АРТЕРИАЛЬНАЯ ГИПЕРТЕНЗИЯ ПРИ БЕРЕМЕННОСТИ

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I.
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I.
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1. =bi_jl_gabybg^mpbjh\ZggZy[_j_f_gghklvx[_aijhl_bgmjbbb\ujZ`_gguohl_dh\=B;
a. <hagbdZ_lihke_cg_^_eb[_j_f_gghklbbbkq_aZ_lihke_jh^h\
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g_Z^_d\Zlghklvi_jnmabbjZaebqguohl^_eh\khkm^bklh]hjmkeZ [_j_f_gghcfha]ihqdbb^j
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3. Ojhgbq_kdZy Zjl_jbZevgZy ]bi_jl_gaby ij_^r_kl\mxsZy [_j_f_gghklb
a. =bi_jl_gabykms_kl\h\ZeZ^h[_j_f_gghklbbebhij_^_ey_lky^hc
g_^_eb[_j_f_gghklb
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4. Ojhgbq_kdZy Zjl_jbZevgZy ]bi_jl_gaby k gZkehb\r_cky ij_wdeZfikb_cbebwdeZfikb_c
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b. Hij_^_ey_lkydZdkhq_lZgguc]_klha
B. LbiZjl_jbZevghc]bi_jl_gabbkms_kl\_ggh\eby_l:
1. GZlZdlbdm\_^_gby[_j_f_gghklb
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II.
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:;_j_f_ggu_hlghkysb_ky gZfhf_glaZqZlbyd]jmii_gbadh]hjbkdZ
lh_klvnZdlhjujbkdZjZa\blby=B;\hagbdZxl\l_q_gb_[_j_f_gghklb).
1. IjbagZdb mdZau\Zxsb_ gZ g_^hklZlhqgh_ m\_ebq_gb_ \gmljbkhkm^bklh]h h[t_fZ\hafh`gZy]bih\he_fby).
a. GhjfZevgucbebih\ur_gguc]_fh]eh[bg]eb[he__).
b. Ih\ur_gguc ]_fZlhdjblb[he__).
c. Kgb`_gb_ debj_gkZ wg^h]_ggh]h dj_ZlbgbgZ ^h fefbg b f_g__
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b. >bZklhebq_kdh_:>ffjlkl. b\ur_\h\lhjhfljbf_klj_[_j_f_gghklbmdZau\Z_lgZih\ur_ggmx\_jhylghklvjZa\blby=B;
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b. ;hevrbgkl\h `_gsbg kojhgbq_kdhc ]bi_jl_gab_c m dhlhjuo g_ jZa\b\Z_lkyij_wdeZfikbybf_xlghjfZevgucbkoh^[_j_f_gghklb
c. G_[hevrb_hlzdbgZ[ex^Zxlky m a^hjh\uo [_j_f_gguo b y\eyxlky dhfihg_glhf nbabheh]bq_kdhc Z^ZilZpbb d [_j_f_gghklb GZebqb_
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III.
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2. <k_[_j_f_ggu_k\i_j\u_\uy\e_gghcihke_g_^_ev]_klZpbb]bi_jl_gab_cbebkm\_ebq_gb_f:>ihke_g_^_evijbm`_kms_kl\mxs_c
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3. Hp_gdZkhklhygbyieh^Z
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K. Ijbih^l\_j`^_gbbij_wdeZfikbbihke_^mxsb_^_ckl\bykfhljb\jZa^_e_
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a. G_ke_^m_lkgb`Zlv:>^hghjfuh]jZgbqb\Zykvmjh\g_f^bZklhebq_kdh]h:>ffjlkl
b. <u[hj Zglb]bi_jl_gab\guo ij_iZjZlh\ ZgZeh]bq_g lZdh\hfm ijb
ojhgbq_kdhcZjl_jbZevghc]bi_jl_gabbkflZ[ebpmbjZa^_eXII,
Ke_^m_laZihfgblv:
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IJHL?BGMJB?C BBEB <UJ:@?GGUFB HL?D:FB
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`bag_ggh\Z`guohj]Zgh\fha]i_q_gvihqdbieZp_glZ).
a. Kgb`_gb_ieZp_glZjghci_jnmabbfh`_lijb\h^blvdaZ^_j`d_jhklZ
ieh^Z b y\ey_lky ]eZ\ghc ijbqbghc i_jbgZlZevghc aZ[he_\Z_fhklb b
kf_jlghklb
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b. Kgb`_gb_ihq_qgh]hdjh\hlhdZb ]ehf_jmeyjghcnbevljZpbby\ey_lky
ijbqbghc
(1) =bihdkbb dem[hqdh\ b dZd ke_^kl\b_ ijhl_bgmjbb aZ^_j`db \h^ubhl_dh\
(2) Ih\ur_gby\ieZaf_dhgp_gljZpbbfhq_\hcdbkehludj_ZlbgbgZ
bfhq_\bgu\ly`_euokemqZyo
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3. =_fhdhgp_gljZpby dZd j_amevlZl ih\ur_gghc khkm^bklhc ijhgbpZ_fhklbkmf_gvr_gb_f\gmljbkhkm^bklhc`b^dhklb]bih\he_fbybijbagZdZfbjhklZ\g_khkm^bklhc
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5. GZjmr_gb_ ijh^mdpbb b jZkiZ^Z ijhklZpbdebgZljhf[hdkZgZ- ijhklZ]eZg^bgh\bf_xsboijhlb\hiheh`gh_\ebygb_gZlhgmkkhkm^h\bZ]]j_]Zpbxljhf[hpblh\
7
B. >bZ]ghklbq_kdb_ djbl_jbb
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k_j^_qgh]h \u[jhkZ ^ey hp_gdb khklhygby [hevguo k wlhc nhjfhc ]bi_jl_gabb jZamfg__ bkihevah\Zlv \_ebqbgm ^bZklhebq_kdh]h Z g_ kbklhebq_kdh]h:>
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b. Ijhl_bgmjbyijbbkihevah\Zgbbbg^bdZlhjguo[mfZ`_dkhhl\_lkl\m_l]e]/e
3. Hl_db
a. Hl_dbklhieh^u`_db]he_g_cg_ijbgbfZxlky\jZkq_lihkdhevdm
gZ[ex^Zxlky m [hevrbgkl\Z `_gsbg k ghjfZevgh ijhl_dZxs_c [_j_f_gghklvx
b. Hl_db jmd b ebpZ Z lZd`_ ]_g_jZebah\Zggu_ hl_db khojZgyxsb_ky
ihke_qZkh\ihkl_evgh]hj_`bfZy\eyxlky ijbagZdhf ]_klhaZ gh
lhevdhijbgZebqbbZjl_jbZevghc]bi_jl_gabb
c. DZd ijbgZebqbb Zjl_jbZevghc ]bi_jl_gabb lZd b ijb __ hlkmlkl\bb
hl_dbg_lj_[mxlki_pbZevghcl_jZibb
(1) G_evay bkihevah\Zlv ^bmj_lbdb mf_gvrZxl \gmljbkhkm^bkluc
h[t_fih\urZxli_jbn_jbq_kdh_khkm^bklh_khijhlb\e_gb_
(2) G_evay h]jZgbqb\Zlv ijb_f `b^dhklb kgb`Z_lky \gmljbkhkm^bkluch[t_f
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4. Qj_af_jgZyijb[Z\dZfZkkul_eZm[_j_f_gghclZ[ebpZ
a. LZd`_ dZd b hl_db fh`_l h^bgZdh\h qZklh \klj_qZlvky dZd ijb ghjfZevghclZdbhkeh`g_gghc[_j_f_gghklb
b. QZklh k\yaZgZ \k_]h ebrv k \_jhylghklvx jh`^_gby [he__ djmigh]h
j_[_gdZ
c. Y\ey_lkynZdlhjhfjbkdZihjZa\blbxZjl_jbZevghc]bi_jl_gabbgh
g_aZ[he_\Zgb_fblZd`_dZdbhl_dbg_lj_[m_le_q_gby
d. Fh`_l [ulv jZggbf ijbagZdhf ]_klhaZ H[uqgh \ wlhf kemqZ_ hgZ
[ukljZy b k\yaZgZ k iZlheh]bq_kdhc aZ^_j`dhc `b^dhklb (> ]
aZg_^_ex).
8
e. <dZq_kl\_ijbagZdZ]_klhaZfh`_ljZkkfZljb\ZlvkylhevdhijbgZebqbbZjl_jbZevghc]bi_jl_gabb
f. Djbl_jbbba[ulhqghcijb[Z\dbfZkkul_eZ
(1) Ijb[Z\dZfZkkul_eZgZ]b[he__aZg_^_ex
(2) Ijb[Z\dZfZkkul_eZgZ]b[he__aZf_kyp
LZ[ebpZ
Kj_^gyyijb[Z\dZfZkkul_eZgZijhly`_gbbghjfZevghc[_j_f_gghklb
(Gitsch, 1985)
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Ih\ur_ggZy \ha[m^bfhklv PGK
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jZa^_eIIIK
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b. Ljhf[hpblu f_g__\fe
c. :ghfZevgZyfhjnheh]bywjbljhpblh\hkh[_ggh\khq_lZgbbk ljhf[hpblhi_gb_c mdZau\Z_lgZfbdjhZg]bhiZlbq_kdmx]_fheblbq_kdmxZg_fbx
d. Ih\ur_gb_[bebjm[bgZ\djh\b\ jZaZ hkh[_ggh g_ijyfh]h. GhjfZ
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wjbljhpblh\kih\ur_gb_fijyfh]hk\yaZggh]h[bebjm[bgZ
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jZa\blby]_fhebaZ_]hly`_klv
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ffheve fhq_\bgZ\ur_8,0 ffheve
f. Ih\ur_gb_i_q_ghqguoljZgkZfbgZa (:KL:EL\ly`_euokemqZyo\
jZaZ
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GhjfZ^ey:EL F?ebeb0,12-0,88 fddZle
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D. LZdlbdZ
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a. Ihly`_klblZ[ebpZ
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b. Ihkjhdm]_klZpbb
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(2) G_^hghr_ggZy[_j_f_gghklv<g_^_ev).
10
LZ[ebpZ
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[he__g_^_evg_h[oh^bfhjh^hjZaj_r_gb_ihkdhevdm
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]bi_jl_gabxbg^mpbjh\Zggmx[_j_f_gghklvx
b. HlkjhqdZ jh^hjZaj_r_gby ^Z`_ ijb mf_j_gghc ij_wdeZfikbb g_
memqrZ_lkblmZpbx^eyieh^Zbfh`_l[ulvhiZkghc^eyfZl_jb
c. ?^bgkl\_gguf nZdlhjhf dhlhjuc fh`_l hlkjhqblv jh^hjZaj_r_gb_
y\ey_lky]hlh\ghklvjh^h\uoiml_c
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iml_c
4. ?keb ij_wdeZfikby mf_j_ggZy Z kjhd ]_klZpbb fZe_gvdbc f_g__ g_^_ev\hafh`ghdhgk_j\Zlb\gh_\_^_gb_.
E. Dhgk_j\Zlb\gh_\_^_gb_mf_j_gghcij_wdeZfikbb
1. Ihkl_evgucj_`bfgZ e_\hf[hdm \l_q_gb_qZkh\^eymemqr_gbyfZlhqghieZp_glZjghci_jnmabb
Ke_^m_laZihfgblv:
• G_l ^hklh\_jguo ^hdZaZl_evkl\ g_h[oh^bfhklb kljh]h]h ihkl_evgh]h j_`bfZ^ey`_gsbgkij_wdeZfikb_c
2. Ijh\h^ylky \k_ bkke_^h\Zgby g_h[oh^bfu_ ^ey ^hjh^h\h]h gZ[ex^_gby
(kflZd`_jZa^_eIIIK).
a. ?`_^g_\ghhij_^_ey_lky ijhl_bgmjby^bmj_a
b. :jl_jbZevgh_^Z\e_gb_baf_jy_lkyjZaZ\^_gv
11
c. J_]meyjghjZaZ\g_^_exhij_^_ey_lkydj_Zlbgbgbljhf[hpblu\
ku\hjhld_djh\b
3. ;_j_f_gghc g_h[oh^bf h[uqguc ibs_\hc j_`bf k m\_ebq_gb_f ihlj_[e_gby[_edh\
a. G_h]jZgbqb\Zlvijb_fkhebghba[_]Zlv__ba[ulhqgh]hihlj_[e_gby
b. M\_ebqblv ihlj_[e_gb_ `b^dhklb ^ey ih\ur_gby \gmljbkhkm^bklh]h
h[t_fZ_kebg_lba[ulhqghc__aZ^_j`db
c. Gb\dh_fkemqZ_g_ke_^m_lh]jZgbqb\Zlvijb_f`b^dhklb
4. Ijb kjhd_ [_j_f_gghklb f_g__ o g_^_ev b fZkk_ ieh^Z f_g__ ]
ijh\_klb ijhnbeZdlbdm kbg^jhfZ ^uoZl_evguo jZkkljhckl\ (K>J m
gh\hjh`^_ggh]h HilbfZevguf y\ey_lky ij_^\Zjbl_evgh_ bkke_^h\Zgb_
:@gZgZebqb_nhknhebib^h\
a. >ey ijhnbeZdlbdb K>J m gh\hjh`^_ggh]h bkihevamxlky ]exdhdhjlbdhb^u (^_dkZahg^_dkZf_lZahgihh^ghcbako_f
(1) Ihf] \fbeb\\q_j_aqZkh\<k_]hbgt_dpbb.
(2) Ihf] \fbeb\\q_j_aqZkZ<k_]hbgt_dpbb
b. IjhnbeZdlbdZ[m^_lwnn_dlb\ghc_kebkfhf_glZcbgt_dpbb^hjh^hjZaj_r_gbyijhc^_lg_f_g__qZkh\
c. <j_fy \ l_q_gb_ dhlhjh]h khojZgy_lky ^_ckl\_gghklv ijhnbeZdlbdb
K>Jg_ij_\urZ_lkmlhd
d. =bi_jl_gaby bg^mpbjh\ZggZy [_j_f_gghklvx, g_ y\ey_lky ijhlb\hihdZaZgb_f^eyijhnbeZdlbdbK>Jmgh\hjh`^_ggh]h]exdhdhjlbdhb^Zfb
5. E_q_[gu_f_jhijbylby h]jZgbqb\Zxlkyihkl_evgufj_`bfhf.
6. G_ke_^m_lbkihevah\Zlv
a. FZ]g_abZevgmxl_jZibx
b. >bmj_lbdb
(1) Mkm]m[eyxl]bih\he_fbx
(2) Mom^rZxlieZp_glZjgmxbihq_qgmxi_jnmabx
(3) Kihkh[kl\mxlklZ[bebaZpbbih\ur_ggh]h:>
(4) Kgb`Zxlmklhcqb\hklvddjh\hihl_j_
(5) Bkihevamxlkyijbij_wdeZfikbblhevdh\hkh[uokemqZyo
(a) Hl_de_]dbo
(b) HkljZyihq_qgZyg_^hklZlhqghklv
(c) K_j^_qgZy g_^hklZlhqghklv ijb g_wnn_dlb\ghklb ]bihl_gab\ghcl_jZibbbk_j^_qguo]ebdhab^h\
b. K_^Zlb\gu_ij_iZjZlu\lhfqbke_ k_^mdk_g).
(1) G_bf_xlijZdlbq_kdhcihevauijbmf_j_gghcij_wdeZfikbb
(2) FZkdbjmxl\Z`gu_kbfilhfuaZ[he_\Zgbyg_ij_iylkl\my_]hijh]j_kkbjh\Zgbx
(3) Fh]ml \uau\Zlv ^uoZl_evgmx ^_ij_kkbx b ]bihlhgbx m gh\hjh`^_ggh]hkgb`Zxlj_Zdpbxgh\hjh`^_ggh]hgZoheh^h\hcklj_kk
c. =_iZjbg
(1) Bf_xlky\_kdb_Zj]mf_gluijhlb\ijhp_kkh\oZjZdl_jguo^ey><K
ijb]_klhaZo
(2) Hlkmlkl\mxl^hklh\_jgu_^Zggu_dhlhju_ihdZaZeb[uqlh]_iZjbg
iheh`bl_evgh\eby_lgZl_q_gb_]_klhaZbebmemqrZ_lbkoh^
(3) Ijbf_g_gb_ ]_iZjbgZ m [_j_f_gguo k ih\ur_gguf :> fh`_l kihkh[kl\h\ZlvjZa\blbxdjh\hbaebygby\fha]
d. =bihl_gab\gu_ij_iZjZlu
12
(1) Ijb\h^ydkgb`_gbx:>m[_j_f_gguokmf_j_gghcij_wdeZfikb_c
g_ memqrZxl i_jbgZlZevguc bkoh^ b khijh\h`^Zxlky qZklhc aZ^_j`dhcjhklZieh^Z
(2) Ijb\h^yl d j_adbf baf_g_gbyf kbkl_fgh]h djh\hh[jZs_gby b dZd
ke_^kl\b_
(a) =bihi_jnmabyhj]Zgh\bldZg_c
(b) Djh\hbaebygby\hj]ZgubldZgb
(c) HkljZy]bihdkbyieh^Z\ke_^kl\b_]bihi_jnmabbbgl_j\beezagh]h
ijhkljZgkl\Z
(d) HlkehcdZieZp_glu
7. IhdZaZgbydjh^hjZaj_r_gbx
a. :jl_jbZevgh_ ^Z\e_gb_ g_ kgb`Z_lky ^bZklhebq_kdh_ :> klZ[bevgh
^_j`blkygZpbnjZoffjlklb\ur_bebgZjZklZ_l
b. ;_j_f_ggZybgl_gkb\ghijb[u\Z_l\\_k_ ( >]aZg_^_exbebihy\eyxlkyhl_dbbebklZgh\ylky[he__\ujZ`_ggufb[u\rb_hl_db
c. MiZpb_gldbgZ[ex^Z_lky
(1) =heh\gZy[hev
(2) GZjmr_gbyaj_gby
(3) =bi_jj_ne_dkby
(4) ;heb\ijZ\hf\_jog_fd\Z^jZgl_`b\hlZ
(5) Djh\ygbklu_\u^_e_gbyba\eZ]ZebsZ
(6) Y\gu_gZjmr_gbykhklhygby
d. Mom^rZ_lky nmgdpby ihq_d mf_gvr_gb_ debj_gkZ dj_ZlbgbgZ ih\ur_gb_dj_ZlbgbgZ\ku\hjhld_djh\b
e. Kgb`Z_lkydhebq_kl\hljhf[hpblh\\djh\b
f. Ih\urZ_lky mjh\_gv n_jf_glh\ i_q_gb beb bf__lky hq_\b^guc ]_fheba wjbljhpblh\ \ukhdbc [bebjm[bg \ djh\b ZghfZevgZy fhjnheh]bywjbljhpblh\
g. G_Z^_d\Zlgucjhklieh^ZijbagZdb^bklj_kkZieh^ZfZeh\h^b_
h. Kjhd[_j_f_gghklb^hklb]g_^_ev
8. ;_j_f_ggu_ ^he`gu hklZ\Zlvky \ jh^bevghf ^hf_ \iehlv ^h jh^hjZaj_r_gby ^Z`_ _keb hlf_qZ_lky kms_kl\_ggh_ mf_gvr_gb_ debgbq_kdbo
ijhy\e_gbcij_wdeZfikbb
Ke_^m_laZihfgblv:
• g_l^hklZlhqguo^hdZaZl_evkl\ihevaubgnmabhgghcl_jZibbkp_evxm\_ebq_gbyh[tzfZieZafu
• g_ kms_kl\m_l wnn_dlb\guo f_lh^h\ ih\ur_gby fZlhqghieZp_glZjgh]h
djh\hlhdZ G_ y\ey_lky ^hklZlhqgh h[hkgh\Zgguf ijbf_g_gb_ k wlhc p_evx Z[^hfbgZevghc ^_dhfij_kbb b-fbf_lbdh\ ]hjfhgh\ dbkehjh^Z
]b^jhdkbwlbeh\h]h djZofZeZ qj_adh`ghc we_dljhklbfmeypbb \/\ \\_^_gbywdkljZdlh\djh\bl_ezgdZ: khedhk_jbeZZdlh\_]beZ
F. <_^_gb_[_j_f_gguokly`_ehcij_wdeZfikb_c
1. ?^bgkl\_ggufki_pbnbq_kdbff_lh^hfe_q_gby ly`_ehcij_wdeZfikbb
y\ey_lkykjhqgh_ij_ju\Zgb_[_j_f_gghklb
a. GZj_r_gb_\hijhkZhjh^hjZaj_r_gbbg_^he`gu\ebylv
13
(1) Kjhd]_klZpbb
(2) ³Aj_ehklv´e_]dboieh^Z
(3) =hlh\ghklvjh^h\uoiml_c
b. Jh^hjZaj_r_gb_ijh\h^blky\bgl_j_kZofZl_jbdhlhjhcm]jh`Z_lj_ZevgZyhiZkghklv
c. =hlh\ghklv jh^h\uo iml_c fh`_l ih\ebylv ebrv gZ kihkh[ jh^hjZaj_r_gby \eZ]Zebsgh_ beb d_kZj_\uf k_q_gb_f gh g_ gZ kjhdb _]h
ijh\_^_gby
2. GZb[he__jZpbhgZe_gke_^mxsbcdhfie_dke_q_[guof_jhijbylbc:
a. Ijhlb\hkm^hjh`gZyl_jZiby
b. Kgb`_gb_qj_af_jghih\ur_ggh]hZjl_jbZevgh]h^Z\e_gby.
c. Jh^hjZaj_r_gb_
(1) Ijhlb\hkm^hjh`gZy b ]bihl_gab\gZy l_jZiby jZkkfZljb\Zxlky \
dZq_kl\_f_jih^]hlZ\eb\Zxsbo[_j_f_ggmxdjh^hjZaj_r_gbx.
(2) Ijhlb\hkm^hjh`gu_kj_^kl\Zh[eZ^Zxli_jbn_jbq_kdbf^_ckl\b_f
b g_ \ebyxl gZ ijh]j_kkbjh\Zgb_ ihjZ`_gbc fha]Z \uau\Zxsbo
jZa\blb_km^hjh]
(3) Wnn_dlb\ghklv e_q_gby km^hjh] fh`_l [ulv ^hklb]gmlZ lhevdh
ij_ju\Zgb_f[_j_f_gghklb
3. Ijhlb\hkm^hjh`gZyl_jZiby
a. IjhnbeZdlbdZkm^hjh]ihdZaZgZm\k_oiZpb_glhdkly`_ehcij_wdeZfikb_c
(1) I_j_^ jh^hjZaj_r_gb_f
(2) <h\j_fyjh^h\bjh^hjZaj_r_gby
(3) DZdfbgbfmf\l_q_gb_ qZkh\ihke_jh^h\bjh^hjZaj_r_gby
b. Km^hjh]bfh]mlijhbkoh^blvb\hlkmlkl\b_]bi_jj_ne_dkbblZd`_dZd
ih\ur_ggu_ kmoh`bevgu_ j_ne_dku fh]ml gZ[ex^Zlvky ijb ghjfZevghfl_q_gbb[_j_f_gghklblh_klv]bi_jj_ne_dkbyg_y\ey_lkygZ^_`gufij_^kdZaZl_e_fjbkdZjZa\blbykm^hjh]
c. KmevnZlfZ]gbyij_iZjZl\u[hjZ.
<hafh`gh\\b\f\\_^_gb_kmevnZlZfZ]gby
(1) <gmljb\_ggh_\\_^_gb_kmevnZlZfZ]gby
(a) GZ]jmahqgZy^haZ]
fejZkl\hjZ\l_q_gb_fbgml.
(b) Ih^^_j`b\ZxsZy^haZ]qZk
fejZkl\hjZ]\fejZkl\hjZNaClbebjZkl\hjZ]exdhauKdhjhklv\\_^_gbyfeqZk (dZi_evfbg).
(2) <gmljbfur_qgh_\\_^_gb_kmevnZlZfZ]gby
(a) GZ]jmahqgZy^haZ]
ih]fejZkl\hjZ\dZ`^mxy]h^bpm
(b) Ih^^_j`b\ZxsZy^haZ
]fejZkl\hjZdZ`^u_qZkZ
ihhq_j_^gh\ijZ\mxbe_\mxy]h^bpu
14
d. Ijb ijh\_^_gbb l_jZibb kmevnZlhf fZ]gby \hafh`gZ fZ]gb_\Zy bglhdkbdZpby ijbagZdZfb dhlhjhc \ ihjy^d_ bo ijh]j_kkbjh\Zgby y\eyxlky
(1) Khgeb\hklvbhlkmlkl\b_dhe_ggh]hj_ne_dkZ
(2) Fur_qgZykeZ[hklv
(3) >uoZl_evguciZjZebq
(4) K_j^_qgZy^_ij_kkby
e. DhgljhevaZlhdkbq_kdbf^_ckl\b_ffZ]gby:
(1) <u^_e_gb_fhqbihihklhygghfmdZl_l_jmg_f_g__feqZkbhgufZ]gby\u^_eyxlkybkdexqbl_evghihqdZfb
(2) =em[hdb_kmoh`bevgu_j_ne_dkubkq_agh\_gb_dhe_ggh]hj_ne_dkZ
lj_[m_lij_djZs_gbybgnmabb^hihy\e_gbydhe_ggh]hj_ne_dkZ
(3) QZklhlZ ^uoZgby ^he`gZ [ulv g_ f_g__ \ fbgmlm Kgb`_gbx__gb`_^uoZgbc\fbgmlmh[uqghij_^r_kl\m_lbkq_agh\_gb_kmoh`bevguoj_ne_dkh\
(4) ?keb ij_^iheZ]Z_lky qlh _klv i_j_^habjh\dZ fZ]gby lh ke_^m_l
ij_djZlblv bgnmabx gZ qZkZ b ijb g_h[oh^bfhklb ijh\_klb
B<Eb\\_klbki_pbnbq_kdbcZglb^hl fejZkl\hjZ ]exdhgZlZ dZevpby\\f_^e_ggh\l_q_gb_fbgml
(5) Ijbmjh\g_dj_ZlbgbgZ\djh\bij_\urZxs_fff/e^haZ\\h^bfhcfZ]g_abbkgb`Z_lky\^\h_
4. =bihl_gab\gZyl_jZibylZ[ebpZ
a. Ijh\h^blky k p_evx kgb`_gby qj_af_jgh ih\ur_ggh]h :> qlh iha\hey_l ij_^mij_^blv \hagbdgh\_gb_ km^hjh] Z lZd`_ mf_gvrblv hiZkghklv djh\hbaebygby \ fha] b jZa\blby e_\h`_em^hqdh\hc g_^hklZlhqghklb
b. =bihl_gab\gZy l_jZiby ijbkh_^bgy_lky d fZ]g_abZevghc beb ^jm]hc
ijhlb\hkm^hjh`ghc l_jZibb \ kemqZ_ _keb ^bZklhebq_kdh_ :> ij_\urZ_lffjlkl
c. >himklbfh kgb`_gb_ ^bZklhebq_kdh]h :> ^h ff jlkl ihkdhevdmijb[he__\ujZ`_gghf_]hkgb`_gbbihy\ey_lkyj_ZevgZym]jhaZkhklhygbxieh^Z
5. G_ihdZaZgu ^bmj_lbdbb]_iZjbg (kfjZa^_eIV?).
6. Hrb[dhc y\ey_lky jmlbggh_ gZagZq_gb_ djbklZeehb^h\ b dheehb^h\ [_a
dhgljheyaZP<>beb^Z\e_gb_faZdebgb\Zgby\e_]hqghcZjl_jbb
a. Y\ey_lky^hdZaZgghcijbqbghcaZklhcghck_j^_qghcg_^hklZlhqghklb
bhl_dZe_]dbo
b. Ijb hlkmlkl\bb \hafh`ghkl_c ^ey gZ^e_`Zs_]h dhgljhey h[t_f bgnmabhgghcl_jZibb ^he`_g [ulv h]jZgbq_g dhebq_kl\hf `b^dhklb g_h[oh^bfuf^eyijh\_^_gbyijhlb\hkm^hjh`ghcb]bihl_gab\ghcl_jZibb
\ij_^_eZofe
G. HELLP - kbg^jhf
1. :[[j_\bZlmjZHELLPhljZ`Z_ldebgbq_kdb_ijbagZdb]_klhaZ
a. G]bi_jl_gabyb]_fhebam\_ebq_gb_[bebjm[bgZ\jZaZ
b. EL -ih\ur_gb_Zdlb\ghklbn_jf_glh\i_q_gb:EL:KL\jZaZ
c. LPkgb`_gb_ljhf[hpblh\\djh\b<100 000).
2. Djhf_hkgh\guodjbl_jb_\kbg^jhfZfh]mlgZ[ex^Zlvky\jZaebqguokhq_lZgbyob^jm]b_ijbagZdb]_klhaZ
3. Kbg^jhfk\yaZgkdjZcg_g_[eZ]hijbylgufbbkoh^Zfb^eyfZl_jbbieh^Z
qZklh\hagbdZ_lm[_j_f_gguokaZiha^Zehc^bZ]ghklbdhc]_klhaZ
15
4. LZdlbdZdZdijbly`_ehcij_wdeZfikbb.
LZ[ebpZ
=bihl_gab\gu_ij_iZjZlubkihevam_fu_ijbly`_ehcij_wdeZfikbb
Ij_iZjZl
=b^jZeZabg
(kbgZij_kkbg
Imlv
\\_^_gby
\\
\\
<_jZiZfbe
(kbgbahilbg
\\
Dehn_ebg
\\
F_lbe^hnZ
(kbg^hi_]bl)
\\
EZ[_lZehe
\\
\\
>b[Zahe
Gbn_^bibg
(kbgdhj^Zn_g
dhjbgnZj
\\
per os
b
ih^yaud
Dehn_ebg
ih^yaud
Ko_fZ\\_^_gby
f]bdZ`^u_fbgmlbaf_jy_lky:>?keb>:>
g_kgb`Z_lky^hffjlkllhdZ`^u_
fbg^haZm\_ebqb\Z_lky_s_gZf]ihdZg_[m^_l
^hklb]gmlwnn_dlbebihdZdhg_qgZy^haZg_khklZ\blf]
f] [hexkhfkihke_^mxs_cdZi_evghcbgnmab_c f]\fenbabheh]bq_kdh]hjZkl\hjZ
DZi_evgZy bgnmaby f] \ fe nbabheh]bq_kdh]h jZkl\hjZ kh kdhjhklvx 2-4 f]qZk (4-6
dZifbg
DZi_evgZy bgnmaby f] \ fe jZkl\hjZ
]exdhau
DZi_evgZy bgnmaby f] \ fe jZkl\hjZ]exdhauijhlb\hihdZaZgijbaZ[he_\Zgbyo
i_q_gb\Zgfg_a_bebijb gZjmr_gbb __ nmgdpbb
\k\yabk]_klhahf
f] m\_ebqb\Zy ^ham dZ`^u_ fbg ijb kmffZjghc^ha_g_[he__f]d]\_kZ
DZi_evgZy bgnmaby kh kdhjhklvx f]fbg ijb
kmffZjghc^ha_g_[he__f]
fejZkl\hjZ
10 f]lZ[ejZa`_\Zlvbijh]ehlblvaZl_f10
f]lZ[eih^yaudWnn_dl^hauijbgbfZ_fhc
ih^ yaud ijhy\blky q_j_a fbg k ijh^he`bl_evghklvx ^_ckl\by ^h fbg Wnn_dl ^jm]hclZ[e_ldbijhy\blkyq_j_afbgkijh^he`bl_evghklvx^_ckl\by^hoqZkh\
0f]lZ[eihf]
V. WDE:FIKBY
A. Hij_^_e_gb_ Khklhygb_ m]jh`Zxs__ `bagb fZl_jb jZa\b\Z_lky m [_j_f_gguokij_wdeZfikb_cijhy\ey_lkylhgbq_kdbfbbdehgbq_kdbfbkm^hjh]Zfbg_k\yaZggufbkjZg__bf_\rbfkyg_\jheh]bq_kdbfaZ[he_\Zgb_flZdbfdZdwibe_ikby
16
1. =eZ\ghcijbqbghc kf_jlb kljZ^Zxsbo wdeZfikb_c [_j_f_gguo y\ey_lky
djh\hbaebygb_\fha]
2. Ih\j_`^_gbykhkm^h\]heh\gh]hfha]Zfh]mlijhbahclbg_lhevdhijbih\ur_gghf :> gh b ijb j_adhf iZ^_gbb :> \ j_amevlZl_ ]bihl_gab\ghc
l_jZibb
3. D^jm]bfm]jh`Zxsbf`bagbhkeh`g_gbyfhlghkylky
a. Ly`_eZy^uoZl_evgZyg_^hklZlhqghklv
b. K_j^_qgZyg_^hklZlhqghklv
c. Ihke_jh^h\h_djh\hl_q_gb_
d. HkljZyihq_qgZyg_^hklZlhqghklv
e. HlkehcdZieZp_glu
f. JZaju\i_q_gb
B. E_q_gb_km^hjh]
1. K_jghdbkeucfZ]gbc ]fbg \\^h] (fejZkl\hjZ\l_q_gb_fbgml
2. ?kebkm^hjh]b\hagbdebg_ihkj_^kl\_gghi_j_^\\_^_gb_fkmevnZlZfZ]gby^hihegbl_evgh\\_klb\\ f] k_^mdk_gZ
a. BaaZ g_[eZ]hijbylgh]h \ebygby gZ ieh^ k_^mdk_gZ (kbg ^bZa_iZf j_eZgbmf \ ^ha_ [he__ f] ij_^ihqlbl_evgh ijbf_gylv lhevdh \ ihke_jh^h\hfi_jbh^_beb`_\dZq_kl\_kj_^kl\Zi_j\hcihfhsbgZi_j\hfwlZi_[hjv[ukjZa\b\Zxs_ckybebm`_jZa\b\r_ckywdeZfikb_c
3. Ih^^_j`b\ZxsZy^haZ kmevnZlZfZ]gby: ]qZk\\b^_\gmljb\_gghc
dZi_evghcbgnmabbkfjZa^_eIV,F,3).
4. ?kebkm^hjh]b\hagbdeb\l_q_gb_i_j\uofbgmlihke_gZqZeZ\\_^_gby
ih^^_j`b\Zxs_c^hau^hihegbl_evgh\\f_^e_ggh]fbg\\_klb]
kmevnZlZfZ]gby (fe).
5. ?kebkm^hjh]bg_ij_djZsZxlky^hihegbl_evgh\\_klb\\ f] k_^mdk_gZ
6. Bf_lv \ ]hlh\ghklb khhl\_lkl\mxsb_ bgkljmf_glu ^ey bglm[Zpbb iZpb_gldbgZkemqZc^uoZl_evghc^_ij_kkbb
7. Bf_lv gZ]hlh\_ ]exdhgZl dZevpby fe jZkl\hjZ ^ey \\ \\_^_gby
_kebijhy\blkylhdkbq_kdh_^_ckl\b_k_jghdbkeh]hfZ]gby
8. <hklZevghflZdlbdZ\_^_gbyiZpb_glhdkwdeZfikb_cZgZeh]bqgZ lZdh\hcijbly`_ehcij_wdeZfikbb (kfjZa^_eIV,F).
VI. <?>?GB?JH>H<IJBIJ?WDE:FIKBBWDE:FIKBB
A. Bg^mdpby jh^h\ hdkblhpbghf gZb[he__ ij_^ihqlbl_evguc kihkh[ jh^hjZaj_r_gbyijb]_klhaZoex[hckl_i_gbly`_klb_kebg_l^bklj_kkZieh^Z
B. D_kZj_\h k_q_gb_ qZs_ ijboh^blky bkihevah\Zlv ijb ly`_ehc ij_wdeZfikbbbwdeZfikbb\kemqZyodh]^Zbf__lky³g_aj_eZy´r_cdZfZldbgZijbf_jg_^hghr_ggZy[_j_f_gghklv
C. <_^_gb_\eZ]Zebsguojh^h\
1. Fhgblhjbg]Zjl_jbZevgh]h^Z\e_gby
2. Hp_gdZbj_]bkljZpbyj_ne_dkh\dZ`^ucqZk
3. <\_^_gb_dZl_l_jZ^eybaf_j_gbyihqZkh\h]h^bmj_aZ.
4. FZ]g_abZevgZyl_jZiby
17
a. 4-5 ]kmevnZlZfZ]gby\\aZfbgml (_kebg_\\h^bekyi_j_^jh^hjZaj_r_gb_f
b. Ih^^_j`b\ZxsZy^haZ]qZk
5. Ijb Zjl_jbZevghf ^Z\e_gbb > ff jlkl.- Zglb]bi_jl_gab\gZy
l_jZiby(kfjZa^_eIV,F,4).
6. G_^himklbfhijh\h^blvjh^hjZaj_r_gb_^hkgb`_gby^bZklhebq_kdh]h
:>^hffjlklbebgb`_
VII. IHKE?JH>H<HCI?JBH>
A. FZ]g_abZevgZyl_jZiby
1. Ihke_jh^h\bebjh^hjZaj_r_gby h[uqgh hlf_qZ_lky [ukljh_ memqr_gb_
h^gZdhfh`_l[ulvb\j_f_ggh_mom^r_gb_
2. WdeZfikby fh`_l jZa\b\Zlvky \ l_q_gb_ qZkh\ bgh]^Z b iha`_ ihke_
jh^h\ ihwlhfm \\_^_gb_ k_jghdbkeh]h fZ]gby ^he`gh ijh\h^blvky \ l_q_gb_qZkh\ihke_jh^h\
B. =bihl_gab\gZyl_jZibygZagZqZ_lky
1. Ijb^bZklhebq_kdhf:>≥ffjlkl
2. ?keb:>ihklhyggh ih\ur_gh (kbklhebq_kdh_ ≥ffjlkl ^bZklhebq_kdh_ ≥ffjlkl.) [he__q_f\l_q_gb_qZkh\ihke_jh^h\
C. Ihke_^kl\byi_j_g_k_gghcij_wdeZfikbbwdeZfikbb
1. Debgbq_kdb_ kbfilhfu ]_klhaZ bkq_aZxl ihke_ jh^h\ q_j_a g_kdhevdh
^g_c]bklheh]bq_kdb_q_j_ag_^_ebbgh]^Zebrvq_j_af_kyp_\
2. DZdijZ\behdebgbq_kdbb]bklheh]bq_kdbhlf_qZ_lkyihegh_\ua^hjh\e_gb_
3. IZpb_gldb i_j_g_krb_ ly`_emx ij_wdeZfikbx beb wdeZfikbx \ 25%
kemqZ_\ bf_xl mf_j_ggmx ]bi_jl_gabx [_a ijhl_bgmjbb \ ihke_^mxsb_
[_j_f_gghklb
4. JZagbpu \ qZklhl_ jZa\blby ojhgbq_kdhc Zjl_jbZevghc ]bi_jl_gabb \ ihke_^mxsb_]h^um`_gsbgi_j_g_krboly`_emxij_wdeZfikbxbm[_j_f_gguo [_a hkeh`g_gbc g_ h[gZjm`_gh lh _klv ]bi_jl_gaby bg^mpbjh\ZggZy [_j_f_gghklvx k ijhl_bgmjb_c g_ ijb\h^bl d jZa\blbx ]bi_jl_gabb\^Zevg_crb_]h^u`bagb
5. M `_gsbg k ih\ur_gb_f Zjl_jbZevgh]h ^Z\e_gby \ iha^gb_ kjhdb [_j_f_gghklb[_akhimlkl\mxs_cijhl_bgmjbb\^Zevg_crb_]h^uijhy\ey_lkyl_g^_gpbydjZa\blbx]bi_jlhgbq_kdhc[he_agb
VIII. IH>=HLH<D: D LJ:GKIHJLBJH<:GBX ;?J?F?GGUO K
LY@?EHCIJ?WDE:FIKB?CWDE:FIKB?C
A. =bi_jl_gaby ly`_ehc kl_i_gb ijb [_j_f_gghklb y\ey_lky g_hleh`guf
ihdZaZgb_f dgZijZ\e_gbx[_j_f_gghc\Zdmr_jkdbcklZpbhgZj
<h\j_fyljZgkihjlbjh\dbg_h[oh^bfh
a. Ih^^_j`b\Zlvijhoh^bfhklv^uoZl_evguoiml_c
b. Ij_^hojZgylv[hevgmxhlkZfhih\j_`^_gbc\j_amevlZl_j_adbo^\b`_gbcghg_ke_^m_lh]jZgbqb\Zlv__ih^\b`ghklvk\_jog_h[oh^bfh]h
18
c. >ey ij_^hl\jZs_gby ijbdmku\Zgby yaudZ fh`gh bkihevah\Zlv jhlhjZkrbjbl_ev gh ihevah\Zlvky bf ke_^m_l hklhjh`gh qlh[u g_ ijbqbgblvih\j_`^_gbc
B. Ijhlb\hkm^hjh`gZyl_jZiby
1. <b^_Ze_^eyi_j_\hadblZdbo[hevguoke_^m_lbkihevah\ZlvlZdmxkem`[m f_^bpbgkdhc ihfhsb dhlhjZy h[_ki_qbeZ [u \h \j_fy ljZgkihjlbjh\db[hevghc\hafh`ghklv\gmljb\_ggh]h\\_^_gbykmevnZlZfZ]gbyb
k_^mdk_gZ (kfjZa^_euIV,F,3bV,B).
2. ?keblZdhckem`[ug_llhke_^m_l^hb\h\j_fyljZgkihjlbjh\dbij_^mij_^blvjZa\blb_km^hjh`guoijbiZ^dh\bebij_djZlblvbo_kebhgbm`_
jZa\bebkvijbihfhsb\gmljbfur_qgh]h\\_^_gby ]kmevnZlZ fZ]gby
bebf]k_^mdk_gZ
C. =bihl_gab\gZyl_jZiby
1. Ijb m]jh`Zxs_ \ukhdbo pbnjZo Zjl_jbZevgh]h ^Z\e_gby > ff
jlkl ^h b \h \j_fy ljZgkihjlbjh\db h[yaZl_evgh ijh\_^_gb_ ]bihl_gab\ghcl_jZibb
2. :jl_jbZevgh_^Z\e_gb_ke_^m_lkgbablvijbihfhsbex[h]hbabf_xsboky\gZebqbb]bihl_gab\guokj_^kl\kfjZa^_eIV,F,4).
IX. HKEH@G?GGU?NHJFUIJ?WDE:FIKBBWDE:FIKBB
A. K_j^_qgZyg_^hklZlhqghklv
1. M [_j_f_gguo k Zjl_jbZevghc ]bi_jl_gab_c e_\uc `_em^hq_d \ugm`^_g
ij_h^he_\Zlv ih\ur_ggh_ i_jbn_jbq_kdh_ khkm^bklh_ khijhlb\e_gb_
IKKh[mkeh\e_ggh_Zg]bhkiZafhf (ihklgZ]jmadZ).
2. M [_j_f_gguo k ^Z\e_gb_f \ e_]hqguo dZibeeyjZo, ij_\urZxs_f ff
jlkl\uy\ey_lkyk_j^_qgZy ^_dhfi_gkZpby Ih\ur_gguc \_ghaguc \ha\jZl\ua\ZgguckhdjZs_gbyfbfZldbm\_ebqb\Z_l^Z\e_gb_\e_]hqguo
dZibeeyjZoij_^gZ]jmadZ
3. Ihke_^h\Zl_evghklv debgbq_kdbo ijhy\e_gbc k_j^_qghc g_^hklZlhqghklbijbly`_ehc]bi_jl_gabbke_^mxsZy
a. >bknmgdpbye_\h]h`_em^hqdZ^hdebgbq_kdZyklZ^byk_j^_qghcg_^hklZlhqghklb
b. AZklhcgZyk_j^_qgZyg_^hklZlhqghklv
c. Hl_de_]dbo
4. E_q_gb_
a. K_j^_qgZy g_^hklZlhqghklv h[mkeh\e_ggZy ij_wdeZfikb_c beb wdeZfikb_ce_qblky]bihl_gab\gufbij_iZjZlZfb^eykgb`_gbyk_j^_qghcihklgZ]jmadbIKK
b. ?keb g_l [ukljh]h debgbq_kdh]h memqr_gby lh ^hihegbl_evgh gZagZqZxl
(1) K_j^_qgu_]ebdhab^u
(2) Fhq_]hggu_kj_^kl\Zih^dhgljhe_fP<>beb^Z\e_gbyaZdebgb\Zgby\e_]hqghcZjl_jbb
B. Hl_de_]dbom[_j_f_gguokij_wdeZfikb_cwdeZfikb_cfh`_l[ulvdZj^bh]_ggufbg_dZj^bh]_gguff_`^mdhlhjufbih^qZkljm^ghZfh`_l[ulvb
g_\hafh`ghijh\_klbdebgbq_kdh_jZaebqb_
1. DZj^bh]_gguchl_de_]dbo
a. Dh]^Z ]b^jhklZlbq_kdh_ ^Z\e_gb_ \ e_]hqguo dZibeeyjZo ih\urZ_lky
^h ff jlkl ijhbkoh^bl \uoh^ ieZafu ba khkm^bklh]h jmkeZ k
19
\hagbdgh\_gb_f kgZqZeZ bgl_jklbpbZevgh]h Z aZl_f b Zev\_heyjgh]h
hl_dZe_]dbo
b. <lZdhckblmZpbbkgb`_gb_ihklgZ]jmadbiml_fmf_gvr_gby]_g_jZebah\Zggh]hkiZafZkhkm^h\[m^_lmkbeb\ZlvnmgdpbxfbhdZj^Z
c. >ey kgb`_gby ihklgZ]jmadb e_q_gb_f \u[hjZ y\ey_lky \\ \\_^_gb_
]bihl_gab\guokj_^kl\kfjZa^_eIV,F,4).
2. G_dZj^bh]_gguchl_de_]dbo
a. JZa\b\Z_lky \ j_amevlZl_ kgb`_gby \gmljbkhkm^bklh]h dheehb^gh]h
^Z\e_gby
b. <gmljbkhkm^bklh_dheehb^gh_^Z\e_gb_kgb`Z_lkyijbghjfZevghc[_j_f_gghklbgh_s_[he__hghkgb`Z_lkyijbij_wdeZfikbb^hoh^y^h
\_ebqbgf_g__ffjlkl
c. Dh]^Z ]b^jhklZlbq_kdh_ ^Z\e_gb_ \ e_]hqguo dZibeeyjZo ij_\urZ_l
hgdhlbq_kdh_ dheehb^gh_ `b^dZy qZklv djh\b gZqbgZ_l ijhgbdZlv \
bgl_jklbpbZevgh_ijhkljZgkl\h
d. HiZkghklv bgnmabb djbklZeehb^guo jZkl\hjh\ j_ZevgZ m`_ ijb kgb`_gbbdheehb^ghhkfhlbq_kdh]h^Z\e_gbygb`_ffjlkl
3. >bnn_j_gpbZevgZy ^bZ]ghklbdZ f_`^m dZj^bh]_gguf b g_dZj^bh]_ggufhl_dhfe_]dbo
a. Ijb ij_wdeZfikbb hkgh\guf wlbheh]bq_kdbf nZdlhjhf hl_dZ e_]dbo
y\ey_lkyih\ur_ggZyijhgbpZ_fhklvdZibeeyjh\lh_klvqZs_\klj_qZ_lkyhl_de_]dbog_dZj^bh]_ggh]hijhbkoh`^_gby
b. J_`_hl_de_]dbok\yaZgki_j_]jmadhc`b^dhklvxij_^gZ]jmadZbe_\h`_em^hqdh\hcg_^hklZlhqghklvx.
c. ?^bgkl\_gguc imlv d jZkihagZ\Zgbx iZlhnbabheh]bb hl_dZ e_]dbo wlh bkihevah\Zgb_ dZl_l_jZ Swan-Ganz ^ey baf_j_gby ^Z\e_gby
³aZdebgb\Zgby´\e_]hqghcZjl_jbb
(1) Ijb\ukhdhf^Z\e_gbb\e_]hqguodZibeeyjZo[he__ffjlkl.)
]eZ\guf wlbheh]bq_kdbf nZdlhjhf y\eyxlky g_^hklZlhqghklv gZ]g_lZl_evghc nmgdpbbk_j^pZbi_j_]jmadZ`b^dhklvxfZeh]hdjm]Z
(]bi_j\he_fby).
(2) IjbghjfZevghfbebkgb`_gghf^Z\e_gbb³aZdebgb\Zgby´\e_]hqghcZjl_jbbijbqbgZaZdexqZ_lky\ih\ur_gghcijhgbpZ_fhklbdZibeeyjh\
d. Hij_^_e_gb_p_gljZevgh]h\_ghagh]h^Z\e_gby (P<>).
(1) GZ]bi_j\he_fbxih\ur_ggmxij_^gZ]jmadmmdZau\Z_lP<>> 160
ff\h^kl(>ffjlkl.).
(2) P<>\ur_ff\h^kl(> ffjlklmdZau\Z_lgZg_^hklZlhqgmxgZ]g_lZl_evgmxnmgdpbxk_j^pZ
(3) H^gZdh ihdZaZl_eb P<> f_g__ gZ^_`gu q_f ^Z\e_gb_
³aZdebgb\Zgby´ \ e_]hqghc Zjl_jbb lZd dZd kgb`_gb_ P<> qZklh
khijh\h`^Z_lkyih\ur_gb_f^Z\e_gby\dZibeeyjZofZeh]hdjm]Z
(a) M[hevguo\ djblbq_kdbo khklhygbyo ijhbkoh^bl ^_abgl_]jZpby
jZ[hlu ijZ\h]h b e_\h]h `_em^hqdh\ ihwlhfm ijb hkljhc e_\h`_em^hqdh\hc g_^hklZlhqghklb b hkh[_ggh k jZa\blb_f hl_dZ
e_]dbofh`ghgZ[ex^Zlvm\_ebq_gb_^Z\e_gby³aZdebgb\Zgby´gZ
nhg_ghjfZevgh]hbebkgb`_ggh]hP<>
(b) M [_j_f_gguo k ij_wdeZfikb_c ij_^_evgh_ ^Z\e_gb_ \ e_]hqghc
Zjl_jbb agZqbl_evgh ih\urZ_lky _keb P<> ij_\urZ_l ff
jlkl. (ff\h^kl.).
20
(4) Ke_^h\Zl_evgh jZkq_l h[t_fZ bgnmabhgghc l_jZibb ih ^Zgguf
P<>g_fh`_lkqblZlvkyZ^_d\Zlguf
4. E_q_gb_
a. DZj^bh]_gguchl_de_]dbo:
(1) Ijbf_g_gb_ ]bihl_gab\guo kj_^kl\ klZ[bebaZpby ]_fh^bgZfbdb
ij_iZjZlZfbgZi_jklygdb (^b]hdkbg \\f]aZl_ff]dZ`^u_ qZkZ ijb kmffZjghc ^ha_ g_ [he__ f] b nmjhk_fb^hf (f]\\^hghjfZebaZpbb^Z\e_gby\e_]hqguodZibeeyjZo
(a) GhjfZebaZpby^Z\e_gby\e_]hqguodZibeeyjZo k\yaZgZ k mf_gvr_gb_f ij_^gZ]jmadb aZ kq_l m\_ebq_gby ^bmj_aZ b ih\ur_gby
\_ghaghc_fdhklbdjh\b
(b) ?keblhqghg_mklZgh\e_ghgZebqb_]bi_j\he_fbb(dZj^bh]_gguc
hl_dgZagZq_gb_fhq_]hgguokj_^kl\fh`_lij_^klZ\eylv[hevrmxhiZkghklv
(c) Ijb \\_^_gbb fhq_]hgguo kj_^kl\ [hevguf k hl_dhf g_dZj^bh]_ggh]h ijhbkoh`^_gby b ]bih\he_fb_c fh`_l kgbablvky fbgmlguch[t_fdjh\bbkgZ[`_gb_ldZg_cdbkehjh^hfijb\h^ydjZa\blbx]em[hdhc]bihl_gabb
(2) Ihke_klZ[bebaZpbb]_fh^bgZfbdb g_f_^e_ggh_jh^hjZaj_r_gb_.
b. G_dZj^bh]_gguchl_de_]dbo
(1) Bkdmkkl\_ggZy\_glbeypbye_]dbo
(2) Jh^hjZaj_r_gb_ g_ihkj_^kl\_ggh ihke_ gZqZeZ bkdmkkl\_gghc \_glbeypbbe_]dbo
C. HkljZyihq_qgZyg_^hklZlhqghklvHIG
1. Wlbheh]by HIG k\yaZgZ k g_^hklZlhqguf ijblhdhf djh\b d dhjdh\hfm
kehxihq_d
a. Ijb ly`_ehf ]_klha_ g_^hklZlhqghklv djh\hh[jZs_gbyihq_d h[mkeh\e_gZmf_gvr_gb_f\gmljbkhkm^bklh]hh[t_fZbkiZafhfZjl_jbc
b. Ijbhlkehcd_ieZp_gludhlhjZykZfZfh`_l[ulvhkeh`g_gb_fij_wdeZfikbb khdjZs_gbx \gmljbkhkm^bklh]h h[t_fZ <KH kihkh[kl\m_l
djh\hihl_jy
c. Hq_gv\Z`ghhij_^_eblvy\ey_lkyebheb]mjbybebZgmjbyke_^kl\b_f
hj]Zgbq_kdh]h ih\j_`^_gby ihq_d beb bf_xlky nmgdpbhgZevgu_ gZjmr_gbyh[mkeh\e_ggu_g_^hklZlhqghci_jnmab_c
(1) Ijb hj]Zgbq_kdbo ih\j_`^_gbyo hkljuc g_djha dZgZevp_\ b ^\mklhjhggbcg_djhadhjuihq_dlj_[m_lkyh]jZgbq_gb_`b^dhklb
(2) Ijb nmgdpbhgZevguo gZjmr_gbyo g_h[oh^bfh \\_^_gb_ [hevrbo
dhebq_kl\`b^dhklb
(3) :gmjbyj_^dh[u\Z_l[_ahj]Zgbq_kdh]hihjZ`_gbyihq_d
(4) Heb]mjby (<fekmldbbeb< feqZkqZs_h[mkeh\e_gZkgb`_gb_f<KH
2. <l_q_gbbHIGjZaebqZxlklZ^bb
a. Rhd
b. Heb]mjby
c. Ihebmjby
(1) Ijb [eZ]hijbylghf l_q_gbb y klZ^by y\ey_lky i_j_oh^guf fhf_glhfdghjfZebaZpbbnmgdpbbihq_d
(2) Ijb[eZ]hijbylghfl_q_gbb^bmj_a\hkklZgZ\eb\Z_lkyq_j_akmlhd
21
3. I_j\bqguchl\_l ihq_d gZ kgb`_gb_ djh\hh[jZs_gby gZijZ\e_g gZ khojZg_gb_<KH
a. <u^_ey_lkydhgp_gljbjh\ZggZyfhqZ (HIF> 1020).
b. Gbadh_kh^_j`Zgb_Na\fhq_f_g__20 ffheve).
c. FhqZbf__lhlq_leb\uck\hckl\_gguc_caZiZo
d. Gbadh_ beb hljbpZl_evgh_ P<> (ghjfZ ff \h^ kl b gbadh_
^Z\e_gb_³aZdebgb\Zgby´\e_]hqghcZjl_jbb
(1) Wlb iZjZf_lju mdZau\Zxl gZ kgb`_gb_ <KH b gZ \hafh`ghklv
[_ahiZkgh]h\\_^_gby`b^dhklbg_hiZkZykvi_j_]jmadbe_]dbo
(2) Ke_^m_l h^gZdh bf_lv \\b^m qlh qj_af_jgh_ bkihevah\Zgb_ djbklZeehb^guo jZkl\hjh\ fh`_l khijh\h`^Zlvky \h^ghc i_j_]jmadhc
bgl_jklbpbZevgh]h ijhkljZgkl\Z \ lhf qbke_ bgl_jklbpbZevguf
hl_dhfe_]dbo[_aih\ur_gbyP<>
4. ?kebg_ij_^ij_gbfZxlkye_q_[gu_f_jhijbylbylhi_j\bqgu_nmgdpbhgZevgu_gZjmr_gbykf_gyxlkyihjZ`_gb_fihq_qguodZgZevp_\
a. Ihqdbl_jyxlkihkh[ghklvdhgp_gljbjh\ZlvfhqmHIF< 1017).
b. L_jy_lkykihkh[ghklvm^_j`b\ZlvNadhgp_gljZpby\fhq_20 ffheve
bgh]^Z50-70 ffheve).
c. Ijb hkljhf g_djha_ dZgZevp_\ HGD fhqZ g_ bf__l ki_pbnbq_kdh]h
aZiZoZ³aZiZo\h^u´).
d. Ih\urZ_lky P<> b ^Z\e_gb_ ³aZdebgb\Zgby´ \ e_]hqghc Zjl_jbb qlh
k\b^_l_evkl\m_lhi_j_]jmad_`b^dhklvx
5. LZdlbdZ
a. G_h[oh^bfh ij_ju\Zgb_ [_j_f_gghklb ihkdhevdm ihke_ jh^h\ m `_gsbgkHIGihy\ey_lky^bmj_aqlhk\yaZghki_j_jZkij_^_e_gb_fh[t_fZdjh\b\ke_^aZj_^mdpb_ckhkm^bklh]hjmkeZ
b. D_kZj_\h k_q_gb_ ijh\h^blky lhevdh \ kemqZyo dh]^Z \u^_e_gb_ fhqb
khklZ\ey_lf_g__feqZkbkhojZgy_lkygZwlhfmjh\g_\l_q_gb_o
qZkh\g_kfhljygZZ^_d\Zlgh_e_q_gb_djh\_aZf_gbl_eyfbbnmjhk_fb^hf ijb mkeh\bb qlh jh^u q_j_a _kl_kl\_ggu_ jh^h\u_ imlb g_ h`b^Zxlky\[eb`Zcrb_qZkZ
c. ?keb jh^u fh]ml ijhbahclb \ [eb`Zcr__ \j_fy ghjfZevgZy jh^h\Zy
^_yl_evghklvbjZkdjulb_fZlhqgh]ha_\Z≥kf
(1) <gmljb\_ggh_ \\_^_gb_ `b^dhklb feqZk b nmjhk_fb^ 10-20
f]
(2) <u^_e_gb_ fhqb \hkklZgZ\eb\Z_lky gZ [eb`Zcrb_ qZkZ qlh
\iheg_^hklZlhqgh^eyaZ\_jr_gbyjh^h\
(3) >Ze__ l_jZiby fh`_l g_ ihgZ^h[blvky b ^bmj_a qZklh \hkklZgZ\eb\Z_lky[_al_jZibb
6. E_q_gb_
a. Hkgh\me_q_gbyHIGkhklZ\ey_lm\_ebq_gb_<KH
(1) Ijb]_klha_ke_^m_lbkihevah\Zlv\eb\Zgb_Zev[mfbgZbeb^_dkljZgZkgbadhcfhe_dmeyjghcfZkkhc
(2) <\_^_gb_`b^dhklbhkms_kl\ey_lkykhkdhjhklvxfeqZk
(3) P<>^he`ghhklZ\Zlvky\ij_^_eZokf\h^kl.
(4) Ijbm\_ebq_gbbP<>\ur_kf\h^klke_^m_lh]jZgbqblvdhebq_kl\h\\h^bfhc`b^dhklb
b. Fhq_]hggu_ kj_^kl\Z nmjhk_fb^ f] \\bkihevam_lky ijb hlkmlkl\bbwnn_dlZhle_q_gbydjh\_aZf_gbl_eyfb
22
(1) Ke_^m_lbkihevah\Zlvbf_gghnmjhk_fb^Zg_fZggblhelZddZdhg
ijhoh^blq_j_agZjmr_ggu_kl_gdbdZibeeyjh\bakhkm^h\\ldZgvb
ij_^kdZaZlv_]hl_jZi_\lbq_kdh_^_ckl\b_hq_gvljm^gh
c. ?kebg_lj_ZdpbbgZf] nmjhk_fb^Zwlhfh`_lk\b^_l_evkl\h\Zlvh
jZgg_c klZ^bb hkljh]h g_djhaZ dZgZevp_\ b lj_[m_l ke_^mxs_]h e_q_gby
(1) Q_j_a fbgml ihke_ \\_^_gby f] ^ham nmjhk_fb^Z ih\urZxl
^hf]\\
(2) ?keb^bmj_aZg_lke_^m_lq_j_afbgml\\_klbf] nmjhk_fb^Z\\
(3) ?kebg_lwnn_dlZlhq_j_afbgml\\h^blkyf] nmjhk_fb^Z
\\
(4) Hlkmlkl\b_ bgl_gkb\gh]h ^bmj_aZ ihke_ \\_^_gby f] nmjhk_fb^Z ke_^m_l jZkkfZljb\Zlv dZd ^hdZaZl_evkl\h gZebqby hkljh]h
g_djhaZdZgZevp_\qlhlj_[m_l
(a) Ij_ju\Zgby[_j_f_gghklb_kebhgZg_[ueZij_j\ZgZjZg__
(b) H]jZgbq_gby ijb_fZ `b^dhklb \ khhl\_lkl\bb k dhebq_kl\hf
\u^_ey_fhc fhqb b g_aZf_lgufb ihl_jyfb `b^dhklb ^uoZgb_
ihl
(c) GZijZ\e_gby [hevghc \ mqj_`^_gb_ jZkiheZ]Zxs__ h[hjm^h\Zgb_f^ey]_fh^bZebaZ
X. KHQ?L:GGUC=?KLHA
A. Hij_^_e_gb_
1. JZg__ kms_kl\h\Z\rZy ]bi_jl_gaby k ^h[Z\b\r_cky d g_c ijwdeZfikb_c
bebwdeZfikb_c
a. Mly`_e_gb_ kl_i_gb ]bi_jl_gabb k ih\ur_gb_f ^bZklhebq_kdh]h :>
gZffjlklb[he__ihhlghr_gbxd^bZklhebq_kdhfm:>\g_[_j_f_gghklbkhijh\h`^Zxs__kyjZa\blb_fijhl_bgmjbb
b. Mkbe_gb_bf_\r_ckyijhl_bgmjbb
2. JZg__kms_kl\h\Z\rZy[he_agvihq_dhkeh`gb\rZykyij_wdeZfikb_cbeb
wdeZfikb_c
3. L_jfbg³khq_lZgguc]_klha´ke_^m_lbkihevah\Zlv\kemqZyodh]^Z[ueh
ba\_klgh qlh ]bi_jl_gaby bf_eZ f_klh ^h [_j_f_gghklb beb \uy\e_gZ \
i_j\mxiheh\bgm[_j_f_gghklbZijhl_bgmjbyjZa\beZkv\iha^gb_kjhdb
[_j_f_gghklb
4. < kemqZyo kdjulhc ]bi_jl_gabb beb aZ[he_\Zgby ihq_d h bo gZebqbb
fh`ghkm^blv_keb
a. =bi_jl_gaby b ijhl_bgmjby \i_j\u_ ihy\eyxlky \h \j_fy [_j_f_gghklbmfgh]hjh`Z\s_c`_gsbgu
b. =bi_jl_gaby b ijhl_bgmjby jZa\b\Zxlky ijb ihke_^mxsbo [_j_f_gghklyo.
23
c. Ij_wdeZfikby jZa\b\Z_lky jZgh \ dhgp_ \lhjh]h gZqZe_ lj_lv_]h
ljbf_kljZ
B. IjbagZdb[u\r_c^h[_j_f_gghklb]bi_jlhgbq_kdhc[he_agb
1. M\_ebq_gb_ jZaf_jh\ k_j^pZ ]bi_jljhnby fbhdZj^Z ijb gZebqbb Zjl_jbhehkde_jhaZ\Zjl_jbyok_lqZldb
2. GZebqb_\k_f_cghfZgZfg_a_]bi_jlhgbq_kdhc[he_agb
a. Fheh^hc \hajZkl ijb hlkmlkl\bb k\_^_gbc h[ Zjl_jbZevghc ]bi_jl_gabb\ZgZfg_a_kdhj__k\b^_l_evkl\m_l\ihevam]bi_jl_gabbbg^mpbjh\Zgghc[_j_f_gghklvx
C. IjbagZdb[u\r_]h^h[_j_f_gghklbaZ[he_\Zgbyihq_d
1. JZa\blb_ ijhl_bgmjbb \ jZggb_ kjhdb [_j_f_gghklb \ hf ljbf_klj_)
ihqlbgZ\_jgydZh[mkeh\e_ghkdjulufaZ[he_\Zgb_fihq_d
2. Ijhl_bgmjby ex[hc kl_i_gb ijhy\eyxsZyky ^h c g_^_eb [_j_f_gghklbk[hevrhc\_jhylghklvx\ua\ZgZaZ[he_\Zgb_fihq_d
3. Fheh^Zy `_gsbgZ k ZgZfg_ahf ]bi_jl_gabb ^h [_j_f_gghklb \_jhylgh
kljZ^Z_l kdjuluf aZ[he_\Zgb_f ihq_d ihkdhevdm ]bi_jlhgbq_kdZy [he_agvj_^dhjZa\b\Z_lky^he_lg_]h\hajZklZ
4. Hlkmlkl\b_\hajZklZgbykdhjhklbdem[hqdh\hcnbevljZpbb\jZggb_kjhdb
[_j_f_gghklb ih debj_gkm dj_ZlbgbgZ qZklh [u\Z_l ijb aZ[he_\Zgbb
ihq_dbf_\r_fky^h[_j_f_gghklb
5. MdZaZgb_\ZgZfg_a_gZg_h[tykgbfu_ih^t_ful_fi_jZlmjugZebqb_\
^_lkdhf \hajZkl_ bgn_dpbb fhq_\u\h^ysbo iml_c beb ghqgh]h g_^_j`Zgbyfhqb^he`ghgZklhjh`blv\hlghr_gbblh]hqlhjZa\b\rZykyijb
[_j_f_gghklb ]bi_jl_gaby y\ey_lky \lhjbqguf ijhp_kkhf b k\yaZgZ k
ib_ehg_njblhf
6. GZebqb_\fhq_[hevrh]hdhebq_kl\Zwjbljhpblh\ (>\febeb
gZebqb_ g_]ehf_jmeyjguo wjbljhpblh\ g_ ijhr_^rbo q_j_a f_f[jZgm
dem[hqdh\ b ihwlhfm y\eyxsbfbky bahfhjngufb qlh qZs_ [u\Z_l ijb
fhq_dZf_gghc[he_agbbebiZibeeyjghfg_djha_mdZau\Z_lgZlhqlh]bi_jl_gabybijhl_bgmjby\_jhylghy\eyxlky\lhjbqgufkhklhygb_f
7. MevljZa\mdh\h_bkke_^h\Zgb_iha\hey_l\uy\blg_dhlhju_\b^ukdjulh]h
aZ[he_\Zgbyihq_dihebdbklha]b^jhg_njha).
• Ke_^m_lbf_lv\\b^mqlhijb[_j_f_gghklbqZklhgZ[ex^Z_lkyb^bhiZlbq_kdh_ jZkrbj_gb_ fhq_lhqgbdh\ b qZr_q_d b kl_i_gv wlh]h jZkrbj_gbyfh`_l[ulvagZqbl_evghc
D. LZdlbdZ\_^_gby[_j_f_gghklbbjh^h\ijb khq_lZgghf ]_klha_ hij_^_ey_lkyly`_klvxij_wdeZfikbbZg_aZ[he_\Zgb_fgZnhg_dhlhjh]hhgjZa\beky.
XI. IJHNBE:DLBD:=?KLHA:
A. H[hkgh\Zgb_bf_lh^uijhnbeZdlbdb
1. Kh]eZkgh kh\j_f_gguf ij_^klZ\e_gbyf \ iZlh]_g_a_ ij_wdeZfikbb kms_kl\_ggZyjhevijbgZ^e_`blgZjmr_gbxjZ\gh\_kbyf_`^m ijhklZpbdebghf wg^h]_gguc \Zah^beZlZlhj b ZglbZ]j_]Zgl ijh^mpbjm_fuc khkm^bklhc kl_gdhc b ljhf[hdkZghf wg^h]_gguc \Zahdhgkljbdlhj b Z]j_]Zgl\ujZ[Zlu\Z_fucljhf[hpblZfbijbboZ]j_]Zpbb\ihevamljhf[hdkZgZ
a. >ey\hkklZgh\e_gbygZjmr_ggh]hjZ\gh\_kbyijbf_gyxlkyfZeu_^hau
ZkibjbgZ dhlhju_ k_e_dlb\gh [ehdbjmxl kbgl_a ljhf[hdkZgZ g_
\ebyyijbwlhfgZmjh\_gvijhklZpbdebgZ
24
b. Bkihevah\Zgb_ [hevrbo ^ha ZkibjbgZ g_p_e_khh[jZagh ihkdhevdm \
wlhf kemqZ_ gZjmrZ_lky b kbgl_a ijhklZpbdebgZ bf_xs_]h k ljhf[hdkZghf h[sbc gZqZevguc bklhqgbd ijhbkoh`^_gby ZjZob^hgh\Zy
dbkehlZ
c. :p_lbekZebpbeh\Zy dbkehlZ Zkibjbg gZagZqZ_lky \ ^ha_ f]
h^bg jZa \ ^_gv \ g_^_ev ]_klZpbb [_j_f_gguf k ih\ur_gguf
jbkdhfjZa\blby]_klhaZwnn_dlb\ghklvg_^hdZaZgZ .
d. >ey klbfmeypbb kbgl_aZ ijhklZpbdebgZ iZjZee_evgh k Zkibjbghf
fh`gh ijbf_gylv ^bibjb^Zfhe dmjZglbe \ ^ha_ f]kmldb
wnn_dlb\ghklvg_^hdZaZgZ
2. Bf_xlkylZd`_k\_^_gbyhlhfqlhij_iZjZludZevpby\^habjh\d_hl1,5
^h ]kmldb ijb\h^yl d kgb`_gbx kbklhebq_kdh]h b ^bZklhebq_kdh]h
^Z\e_gby ijb [_j_f_gghklb gh qZklhlZ aZ^_j`db jhklZ ieh^Z b i_jbgZlZevgZykf_jlghklvhklZxlky[_abaf_g_gbc
3. GZagZq_gb_ ju[v_]h `bjZ [_j_f_gguf ijb\h^bl d kgb`_gbx qZklhlu
jZa\blby]bi_jl_gabbkijhl_bgmjb_cghi_jbgZlZevgZyaZ[he_\Z_fhklvb
kf_jlghklvhklZxlky[_abaf_g_gbc
Ke_^m_laZihfgblv:
• G_kms_kl\m_lm[_^bl_evguohkgh\Zgbc^eyj_dhf_g^Zpbcbaf_g_gbyihlj_[e_gbyih\Zj_gghckhebijb[_j_f_gghklb
• ?^bgkl\_gguf gZmqgh ^hdZaZgguf wnn_dlb\guf f_lh^hf ijhnbeZdlbdb
]_klhaZy\ey_lkyij_^mij_`^_gb_[_j_f_gghklb
XII. OJHGBQ?KD:Y:JL?JB:EVG:Y=BI?JL?GABYO:=
A. >bZ]ghklbdZm[_j_f_gguo
1. QZs_ \k_]h ojhgbq_kdZy Zjl_jbZevgZy ]bi_jl_gaby y\ey_lky
i_j\bqghc beb wkk_gpbZevghc (]bi_jlhgbq_kdZy [he_agv \ hklZevguo
kemqZyo hgZ ij_^klZ\e_gZ \lhjbqghc beb kbfilhfZlbq_kdhc Zjl_jbZevghc]bi_jl_gab_c
2. =h\hjyhO:=bf_xl\\b^mqlh^bZ]ghklbdZm`_dZdijZ\behhkms_kl\e_gZ\g_[_j_f_gghklb
3. ?keb g_^hklZlhqgh ^Zgguo ^ey ^bnn_j_gpbZpbb O:= b =B; lh ijbf_gylkyke_^mxsb_djbl_jbb^eyO:=
a. =bi_jl_gaby\hagbdZ_l^hcg_^_eb[_j_f_gghklb
b. =bi_jl_gabyi_jkbklbjm_l[he__g_^_evihke_jh^h\ijbhlkmlkl\bb
e_q_gby
4. ;hevgu_ bf_xsb_ j_pb^b\bjmxsmx ]bi_jl_gabx ijb dZ`^hc [_j_f_gghklb ^he`gu jZkkfZljb\Zlvky dZd kljZ^Zxsb_ ojhgbq_kdhc Zjl_jbZevghc]bi_jl_gab_c
5. Ijb[ebabl_evgh m [_j_f_gguo kljZ^Zxsbo ]bi_jlhgbq_kdhc [he_agvxgZ[ex^Z_lkyagZqbl_evgh_kgb`_gb_:>kjZggbokjhdh\[_j_f_gghklbkih\ur_gb_f_]h\lj_lv_fljbf_klj_ihwlhfmkms_kl\m_l\_jhylghklvihklZgh\dbhrb[hqgh]h^bZ]ghaZ ]bi_jl_gabb[_j_f_gghklbZijb
gZebqbbfbgbfZevghcijhl_bgmjbbb^bZ]ghaZ ij_wdeZfikbb.
25
B. DeZkkbnbdZpby
1. IhklZ^byf<HA
KlZ^by
IjbagZdb
G_lgbdZdboijbagZdh\hj]ZgguoihjZ`_gbc
KlZ^byI
<uy\ey_lkyohly[uh^bgbaijbagZdh\hj]ZgguoihjZ`_gbc
KlZ^byII
a. =bi_jljhnbye_\h]h`_em^hqdZ
b. Kljmdlmjgu_ hj]Zgbq_kdb_ baf_g_gby khkm^h\ k_lqZldb:
Zjl_jbhehkde_jha ]bi_jljhnby kl_gdb bgh]^Z k h[ebl_jZpb_cbaf_g_gb_j_ne_dkh\³q_ldhh[jZaguc´\b^b^j
[Ijb ]bi_jlhgbq_kdhc Zg]bhiZlbb k_lqZldb km`_gb_ b
jZkrbj_gb_ khkm^h\ n_ghf_g =\bklZKZexkZ j_qv b^_l h
nmgdpbhgZevguoZg_hj]Zgbq_kdbobaf_g_gbyokhkm^h\].
c. Ih\ur_gb_ dj_ZlbgbgZ \ ku\hjhld_ djh\b bbeb ijhl_bgmjby
KlZ^byIII
Ihy\e_gb_ijbagZdh\ly`_euokhkm^bkluoihjZ`_gbc
a. E_\h`_em^hqdh\Zyg_^hklZlhqghklv
b. =bi_jlhgbq_kdZy wgp_nZehiZlby fha]h\u_ beb fha`_qdh\u_djh\hbaebygby
c. J_lbgZevgu_]_fhjjZ]bbbwdkkm^Zlukhl_dhfajbl_evgh]h
g_j\Z
d. Br_fbq_kdZy[he_agvk_j^pZ
[;hevgu_kIIIklZ^b_c]bi_jlhgbq_kdhc[he_agbdZdijZ\beh
m`_\urebaZjZfdbj_ijh^mdlb\gh]h\hajZklZ].
C. Jbkd
1. FZl_jbgkdbcjbkd
a. ?keb g_ ijhbkoh^bl ijbkh_^bg_gby ij_wdeZfikbb lh kms_kl\_ggh]h
^hihegbl_evgh]hjbkdZdjhf_jbkdZh[mkeh\e_ggh]hkZfhcO:=dZdb
\g_[_j_f_gghklb^eyfZl_jbg_l
b. <kemqZ_ijbkh_^bg_gbyij_wdeZfikbb (qZklhlZih\urZ_lkyfZl_jbgkdZy kf_jlghklv h[mkeh\e_ggZy djh\hbaebygb_f \ fha] beb k_j^_qghcg_^hklZlhqghklvx
c. Jbkd ijbkh_^bg_gby ]_klhaZ d ]bi_jlhgbq_kdhc [he_agb g_ aZ\bkbl hl
Z[khexlguopbnjZjl_jbZevgh]h^Z\e_gby
d. Jbkdhkeh`g_gbc\ur_ijbgZebqbb]bi_jljhnbbe_\h]h`_em^hqdZb
ih\ur_gghf dj_Zlbgbg_ \ ku\hjhld_ djh\b _keb dj_Zlbgbg \ ku\hjhld_djh\bij_\urZ_lffhevebkoh^\k_]^Ziehohc
2. Ieh^h\ucjbkd
a. Ih\urZ_lkyqZklhlZkemqZ_\i_jbgZlZevghckf_jlghklbaZ^_j`dbjhklZieh^Zb^bklj_kkZieh^Z
b. Khq_lZgb_ iha^g_]h ]_klhaZ ^Z`_ k e_]dhc ]bi_jl_gab_c m\_ebqb\Z_l
ihdZaZl_ebi_jbgZlZevghckf_jlghklb\jZa
D. :gl_gZlZevgh_gZ[ex^_gb_
1. H[t_fh[ke_^h\Zgby[_j_f_gghc
a. H[uqgh_jmlbggh_h[ke_^h\Zgb_\Zgl_gZlZevghfi_jbh^_
b. >hihegbl_evgh_h[ke_^h\Zgb_ihkdhevdm[_j_f_ggu_kO:=hlghkylky
d]jmii_\ukhdh]hjbkdZi_jbgZlZevguohkeh`g_gbc
26
(1) Ihk_\ fhqb ^ey \uy\e_gby [_kkbfilhfghc [Zdl_jbmjbb \_jhylghklvgZebqbykdjulh]haZ[he_\Zgbyihq_d
(2) Hp_gdZnmgdpbbe_\h]h`_em^hqdZ
(a) Bf_gghe_\hfm`_em^hqdmijboh^blkyij_h^he_\Zlvih\ur_ggh_
khkm^bklh_ khijhlb\e_gb_ \ua\Zggh_ m\_ebq_gb_f :> ihklgZ]jmadZ bbeb i_j_dZqb\Zlv [hevrbc h[t_f djh\b ij_^gZ]jmadZ
(b) OZjZdl_j nmgdpbhgbjh\Zgby e_\h]h `_em^hqdZ iha\hey_l hp_gblv kl_i_gv dhfi_gkZpbb Zjl_jbZevghc ]bi_jl_gabb b ijh]ghabjh\Zlvl_q_gb_[_j_f_gghklb
(3) @_eZl_evgh qlh[u ijb dZ`^hf ihk_s_gbb `_gkdhc dhgkmevlZpbb
[_j_f_ggmxhkfZljb\ZebdZj^bheh]
2. H[ke_^h\Zgb_ieh^Z
a. MevljZa\mdh\h_bkke_^h\Zgb_
(1) <fljbf_klj_^eylhqgh]hhij_^_e_gbykjhdZ[_j_f_gghklb.
(2) <18-20g_^_ev]_klZpbb^ey\uy\e_gbyZghfZebcjZa\blby
(3) <32-34 g_^_eb]_klZpbb^ey\uy\e_gbyaZ^_j`dbjhklZieh^Z
(4) Ih ihdZaZgbyf mf_j_ggZy b ly`_eZy O:=): k_jbcgh_ MAB \h \lhjhciheh\bg_[_j_f_gghklbdZ`^u_3-4 g_^_eb^ey dhgljheyaZl_fiZfbjhklZieh^Z
b. G_klj_kkh\uc l_kl fhgblhjbg] qZklhlu k_j^p_[b_gby ieh^Z dZj^bhlhdh]jZnby ^Z`_ ijb [eZ]hijbylghf l_q_gbb [_j_f_gghklb ^he`_g ijh\h^blvky_`_g_^_evghgZqbgZyk g_^_ev ]_klZpbb
c. KZfhj_]bkljZpby^\b]Zl_evghcZdlb\ghklbieh^Z[_j_f_gghc
(1) J_dhf_g^m_lky bkihevah\Zlvf_lh^gZqbgZykg_^_ev[_j_f_gghklb
(2) Dhebq_kl\h[hevrbo^\b`_gbcieh^Zi_j_f_s_gby\fZld_f_g__
lb aZ qZk kZfhj_]bkljZpbb kem`bl ihdZaZgb_f ^ey kjhqghc [he__
h[t_dlb\ghchp_gdbkhklhygbyieh^Z
3. DhgljhevaZkl_i_gvxdhfi_gkZpbbZjl_jbZevghc]bi_jl_gabb. Dh]^Z
Zjl_jbZevgZy ]bi_jl_gaby klZgh\blky qj_af_jghc ihy\ey_lky jy^ ijbagZdh\ dhlhju_ k\b^_l_evkl\mxl h jZa\b\Zxs_cky ^_dhfi_gkZpbb Zjl_jbZevghc]bi_jl_gabbHp_gb\Zlvdhfi_gkZpbx:=ke_^m_ldZd\hlghr_gbbfZl_jblZdb\hlghr_gbbieh^Z
a. FZl_jbgkdb_ijbagZdb
(1) ;jZ^bdZj^by ^ey [_j_f_gguo f_gvr_ m^fbg H[tykgy_lky
\dexq_gb_f [Zjhj_p_ilhjh\ kbghdZjhlb^gh]h kbgmkZ b Zhjlu qlh
kihkh[kl\m_lijhy\e_gbx]bihl_gab\gh]hwnn_dlZq_j_aZdlb\Zpbx
iZjZkbfiZlbq_kdhcg_j\ghckbkl_fu
(2) >bknmgdpby e_\h]h `_em^hqdZ (^_dhfi_gkZpby [_a debgbq_kdbo
ijhy\e_gbc
(a) Ijbkgb`_gbbgZkhkghcnmgdpbbk_j^pZZdlb\bjmxlkydhfi_gkZlhjgu_ f_oZgbafu ih^^_j`Zgby i_jnmabhggh]h ^Z\e_gby Ih\urZ_lky\_ghagh_^Z\e_gb_km\_ebq_gb_fgZ]jmadbh[t_fhfij_^gZ]jmadZ).
(b) Ih\ur_gb_ \_ghagh]h ^Z\e_gby ijb\h^bl d mkbe_gbx nbevljZpbb \gmljbkhkm^bklhc `b^dhklb \ hdjm`Zxsb_ ldZgb H[gZjm`b\Z_lkyaZ^_j`dZ`b^dhklb\jZaebqguomqZkldZol_eZ
(c) Ijb nmgdpbhgZevghc hp_gd_ jZ[hlu e_\h]h `_em^hqdZ wohdZj^bh]jZnbyl_ljZiheyjgZyj_h]jZnbyh[gZjm`b\Z_lkyih\ur_gb_
27
dhg_qgh]h ^bZklhebq_kdh]h ^Z\e_gby ijb g_baf_gghf beb mf_gvrZxs_fkyk_j^_qghf\u[jhk_
(d) <hafh`gh[ukljh_gZjZklZgb_fZkkul_eZbbebihy\e_gb_hl_dh\iZjZee_evghkih\ur_gb_fij_bfms_kl\_ggh^bZklhebq_kdh]hZjl_jbZevgh]h^Z\e_gby
(3) K_j^_qgZy g_^hklZlhqghklv (^_dhfi_gkZpby k debgbq_kdbfb ijhy\e_gbyfb).
(a) JZa\b\Z_lky \ j_amevlZl_ ijbkh_^bg_gby d gZ]jmad_ ^Z\e_gb_f
(ihklgZ]jmadZgZ]jmadbh[t_fhf (ij_^gZ]jmadZ.
(b) Ih\urZ_lky ]b^jhklZlbq_kdh_ ^Z\e_gb_ \ e_]hqguo dZibeeyjZo
^hffjlklqlhqj_\ZlhjZa\blb_fkgZqZeZ bgl_jklbpbZevgh]hZaZl_fbZev\_heyjgh]hhl_dZe_]dbo
(c) Ihf_j_ijh]j_kkbjh\ZgbygZjmr_gbcnmgdpbbe_\h]h`_em^hqdZ
[_j_f_ggZyfh`_lij_^ty\eylv`Zeh[ugZ[heb\h[eZklbk_j^pZ
mkbe_gb_ h^urdb i_jbh^bq_kdb \hagbdZxs__ hsms_gb_ g_^hklZldZ\ha^moZ\a^uoZ_lihy\e_gb_ihdZreb\Zgbymkbeb\Zxs_]hky\iheh`_gbbe_`Z
b. Ieh^h\u_ijbagZdb
(1) <gmljbmljh[gZyaZ^_j`dZjhklZieh^Z
(2) >bklj_kkieh^Z
4. =hkiblZebaZpby.
a. IhdZaZgby d]hkiblZebaZpbbhij_^_eyxlkyke_^mxsbfbnZdlhjZfb
(1) <hafh`ghklvx ihebdebgbq_kdhc kem`[u h[_ki_qblv gZ^e_`Zsbc
dhgljhev
(2) <ujZ`_gghklvxly`_klvxZjl_jbZevghc]bi_jl_gabbbkl_i_gvx
__dhfi_gkZpbb
(3) Wnn_dlb\ghklvx dhgljhey Zjl_jbZevghc ]bi_jl_gabb ihkl_evguf
j_`bfhfb]bihl_gab\gufbij_iZjZlZfb
(4) GZebqb_fhkeh`g_gbcm[_j_f_gghc
(5) Khklhygb_fbjZa\blb_fieh^Z
b. IeZgh\Zy]hkiblZebaZpby
(1) IhdZaZgZ\[eb`Zcr__\j_fyihke_i_j\bqgh]hh[jZs_gby[_j_f_gghc^ey\k_klhjhgg_]hh[ke_^h\Zgbyhij_^_e_gbyijh]ghaZblZdlbdb\_^_gby
(a) ;_j_f_ggufkmf_j_gghcbly`_ehc ]bi_jl_gab_c
(b) ;_j_f_ggufke_]dhc ]bi_jl_gab_c ijbgZebqbb^hihegbl_evguo
nZdlhjh\jbkdZ
(c) ;_j_f_gguf k e_]dhc ]bi_jl_gab_c ijb g_\hafh`ghklb dZq_kl\_ggh]hZf[meZlhjgh]hh[ke_^h\Zgby
(2) >hjh^h\Zy ]hkiblZebaZpby ijb [eZ]hijbylghf l_q_gbb aZ[he_\ZgbyihdZaZgZ[_j_f_ggufkmf_j_gghcbly`_ehc ]bi_jl_gab_c^ey
ih^]hlh\dbdjh^hjZaj_r_gbx
E. E_q_[gZylZdlbdZijbO:=]bi_jlhgbq_kdhc[he_agb
1. H[sb_iheh`_gby
a. Ijb e_q_gbb ]bi_jl_gabb aZ^ZqZ aZdexqZ_lky g_ lhevdh \ kgb`_gbb
:>ghb\^hklb`_gbb]_fh^bgZfbq_kdh]h]hf_hklZaZ
28
(1) =_fh^bgZfbq_kdbc ]hf_hklZa m [_j_f_gghc ^hklb]gmluc k ihfhsvx ]bihl_gab\guo kj_^kl\ ^Ze_dh g_ \k_]^Z khhl\_lkl\m_l ihlj_[ghklyfieh^Z
(2) Ohly b g_l ^hklh\_jguo ^Zgguo h[ m\_ebq_gbb i_jbgZlZevghc
kf_jlghklbm[_j_f_gguoijbgbfZxsbo]bihl_gab\gu_ij_iZjZlu
l_f g_ f_g__ hlkmlkl\mxl b ^hdZaZl_evkl\Z lh]h qlh dhgljhev
]bi_jl_gabbkgb`Z_lihdZaZl_ebi_jbgZlZevghckf_jlghklb
(3) Dhjj_dpby :> ij_^klZ\ey_l kh[hc ebrv h^bg Zki_dl \_^_gby mdZaZgghc iZlheh]bb G_ f_g__ Z fh`_l [ulv b [he__ \Z`_g Zgl_gZlZevguc fhgblhjbg] khklhygby fZl_jb b ieh^Z Z lZd`_ [_j_`gh_
jh^hjZaj_r_gb_\bg^b\b^mZevghih^h[jZggu_kjhdb
a. Ke_^m_lbf_lv\\b^mqlhe_q_gb_ojhgbq_kdhcZjl_jbZevghc]bi_jl_gabbg_fh`_lbkdexqblvjbkdjZa\blbyiha^g_]h]_klhaZ
b. IhdZaZgby d ijbf_g_gbx ]bihl_gab\guo kj_^kl\ hij_^_eyxlky l_f
qlhbojZpbhgZevgufbkihevah\Zgb_ffh`gh ij_^mij_^blv k_j^_qgmx
g_^hklZlhqghklv
2. E_]dZyfy]dZy]bi_jl_gaby
a. Ihkl_evgucj_`bf\ iheh`_gbb gZ e_\hf [hdm y\ey_lky h^gbf ba hkgh\guof_lh^h\e_q_gbye_]dhcZjl_jbZevghc]bi_jl_gabb
(1) <ebygb_ hl^uoZ gZ ihdZaZl_eb :> kem`bl hkgh\guf ^bZ]ghklbq_kdbfdjbl_jb_fly`_klbaZ[he_\Zgby
(2) qZkkgZmljhfb^g_f\iheh`_gbbgZ[hdm[eZ]hijbylghhljZ`Z_lky gZ l_q_gbb aZ[he_\Zgby m fZl_jb b kihkh[kl\m_l memqr_gbx
fZlhqghieZp_glZjgh]hdjh\hh[jZs_gby
b. =bihl_gab\gZy l_jZiby ihdZaZgZ ijb g_wnn_dlb\ghklb iheghp_ggh]h
hl^uoZZlZd`_fh`_lihlj_[h\Zlvky\ke_^mxsbokemqZyo
(1) Ij_^u^msZy[_j_f_gghklvijhl_dZeZkly`_ehc]bi_jl_gab_c
(2) <ZgZfg_a_ij_`^_\j_f_ggZyhlkehcdZieZp_glu
(3) < ZgZfg_a_ jh^u f_jl\uf ieh^hf beb ]b[_ev gh\hjh`^_ggh]h
ijbqbgZdhlhjuog_mklZgh\e_gZ
(4) Ij_^u^msbcj_[_ghdjh^bekyk\gmljbmljh[ghcaZ^_j`dhcjhklZ
(5) <hajZkl[_j_f_gghcklZjr_e_l
(6) ;_j_f_ggu_ k \ukhdhc kl_i_gvx h`bj_gby \_k \ gZqZe_ [_j_f_gghklb[he__d]
c. H]jZgbq_gb_ihlj_[e_gbygZljbyg_hdZau\Z_lgbdZdh]hwnn_dlZm[_j_f_gguokO:=
3. Mf_j_ggZy]bi_jl_gaby
?keb [_j_f_ggZy ijbgbfZeZ ]bihl_gab\gu_ ij_iZjZlu ^h [_j_f_gghklb,
ke_^m_lijh^he`blvboijb_fb\h\j_fy[_j_f_gghklbkmq_lhfijhlb\hihdZaZgbc
a. < ^jm]bo kemqZyo e_q_gb_ ke_^m_l gZqZlv k e_q_[ghhojZgbl_evgh]h
j_`bfZ ihkl_evguc j_`bf gZ e_\hf [hdm \ l_q_gb_ qZkZ mljhf b
^g_f
b. Ijb hlkmlkl\bb wnn_dlZ hl ihkl_evgh]h j_`bfZ ke_^m_l gZagZqblv ]bihl_gab\gu_ij_iZjZlu
4. Ly`_eZy]bi_jl_gabyLj_[m_lh[yaZl_evgh]hijh\_^_gby]bihl_gab\ghc
l_jZibb
29
F. =bihl_gab\gu_ij_iZjZlubkihevam_fu_ijb[_j_f_gghklb
^haubdjZlghklvijbf_g_gbykflZ[ejZa^_eZIII, D, 2).
1. Gbn_^bibgkbgdhjbgnZjdhj^Zn_gdhj^bibgb^j
a. =bihl_gab\guc wnn_dl k\yaZg k ijyfuf \Zah^beZlbjmxsbf keZ[uf
^bmj_lbq_kdbf b gZljbcmj_lbq_kdbf ^_ckl\b_f m]g_l_gb_f Z]j_]Zpbbljhf[hpblh\
b. Y\ey_lky ij_iZjZlhf \u[hjZ m [hevguo k ^bZklhebq_kdbf :> \ur_
ffjlkl
c. Bkihevah\Zgb_ ij_iZjZlZ fh`_l [ulv ihe_agh m [hevguo k bkoh^ghc
[jZ^bdZj^b_c ihkdhevdm ]bihl_gab\guc wnn_dl khijh\h`^Z_lky j_ne_dlhjghclZobdZj^b_c
d. MemqrZ_l ]_fh^bgZfbq_kdb_ ihdZaZl_eb ijb ^bknmgdpbb e_\h]h `_em^hqdZ.
2. Dehn_ebgkbgdehgb^bg
a. Kgb`Z_l:>[_aj_ne_dlhjghclZobdZj^bb
b. J_adZy hlf_gZ ij_iZjZlZ kimkly qZkZ ijb\h^bl d agZqbl_evghfm
ih^t_fm:>
c. Ijhlb\hihdZaZgijb\ujZ`_gghck_j^_qghcg_^hklZlhqghklbb^_ij_kkbb
3. F_lbe^hnZkbgZev^hf_l^hi_]blZf_lbe^hiZ
a. Wnn_dlb\ghklv[he__\ujZ`_gZ^hg_^_ev[_j_f_gghklb
b. H^gbfbaih[hqguo^_ckl\bcy\ey_lky]_iZlhp_eexeyjgZy^bknmgdpby
b ]_fheblbq_kdZy Zg_fby k ih\ur_gb_f \ djh\b n_jf_glh\ i_q_gb b
`_elmohcihwlhfmijhlb\hihdZaZgijbi_j_g_k_gghf]_iZlbl_
4. IjZahabgkbgfbgbij_kkijZpbhe
a. <uau\Z_lk[ZeZgkbjh\Zggh_jZkrbj_gb_Zjl_jbheb\_gqlhkihkh[kl\m_lkgb`_gbx:>b^Z\e_gbygZiheg_gbye_\h]h`_em^hqdZ
b. Fh`_l bkihevah\Zlvky \ l_jZibb ly`_ehc ]bi_jl_gabb \ua\Zgghc hlf_ghcdehn_ebgZ
c. J_dhf_g^m_lkygZqbgZlvl_jZibxkf]lZddZdijbbkihevah\Zgbb
[hevr_ci_j\hgZqZevghc^haufh`_lgZ[ex^Zlvkyly`_eZyhjlhklZlbq_kdZy ]bihl_gaby
(1) “N_ghf_g i_j\hc ^hau´ g_ ij_^j_rZ_l g_i_j_ghkbfhklb ^Zevg_cr_]he_q_gbybg_lj_[m_lhlf_guij_iZjZlZ
(2) Ihkl_i_gbkgb`_gby:>ihke_ijb_fZf]ij_iZjZlZfh`_l[ulv
ij_^kdZaZgj_amevlZle_q_gby
5. G_dZj^bhk_e_dlb\gu_ b-Z^j_gh[ehdZlhju IjhijZghehe kbg ZgZijbebgh[ab^ZgHdkij_ghehekbgljZabdhj
a. Kgb`_gb_ :> k\yaZgh k ^hklb`_gb_f [jZ^bdZj^bb mf_gvr_gb_f k_j^_qgh]h \u[jhkZ b ih\ur_gb_f i_jbn_jbq_kdh]h khkm^bklh]h khijhlb\e_gby
b. Ijhoh^yl q_j_a ieZp_glZjguc [Zjv_j gh g_ hdZau\Zxl l_jZlh]_ggh]h
^_ckl\bygZieh^
c. G_j_dhf_g^m_lkygZagZqZlv\hfbfljbf_kljZo[_j_f_gghklb\
k\yabk\hafh`guf\ebygb_fgZjhklieh^Z\gmljbmljh[gZyaZ^_j`dZ
jhklZ
d. E_q_gb_ [_lZ[ehdZlhjZfb ke_^m_l ij_djZlblv aZ qZkZ ^h jh^h\
qlh[u ba[_`Zlv jZa\blby m gh\hjh`^_gguo hkeh`g_gbc h[mkeh\e_gguoboi_jbn_jbq_kdbf^_ckl\b_f[jZ^bdZj^by]bihl_gaby]bih]ebd_fby]bihl_jfby[ehdZ^ZebihebaZm]g_l_gb_^uoZgby
30
e. Ijhlb\hihdZaZgu ijb k_j^_qghc g_^hklZlhqghklb Zklf_ kZoZjghf
^bZ[_l_
6. DZj^bhk_e_dlb\gu_ b-Z^j_gh[ehdZlhju :l_ghehe kbg l_ghjfbg
F_lhijhehekbg[_lZehd
a. Om`_ ijhoh^yl q_j_a ieZp_glZjguc [Zjv_j bbf_xl f_gvrbc jbkd ih[hqguo y\e_gbcihkjZ\g_gbxkg_dZj^bhk_e_dlb\gufbij_iZjZlZfb
b. Ijb \u[hj_ [_lZ[ehdZlhjZ ke_^m_l hl^Z\Zlv ij_^ihql_gb_ dZj^bhk_e_dlb\guf h^gZdh \k_ ij_^hkl_j_`_gby \ hlghr_gbb \hafh`gh]h
\ebygbygZfZlvieh^bgh\hjh`^_ggh]h^he`gumqblu\Zlvkyb\wlhf
kemqZ_
c. Y\eyxlkyij_iZjZlZfb\u[hjZijb]bi_jdbg_lbq_kdhfkbg^jhf_
d. Ijbg_wnn_dlb\ghklbdhf[bgbjmxlk gbn_^bibghf
7. :ij_kkbgkbg]b^jZeZabg
a. J_adh kgb`Z_l i_jbn_jbq_kdh_ khkm^bklh_ khijhlb\e_gb_ k \hagbdgh\_gb_fj_ne_dlhjghcZdlb\ZpbbkbfiZlbq_kdhcg_j\ghckbkl_fulZobdZj^by \ukhdbc k_j^_qguc \u[jhk b dZd ke_^kl\b_ ih\ur_gb_f
:>
b. <k\yabkwlbfg_bkihevam_lky^eyfhghl_jZibbZijbf_gy_lkylhevdh k ^jm]bfb ij_iZjZlZfb k dehn_ebghf k [_lZ[ehdZlhjZfb dh]^Z
lj_[m_lky gb\_ebjh\Zlv ih[hqgu_ ^_ckl\by [_lZ[ehdZlhjh\ \ \b^_
[jZ^bdZj^bbkgb`_ggh]hk_j^_qgh]h\u[jhkZbih\ur_ggh]hi_jbn_jbq_kdh]hkhkm^bklh]hkhijhlb\e_gby
8. EZ[_lZehe
a. :evnZb[_lZZ^j_gh[ehdZlhj\khhlghr_gbb
b. IZ^_gb_:>\hagbdZ_l\hkgh\ghfaZkq_lmf_gvr_gbyIKKijbkhojZg_gghf beb g_agZqbl_evgh kgb`_gghf k_j^_qghf \uvjhk_ QZklhlZ
k_j^_qguokhdjZs_gbcg_baf_gy_lkybebg_kdhevdhmf_gvrZ_lky
c. Ih\urZ_lmjh\_gvdZeby\djh\b
d. G_ijbf_gy_lky\i_j\u_f_kypu[_j_f_gghklb
G. =bihl_gab\gu_ij_iZjZlug_j_dhf_g^m_fu_dijbf_g_gbxm[_j_f_gguo
1. I_glZfbg b ^jm]b_ ]Zg]ebh[ehdZlhju <uau\Zxl ihklmjZevgmx ijb
baf_g_gbbiheh`_gby l_eZ ]bihl_gabx qlh g_[eZ]hijbylgh kdZau\Z_lky
gZj_]bhgZevghc\lhfqbke_ieZp_glZjghci_jnmabb
2. >bmj_lbdb Mf_gvrZy h[t_f ieZafu ijb\h^yl d g_mklhcqb\hfm ]hf_hklZam mieh^ZIh\urZxli_jbn_jbq_kdh_khkm^bklh_khijhlb\e_gb_ihkdhevdm m [_j_f_gguo k O:= h]jZgbq_gu \hafh`ghklb ^ey ih\ur_gby
\gmljbkhkm^bklh]hh[t_fZ
3. Bg]b[blhju Zg]bhl_gabgij_\jZsZxs_]h n_jf_glZ B:N dZilhijbe kbg dZihl_g wgZeZijbe b ^j JZggb_ khh[s_gby mdZau\Zxl gZ
wnn_dlb\ghklv b [_ahiZkghklv ijbf_g_gby B:N m [_j_f_gguo h^gZdh \
[he__ iha^gbo khh[s_gbyo mdZau\Z_lky gZ k\yav B:N k Zgmjbq_kdhc ihq_qghcg_^hklZlhqghklvxmgh\hjh`^_gguo
H. >hkjhqgh_ij_ju\Zgb_[_j_f_gghklb
1. Bkdmkkl\_ggucZ[hjlg_aZgbfZ_l\_^ms_]hf_klZ\ lZdlbd_ \_^_gby [_j_f_gguokZjl_jbZevghc]bi_jl_gab_c
a. G_fh`_l[ulvmgb\_jkZevguoihdZaZgbc^eyij_ju\Zgby[_j_f_gghklb
m`_gsbgk]bi_jlhgbq_kdhc[he_agvx
31
b. < dZ`^hf dhgdj_lghf kemqZ_ \hijhk j_rZ_lky bg^b\b^mZevgh ijbq_f
g_klhevdh\aZ\bkbfhklbhl\_ebqbgu:>kdhevdhhlkl_i_gbdhfi_gkZpbbZjl_jbZevghc]bi_jl_gabb
c. J_r_gb_h ij_ju\Zgbb [_j_f_gghklb _keb wlh ^bdlm_lky g_h[oh^bfhklvx ^he`gh [ulv ijbgylh \ f ljbf_klj_ [_j_f_gghklb dh]^Z
bf_xlkyhlghkbl_evgh[_ahiZkgu_kihkh[u__ij_ju\Zgby
2. >hkjhqgh_jh^hjZaj_r_gb_ fh`_lihgZ^h[blvky
a. Ijb^_dhfi_gkZpbbZjl_jbZevghc ]bi_jl_gabb
b. Ijbijbkh_^bg_gbbij_wdeZfikbb
c. IjbaZ^_j`d_jhklZieh^Z
d. Ijb^bklj_kk_ieh^Z
3. :jl_jbZevgZy ]bi_jl_gaby y\ey_lky ^hdZaZgguf nZdlhjhf mkdhjyxsbf
khaj_\Zgb_e_]dboieh^Z
4. Ijb g_h[oh^bfhklb ijh\_^_gby ijhnbeZdlbdb kbg^jhfZ ^uoZl_evguo
jZkkljhckl\mgh\hjh`^_ggh]hZjl_jbZevgZy]bi_jl_gaby=B;bO:=g_
y\eyxlkyijhlb\hihdZaZgb_f^eybkihevah\Zgby]exdhdhjlbdhb^h\
J. Jh^hjZaj_r_gb_
1. ;_j_f_gghklvg_^he`gZ^eblvky[he__g_^_ev
2. Jh^u\hkgh\ghfkZfhijhba\hevgu_q_j_a_kl_kl\_ggu_jh^h\u_imlb
3. =bi_jlhgbq_kdZy[he_agvg_y\ey_lkyihdZaZgb_fdd_kZj_\mk_q_gbx:[^hfbgZevgh_jh^hjZaj_r_gb_ijh\h^blkyihZdmr_jkdbfihdZaZgbyf
4. K p_evx h[_a[heb\Zgby fh`_l bkihevah\Zlvky i_jb^mjZevgZy Zg_kl_aby
g_ ^himkdZy ijb wlhf qj_af_jgh]h kgb`_gby :> qlh fh`_l g_[eZ]hijbylghkdZaZlvkygZkhklhygbbieh^Z
32
=bi_jl_gabyihke_cg_^_eb[_j_f_gghklb
GZijZ\blv\jh^^hf
Ihkl_evgucj_`bfGZebqb_]bi_jl_gabbGZ[ex^_gb_
gZe_\hf[hdmg_ih^l\_j^behkv\`_gdhgk
Debgbq_kdh_
h[ke_^h\Zgb_=bi_jl_gaby[_j_f_gghklbKljh]h_
EZ[hjZlhjgh_[_aijhl_bgmjbbbbebgZ[ex^_gb_
h[ke_^h\Zgb_\ujZ`_gguohl_dh\\`dbeb
Hp_gdZkhklhygbyijh^he`_gb_
ieh^ZIh^l\_j`^_gZIW]hkiblZebaZpbb
DeZkkbnbpbjh\Zlv[_j_f_ggmx
Ihkjhdm]_klZpbbIhly`_klbij_wdeZfikbb
=>g_^_ev<g_^_evMf_j_ggZy Ly`_eZy
Jh^hjZaj_r_gb_Dhgk_j\Zlb\gh_\_^_gb_
Jh^hjZaj_r_gb_
\g_aZ\bkbfhklb
Ihkl_evgucj_`bfgZhl³aj_ehklb´
e_\hf[hdmqZkZe_]dboieh^Zb
Memqr_gb_ Debgbq_kdbcdhgljhevr_cdbfZldb
:>kgbabehkv EZ[hjZlhjgucdhgljhev
DhgljhevaZieh^hfKlZ[bevgh_
IjhnbeZdlbdZK>J
khklhygb_
Kljh]h_
:>g_kgbabehkv
gZ[ex^_gb_
ghmom^r_gbyg_l
Mom^r_gb_.Ijh^he`blvihkl_evgucj_`bf
gZe_\hf[hdm
Jh^hjZaj_r_gb_Jh^hjZaj_r_gb_ijbi_j\hc\hafh`ghklb
\aZ\bkbfhklbhl\aZ\bkbfhklbhl³aj_ehklb´e_]dbo
³aj_ehklb´rfieh^ZijhnbeZdlbdZK>J]exdhdhjlb
be_]dboieh^Zdhb^Zfbb³aj_ehklb´r_cdbfZldb
IhdebgbqihdZaZl_eyf
Jh^hjZaj_r_gb_
IheZ[hjZlihdZaZl_eyf\g_aZ\bkbfhklbhl³aj_ehklb´e_]dbo
G_h[oh^bfhklv\]bihl_gieh^Zbkhklhygbyjh^h\uoiml_c
ab\ghcl_jZibb
4. >bklj_kkieh^ZbAJI<?>?GB?JH>H<
FZeh\h^b_
Dhgljhev:>dZ`^ucqZk
Hp_gdZj_ne_dkh\dZ`^ucqZk
<?>?GB?IHKE?JH>H<IhqZkh\hc^bmj_adZl_l_j
1FZ]gbcfbgbfmfqZkZFZ]g_abZevgZyl_jZiby
2. =bihl_gab\gZyl_jZiby _keb\=bihl_gab\gZyl_jZiby
l_q_gbbqZkh\ijb:> > 170ffjlkl
:>kbklhebq_kdh_>170
:>^bZklhebq_kdh_!
33
XIIIEbl_jZlmjZ
Debgbq_kdZyiZlheh]by[_j_f_gghklbbgh\hjh`^_ggh]hI_j_\h^kZg]e
ih^j_^ZdpFGDhqbFF_^bpbgZ
2. WgdbgFD_cjkFJ_gnvxF>`G_cekhgJmdh\h^kl\hihwnn_dlb\ghc
ihfhsbijb[_j_f_gghklbbjh^ZoI_j_\h^kZg]eih^j_^ZdpWWgdbgK
I_l_j[mj]
=bi_jl_gab\gu_gZjmr_gbyijb[_j_f_gghklb>hdeZ^bkke_^h\Zl_evkdhc
]jmiiu<HA@_g_\Z
4. :jbZkN;_j_f_gghklvbjh^u\ukhdh]hjbkdZFF_^bpbgZ
:dmr_jkl\hb]bg_dheh]byI_j_\h^kZg]eih^j_^Zdp=FKZ\_ev_\hc
=WHL:JF_^bpbgZ
6. Rivers E.P. Preeclampsia, Eclampsia, and Other Hypertensive Disorders of
Pregnancy. The KOLQLFDOPractice of Emergency Medicine, Second Edition 1996;
Section 2, Chapter 77: 315-321.
7. DeGroot C.J, et.al. "New insights into the etiology of pre-eclampsia". Annals of
Medicine. 25:243-9. Jun, 1993.
8. Barton J.R, et.al. "Care of the pregnancy complicated by HELLP syndrome".
Gastroenterology Clinics of North America 21:937- 50, 1992.
9. Lang R.M, et.al. "Left ventricular mechanics in pre-eclampsia". American Heart
Journal. 121(6 pt 1):1768-75. Jun, 1991.
10.Belfort M.A, et.al. "Effect of magnesium sulfate on maternal brain blood flow".
American Journal of Obstetrics & Gynecology. 167:661-6. 1992 .
11. Herpolsheimer A, et.al. "Pulmonary function of pre-eclamptic women receiving
IV
MgSO4 seizure prophylaxis". Obs. & Gyn. 78:241- 4. Aug, 1991.
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