИПЕРТОНИЧЕСКАЯ БОЛЕЗНЬ........................................................................................................................................................................................................................ 242

ИШЕМИЧЕСКАЯ БОЛЕЗНЬСЕРДЦА............................................................................................................................................................................................................... 245

ЦЕРЕБРОВАСКУЛЯРНЫЕ ЗАБОЛЕВАНИЯ................................................................................................................................................................................................... 247

КАРДИОМИОПАТИИ............................................................................................................................................................................................................................................. 248

Глава 18. РЕВМАТИЧЕСКИЕ БОЛЕЗНИ. ЭНДОКАРДИТЫ................................................................................................................................................................. 255

РЕВМАТИЗМ.................................................................................................................................................................................................................................................................. 258

СИСТЕМНАЯ КРАСНАЯ ВОЛЧАНКА............................................................................................................................................................................................................... 260

РЕВМАТОИДНЫЙ АРТРИТ.................................................................................................................................................................................................................................. 262

СИСТЕМНАЯ СКЛЕРОДЕРМИЯ......................................................................................................................................................................................................................... 263

НОДОЗНЫЙ (УЗЕЛКОВЫЙ) ПОЛИАРТЕРИИТ....................................................................................................................................................................................... 264

НЕРЕВМАТИЧЕСКИЕЭНДОКАРДИТЫ........................................................................................................................................................................................................... 265

Глава 19. БОЛЕЗНИ ПОЧЕК................................................................................................................................................................................................................................. 268

ГЛОМЕРУЛЯРНЫЕЗАБОЛЕВАНИЯ ПОЧЕК,ИЛИ ГЛОМЕРУЛОПАТИИ.................................................................................................................................. 268

Первичные гломерулярные заболевания ............................................................................................................................................................................................... 272

Хронический гломерулонефрит................................................................................................................ :................................................................................................... 275

Вторичные (приобретенные)гломерулопатии...................................................................................................................................................................................... 277

ПАТОЛОГИЧЕСКАЯ АНАТОМИЯ

6 -- --------------------- = - ' — ' ■= ■ -- "--= "-- ' '~ -

ТУБУЛОПАТИИ............................................................................................................................................................................................................................................................. 281

Тубуло-интерстициальные заболевания почек....................................................................................................................................................................................... 281

ХРОНИЧЕСКАЯ ПОЧЕЧНАЯ НЕДОСТАТОЧНОСТЬ................................................................................................................................................................................ 285

Глава 20. БОЛЕЗНИ ОРГАНОВ ПИЩЕВАРИТЕЛЬНОЙ СИСТЕМЫ .............................................................................................................................................. 289

ВОСПАЛИТЕЛЬНЫЕ ЗАБОЛЕВАНИЯЖЕЛУДКА......................................................................................................................................................................................... 289

Острый гастрит............................................................................................................................................................................................................................................................ 289

Хронический гастрит............................................................................................................................................................................................................................................... 290

ЯЗВЕННАЯ БОЛЕЗНЬЖЕЛУДКА

И ДВЕНАДЦАТИПЕРСТНОЙ КИШКИ ........................................................................................................................................................................................................... 291

АППЕНДИЦИТ............................................................................................................................................................................................................................................................... 293

ЗАБОЛЕВАНИЯ КИШЕЧНИКА............................................................................................................................................................................................................................. 294

Синдром мальабсорбции ................................................................................................................................................................................................................................... 294

Неспецифический язвенный колит................................................................................................................................................................................................................. 295

Болезнь Крона................................................................................................................................................................................................................................................................ 296

Болезнь Уиппла............................................................................................................................................................................................................................................................ 298

ПАНКРЕАТИТ..*............................................................................................................................................................................................................................................................. 298

БОЛЕЗНИ ПЕЧЕНИ ................................................................................................................................................................................................................................................... 299

Глава 21. БОЛЕЗНИ ОРГАНОВ ДЫХАНИЯ................................................................................................................................................................................................. 305

БРОНХИТ, ИЛИ ВОСПАЛЕНИЕ БРОНХОВ................................................................................................................................................................................................. 305

Острый бронхит........................................................................................................................................................................................................................................................... 305

ПНЕВМОНИИ.................................................................................................................................................................................................................................................................. 306

Острые пневмонии..................................................................................................................................................................................................................................................... 306

Крупозная пневмония............................................................................................................................................................................................................................................. 307

Очаговые пневмонии............................................................................................................................................................................................................................................ 308

МЕЖУТОЧНАЯ ПНЕВМОНИЯ ............................................................................................................................................................................................................................ 310

ОСТРЫЕ ДЕСТРУКТИВНЫЕ ПРОЦЕССЫ ВЛЕГКИХ................................................................................................................................................................................... 310

ХРОНИЧЕСКИЕ НЕСПЕЦИФИЧЕСКИЕЗАБОЛЕВАНИЯЛЕГКИХ..................................................................................................................................................... 311

Хроническийбронхит........................................................................................................................................................................................................................................... 311

Бронхоэктазы и бронхоэктатическая болезнь........................................................................................................................................................................................ 312

Эмфиземалегких.......................................................................................................................................................................................................................................................... 313

Бронхиальная астма................................................................................................................................................................................................................................................. 314

ИНТЕРСТИЦИАЛЬНЫЕЗАБОЛЕВАНИЯЛЕГКИХ....................................................................................................................................................................................... 315

Глава 22. ЭНДОКРИННАЯ ПАТОЛОГИЯ........................................................................................................................................................................................................ 320

САХАРНЫЙ ДИАБЕТ.................................................................................................................................................................................................................................................. 320

ЗАБОЛЕВАНИЯ ЩИТОВИДНОЙЖЕЛЕЗЫ................................................................................................................................................................................................... 322

Глава 23. ПРЕНАТАЛЬНАЯ ПАТОЛОГИЯ........................................................................................................................................................................................................ 325

ГАМЕТОПАТИИ.............................................................................................................................................................................................................................................................. 326

НАРУШЕНИЯ РАЗВИТИЯ ПЛОДА B РЕЗУЛЬТАТЕ ГЕНЕТИЧЕСКИХ ПОВРЕЖДЕНИЙ.

ХРОМОСОМНЫЕ АБЕРРАЦИИ.......................................................................................................................................................................................................................... 326

Врожденные нарушения метаболизма......................................................................................................................................................................................................... 329

Кистозный фиброз (муковисцидоз)................................................................................................................................................................................................................ 332

КИМАТОПАТИИ............................................................................................................................................................................................................................................................ 332

БЛАСТОПАТИИ.............................................................................................................................................................................................................................................................. 334

ЭМБРИОПАТИИ.......................................................................................................................................................................................................................................................... 335

КЛАССИФИКАЦИЯ ВРОЖДЕННЫХПОРОКОВ РАЗВИТИЯ.............................................................................................................................................................. 336

ВАЖНЕЙШИЕ ПОРОКИ РАЗВИТИЯ............................................................................................................................................................................................................... 336

ФЕТОПАТИИ .................................................................................................................................................................................................................................................................. 340

Глава 24. ПЕРИНАТАЛЬНАЯ ПАТОЛОГИЯ.................................................................................................................................................................................................... 344

НЕДОНОШЕННОСТЬ, НЕЗРЕЛОСТЬ, ПЕРЕНОШЕННОСТЬ................................................................................................................................................................ 344

ИНФЕКЦИОННЫЕЗАБОЛЕВАНИЯ.................................................................................................................................................................................................................... 345

НЕИНФЕКЦИОННЫЕЗАБОЛЕВАНИЯ.............................................................................................................................................................................................................. 347

Родовая травма......................................................................................................................................................................................................................................................... 348

Кровоизлияния в желудочки мозга............................................................................................................................................................................................................... 349

Гемолитическая болезнь новорожденных................................................................................................................................................................................................ 349

Геморрагическая болезнь новорожденных............................................................................................................................................................................................. 350

ПНЕВМОПАТИИ........................................................................................................................................................................................................................................................... 351

ПНЕВМОНИИ............................................................................................................................................................................................................................................................... 351

Глава 25. ПРОФЕССИОНАЛЬНЫЕ БОЛЕЗНИ............................................................................................................................................................................................... 353

ПРОФЕССИОНАЛЬНЫЕ БОЛЕЗНИ, ВЫЗЫВАЕМЫЕ ВОЗДЕЙСТВИЕМ ПРОМЫШЛЕННОЙ ПЫЛИ......................................................................... 353

Пневмокониозы............................................................................................................................................................................................................................................................ 353

Антракоз............................................................................................................................................................................................................................................................................. 354

Силикоз............................................................................................................................................................................................................................................................................... 355

Асбестоз.............................................................................................................................................................................................................................................................................. 357

Бериллиоз.......................................................................................................................................................................................................................................................................... 357

ПРОФЕССИОНАЛЬНЫЕ ЗАБОЛЕВАНИЯ, ВЫЗЫВАЕМЫЕ ПРОМЫШЛЕННЫМИ

ХИМИЧЕСКИМИ ПРОИЗВОДСТВЕННЫМИЯДАМИ............................................................................................................................................................................. 358

Ртуть..................................................................................................................................................................................................................................................................................... 358

Свинец................................................................................................................................................................................................................................................................................. 359

Мышьяк............................................................................................................................................................................................................................................................................. 360

ПРОФЕССИОНАЛЬЙЫЕ ЗАБОЛЕВАНИЯ, ВЫЗЫВАЕМЫЕ ВОЗДЕЙСТВИЕМ ФИЗИЧЕСКИХ ФАКТОРОВ.............................................................. 361

ПРОФЕССИОНАЛЬНЫЕ ЗАБОЛЕВАНИЯ, ВЫЗЫВАЕМЫЕ БИОЛОГИЧЕСКИМИ

ПРОИЗВОДСТВЕННЫМИ ФАКТОРАМИ........................................................................................................................................................................................................ 368

Глава 26. ЭКОЛОГИЧЕСКАЯ ПАТОЛОГИЯ. ПРИНЦИПЫ РАСПОЗНАВАНИЯ ПАТОЛОГИИ,

СВЯЗАННОЙ C ФАКТОРАМИ ЧЕРНОБЫЛЬСКОЙ КАТАСТРОФЫ (В.П. Терещенко с соавт.)....................................................................................... 371

Глава 27. ИНФЕКЦИОННЫЕ БОЛЕЗНИ (Общее учение).................................................................................................................................................................... 375

Глава 28. ПРИОННЫЕ ИНФЕКЦИИ (Л.И.Волос)....................................................................................................................................................................................... 383

БОЛЕЗНЬ КРЕЙТЦФЕЛЬДТА-ЯКОБА................................................................................................................................................................................................................. 386

БОЛЕЗНЬ КУРУ............................................................................................................................................................................................................................................................... 387

СИНДРОМ ГЕРСТМАННА-ШТРАУССЛЕРА-ШЕЙНКЕРА....................................................................................................................................................................... 388

ФАТАЛЬНАЯ СЕМЕЙНАЯ БЕССОННИЦА........................................................................................................................................................................................................ 388

БОЛЕЗНЬ АЛЬПЕРСА ................................................................................................................................................................................................................................................. 388

СПОНГИОФОРМНЫЙ МИОЗИТСПРИОН-АССОЦИИРОВАННЫМИ ВКЛЮЧЕНИЯМИ............................................................................................... 389

Глава 29. ВИРУСНЫЕ ИНФЕКЦИИ..................................................................................................................................................................................................................... 390

ОСТРЫЕ РЕСПИРАТОРНЫЕ ВИРУСНЫЕ ИНФЕКЦИИ........................................................................................................................................................................... 392

Грипп................................................................................................................................................................................................................................................................................. 393

Парагрипп ....................................................................................................................................................................................................................................................................... 395

Респираторно-синцитиальная инфекция................................................................................................................................................................................................... 395

Аденовирусная инфекция...................................................................................................................................................................................................................................... 395

ДРУГИЕ ВИРУСНЫЕ ИНФЕКЦИИ....................................................................................................................................................................................................................... 396

Вирусный гепатит........................................................................................................................................................................................................................................................ 396

Корь....................................................................................................................................................................................................................................................................................... 400

Полиомиелит................................................................................................................................................................................................................................................................... 401

Краснуха............................................................................................................................................................................................................................................................................. 402

Паротит эпидемический....................................................................................................................................................................................................................................... 402

ВИЧ-обусловленный СПИД (Т.И.Шевченко)............................................................................................................................................................................................. 403

Глава 30. РИККЕТСИОЗЫ......................................................................................................................................................................................................................................... 408

ЭПИДЕМИЧЕСКИЙСЫПНОЙТИФ..................................................................................................................................................................................................................... 408

СПОРАДИЧЕСКИЙ СЫПНОЙ ТИФ (БОЛЕЗНЬ БРИЛЛА) ................................................................................................................................................................ 410

КУ-РИККЕТСИОЗ (КУ-ЛИХОРАДКА)................................................................................................................................................................................................................ 410

Глава 31. БАКТЕРИАЛЬНЫЕ ИНФЕКЦИИ....................................................................................................................................................................................................... 411

ТУБЕРКУЛЕЗ...................................................................................................................................................................................................................................................................... 411

СИФИЛИС......................................................................................................................................................................................................................................................................... 419

ЛЕПРА (ПРОКАЗА)........................................................................................................................................................................................................................................................ 423

СКЛЕРОМА (РИНОСКЛЕРОМА)....................................................................................................................................................................................................................... 425

САП...................................................................................................................................................................................................................................................................................... 425

Глава 32. КИШЕЧНЫЕ ИНФЕКЦИИ.................................................................................................................................................................................................................. 427

БРЮШНОЙ ТИФ........................................................................................................................................................................................................................................................ 427

САЛЬМОНЕЛЛЕЗЫ...................................................................................................................................................................................................................................................... 429

ДИЗЕНТЕРИЯ (ШИГЕЛЛЕЗ)................................................................................................................................................................................................................................... 430

КАМПИЛОБАКТЕРНЫЙ ЭНТЕРОКОЛИТ...................................................................................................................................................................................................... 433

ИЕРСИНИОЗНЫЙ ЭНТЕРОКОЛИТ.................................................................................................................................................................................................................. 433

Глава 33. КАРАНТИННЫЕ ИНФЕКЦИИ.......................................................................................................................................................................................................... 435

ХОЛЕРА.............................................................................................................................................................................................................................................................................. 435

ЧУМА.............................................................................................................................................................................................................................................................................. 437

ТУЛЯРЕМИЯ ................................................................................................................................................................................................................................................................. 439

СИБИРСКАЯ ЯЗВА....................................................................................................................................................................................................................................................... 441

БРУЦЕЛЛЕЗ.................................................................................................................................................................................................................................................................... 442

Глава 34. ОСТРЫЕ РЕСПИРАТОРНЫЕ ИНФЕКЦИИ БАКТЕРИАЛЬНОЙ ЭТИОЛОГИИ .................................................................................................. 445

ДИФТЕРИЯ................................................................................................................................................................................................................................................................. 445

СКАРЛАТИНА.............................................................................................................................................................................................................................................................. 447

МЕНИНГОКОККОВАЯ ИНФЕКЦИЯ.................................................................................................................................................................................................................. 449

КОКЛЮШ......................................................................................................................................................................................................................................................................... 451

Глава 35. ВИСЦЕРАЛЬНЫЕ МИКОЗЫ............................................................................................................................................................................................................. 453

АКТИНОМИКОЗ........................................................................................................................................................................................................................................................... 453

Глава 36. ИНФЕКЦИОННЫЕ БОЛЕЗНИ, ВЫЗЫВАЕМЫЕ ПРОСТЕЙШИМИ............................................................................................................................ 454

МАЛЯРИЯ......................................................................................................................................................................................................................................................................... 454

АМЕБИАЗ.......................................................................................................................................................................................................................................................................... 456

ГИАРДИАЗ (ЛЯМБЛИ03).................................................................................................................................................................................................................................... 457

ЛЕЙШМАНИАЗ............................................................................................................................................................................................................................................................. 458

ПРЕДМЕТНЫЙ УКАЗАТЕЛЬ.................................................................................................................................................................................................................................... 466

ЭТАЛОНЫ ОТВЕТОВ НАТЕСТОВЫЕЗАДАНИЯ............................................................................................................................................................................................ 471