obs.kazanlak.bg · · g',:' ~cgi _6~:'-iii. 0 . ii . i.u; hha ka3ah ji . 1> k ....

16
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Page 1: obs.kazanlak.bg · · G',:' ~cGi _6~:'-iii. 0 . Ii . I.U; HHA KA3AH JI . 1> K . A5 .05 '2. 0 . tg, AO 06U1HHCKH CbBET KA3AHllbK ";" AOKllAA . no 'In. 93 OT npaBMnHMKa 3a

·

G',:' ~cGi _6~:'-iii. 0 Ii I.U; H H A KA3AH JI 1> K A5 .05 '20 tg,

AO 06U1HHCKH CbBET­KA3AHllbK ";"

AOKllAA

no 'In. 93 OT npaBMnHMKa 3a opraHM3allMJlTa MAeMHocTTa Ha 0611.\MHCKM C"bBeT OT CTect!aH XpMCTOB AaMJlHOB - KMeT Ha 0611.\MHa Ka3aHn"bk

OTHOCHO: E,I:\HoKpaTHLII nOMOIllLil no peweHLile Ha 061llLilHCKLII CbBeT ­Ka3aHIlbK Ha rpalK,QaHLII CbC 3,1:\paBOcIloBHLiI npo6IleMLII.

YBA)KAEMH rOCnOAHH npEACE,QATEll, MOIlS'l, no BHeCeHLilS'l OT MeH ,l:\OKIla,l:\ 061llLilHCKLII CbBeT ,l:\a ce npoLil3Hece Ha

CIle,l:\BaIllOTO CLii 3ace,l:\aHLile npe3 2010 ro,l:\LilHa

MOTMBM: B 06UjLilHcKa a,l:\MI>1HLilCTpaI.lLilS'l ca nOCTbnLilIlLII MOIl61>1 3a omycKaHe Ha

e,l:\HOKpaTHa nOMOUj Ha rpalK,QaHLII 3a 3anIlaillaHe Ha Onepal\LilS'l, Ile4eHLile,

Lil3CIle,l:\BaHLilS'l, IleKapCTBa LiI KOHcyMaTLilBLiI, KOLIITO He ce noeMaT OT H30K.

XpMCTO raHeB A6paweB OT rp.Ka3aHIlbK. ,QLilarH03aTa My e li1C5,

HeCTa6Li1IlHa aHrLilHa neKTOpLilC- aKl\eIlepLilpaHa npLii OCTLIIaIlHa XpOHLil4Ha OKIly3Li1S'l

Ha LAD, npe>KLilBS'lH MLiiOKap,l:\eH LilHepapKT Ha nCIlK, XLiinepTOHLil4Ha 60IlecT Ha

Cbpl\eTO, npl>1,1:\py>KaBallla ,l:\LilarH03a ,l:\LilCIlLilnl>1,1:\eMLilS'l, S'l3Ba Ha

,l:\BaHa~cTOnpbcHLilKa B KIlLilHLiI'lHa peMLilCLilS'l, npe,l:\CTOLII My cneWHa

>KI>1BOTOCnaCS'lBallla onepal.lLilS'l Ha Cbpl\eTO I,I:\OKa3aHa HylK,Qa OT 4eTLilpLii 6a~nacal

B 60IlHI>1l\a "CB,EKaTepLilHa" - COepLilS'l , KOS'lTO He ce noeMa Lil31.lS'lIlO OT 3,1:\paBHaTa

Kaca, neHCLIIOHep. neHCLilS'lTa My e 270 IlB, MOIlLIITeIlS'lT e B 3aTpY,l:\HeHo

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KpacMMMp BacMneB HayMoB OT Ka3aHIlbK, li1HBaIlLil,l:\ nbpBa rpyna-92%

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pa3XO,l:\ 3a nOMbp>Kallll>1 Me,l:\I>1KaMeHTLII e 70 IlB, ,QOXO,l:\bT My e OT neHCI>1S'l 260 IlB.

npe,l:\CTOLII My Ile4eHLile LiI peXa6Li1IlLilTal\I>1Li1,

lly'lMaH TOAOPOB Ken'leB OT Ka3aHIlbK, li13BbpweHa My e cneWHa onepal\LilS'l

3a OTCTpaHS'lBaHe Ha XepHl>1aIleH ,QeepeKT B I>1HrBLilHaIlHaTa 06IlaCT. HanpaBeHLiI ca

pa3XO,QLiI 3a onepaTLilBHOTO LiI CIle,Q onepaTLilBHO Ile4eHI>1e LiI Bb3CTaHOBS'lBaHe.

npLileMa Me,QLilKaMeHTLiI, KOLIITO He ce 3anIlaillaT OT 3,QpaBHaTa Kaca, MOIlLIITeIlS'lT e

6e3pa6oTeH, CeMeeH e C ,QBe ,Qel\a, KOLIITO ca Y4eH1>1 l\1>1, CeMe~CTBOTO e B

3aTpY,QHeHO MaTepLiiaIlHO nOIlO>KeHLile.

BecenMH liIoPAaHoB AMMMTpOB OT Ka3aHIlbK. ,QLilarH03aTa My e apTepl>1aIlHa

eM6oIlLilS'l LiI TpOM603a, CbCTOS'lHLile CIle,Q aMnyTal\LilS'l Ha ,QBeTe nO,Q6e,QpLilI.lLil B

cpe,QHa TpeTa, no nOBO,Q aTepOCKIlepOTI>14HLiI raHrpeHI>1, li1HBaIlI>1,Q C 90 %

HaMaIleHa TpY,Qocnoco6HoCT. npe,QCTOLII My Ile4eHLile, 3aKynyBa Me,QLilKaMeHTLiI,

KOI>1TO 4aCTLil4HO ce noeMaT OT 3,QpaBHaTa Kaca. CeMeeH, ,QOXO,QbT Ha

ceMe~CTBOTO e OT LilHBaIlI>1,QHa neHCLilR, Komo e B pa3Mep Ha 230 IlB. MOIlLIITeIlRT

e B 3aTpY,QHeHo MaTepLiiaIlHO nOIlO>KeHl>1e,

Page 2: obs.kazanlak.bg · · G',:' ~cGi _6~:'-iii. 0 . Ii . I.U; HHA KA3AH JI . 1> K . A5 .05 '2. 0 . tg, AO 06U1HHCKH CbBET KA3AHllbK ";" AOKllAA . no 'In. 93 OT npaBMnHMKa 3a

npOEKT 3A PEWEHME: 061l.1MHCKM C'bSeT, Ha OCHOBaHllle 'lJl. 21, aJl.1, T.23 OT 3MCMA , a Cb~O

III 3XO>K,Qa j;1 Kill OT TeJKKOTO 3ApaBOCJlOBHO III MaTeplllaJlHO CbCTOs:lHllle Ha MOJlIIITeJll1Te

PEWM: OTnycKa OT 610AJKeTa Ha 06~IIIHa Ka3aHJlbK 3a 2009 roAIIIHa, nOA naparpa¢ 42-14 - ",Qpyrlll nOMO~1II no peweHllle Ha 06C", eAHoKpaTHa naplII'lHa nOMO~

Ha 1.XpMCTO raHes A6pawes OT rp.Ka3aHJlbK ,KB."B.neBcKIII" 6Jl.15 eT.6,an. 30 ­400nB. 2. KpacMMMp BacMnes HayMos OT rp.Ka3aHJlbK KB."B.neBcKIII" 6Jl.21 ,Bx.B,an.42­

250 ns. 3. I1y'lMaH TOAOPOB Ken'les OT rp.Ka3aHJlbK, YJl."KanpoHIII" NQ 12 6 - 250 ns. 4. BecenMH HOPAaHos AMMMTpOS OT rp.Ka3aHJlbK ,YJl."CJlaBs:lHCKa" NQ 1 Bx.A, eT.3,an.5 - 400 ns.

A,QPECAT HA AKTA: KMeTa Ha 06~IIIHa Ka3aHJlbK III MOJlIIITeJlIIITe. ,QOK1lA,QI.IMK nPM PA3rIlE>K,D,AHE HA 3ACEAAHM~ HA KOMMCMM: MaplIIs:l

)f(eKoBa- cTapwlII eKcnepT "COl\lIIaJlHIII Aej;1HocTIII". ,QOK1lA,QI.IMK nPM PA3rIlE>K,D,AHE HA 3ACEAAHME HA OEiI1.lMHCKM CbBET:

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AIIICKeTa.

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Page 3: obs.kazanlak.bg · · G',:' ~cGi _6~:'-iii. 0 . Ii . I.U; HHA KA3AH JI . 1> K . A5 .05 '2. 0 . tg, AO 06U1HHCKH CbBET KA3AHllbK ";" AOKllAA . no 'In. 93 OT npaBMnHMKa 3a

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Page 4: obs.kazanlak.bg · · G',:' ~cGi _6~:'-iii. 0 . Ii . I.U; HHA KA3AH JI . 1> K . A5 .05 '2. 0 . tg, AO 06U1HHCKH CbBET KA3AHllbK ";" AOKllAA . no 'In. 93 OT npaBMnHMKa 3a

M6A11 "npo~. A-p CrOJIH KMPKOB"""-AA rp. Cr. 3aropa

EKCnEPTHO PEWEHME HI! ~ aT @]]3J ~ 3aC. NI! AeH HeC. rcA.

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1. Ha BECEm1H 1I10PllAHOB ll'=l-1:'='M7'l-1:::':T'::-'PO"'-'B:o.-­ _ lII...e, npe3l'\Me, ll:0..llJ1lo1"

n~4Ha KapTa NQ 172475020 ~3AaAeHa Ha 13.10.2000 aT f"1BP CTAPA 3ArOPA

2. nOCTO~HeH 06fl.Crapa 3aropa - Ka3aHflbK yfl C11aB~HcKa 1- A- III- 5 [illaApec: oM" 00ul., rp. (c.), .,1(., 611., BX., an., 'I'll. N9

3. rpYAOBa 3aeTOCT: -'-H'-'e'-'=-p-=a-=6-=o-'-T-'-'l-1'--_-==-:::::=,...,-::=--=-=:::c;-~c_::__==;__=_____c_;_;_:_------- [] 1 pa6oTH- npo¢lecMA; 2 pa6(rr1ll- neHCltOltep; 3 He paOOnl; <1 yMpllll; 5 ,lleTe • 1:10 16 r.

4. CbCTO~H~e AO 72% Tp. HaM. pa6. @]eKcnepT~3aTa: 1 pa6oTOCIl. (sp. TPYAO)'CTJXleI'l); 2 BP. Hl!PiI6.; 3 Bp. MtPati, KHBaJ'l14ll

MH8<1JIH,ll: <1 HiUl9O% C ,!,n.; 5 HilA 90% fie) '1,n.; 6 71%- 900/0; 7 so- 70%; 8 DIJ 50%; 9 50%- 90% c 'l,Il. 3a ,!leL.&a AO Hi r.

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6. M~CTO Ha eKcnepT~3a: "'fJ.'-'O=M-'---- ---:-:=..,...--o- -,- [I] 1 TEflK; 2 .tIo...; 3 COI,IMatlHO 3OBe,QeHllle; 4 AD.

7. OlleHKa Ha pa60Tocnoco6HOCTTa: 90%/ AeBeT,qeceT %/ Tp. HaM. pa6. @] pa6oTocn0Cl:l6eH; Bp. Hepa5crrocnoco6elol; ap. Hepa6. IIIHBaJlI4ll nOC04sa ce Iq)aKH....lIT npol.leHT

06)KanBaH~ 60nH~4H~ n~CTOBe:

8. CpOK Ha 4YJKAaTa nOMOIJ.l: ~ 9. CpoK Ha ~HBa-~ 3a e,qHa rO,ql-1Ha IT] flHAHOCTTa AO: 1r.; 2r.; Jr.; nolKl'IlHeH

10. V1HBaJl~AHOCT no np~4~H~:

% Tp. H. pa6.

06~o 3a6omiBaHe

90%

TpV,QoBa 3I1onon Ka

npo¢\eCIotOHanHO 3a6onSlsaHe

06ll1o Tp. 3Jlon. 11 n • 3a60n.

BoeHHa I'lHBam·1 HOCT

rpa:lK.,QaHCKa I'lHSanl'l HOCT

AaTa ~HB. 03.10.08

11. BOAeUla A~arH03a: ApTeplllaJlHa eM6onl-111 1II TpOM603a

----------------------[[ili] 11.1. 06UlO 3a6on~BaHe: CbCTOSlHl-1e cne,a aMnyraUlIISl Ha ABeTe nOA6e,qp1-lUI-I B Cpe,qHa TpeTa,

no nOBon aTepOCKllepOTW·IHI-I raHrpeHIo1- B npe,anpOTe3aUI-IOHeH neplo10A. ApTepl-lanHa

Xl-lneprOHIo1Sl IlIcr.. CbOAeYHa <popMa, yMepeHa KbM Te)l(Ka creneH. Xl-16C. Cra6lo1nHa

CTeHOKaOAl-1Sl II <tlK.

~~---------------------lIIlliJ 11.2. TpYAoBa 3nononyKa:

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l KOHCTaTallHH QT MeJ\HllHHcKHTe 1OC11eJ\BaHHH, npeJlCTaBeHHTe AOKYMeHTH H MOTHBH 3il EP

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COMAT. V1 XV1Pypr. CTATYCV1: HopManHo 0llBereHVI KO>Ka 11 BI1A. nl1raBI1411,cpe,QHo 113pa3eHo nO,QKO>KHe. Be3V1K. AVlwaHe 6e3 xpVlnoBe. PCa 70/M, aKll. A2 rOH, PP 140/80, 6e3 wyMoBe. KopeM 6e3 opraHOMeranl151, He50ne3HeH. aBere no,a5e,QpVl411 ca aMnyrl1paHI1 B cpe,QHa rpera, c nbpBI14HO 3apaCTHanVl 4yKaHI1. aBeTe KC ca nO,QBI1>KHI1 VI He6olle3HeHI1. nOXO,QKa- B VlHB. K0I1V14Ka. B npe,anpOTe3a4HOHeH nepl10A.

npV1nmKEHV1E: EKr, enVlKpH3a, eranHa enHKpVl3a.

nr / CH

nOIlY4HX peweHHeTo:

24.03.2010 _._.__._._-~ ..:_- ~_..~. __... ~~~

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XHpyprW-lecKM ellOK, neUlepcKo Wocs 66, nJ10BA~B 4014, TeIl: 44170, BbTP.4.,S. 602909

Bb3paCT: 56n04M"NT: BeCemlH ii1op,QaHoa AIIM"'Tpoa

non: M ErH: 5305217642 npowe,qypa: 60nHII'IHa ~3rHo.uep 5370 ~3MHOMeprpOA: Ka3aHnbK nOCTbnlln: 27.1.2010 r. 228

113nllcaH: 15.2.2010 r. sys.code 17789

AllarHOJa: Gangraena Pedis Sin. Atherosclerosis Obliterans a.Femoralis Sup Sin. Atherosclerosis Obliterans a. tibialis ant. et post. Sin. Rethrombosis a.Poplitea Sin.

npllAP: OP: TEA a.Femoralis Sup Sin.

Patch cum prot. TEA a.Poplitea Sin. TEA a. tibialis ant. et post. Sin.

" '., TEA a.Tibialis ant Sin. Rethrombectomia a. Poplitea Sin. TEA a.Tibialis post Sin. Fasciotomia Cruris Sin. Rethrombectomia a. Poplitea Sin. Rethrombectomia a.Tibialis ant Sin. Amputatio Cruris Sin.

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