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– 2004. – 122 p.ПРИЛОЖЕНИЕТрехэтапный диагностический алгоритм диагностики миокардиального повреждения при хроническойтонзиллярной инфекцииВсем детям с хроническим тонзиллитомI этапОбщий анализ крови, маркеры миокардиального повреждения (ЛДГ, КФК, МВ-КФК, тропонин),маркеры стрептококковой инфекции (АСЛО, бактериологическое исследование отделяемогоротоглотки), ЭКГ, ЭХО-КГ, по показаниям ХМ-ЭКГ.ПовышениеАСЛОДаII этапНетДаНетАнтикардиальные аутоантитела(ЭЛИ-АНКОР-тест)ДаIII этапПатогенные стрептококки вотделяемом ротоглоткиНетМРТ, перфузионная сцинтиграфия миокардаНаличие нарушенияреполяризацииДаНетСнижениеФВ ЛЖДаНетНаблюдение педиатром, оториноларингологом, детскимкардиологом; повторное обследование через 12 месяцев.
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