Îñòàâüòå ññûëêó íà ýòó ñòðàíèöó â ñîöñåòÿõ:

Ïîèñê ïî áàçå äîêóìåíòîâ:

 

Çàðåãèñòðèðîâàíî â Ìèíþñòå ÐÔ 16 àïðåëÿ 2009 ã. N 13787

 

ÌÈÍÈÑÒÅÐÑÒÂÎ ÇÄÐÀÂÎÎÕÐÀÍÅÍÈß È ÑÎÖÈÀËÜÍÎÃÎ ÐÀÇÂÈÒÈß

ÐÎÑÑÈÉÑÊÎÉ ÔÅÄÅÐÀÖÈÈ

 

ÏÐÈÊÀÇ

 

18 ìàðòà 2009 ã.

 

N 121í

 

ÎÁ ÓÒÂÅÐÆÄÅÍÈÈ ÏÅÐÅ×Íß

ÌÅÄÈÖÈÍÑÊÈÕ ÏÎÊÀÇÀÍÈÉ ÄËß ÌÅÄÈÖÈÍÑÊÎÉ ÑÒÅÐÈËÈÇÀÖÈÈ

 

 ñîîòâåòñòâèè ñ ïóíêòîì 5.2.10. Ïîëîæåíèÿ î Ìèíèñòåðñòâå çäðàâîîõðàíåíèÿ è ñîöèàëüíîãî ðàçâèòèÿ Ðîññèéñêîé Ôåäåðàöèè, óòâåðæäåííîãî Ïîñòàíîâëåíèåì Ïðàâèòåëüñòâà Ðîññèéñêîé Ôåäåðàöèè îò 30 èþíÿ 2004 ã. N 321 (Ñîáðàíèå çàêîíîäàòåëüñòâà Ðîññèéñêîé Ôåäåðàöèè, 2004, N 28, ñò. 2898; 2005, N 2, ñò. 162; 2006, N 19, ñò. 2080; 2008, N 11, ñò. 1036; N 15, ñò. 1555; N 23, ñò. 2713; N 42, ñò. 4825; N 46, ñò. 5337; N 48, ñò. 5618; 2009, N 2, ñò. 244; N 3, ñò. 378; N 6, ñò. 738), ïðèêàçûâàþ:

Óòâåðäèòü ïåðå÷åíü ìåäèöèíñêèõ ïîêàçàíèé äëÿ ìåäèöèíñêîé ñòåðèëèçàöèè ñîãëàñíî ïðèëîæåíèþ.

 

Ìèíèñòð

Ò.À.ÃÎËÈÊÎÂÀ

 

 

 

 

 

Ïðèëîæåíèå

ê Ïðèêàçó Ìèíèñòåðñòâà

çäðàâîîõðàíåíèÿ è ñîöèàëüíîãî

ðàçâèòèÿ Ðîññèéñêîé Ôåäåðàöèè

îò 18 ìàðòà 2009 ã. N 121í

 

ÏÅÐÅ×ÅÍÜ

ÌÅÄÈÖÈÍÑÊÈÕ ÏÎÊÀÇÀÍÈÉ ÄËß ÌÅÄÈÖÈÍÑÊÎÉ ÑÒÅÐÈËÈÇÀÖÈÈ

 

┌───┬───────────────────┬────────────────────┬────────────────┬──────────────────┐

│ N │   Íàèìåíîâàíèå       Ôîðìà, ñòàäèè,   │Êîä çàáîëåâàíèÿ │    Ïðèìå÷àíèÿ   

ï/ï│    çàáîëåâàíèÿ       ñòåïåíü, ôàçà    │ ïî ÌÊÁ-10 <1>                   

                          çàáîëåâàíèÿ                                      

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 1 │         2                  3                 4                5        

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

            ÊËÀÑÑ I <2>. ÍÅÊÎÒÎÐÛÅ ÈÍÔÅÊÖÈÎÍÍÛÅ È ÏÀÐÀÇÈÒÀÐÍÛÅ ÁÎËÅÇÍÈ         

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

│ 1 │Òóáåðêóëåç îðãàíîâ │Ïðîãðåññèðóþùèé     │A 15            │Ïðè ÿâëåíèÿõ     

   │äûõàíèÿ,           äâóñòîðîííèé                        │ëåãî÷íî-ñåðäå÷íîé │

   │ïîäòâåðæäåííûé     │òóáåðêóëåç ëåãêèõ:                  │íåäîñòàòî÷íîñòè è │

   │áàêòåðèîëîãè÷åñêè è│ôèáðîçíî-           │A 15.1          │(èëè) ñ äîñòîâåðíî│

   │ãèñòîëîãè÷åñêè     │êàâåðíîçíûé;        │A 15.2          │ïîäòâåðæäåííîé   

                      │äèññåìèíèðîâàííûé ñ │A 15.6          │ìíîæåñòâåííîé    

                      │ðàñïàäîì;                           ëåêàðñòâåííîé    

                      èíôèëüòðàòèâíûé ñ                   │óñòîé÷èâîñòüþ    

                      │ðàñïàäîì;                           │âîçáóäèòåëÿ ïðè  

                      õðîíè÷åñêàÿ                         │íåâîçìîæíîñòè    

                      òîòàëüíàÿ è                         │ïðîâåäåíèÿ       

                      │ñóáòîòàëüíàÿ ýìïèåìà│                àäåêâàòíîãî      

                      │ïëåâðû ñ íàëè÷èåì                   îïåðàòèâíîãî     

                      │áðîíõèàëüíîãî ñâèùà │                │ëå÷åíèÿ          

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 2 │Òóáåðêóëåç îðãàíîâ │Ïðîãðåññèðóþùèé     │A 16            │Ïðè ÿâëåíèÿõ     

   │äûõàíèÿ, íå        äâóñòîðîííèé                        │ëåãî÷íî-ñåðäå÷íîé │

   │ïîäòâåðæäåííûé     │òóáåðêóëåç ëåãêèõ:                  │íåäîñòàòî÷íîñòè  

   │áàêòåðèîëîãè÷åñêè è│ôèáðîçíî-           │A 16.1                           

   │ãèñòîëîãè÷åñêè     │êàâåðíîçíûé;        │A 16.2                           

                      │äèññåìèíèðîâàííûé ñ │A 16.6                           

                      │ðàñïàäîì;                                            

                      │èíôèëüòðàòèâíûé ñ                                    

                      │ðàñïàäîì;                                             

                      │õðîíè÷åñêàÿ                                          

                      │òîòàëüíàÿ è                                          

                      │ñóáòîòàëüíàÿ ýìïèåìà│                                 

                      │ïëåâðû ñ íàëè÷èåì                                    

                      │áðîíõèàëüíîãî ñâèùà │                                 

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 3 │Òóáåðêóëåç äðóãèõ                      │A 18                             

   │îðãàíîâ                                                                 

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 4 │Òóáåðêóëåç êîñòåé è│Òóáåðêóëåç          │A 18.0          │Îñëîæíåííûé      

   │ñóñòàâîâ           │ïîçâîíî÷íèêà,                       │àìèëîèäîçîì      

                      │êðóïíûõ êîñòåé è                    │âíóòðåííèõ îðãàíîâ│

                      │ñóñòàâîâ ñî ñòîéêèì                                 

                      │íàðóøåíèåì ôóíêöèè                                   

                      │îðãàíîâ                                              

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 5 │Òóáåðêóëåç         │Ïðîãðåññèðóþùèé     │A 18.1          │Îñëîæíåííûé      

   │ìî÷åïîëîâûõ îðãàíîâ│äâóñòîðîííèé                        │ñïåöèôè÷åñêèì    

   │(ó æåíùèí)         êàâåðíîçíûé                         │ïîðàæåíèåì       

                      │òóáåðêóëåç ïî÷åê                    │ìî÷åâûâîäÿùèõ    

                                                          │ïóòåé            

                                                          │è (èëè) ðàçâèòèåì │

                                                          │ïî÷å÷íîé         

                                                          │íåäîñòàòî÷íîñòè  

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 6 │Òóáåðêóëåçíûé      │Êîíñòðèêòèâíûé      │A 18.8          │Ñ ðàçâèòèåì      

   │ïåðèêàðäèò         ïåðèêàðäèò                          │ñåðäå÷íîé        

                                                          │íåäîñòàòî÷íîñòè è │

                                                          │ïðè íåâîçìîæíîñòè │

                                                          │ïðîâåäåíèÿ       

                                                          │àäåêâàòíîãî      

                                                          │îïåðàòèâíîãî     

                                                          │ëå÷åíèÿ          

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

                           ÊËÀÑÑ II. ÍÎÂÎÎÁÐÀÇÎÂÀÍÈß                           

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

   │Çëîêà÷åñòâåííûå                        │C 00-C 58                        

   │íîâîîáðàçîâàíèÿ                        │C 64-C 80                        

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

                ÊËÀÑÑ III. ÁÎËÅÇÍÈ ÊÐÎÂÈ È ÊÐÎÂÅÒÂÎÐÍÛÕ ÎÐÃÀÍΠ               

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

│ 1 │Âïåðâûå                                │C 91.0                           

   │äèàãíîñòèðîâàííûå                      │C 92.0                            

   │îñòðûå ëåéêîçû                         │C 92.4                           

                                          │C 92.5                           

                                          │C 93.0                            

                                          │C 94.0                           

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 2 │Ìèåëîäèñïëàñòè÷åñ- │                    │D 46                             

  êèå ñèíäðîìû                                                            

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 3 │Ëèìôîìû èç ãðóïïû                      │C 82                             

   │âûñîêîãî ðèñêà                         │C 83                             

                                          │C 84                             

                                          │C 85                             

                                          │C 88                             

                                          │C 90                             

                                          │C 91                             

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 4 │Ëèìôîãðàíóëåìàòîç                      │C 81                             

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 5 │Õðîíè÷åñêèé        │Òåðìèíàëüíàÿ ñòàäèÿ │C 92                             

   │ìèåëîëåéêîç,                                                            

   òðåáóþùèé ëå÷åíèÿ                                                       

   │èíãèáèòîðàìè                                                            

   │òèðîçèíêèíàç                                                            

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 6 │Õðîíè÷åñêèå        │Áëàñòíûé êðèç       │Ä 45                             

   │ìèåëîïðîëèôåðàòèâ-                    │Ä 47                             

   │íûå çàáîëåâàíèÿ                        │Ä 47.1                           

                                          │Ä 47.3                           

                                          │C 92.7                           

                                          │C 93.1                           

                                          │C 94.1                           

                                          │C 94.5                           

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 7 │Àïëàñòè÷åñêàÿ      │Òÿæåëàÿ ôîðìà       │B 61                             

   │àíåìèÿ                                                                  

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 8 │Ãåìîëèòè÷åñêèå     │Òÿæåëîå             │D 55                              

   │àíåìèè:            ðåöèäèâèðóþùåå      │D 56                             

   îñòðûå             │òå÷åíèå             │D 58                             

   │ãåìîëèòè÷åñêèå                         │D 59                              

   │êðèçû                                                                   

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 9 │Èäèîïàòè÷åñêàÿ     │Õðîíè÷åñêîå         │Ä 69.3                           

   │òðîìáîöèòîïåíè÷åñ- │íåïðåðûâíî                                           

   │êàÿ ïóðïóðà        ðåöèäèâèðóþùåå                                       

                      │òå÷åíèå,                                             

                      ðåôðàêòåðíîå ê ëþáûì│                                 

                      │âèäàì òåðàïèè                                        

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│10 │Îñòðàÿ àòàêà                           │E 80                             

   │ïîðôèðèè, ïðè                                                           

   │ïðîäîëæèòåëüíîñòè                                                       

   │"ñâåòëîãî" ïåðèîäà │                                                     

   │ïîñëå ïîñëåäíåé                                                         

   │àòàêè ìåíåå 2 ëåò                                                       

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

          ÊËÀÑÑ IV. ÁÎËÅÇÍÈ ÝÍÄÎÊÐÈÍÍÎÉ ÑÈÑÒÅÌÛ, ÐÀÑÑÒÐÎÉÑÒÂÀ ÏÈÒÀÍÈß          

                           È ÍÀÐÓØÅÍÈß ÎÁÌÅÍÀ ÂÅÙÅÑÒ                          

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

│ 1 │Ñàõàðíûé äèàáåò ñ                      │E 10.2                           

   │òåðìèíàëüíîé                           │E 11.2                           

   │ïî÷å÷íîé                                                                

   │íåäîñòàòî÷íîñòüþ íà                                                     

   │çàìåñòèòåëüíîé                                                          

   │ïî÷å÷íîé òåðàïèè                                                       

   │ïðè íåâîçìîæíîñòè                                                       

   │òðàíñïëàíòàöèè                                                          

   │ïî÷êè                                                                   

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 2 │Ãèïåðïàðàòèðåîç    │Òÿæåëàÿ ôîðìà ñ     │E 21                             

                      │âèñöåðàëüíûìè è                                      

                      │êîñòíûìè                                             

                      │ïðîÿâëåíèÿìè                                         

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

                       ÊËÀÑÑ V. ÏÑÈÕÈ×ÅÑÊÈÅ ÐÀÑÑÒÐÎÉÑÒÂÀ                       

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

│ 1 │Òÿæåëûå õðîíè÷åñêèå│                    │F 06                             

   │ïñèõè÷åñêèå                            │F1x.5 F1x.6                      

   │ðàññòðîéñòâà ñî                        │F1x.7                            

   │ñòîéêèìè èëè ÷àñòî │                    │F1x.73                            

   │îáîñòðÿþùèìèñÿ                         │F1x.74                           

   │áîëåçíåííûìè                           │F 20.0-20.9                      

   │ïðîÿâëåíèÿìè                           │(çà èñêëþ÷åíèåì │                  

                                          │F20.4)                           

                                          │F 21                             

                                          │F 30-39                          

                                          │F 42                             

                                          │F 70-79                          

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 2 │Íàñëåäñòâåííûå è                       │F0.04                            

   │äåãåíåðàòèâíûå                         │F0.14                            

   │ïñèõè÷åñêèå                            │F0.83 <3>                        

   │ðàññòðîéñòâà                           │F0.84                            

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 3 │Áîëåçíè çàâèñèìîñòè│                    │F1x.2x2x <4>                     

                                          │F1x.2x3x <4>                     

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

                       ÊËÀÑÑ VI. ÁÎËÅÇÍÈ ÍÅÐÂÍÎÉ ÑÈÑÒÅÌÛ                       

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

   │Òÿæåëûå                                │A 81.0                           

   │èíâàëèäèçèðóþùèå                       │G 09                             

   │íåêóðàáåëüíûå                          │G 10-G 13.8                      

   │çàáîëåâàíèÿ íåðâíîé                    │G 20-G 26                        

   │ñèñòåìû ðàçëè÷íîé                      │G 30.0-31.9                      

   │ýòèîëîãèè,                             │G 35                             

   │ñîïðîâîæäàþùèåñÿ                       │G 40.0                           

   │âûðàæåííûìè                            │G 70-G 73                        

   │äâèãàòåëüíûìè,                         │E 83.0                           

   │ïñèõè÷åñêèìè                                                            

   │ðàññòðîéñòâàìè                                                          

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

              ÊËÀÑÑ VII. ÁÎËÅÇÍÈ ÃËÀÇÀ È ÅÃÎ ÏÐÈÄÀÒÎ×ÍÎÃÎ ÀÏÏÀÐÀÒÀ             

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

   │Çëîêà÷åñòâåííûå    │T3-4 N0 M0          │C 43.1                           

   │íîâîîáðàçîâàíèÿ    │T1-4 N0 M0          │C 69.0                           

   │îðãàíà çðåíèÿ      │T1-4 N0 M1          │C 69.1                           

   │(ïðèäàòî÷íîãî      │T1-4 N1 M1          │C 69.2 <5>                       

   │àïïàðàòà, ãëàçà,                       │C 69.3                           

   │îðáèòû)                                │C 69.4                           

                                          │C 69.5                           

                                          │C 69.6                           

                                          │C 69.9                           

                                          │C 72.3                            

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

                    ÊËÀÑÑ IX. ÁÎËÅÇÍÈ ÑÈÑÒÅÌÛ ÊÐÎÂÎÎÁÐÀÙÅÍÈß                   

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

│ 1 │Ðåâìàòè÷åñêèå                          │I 05-I 09                        

   │ïîðîêè ñåðäöà:                         │I 50                             

   │à) ïîðîêè ñåðäöà,                                                       

   │ñîïðîâîæäàþùèåñÿ                                                        

   │íåäîñòàòî÷íîñòüþ                                                        

   │êðîâîîáðàùåíèÿ (ÍÊ)│                                                     

   │2Á, 3 ñò.;                                                              

   │á) ïîðîêè ñåðäöà,                      │I 74                             

   │ñîïðîâîæäàþùèåñÿ                       │I 81-I 82                        

   │âûñîêîé ëåãî÷íîé                       │I 51.3                           

   │ãèïåðòåíçèåé;                                                           

   │â) ïîðîêè ñåðäöà ñ                                                     

   │òðîìáîýìáîëè÷åñêèìè│                                                     

   │îñëîæíåíèÿìè âî                                                         

   │âðåìÿ áåðåìåííîñòè │                                                     

   │èëè â àíàìíåçå, à                                                       

   │òàêæå ïðè íàëè÷èè                                                       

   │òðîìáà â ïîëîñòÿõ                                                       

   │ñåðäöà                                                                 

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 2 │Ïîðîêè ñåðäöà ñ                                                         

   │àòðèîìåãàëèåé èëè                                                       

   │êàðäèîìåãàëèåé                                                          

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 3 │Âðîæäåííûå ïîðîêè                      │Q 20                             

   │ñåðäöà:                                │Q 21.0                           

   │à) ïîðîêè ñåðäöà ñ │                    │Q 21.1                           

   │íàëè÷èåì                               │Q 25.0                           

   │ïàòîëîãè÷åñêîãî                        │I 50                             

   │ñáðîñà êðîâè                           │I 26-I 27                        

   │(äåôåêò                                │I 33                             

   │ìåæïðåäñåðäíîé                                                          

   │ïåðåãîðîäêè, äåôåêò│                                                     

   │ìåææåëóäî÷êîâîé                                                         

   │ïåðåãîðîäêè,                                                            

   │îòêðûòûé                                                                

   │àðòåðèàëüíûé                                                            

   │ïðîòîê):                                                                

   │- ïîðîêè ñåðäöà,   │Ëåãî÷íàÿ ãèïåðòåíçèÿ│                                 

   │ñîïðîâîæäàþùèåñÿ   │II-IV ñòåïåíè                                         

   │ÍÊ 2Á, 3 ñò.,      │(êëàññèôèêàöèÿ ïî                                    

   │- ïîðîêè ñåðäöà,   Õèò-Ýäâàðäñó)                                        

   │ñîïðîâîæäàþùèåñÿ                                                         

   │ëåãî÷íîé                                                                

   │ãèïåðòåíçèåé;                                                           

                                                                           

   │á) ïîðîêè ñåðäöà ñ │                    │Q 25.3                           

   │çàòðóäíåííûì                           │Q 25.2                           

   │âûáðîñîì êðîâè èç                      │Q 25.1                           

   │ëåâîãî æåëóäî÷êà                       │I 50                             

   │(ñòåíîç àîðòû,                                                          

   │êîàðêòàöèÿ àîðòû)                      │Q23                              

   │èëè èç ïðàâîãî                                                          

   │æåëóäî÷êà (ñòåíîç                                                       

   │ëåãî÷íîé àðòåðèè): │                                                     

   │- ïîðîêè ñåðäöà,                                                        

   ñîïðîâîæäàþùèåñÿ ÍÊ│                                                     

   │2Á ñòåïåíè è áîëåå,│                                                     

   │- íàëè÷èå                                                               

   │ïîñòñòåíîòè÷åñêîãî │                                                     

   │ðàñøèðåíèÿ                                                              

   │(àíåâðèçìà àîðòû                                                        

   │èëè ëåãî÷íîé                                                            

   │àðòåðèè);                                                               

                                                                           

   │â) âðîæäåííûå                                                           

   │àíîìàëèè                                                                

   │àòðèîâåíòðèêóëÿðíûõ│                                                     

   │êëàïàíîâ,                                                               

   │ñîïðîâîæäàþùèåñÿ                                                        

   │ðåãóðãèòàöèåé 3-4                                                       

   │ñòåïåíè è ñëîæíûìè                                                     

   │íàðóøåíèÿìè ðèòìà; │                                                     

                                                                           

   │ã) êàðäèîìèîïàòèè: │                                                     

   │- äèëàòàöèîííàÿ                        │I 42.0                           

   │êàðäèîìèîïàòèÿ,                                                          

   │- ðåñòðèêòèâíàÿ                        │I 42.5                           

   │êàðäèîìèîïàòèÿ,                                                         

   │- ãèïåðòðîôè÷åñêàÿ │                    │I 42.1                            

   │êàðäèîìèîïàòèÿ ñ                                                        

   │âûðàæåííîé                                                              

   │îáñòðóêöèåé                                                             

   │âûâîäíîãî òðàêòà                                                        

   │ëåâîãî, ïðàâîãî èëè│                                                     

   │îáîèõ æåëóäî÷êîâ,                                                       

   │- ãèïåðòðîôè÷åñêàÿ │                    │I 42.2                           

   │êàðäèîìèîïàòèÿ áåç │                                                     

   │îáñòðóêöèè                                                              

   │âûâîäíîãî òðàêòà                                                        

   │ëåâîãî æåëóäî÷êà ñî                                                     

   │ñëîæíûìè                                                                

   │íàðóøåíèÿìè                                                             

   │ñåðäå÷íîãî ðèòìà;                                                       

                                                                           

   │ä) òåòðàäà Ôàëëî;                      │Q 21.3          │Íåêîððèãèðîâàííàÿ,│

                                                          │ïîñëå ïàëëèàòèâíûõ│

                                                          │îïåðàöèé         

                                                                           

   │å) ïåíòàäà Ôàëëî;                      │Q 21.8          │Íåêîððèãèðîâàííàÿ,│

                                                          │ïîñëå ïàëëèàòèâíûõ│

                                                          │îïåðàöèé         

   │æ) àíîìàëèÿ                                                             

   │Ýáøòåéíà;                              │Q 22.5          │Íåêîððèãèðîâàííàÿ │

                                                                           

   │ç) ñëîæíûå                             │Q 25.8-9                         

   │âðîæäåííûå ïîðîêè                      │Q 20.0                           

   │ñåðäöà                                 │Q 20.8-9                         

   │(òðàíñïîçèöèÿ                          │Q 25.0                           

   │ìàãèñòðàëüíûõ                          │Q 25.2                           

   │ñîñóäîâ, ïîëíàÿ                        │Q 25.5                           

   │ôîðìà                                                                   

   │àòðèîâåíòðèêóëÿðíîé│                                                     

   │êîììóíèêàöèè,                                                            

   │îáùèé àðòåðèàëüíûé │                                                     

   │ñòâîë, åäèíñòâåííûé│                                                     

   │æåëóäî÷åê ñåðäöà,                                                        

   │àòðåçèÿ                                                                 

   │àòðèîâåíòðèêóëÿðíûõ│                                                     

   │èëè ïîëóëóííûõ                                                          

   │êëàïàíîâ);                                                              

                                                                           

   │è) ñèíäðîì                             │Q 21.8                           

   │Ýéçåíìåíãåðà;                                                           

                                                                           

   │ê) ñèíäðîì                             │Q 21.1                           

   │Ëþòåìáàøå;                                                              

                                                                           

   │ë) áîëåçíü                             │I 27.0                           

   │(ñèíäðîì) Àýðçà                                                         

   │(Àéåðñû)                                                                

   │(èçîëèðîâàííûé                                                          

   │ñêëåðîç ëåãî÷íûõ                                                       

   │àðòåðèé ñ ëåãî÷íîé                                                     

   │ãèïåðòåíçèåé)                                                           

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 4 │Ñîñòîÿíèå ïîñëå                                                         

   │ïåðåíåñåííûõ                                                            

   │êàðäèîõèðóðãè÷åñêèõ│                                                     

   │âìåøàòåëüñòâ:                                                           

   │à) ïîñëå                               │T 82                             

   │ïàëëèàòèâíîé                                                           

   │(íåïîëíîé)                                                              

   │êîððåêöèè                                                               

   │âðîæäåííîãî ïîðîêà │                                                     

   │ñåðäöà (ÂÏÑ);                                                           

                                                                           

   │á) ïîñëå                               │T 88.8                           

   │õèðóðãè÷åñêîé                                                           

   │êîððåêöèè ÂÏÑ ñ                                                         

   │îñòàòî÷íûìè                                                              

   │ïðèçíàêàìè ëåãî÷íîé                                                     

   │ãèïåðòåíçèè;                                                            

                                                                           

   │â) ïîñëå                               │T 88.8                           

   │õèðóðãè÷åñêîé                                                           

   │êîððåêöèè ëþáîãî                                                         

   │ïîðîêà ñåðäöà,                                                          

   │âûïîëíåííîé ñ                                                           

   │íåóäîâëåòâîðèòåëü- │                                                      

   │íûì ðåçóëüòàòîì;                                                        

                                                                           

   │ã) ìíîãîêëàïàííîå                      │T 82                             

   │ïðîòåçèðîâàíèå                                                          

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 5 │Áîëåçíè ñîñóäîâ:                                                        

   │à) çàáîëåâàíèÿ                                                          

   │àîðòû è åå âåòâåé: │                                                     

   │- àíåâðèçìà àîðòû â│                    │I 71                             

   ëþáîì îòäåëå                           │I 72.2                           

   │(ãðóäíîì, áðþøíîì),│                    │I 72.3                           

   │â òîì ÷èñëå ïîñëå                      │I 72.8                           

   │ðåêîíñòðóêòèâíûõ                       │I 77.6                           

   │îïåðàöèé -                             │I 80                             

   │øóíòèðîâàíèÿ,                                                           

   │ïðîòåçèðîâàíèÿ,                                                         

   │àíåâðèçìû                                                               

   │ìàãèñòðàëüíûõ                                                           

   │àðòåðèé (ìîçãîâûõ, │                                                     

   │ïî÷å÷íûõ,                                                               

   │ïîäâçäîøíûõ,                                                            

   │ñåëåçåíî÷íîé è                                                          

   │äð.), â òîì ÷èñëå                                                       

   │ïîñëå                                                                   

   │õèðóðãè÷åñêîãî                                                          

   │ëå÷åíèÿ;                                                                

                                                                           

   │á) òðîìáîýìáîëè÷åñ-│                    │I 74                             

   │êàÿ áîëåçíü è                          │I 82                             

   │òðîìáîýìáîëè÷åñêèå │                    │I 74                             

   │îñëîæíåíèÿ                             │I 74.2                           

   │(ñèñòåìíûå ýìáîëèè │                    │I 74.3                           

   │àðòåðèé ãîëîâíîãî                      │I 74.8                           

   │ìîçãà, ðóê, íîã,                                                        

   │ïî÷åê,                                                                  

   │ìåçåíòåðèàëüíûõ                                                         

   │ñîñóäîâ, à òàêæå                                                        

   │âåòâåé ëåãî÷íîé                                                         

   │àðòåðèè)                                                                

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 6 │Ãèïåðòîíè÷åñêàÿ                                                         

   │áîëåçíü:                                                                

   │à) ãèïåðòîíè÷åñêàÿ │                    │I 10                              

   │áîëåçíü II B - III │                                                     

   │ñòàäèé;                                                                 

                                                                           

   │á) ãèïåðòîíè÷åñêàÿ │                                                     

   │áîëåçíü ïðè                                                             

   îòñóòñòâèè ýôôåêòà │                                                     

   │îò àäåêâàòíî                                                            

   │ïðîâîäèìîé òåðàïèè │                                                     

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

                        ÊËÀÑÑ X. ÁÎËÅÇÍÈ ÎÐÃÀÍÎÂ ÄÛÕÀÍÈß                       

├────────────────────────────────────────────────────────────────────────────────┤

│ ñëó÷àå ðàçâèòèÿ òÿæåëîé äûõàòåëüíîé íåäîñòàòî÷íîñòè, íåçàâèñèìî îò õàðàêòåðà 

│ïåðâè÷íîé ëåãî÷íîé ïàòîëîãèè è/èëè ëåãî÷íîé ãèïåðòåíçèè.                       

├────────────────────────────────────────────────────────────────────────────────┤

                     ÊËÀÑÑ XI. ÁÎËÅÇÍÈ ÎÐÃÀÍÎÂ ÏÈÙÅÂÀÐÅÍÈß                     

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

│ 1 │Ïå÷åíî÷íàÿ                             │K 73.2                           

   │íåäîñòàòî÷íîñòü                        │K 72.0                           

   │íåçàâèñèìî îò                          │K 74.6                           

   │ïåðâè÷íîãî                             │K 76.6                           

   │çàáîëåâàíèÿ ïå÷åíè │                    │K 76.0                           

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 2 │Áîëåçíü Êðîíà,                         │K 50.8                           

   │îñëîæíåííàÿ                                                             

   │ñòåíîçîì, ñâèùàìè, │                                                     

   │íàðóøåíèÿìè                                                             

   │âñàñûâàíèÿ è                                                            

   │êðîâîòå÷åíèÿìè                                                          

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 3 │Íåñïåöèôè÷åñêèé                        │K 51.0                           

   │ÿçâåííûé êîëèò,                                                         

   │îñëîæíåííûé                                                             

   │òîêñè÷åñêîé                                                             

   │äèëàòàöèåé òîëñòîé │                                                     

   │êèøêè, ïðîôóçíûìè                                                       

   │ïîíîñàìè,                                                               

   │ìàññèâíûìè                                                              

   │êèøå÷íûìè                                                               

   │êðîâîòå÷åíèÿìè                                                          

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 4 │Öåëèàêèÿ ñ                             │K 90.0          │Äèàãíîç äîëæåí   

   │íàðóøåíèÿìè                                            │áûòü ïîäòâåðæäåí 

   │âñàñûâàíèÿ â òîíêîé                                    │ãèñòîëîãè÷åñêèì  

   │êèøêå                                                  │èññëåäîâàíèåì    

                                                          │òîíêîé (äâåíàäöà- │

                                                          │òèïåðñòíîé) êèøêè │

                                                          │è èììóíîëîãè÷åñ- 

                                                          │êèìè òåñòàìè ñ   

                                                          │îïðåäåëåíèåì     

                                                          │àíòèòåë ê ãëèàäèíó│

                                                          │è òêàíåâîé       

                                                          │òðàíñãëóòàìèíàçå 

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 5 │Ãðûæà áðþøíîé                          │K 43.0          │Çíà÷èòåëüíûõ     

   │ñòåíêè                                                 │ðàçìåðîâ ñ       

                                                          │ðàñõîæäåíèåì     

                                                          │áðþøíîé ñòåíêè ïðè

                                                          │íåâîçìîæíîñòè    

                                                          │õèðóðãè÷åñêîé    

                                                          │êîððåêöèè        

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 6 │Ñïàå÷íàÿ áîëåçíü                       │K 56.5                           

   │êèøå÷íèêà ñ                                                             

   │ïðèñòóïàìè êèøå÷íîé                                                     

   │íåïðîõîäèìîñòè                                                          

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 7 │Êèøå÷íûå ñâèùè                         │K 63.2          │Ïðè íåâîçìîæíîñòè │

                                                          │õèðóðãè÷åñêîãî   

                                                          │ëå÷åíèÿ          

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

       ÊËÀÑÑ XIII. ÁÎËÅÇÍÈ ÊÎÑÒÍÎ-ÌÛØÅ×ÍÎÉ ÑÈÑÒÅÌÛ È ÑÎÅÄÈÍÈÒÅËÜÍÎÉ ÒÊÀÍÈ      

├───┬───────────────────┬────────────────────┬────────────────┬──────────────────┤

│ 1 │Êðàíèîñèíîñòîç                         │Q 75.0                           

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 2 │Spina bifida                           │Q 76.0                           

   │occulta                                                                 

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│ 3 │Âðîæäåííîå ïîëíîå                      │Q 71.0                           

   │îòñóòñòâèå                                                              

   │âåðõíåé(èõ)                                                              

   │êîíå÷íîñòè(åé)                                                          

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│ 4 │Âðîæäåííîå ïîëíîå                      │Q 72.0                           

   │îòñóòñòâèå                                                              

   │íèæíåé(èõ)                                                              

   │êîíå÷íîñòè(åé)                                                          

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│ 5 │Äèñòðîôè÷åñêàÿ                         │Q 77.5                           

   │äèñïëàçèÿ                                                               

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│ 6 │Âðîæäåííàÿ ëîìêîñòü│                    │Q 78.0                           

   │êîñòåé                                                                  

   │(íåçàâåðøåííûé                                                          

   │îñòåîãåíåç)                                                             

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│ 7 │Âðîæäåííûé                             │Q 74.3                           

   │ìíîæåñòâåííûé                                                           

   │àðòðîãðèïîç                                                             

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│ 8 │Ðåâìàòîèäíûé àðòðèò│Áûñòðî              │M 05.3                           

   │ñ âîâëå÷åíèåì      ïðîãðåññèðóþùåå     │M 06.8                           

   │äðóãèõ îðãàíîâ è   │òå÷åíèå ñ                                            

   │ñèñòåì             íåêîíòðîëèðóåìîé                                     

                      │âûñîêîé àêòèâíîñòüþ │                                 

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│ 9 │Óçåëêîâûé          │Òÿæåëîå òå÷åíèå     │M 30.0          │Ïîëèîðãàííîå     

   │ïîëèàðòåðèèò                                           │ïîðàæåíèå, â òîì 

                                                          ÷èñëå ïîðàæåíèå  

                                                          │ïî÷åê ñî         

                                                          │çëîêà÷åñòâåííîé  

                                                          │ãèïåðòåíçèåé,    

                                                          │ðåçèñòåíòíîé ê   

                                                          │àäåêâàòíîé       

                                                          │àíòèãèïåðòåíçèâíîé│

                                                          │òåðàïèè          

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│10 │Ïîëèàðòåðèèò ñ     │Òÿæåëîå òå÷åíèå     │M 30.1          │Ïîðàæåíèå ëåãêèõ ñ

   │ïîðàæåíèåì ëåãêèõ                                      │÷àñòûì           

   │(×åðäæà-Ñòðîññà)                                       │êðîâîõàðêàíüåì è 

                                                          │ðàçâèòèåì        

                                                          │äûõàòåëüíîé      

                                                          │íåäîñòàòî÷íîñòè è │

                                                          │ãåíåðàëèçàöèè    

                                                          │âàñêóëèòà        

                                                          │(ïîëèíåéðîïàòèÿ, 

                                                          │ãëîìåðóëîíåôðèò) 

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│11 │Ãðàíóëåìàòîç       │Òÿæåëîå òå÷åíèå     │M 31.3          │Ïîðàæåíèå ëåãêèõ è│

   │Âåãåíåðà                                               │ïî÷åê ñ ïðèçíàêàìè│

                                                          │èõ íåäîñòàòî÷íîñòè│

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│12 │Ñèíäðîì äóãè àîðòû │Òÿæåëîå òå÷åíèå     │M 31.4          │Ïîðàæåíèå        

   │(Òàêàÿñó)                                             │àîðòàëüíûõ       

   │(íåñïåöèôè÷åñêèé                                       │êëàïàíîâ ñ       

   │àîðòîàðòåðèèò)                                         │ñèìïòîìàìè       

                                                          │íåäîñòàòî÷íîñòè  

                                                          │êðîâîîáðàùåíèÿ,  

                                                          │ðàçâèòèåì        

                                                          │àðòåðèàëüíîé     

                                                          │ãèïåðòåíçèè,     

                                                          │àíåâðèçìû àîðòû  

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│13 │Ñèñòåìíàÿ êðàñíàÿ  │Îñòðîå è õðîíè÷åñêîå│M 32.1          │Ïîðàæåíèå ïî÷åê  

   │âîë÷àíêà           │òå÷åíèå ñ ÷àñòûìè                   │(íåôðèò ñî ñòîéêèì│

                      │îáîñòðåíèÿìè                        íåôðîòè÷åñêèì    

                      │çàáîëåâàíèÿ                         │ñèíäðîìîì è      

                                                          │àðòåðèàëüíîé     

                                                          │ãèïåðòåíçèåé), ÖÍÑ│

                                                          │(ðåöèäèâèðóþùèé  

                                                          │ýïèñèíäðîì),     

                                                          │ñåðäöà ñ         

                                                          │ôîðìèðîâàíèåì    

                                                          │êëàïàííûõ ïîðîêîâ,│

                                                          │ëåãêèõ è         

                                                          │ñèìïòîìàìè       

                                                          │íàðóøåíèÿ ôóíêöèè │

                                                          │ýòèõ îðãàíîâ     

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│14 │Äåðìàòî(ïîëè)ìèîçèò│Òÿæåëîå òå÷åíèå,    │M 33.1          │Ïîðàæåíèå ñåðäöà ñ│

                      òðåáóþùåå äëèòåëüíîé│M 33.2          │íàðóøåíèÿìè ðèòìà │

                      │òåðàïèè âûñîêèìè                    │è ñèìïòîìàìè     

                      │äîçàìè                              │íåäîñòàòî÷íîñòè  

                      │ãëþêîêîðòèêîèäîâ                    │êðîâîîáðàùåíèÿ   

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│15 │Ïðîãðåññèðóþùèé    │Îñòðîå è õðîíè÷åñêîå│M 34.0          │Ïîðàæåíèå ïî÷åê ñî│

   │ñèñòåìíûé ñêëåðîç  │òå÷åíèå ñ âûñîêîé                   │ñòîéêîé          

   │(ñèñòåìíàÿ         │àêòèâíîñòüþ ïðîöåññà│                │àðòåðèàëüíîé     

   │ñêëåðîäåðìèÿ)                                          │ãèïåðòåíçèåé,    

                                                          │ëåãêèõ ñ ðàçâèòèåì│

                                                          │ëåãî÷íîé         

                                                          │ãèïåðòåíçèè è    

                                                          │íàðóøåíèåì èõ    

                                                          │ôóíêöèé          

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│16 │Ñóõîé ñèíäðîì      │Òÿæåëîå òå÷åíèå ñ   │M 35.0          │Ïîðàæåíèå ëåãêèõ, │

   │(Øåãðåíà)          │ïîðàæåíèåì æèçíåííî │                │ïî÷åê ñ ïðèçíàêàìè│

                      │âàæíûõ îðãàíîâ                      │íåäîñòàòî÷íîñòè èõ│

                                                          │ôóíêöèé          

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│17 │Àíòèôîñôîëèïèäíûé  │Òÿæåëîå òå÷åíèå     │D 68.3          │Íàëè÷èå â àíàìíåçå│

   │ñèíäðîì                                                ïîâòîðíûõ        

                                                          │íàðóøåíèé        

                                                          │ìîçãîâîãî        

                                                          │êðîâîîáðàùåíèÿ,  

                                                          │ôîðìèðîâàíèå     

                                                          │êëàïàííûõ ïîðîêîâ │

                                                          │ñåðäöà ñ         

                                                          │íàðóøåíèåì       

                                                          │êðîâîîáðàùåíèÿ,  

                                                          │ïîðàæåíèå ïî÷åê ñî

                                                          │ñòîéêîé          

                                                          │àðòåðèàëüíîé     

                                                          │ãèïåðòåíçèåé è   

                                                          │ïî÷å÷íîé         

                                                          │íåäîñòàòî÷íîñòüþ 

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│18 │Ãåìîððàãè÷åñêèé    │Òÿæåëîå             │D 69.8          │Ïîðàæåíèå ïî÷åê ñ │

   │âàñêóëèò(ïóðïóðà   │ðåöèäèâèðóþùåå                      │ðàçâèòèåì èõ     

   │Øåíëåéíà-Ãåíîõà)   │òå÷åíèå                             │íåäîñòàòî÷íîñòè, 

                                                          │ëåãêèõ è         

                                                          │æåëóäî÷íî-       

                                                          │êèøå÷íîãî òðàêòà 

├───┴───────────────────┴────────────────────┴────────────────┴──────────────────┤

                    ÊËÀÑÑ XIV. ÁÎËÅÇÍÈ ÌÎ×ÅÏÎËÎÂÎÉ ÑÈÑÒÅÌÛ                     

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│ 1 │Õðîíè÷åñêàÿ                            │N 18.9          │Óðîâåíü êðåàòèíèíà│

   ïî÷å÷íàÿ                                               │ñûâîðîòêè êðîâè äî│

   │íåäîñòàòî÷íîñòü                                        │çà÷àòèÿ ïðè ëþáîì │

   │ëþáîé ýòèîëîãèè                                        │äèàãíîçå íå äîëæåí│

                                                          │ïðåâûøàòü 200    

                                                          │ìêìîëü/ë (1,8    

                                                          │ìã/äë)           

├───┼───────────────────┼────────────────────┼────────────────┼──────────────────┤

│ 2 │Åäèíñòâåííàÿ ïî÷êà │                    │Q 64 ÷àñòü                       

   │(âðîæäåííàÿ èëè                                                         

   îñòàâøàÿñÿ ïîñëå                                                        

   │íåôðýêòîìèè) ïðè                                                        

   │àçîòåìèè,                                                               

   │àðòåðèàëüíîé                                                           

   │ãèïåðòåíçèè,                                                            

   òóáåðêóëåçå,                                                            

   │ïèåëîíåôðèòå,                                                           

   ãèäðîíåôðîçå                                                            

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│ 3 │Ýêñòðîôèÿ ìî÷åâîãî │                    │Q 64.1                           

   │ïóçûðÿ                                                                  

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--------------------------------

<1> Ìåæäóíàðîäíàÿ ñòàòèñòè÷åñêàÿ êëàññèôèêàöèÿ áîëåçíåé è ïðîáëåì, ñâÿçàííûõ ñî çäîðîâüåì, 10-é ïåðåñìîòð.

<2> Êëàññû çàáîëåâàíèé ïî ÌÊÁ-10.

<3> Ïðîâåäåíèå ìåäèöèíñêîé ñòåðèëèçàöèè êàñàåòñÿ òîëüêî æåíùèí.

<4> Êàñàåòñÿ òîëüêî àëêîãîëèçìà II è III ñòàäèé ó æåíùèí.

<5> Ñòåðèëèçàöèÿ ïðè ñåìåéíûõ ôîðìàõ ðåòèíîáëàñòîìû.

 

Ïðèìå÷àíèå. Âîïðîñ î ìåäèöèíñêîé ñòåðèëèçàöèè æåíùèí ðåøàåòñÿ ñ ó÷åòîì çàêëþ÷åíèÿ ñïåöèàëèñòîâ ïî ïðîôèëþ îñíîâíîãî çàáîëåâàíèÿ.

 

 



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