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"etiology": "<p>Гиповитаминоз С может развиваться при приеме ацетилсалициловой кислоты, эстрогенов, пероральных контрацептивов, а также при алкоголизме, гипертиреозе, проведении гемодиализа.</p>",
"pathogenesis": "<p>Аскорбиновая кислота играет важную роль в окислительно-восстановительных процессах, углеводном обмене, оказывает универсальное влияние на проницаемость сосудистой стенки, развитие и функцию костной, хрящевой ткани, кожи, надпочечников и других органов. Недостаток аскорбиновой кислоты со временем приводит к угнетению Т-системы иммунитета, что способствует развитию инфекционных осложнений.</p>",
"diagnostics": "<p>Важное значение особенно в I стадии заболевания имеет определение экскреции аскорбиновой кислоты с мочой.</p>\r\n<p>Во II и III стадиях цинги клиническая симптоматика (гингивит, стоматит, выпадение зубов, распространенные петехиальные сыпи и кровоизлияния под кожу в мышцы, суставы, остеопороз и др.) в сочетании с анамнестическими данными о неполноценном питании дает возможность установить правильный диагноз.</p>",
"treatment": "<p>Лечение больных цингой в I стадии можно проводить амбулаторно. Назначают аскорбиновую кислоту по 0,1 г 3—5 раз в сутки. При ухудшенном всасывании витамина С его вводят внутримышечно по 1—2 мл 5% раствора. Одновременно назначают витамин Р (рутин, кверцетин и др.) 100—150 мг/сут. <br />Больные с II и III стадиями цинги должны лечиться в стационаре. Им показана диета, богатая белками (до 120—150 г/сут). При цинге II стадии суточная доза аскорбиновой кислоты должна быть не менее 500 мг, при III стадии — 1000 мг, при этом не менее 1/3 дозы следует вводить парентерально.</p>\r\n<p>Эффективно введение в вену 1—2 мл 5% раствора аскорбината натрия вместе с глюкозой. Назначают также витамины Р (150—300 мг), B1 (20 мг), рибофлавин (10 мг). Активную витаминотерапию проводят не менее месяца, затем дозы постепенно снижают.</p>",
"prevention": "",
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"etiology": "<p>Гиповитаминоз С может развиваться при приеме ацетилсалициловой кислоты, эстрогенов, пероральных контрацептивов, а также при алкоголизме, гипертиреозе, проведении гемодиализа.</p>",
"pathogenesis": "<p>Аскорбиновая кислота играет важную роль в окислительно-восстановительных процессах, углеводном обмене, оказывает универсальное влияние на проницаемость сосудистой стенки, развитие и функцию костной, хрящевой ткани, кожи, надпочечников и других органов. Недостаток аскорбиновой кислоты со временем приводит к угнетению Т-системы иммунитета, что способствует развитию инфекционных осложнений.</p>",
"diagnostics": "<p>Важное значение особенно в I стадии заболевания имеет определение экскреции аскорбиновой кислоты с мочой.</p>\r\n<p>Во II и III стадиях цинги клиническая симптоматика (гингивит, стоматит, выпадение зубов, распространенные петехиальные сыпи и кровоизлияния под кожу в мышцы, суставы, остеопороз и др.) в сочетании с анамнестическими данными о неполноценном питании дает возможность установить правильный диагноз.</p>",
"treatment": "<p>Лечение больных цингой в I стадии можно проводить амбулаторно. Назначают аскорбиновую кислоту по 0,1 г 3—5 раз в сутки. При ухудшенном всасывании витамина С его вводят внутримышечно по 1—2 мл 5% раствора. Одновременно назначают витамин Р (рутин, кверцетин и др.) 100—150 мг/сут. <br />Больные с II и III стадиями цинги должны лечиться в стационаре. Им показана диета, богатая белками (до 120—150 г/сут). При цинге II стадии суточная доза аскорбиновой кислоты должна быть не менее 500 мг, при III стадии — 1000 мг, при этом не менее 1/3 дозы следует вводить парентерально.</p>\r\n<p>Эффективно введение в вену 1—2 мл 5% раствора аскорбината натрия вместе с глюкозой. Назначают также витамины Р (150—300 мг), B1 (20 мг), рибофлавин (10 мг). Активную витаминотерапию проводят не менее месяца, затем дозы постепенно снижают.</p>",
"prevention": "",
"clinical_picture": "<p>К I стадии цинги относят случаи, характеризующиеся умеренной слабостью, болью в ногах, повышенной кровоточивостью, цинготной пурпурой, нерезким гингивитом; трудоспособность снижена умеренно.</p>\r\n<p>Во II стадии геморрагии приобретают распространенный характер. Отмечается геморрагический <a href=\"/symptom/vypot/\" title=\"Перейти на страницу симптома Выпот\">выпот</a> в суставы, плевру. Гингивит и стоматит резко выражены; у больных повышается температура. Они нуждаются в стационарном лечении.</p>\r\n<p>Стадия III характеризуется тяжелым общим состоянием больных, резким исхуданием, дальнейшим нарастанием кровоточивости, анемизации, возникновением долго незаживающих язв конечностей, развитием инфекционных осложнений (пневмонии, туберкулез, дизентерия, <a href=\"/symptom/sistemnoe_vospalenie/\" title=\"Перейти на страницу симптома Системное воспаление\">сепсис</a> одонтогенный и др.).</p>",
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}
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}