ࡱ> ~q`bjbjqPqP>::A&"""8Z44,"h,j,j,j,j,j,j,-h/:j,-qqqj,,qh,qh,*+ 5"*<,,,0,*5050(++850+H xj,j,d,qqqq$"" !>45@60=85 2545=85& & & & & & & & & & & & & & & & & & & & & & & & & & & & 3 CB8 70@065=8O BC15@:C;57><& & & & & & & & & & & & & & & & & ...4 >;L <54A5AB@K 2 ?@>D8;0:B8:5 0M@>35==>3> ?CB8 70@065=8O& & & & ..7 0:;NG5=85& & & & & & & & & & & & & & & & & & & & & & & & & & ...11 8B5@0BC@0& & & & & & & & & & & & & & & & & & & & & & & & & & & 12 2545=85 "C15@:C;Q7 (tuberculosis; ;0B. tuberculum 1C3>@>: + -osis) - E@>=8G5A:0O 8=D5:F8>==0O 1>;57=L, 2K7K205<0O <8:>10:B5@8O<8 BC15@:C;570. 01;N405BAO ?@58<CI5AB25==> C <C6G8= 2 7@5;>< 8 ?>68;>< 2>7@0AB5. 081>;55 G0AB> 2AB@5G05BAO BC15@:C;Q7 >@30=>2 4KE0=8O; A@548 2=5;53>G=KE ?>@065=89 ?@5>1;0405B BC15@:C;Q7 >@30=>2 <>G5?>;>2>9 A8AB5<K, 3;07, ?5@8D5@8G5A:8E ;8<D0B8G5A:8E C7;>2, :>AB59 8 ACAB02>2. >71C48B5;8 BC15@:C;Q70 - :8A;>B>CAB>9G82K5 <8:>10:B5@88; >B:@KBK >E>< (R. Koch) 2 18823. 725AB=> =5A:>;L:> 284>2 <8:>10:B5@89 (G5;>25G5A:89, 1KG89, ?B8G89 8 4@.). 081>;55 G0AB> 2>71C48B5;5< BC15@:C;Q70 C G5;>25:0 O2;ONBAO <8:>10:B5@88 G5;>25G5A:>3> 2840. 8:>10:B5@88 BC15@:C;Q70 - B>=:85, ?@O<K5 8;8 A;53:0 87>3=CBK5 ?0;>G:8 4;8=>9 1-10 <:<, H8@8=>9 0,2-0,6 <:<, 3><>35==K5 8;8 75@=8ABK5 A> A;53:0 70:@C3;5==K<8 :>=F0<8, 25AL<0 CAB>9G82K5 : 2>7459AB28N D0:B>@>2 >:@C60NI59 A@54K. 8:>10:B5@88 BC15@:C;Q70 G0I5 ?>?040NB 2 >@30=87< G5@57 25@E=85 4KE0B5;L=K5 ?CB8, @565 - G5@57 65;C4>G=>-:8H5G=K9 B@0:B 8 ?>2@5645==CN :>6C. A=>2=K< 8AB>G=8:>< 8=D8F8@>20=8O O2;ONBAO 1>;L=K5 ;N48, 2K45;ONI85 <8:>10:B5@88 BC15@:C;570, 0 B0:65 1>;L=K5 BC15@:C;Q7>< 682>B=K5, 3;. >1@. :@C?=K9 @>30BK9 A:>B, 25@1;N4K, :>7K, >2FK, A28=L8, A>10:8, :>H:8, :C@K. >;L=K5 682>B=K5 2K45;ONB <8:>10:B5@88 BC15@:C;Q70 A <>;>:><, <>:@>B>9, :0;><, <>G>9.  <>;>G=KE ?@>4C:B0E <8:>10:B5@88 BC15@:C;Q70 <>3CB A>E@0=OBLAO 4;8B5;L=> (=0?@., 2 <0A;5 - 4> 240 4=59). 4=0:> ?0AB5@870F8O <>;>:0 (?@8 t 85 2 B5G5=85 30 <8=) 30@0=B8@C5B 53> >15770@06820=85. 565 70@065=85 <>65B ?@>8AE>48BL ?@8 C?>B@51;5=88 2 ?8IC <OA0 1>;L=KE 682>B=KE. 0B>35=57 A;>65= 8 7028A8B >B <=>3>>1@078O CA;>289, 2 :>B>@KE ?@>8AE>48B 2708<>459AB285 2>71C48B5;O 8=D5:F88 8 >@30=87<0. =D8F8@>20=85 <8:>10:B5@8O<8 BC15@:C;Q70 40;5:> =5 2A5340 2K7K205B @0728B85 BC15@:C;57=>3> ?@>F5AA0. 54CICN @>;L 2 2>7=8:=>25=88 BC15@:C;Q70 83@0NB =51;03>?@8OB=K5 CA;>28O 687=8, 0 B0:65 A=865=85 A>?@>B82;O5<>AB8 >@30=87<0. <5NBAO 40==K5 > =0A;54AB25==>9 ?@54@0A?>;>65==>AB8 : 701>;520=8N. 1. CB8 70@065=8O BC15@:C;57>< AB>G=8: 8=D5:F88. A=>2=K< 8AB>G=8:>< " O2;O5BAO 1>;L=>9 BC15@:C;57>< G5;>25:, @0A?@>AB@0=ONI89 " (10F8;;>2K45;8B5;L).  A2O78 A B5<, GB> 70@065=85 BC15@:C;57>< =081>;55 G0AB> 2K7K205B ?>@065=85 ;53:8E, 3;02=>5 7=0G5=85 2 @0A?@>AB@0=5=88 BC15@:C;57=>9 8=D5:F88 8<55B <>:@>B0 1>;L=>3> BC15@:C;57>< G5;>25:0  >=0 AG8B05BAO >A=>2=K< 8AB>G=8:>< 8=D5:F88. K45;O5<0O <>:@>B0 ?>?0405B =0 15;L5 =5>?@OB=>3> 1>;L=>3>, ?@54<5BK 1KB0, =0 ?>; 8 AB5=K 68;>3> 8;8 ?@>872>4AB25==>3> ?><5I5=8O. <5AB5 A ?K;LN G0AB8FK 2KA>EH59 <>:@>BK ?@>=8:0NB 2 4KE0B5;L=K5 ?CB8 74>@>2>3> G5;>25:0. G03 BC15@:C;57=>9 8=D5:F88 AB0=>28BAO >?0A=K< 2 B5E A;CG0OE, :>340 1>;L=K5 AB@040NB >B:@KB>9 D>@<>9 BC15@:C;570, B.5. 2K45;ONB BC15@:C;57=K5 <8:>10:B5@88. A>1>5 7=0G5=85 ?@8 70@065=88 BC15@:C;57>< 8<55B ?@O<>9, 4;8B5;L=K9 8 B5A=K9 :>=B0:B 74>@>2>3> G5;>25:0 A 10F8;;>2K45;8B5;5<. 0@065=85 <>65B ?@>8AE>48BL G0I5 2A53> 2 A5<L5, 2 <5AB5 ?@>6820=8O 8;8 2 :>;;5:B825 4>;3>5 2@5<O, 2 :>B>@KE =0E>48BAO 1>;L=>9 BC15@:C;57><, 2K45;ONI89 <8:>10:B5@88. ?0A=>ABL @0AA5820=8O 70@07=>3> =0G0;0 CAB@0=O5BAO, 5A;8 10F8;;>2K45;8B5;L A2>52@5<5==> 2KO2;5= 8 87>;8@>20=. >7=8:=>25=85 8 B5G5=85 8=D5:F88 7028AOB =5 B>;L:> >B 28@C;5=B=>AB8 2>71C48B5;O, => 8 >B A>AB>O=8O CAB>9G82>AB8 8 @50:B82=>AB8 <0:@>>@30=87<0. >;LH>5 7=0G5=85 8<55B <5AB> ?@>=8:=>25=8O " 2 >@30=87<, 345 702O7K205BAO ?5@28G=K9 :>=B0:B A <8:@>1>< (2E>4=K5 2>@>B0 8=D5:F88). 07;8G0NB A;54CNI85 ?CB8 ?5@540G8 BC15@:C;570: 1) 2>74CH=>-:0?5;L=K9; 2) 0;8<5=B0@=K9 (G5@57 ?8I520@8B5;L=K9 B@0:B); 3) :>=B0:B=K9; 4) 2=CB@8CB@>1=>5 70@065=85 BC15@:C;57><. >74CH=>-:0?5;L=K9 ?CBL 70@065=8O BC15@:C;57>< "C15@:C;57=K5 <8:>10:B5@88 ?>?040NB 2 2>74CE A :0?5;L:0<8 ?@8 :0H;5, @073>2>@5 8 G8E0=88 1>;L=>3> A 0:B82=K< BC15@:C;57><. @8 24KE0=88 MB8 70@065==K5 :0?5;L:8 ?@>=8:0NB 2 ;53:85 74>@>2>3> G5;>25:0. -B>B A?>A>1 70@065=8O ?>;CG8; =0720=85 2>74CH=>-:0?5;L=>9 8=D5:F88.  7028A8<>AB8 >B A8;K :0H;52KE 8<?C;LA>2 8 @07<5@>2 :0?5;5: " @0A?@>AB@0=ONBAO 2 2>74CE5 =0 @07;8G=K5 @0AAB>O=8O: ?@8 :0H;5 - 4> 2<, ?@8 G8E0=88 - 4> 9<.  A@54=5< G0AB8FK <>:@>BK @0AA5820NBAO =0 @0AAB>O=85 1 < ?@O<> ?5@54 1>;L=K<. K;520O 8=D5:F8O 0?5;L:8 BC15@:C;57=>9 <>:@>BK, >A52H85 =0 ?>;, 2KAKE0NB 8 ?@52@0I0NBAO 2 ?K;8=:8. 0E>482H85AO 2 =8E BC15@:C;57=K5 <8:>10:B5@88 =5:>B>@>5 2@5<O >AB0NBAO 2 ?K;8 687=5A?>A>1=K<8. #AB0=>2;5=>, GB> : 18-<C 4=N 2 2KACH5==>9 <>:@>B5 >AB05BAO 1% 682KE 10:B5@89. @8 A8;L=>< 42865=88 2>74CE0, ?>4<5B0=88 ?>;0, ?5@5<5I5=88 ;N459 ?K;8=:8, A>45@60I85 BC15@:C;57=K5 <8:>10:B5@88, ?>4=8<0NBAO 2 2>74CE, ?@>=8:0NB 2 ;53:85 8 2K7K20NB 70@065=85. 0@065=85 BC15@:C;57>< 2>7<>6=> ?>A@54AB2>< 24KE0=8O ?K;8.  >G5=L G8AB>< 2>74CE5, =04 3>@=K<8 25@H8=0<8 A@54=8E ?> 2KA>B5 3>@, 2 :C18G5A:>< A0=B8<5B@5 2>74CE0 A>45@68BAO 4> 200 ?K;52KE G0AB8F, 2 2>74CE5 70 3>@>4><  1000, 2 ?@54<5ABLOE 3>@>40  100 000, 0 2 F5=B@0;L=KE G0ABOE 3>@>40 C65 500 000 G0AB8F ?K;8 2 1-< :C18G5A:>< A0=B8<5B@5.  MB>9 A<5A8 G0AB8F >@30=8G5A:>3> 8 =5>@30=8G5A:>3> ?@>8AE>645=8O A>45@68BAO =5A<5B=>5 :>;8G5AB2> @07;8G=KE <8:@>1>2, 2 B>< G8A;5 2K7K20NI8E 70@065=85 BC15@:C;57><. ;8<5=B0@=K9 ?CBL 70@065=8O G5@57 ?8I520@8B5;L=K5 ?CB8 !?5F80;L=K5 M:A?5@8<5=BK =0 682>B=KE ?>:07K20NB, GB> ?@8 0;8<5=B0@=>< A?>A>15 B@51C5BAO 7=0G8B5;L=> 1>;LH55 :>;8G5AB2> <8:>10:B5@89, G5< ?@8 0M@>35==>< 70@065=88. A;8 ?@8 24KE0=88 4>AB0B>G=> >4=>9 8;8 42CE <8:>10:B5@89, B> 4;O 70@065=8O G5@57 ?8IC B@51CNBAO A>B=8 <8:@>1>2. 4=>9 87 >A>15==>AB59 MB>3> ?CB8 70@065=8O C <0;5=L:8E 45B59 O2;O5BAO G0AB>5 ?>@065=85 BC15@:C;57>< <575=B5@80;L=KE ;8<D0B8G5A:8E C7;>2. 5>1E>48<> 8<5BL 2 284C, GB> ?@>=8:=>25=85 BC15@:C;57=KE <8:>10:B5@89 2 :8H5G=8: <>65B ?@>8AE>48BL 8 ?@8 703;0BK20=88 1>;L=K<8 ;53>G=K< BC15@:C;57>< A>1AB25==>9 10F8;;O@=>9 <>:@>BK, GB> ?>4B25@6405BAO =0E>645=85< 10:B5@89 2 7=0G8B5;L=>< :>;8G5AB25 <5B>4>< D;>B0F88 ?@><K2=KE 2>4 65;C4:0. >=B0:B=K9 ?CBL ?5@540G8 BC15@:C;570 ?8A0=K A;CG08 70@065=8O G5@57 :>=JN=:B82C 3;070 <0;5=L:8E 45B59 8 27@>A;KE; ?@8 MB>< 8=>340 >1=0@C68205BAO >AB@K9 :>=JN=:B828B 8 2>A?0;5=85 A;57=>3> <5H>G:0. 0@065=85 BC15@:C;57>< G5@57 :>6C 2AB@5G05BAO @54:>. ?8A0=K A;CG08 701>;520=89 BC15@:C;57>< 4>O@>: ?@8 ?@>=8:=>25=88 " G5@57 ?>2@5645==CN :>6C @C: >B 1>;L=KE BC15@:C;57>< :>@>2. =CB@8CB@>1=>5 70@065=85 BC15@:C;57>< >7<>6=>ABL 70@065=8O BC15@:C;57>< ?;>40 2 ?5@8>4 2=CB@8CB@>1=>9 687=8 CAB0=>2;5=0 =0 A5:F88 A;CG0O<8 BC15@:C;570 C 45B59, C<5@H8E 2 ?5@2K5 4=8 ?>A;5 @>645=8O. 0@065=85 ?@>8AE>48B 8;8 ?@8 ?>@065=88 BC15@:C;57>< ?;0F5=BK, 8;8 ?@8 8=D8F8@>20=88 ?>2@5645==>9 ?;0F5=BK 2> 2@5<O @>4>2 BC15@:C;57=>9 <0B5@LN. "0:>9 ?CBL 70@065=8O BC15@:C;57>< 2AB@5G05BAO :@09=5 @54:>. >;L <54A5AB@K 2 ?@>D8;0:B8:5 0M@>35==>3> ?CB8 70@065=8O @8 >1A;54>20=88 >G030 4>;6=> 1KBL >1@0I5=> 2=8<0=85 =0 2KO2;5=85 8AB>G=8:0 70@065=8O. #G8BK20O, GB> 8=:C10F8>==K9 ?5@8>4 BC15@:C;570 <>65B 4>AB830BL 2 8 4065 5 ;5B, A;54C5B 87CG8BL 2>7<>6=K5 :>=B0:BK A 1>;L=K<8 =0 ?@>BO65=88 2A53> MB>3> A@>:0. @8 2KO2;5=88 :>=B0:B=KE ;8F 2 >G030E =04> 8=B5@5A>20BLAO =5 B>;L:> B5<8, :B> ?@>68205B ?> 40==><C 04@5AC, => 8 B5<8, :B> ?>A5I05B MBC :20@B8@C, 0 B0:65 >?@545;8BL ?@>872>4AB25==K5 :>=B0:BK @01>B0NI8E. >;=>5 ?5@28G=>5 >1A;54>20=85 :>=B0:B=KE ;8F 4>;6=> 1KBL 7025@H5=> 70 3 =545;8 A <><5=B0 2KO2;5=8O 1>;L=>3>. 4=>2@5<5==> A;54C5B B0:B8G=> 2KOA=8BL C 1>;L=>3>, :0:>2K 53> 38385=8G5A:85 =02K:8 8 GB> 5<C 8725AB=> > <5@0E ?> ?@54C?@5645=8N 701>;520=8O BC15@:C;57>< G;5=>2 A5<L8 8 B>20@8I59 ?> @01>B5. >A;5 A>2<5AB=>3> A>AB02;5=8O ?;0=0 >74>@>2;5=8O >G030 =5>1E>48<> ?5@59B8 : >1CG5=8N A0=8B0@=K< =02K:0< 8 <5B>40< B5:CI59 4578=D5:F88 2 >G035. 04> 4>1820BLAO, GB>1K B5:CICN 4578=D5:F8N >ACI5AB2;O; A0< 1>;L=>9 8;8, 2 :@09=5< A;CG05, 27@>A;K5 G;5=K A5<L8, => =8:>340  45B8. 081>;55 >?0A=>9 2 A<KA;5 70@065=8O >:@C60NI8E O2;O5BAO <>:@>B0. >A:>;L:C 70@065=85 BC15@:C;57>< ?@>8AE>48B 2 >A=>2=>< :0?5;L=>-?K;52K< ?CB5<, 0 <8:>10:B5@89 BC15@:C;570 CAB>9G82K : 2>7459AB28N <=>38E D0:B>@>2 2=5H=59 A@54K 8 A?>A>1=K 4;8B5;L=> (<5AOF0<8,"n@ D L N P Z   2 4 F Z \ յՔ{oaVohNhNCJaJhNhN5CJ\aJhNhNCJ\aJh=fh=f5CJ \aJ hf5CJ \aJ h=fCJ\aJh|DCJaJh]oCJaJhfCJaJh|Dh|DCJaJh]oCJ\aJh|Dh|DCJ\aJh|DCJ\aJhfCJ\aJh=f5CJ \aJ h|Dh|D5CJ \aJ nP           " $ & $dh`a$gdfdhgdf & Fdhgdf $dha$gdf$dh`a$gdfB& ( * , . 0 2 4 F ` , LD!&#D$%%6&$hdh^ha$gdf`gdf$dh`a$gdf$dh`a$gdf  ( ^ ` v z ~*,FHZ^"$6<@BDVX@  JĶhNhN5CJ \aJ hf5CJ \aJ hNCJaJhfCJaJhNhNCJaJhNhNCJ\aJhNCJ\aJGJLpDj !L%%&'())$*&*N**+r.02\2^2b226N6H88:;;^>`>b>d>h>j>n>p>>޾ް޾޾޾ްӢӰ޾ްް޾޾znh0h5CJ aJ hf5CJ aJ hNhfCJaJhfCJaJh=fh=f5CJaJh=fh=f0J5CJaJhNhN5CJ\aJhNCJaJh=fh=f0JCJaJh=fh=fCJaJhNhNCJaJhNhN6CJaJhNhNCJ aJ )6&T&&')*+r.b2246H889:;;^>`>b>d>f>h>j>l>n>p>dhgdf`gdf$dh`a$gdfp>>>xCCH\__f^f 3>40<8) 2K6820BL 2 =59, >3@><=>5 7=0G5=85 ?@8>1@5B05B 38385=0 :0H;O 8 ?@028;L=>5 A>18@0=85 <>:@>BK. @8 :0H;5 8 G8E0=88 2A5< ;N4O<, 0 >A>15==> 1>;L=K< BC15@:C;57><, =5>1E>48<> ?@8:@K20BL @>B 8 =>A BK;L=>9 G0ABLN ;04>=8 ;52>9 @C:8, >B2>@0G820OAL >B A>A540 8;8 A>15A54=8:0. ;O ?@028;L=>3> A>18@0=8O <>:@>BK ?@>B82>BC15@:C;57=K< CG@5645=85< 1>;L=><C 2K40NBAO 2 :0@<0==K5 ?;520B5;L=8FK, 87 :>B>@KE >4=0 =0E>48BAO 2 ?>;L7>20=88, 0 4@C30O  2 4578=D5:F88. ;520B5;L=8FK 4>;6=K 1KBL ?>AB>O==> 70:@KBK. 54A5AB@0 4>;6=0 =0CG8BL 1>;L=>3> >1@0I5=8N A :0@<0==>9 ?;520B5;L=8F59 8 4>1820BLAO, GB>1K >= 5N ?>;L7>20;AO ?>2AN4C, E@0=O ?;520B5;L=8FK 2 A?5F80;L=> AH8BKE, ;53:> ?>440NI8EAO 4578=D5:F88 <5H>G:0E. ;520B5;L=8FK 2A5340 =0 B@5BL >1J5<0 4>;6=K 1KBL 70?>;=5=K 4578=D8F8@CNI8< @0AB2>@>< 8;8 2>4>9, GB>1K <>:@>B0 =5 ?@8AKE0;0 : AB5=:0<.  4578=D5:F8>==KE <5@>?@8OB8OE >A>1>5 2=8<0=85 C45;O5BAO >15770@06820=8N <>:@>BK 8 ?;520B5;L=8F. CGH8<8 <5B>40<8 4578=D5:F88 ?@8 BC15@:C;575 O2;ONBAO D878G5A:85. 5;0B5;L=> ?@>872>48BL >4=>2@5<5==> :8?OG5=85 ?;520B5;L=8FK A <>:@>B>9, GB>1K 871560BL @071@K73820=8O <>:@>BK 8;8 @0AA5820=8O <5;LG09H8E G0AB8F ?@8 2K;820=88 55. 04> >1@0B8BL 2=8<0=85 1>;L=>3> 8;8 ;8F, >1@010BK20NI8E ?;520B5;L=8FK 8 <>:@>BC, GB> ?;520B5;L=8FK A <>:@>B>9 A;54C5B >?CA:0BL 2 2 % @0AB2>@ A>4K, ?>;=>ABLN ?>:@K20NI89 ?;520B5;L=8FK, 8 :8?OB8BL 2 B5G5=85 15 <8=CB, AG8B0O >B <><5=B0 70:8?0=8O. ">;L:> ?>A;5 MB>3> <>:@>BC <>6=> 2K;8BL 2 :0=0;870F8N 8;8 70:>?0BL 2 75<;N. @8 =52>7<>6=>AB8 ?>;L7>20BLAO :8?OG5=85< :0: A@54AB2>< >15770@06820=8O A;54C5B ?>;L7>20BLAO E8<8G5A:8<8 457A@54AB20<8.  =8< >B=>A8BAO E;>@=0O 8725ABL, 425B@5B8>A=>2=0O A>;L 38?>E;>@840 :0;LF8O ("!), E;>@0<8=, =0B@8520O 8;8 :0;8520O A>;L 48E;>@87>F80=C@>2>9 :8A;>BK, E;>@-15B0-=0DB>; 8 15=78;-D5=>;. 15770@06820=85 <>G8 8 :0;0 ?@>872>48BAO 70;82:>9 8E 20 % @0AB2>@>< E;>@=>9 8725AB8 =0 2 G0A0 2 70:@KB>< A>AC45. 0B5< A>45@68<>5 2K;820NB 2 :0=0;870F8N, 0 ?@85<=8: A?>;0A:820NB 3>@OG59 2>4>9 8 :8?OBOB 2 2 % @0AB2>@5 A>4K 15 <8=CB 8;8 ?>3@C60NB 2 457@0AB2>@. !?5F80;L=> 2K45;5==0O 4;O 1>;L=>3> ?>AC40 >15770@068205BAO :8?OG5=85< 2 2 % A>4>2>< @0AB2>@5. 5;L5 1>;L=>3> E@0=8BAO >B45;L=>, AB8@:0 53> ?@>872>48BAO @0745;L=> A> AB8@:>9 15;LO >AB0;L=KE G;5=>2 A5<L8. 5@54 :8?OG5=85< 2 2 % A>4>2>< @0AB2>@5 15;L5 1>;L=>3> 70<0G820NB 2 1 % @0AB2>@5 0:B828@>20==>3> E;>@0<8=0 =0 1 2 G0A0 2 7028A8<>AB8 >B AB5?5=8 703@O7=5=8O 15;LO. @09=5 206=> C45;OBL A5@L57=>5 2=8<0=85 ?>2A54=52=>9 C1>@:5 ?><5I5=8O, 345 =0E>48BAO 1>;L=>9. #1>@:0 ?><5I5=8O ?@>872>48BAO ?@8 >B:@KBKE D>@B>G:0E, D@0<C30E, >:=0E (2 7028A8<>AB8 >B 2@5<5=8 3>40). >; <>NB 3>@OG59 2>4>9 A> I5;>:>< 8;8 2 % @0AB2>@>< A>4K (?0@:5B=K5 ?>;K ?@>B8@0NB :5@>A8=><).  A2O78 A B5<, GB> =081>;LH55 A:>?;5=85 <8:>10:B5@89 BC15@:C;570 1K205B 2 @048CA5 1 2 < 2>:@C3 1>;L=>3>, >A>15==> BI0B5;L=> A;54C5B >1B8@0BL 457@0AB2>@0<8 8;8 2 % A>4>2K< @0AB2>@>< AB5=:C, >:>;> :>B>@>9 AB>8B :@>20BL 1>;L=>3>, :@>20BL, ?@8:@>20B=K9 AB>;8: 8 B. 4. A;8 =0 ?@54<5B0E >1AB0=>2:8, AB5=0E 8<5NBAO ?OB=0 2KA>EH59 <>:@>BK 8;8 2K45;5=89 1>;L=>3>, A;54C5B ?5@54 C1>@:>9 ?@5420@8B5;L=> ?@>B5@5BL 8E B@O?:>9, A<>G5==>9 2 5 % @0AB2>@5 E;>@0<8=0 8;8 ;87>;0. 5 A;54C5B 701K20BL, GB> B@O?:8 ?@8 MB>< 8=D8F8@CNBAO, ?>MB><C ?>A;5 C?>B@51;5=8O 8E =5>1E>48<> 70<0G820BL 2 5 % @0AB2>@5 E;>@0<8=0 8;8 :8?OB8BL 15 <8=CB 2 2 % A>4>2>< @0AB2>@5. =838, 83@CH:8, <515;L 8 4@C385 ?@54<5BK >18E>40 >15770@06820NB >4=8< 87 C?><O=CBKE <5B>4>2. A5 ?@54<5BK CE>40 70 1>;L=K< 70I8I0NB >B <CE. > 2A59 :20@B8@5 =04> ?@>2>48BL 1>@L1C A <CE0<8. 8F0, CE06820NI85 70 1>;L=K<, 4>;6=K BI0B5;L=> <KBL @C:8 A <K;><, :>@>B:> AB@8GL =>3B8. 0 2@5<O CE>40 70 1>;L=K<, ?@8 >15770@06820=88 <>:@>BK, ?@54<5B>2 4><0H=53> >18E>40, A1>@5 3@O7=>3> 15;LO 8 B. 4. A;54C5B =04520BL E0;0B 8;8 A?5F80;L=> 2K45;5==CN 4;O MB>3> >4564C, <0@;52CN <0A:C, @578=>2K5 ?5@G0B:8. @8 :@>2>E0@:0=L5, :@><5 ?>;=>3> ?>:>O, =5>1E>48< >A>1K9 CE>4 70 1>;L=K<, ?@028;L=>5 53> ?>;>65=85 2 ?>AB5;8  A ?@8?>4=OB>9 25@E=59 ?>;>28=>9 BC;>28I0. 548F8=A:0O A5AB@0 4>;6=0 CG8BL 1>;L=>3> A?;52K20BL :@>2L 2 ;>B>:, =5 703;0BK20BL 55. >@<OB 1>;L=>3> ?@>E;04=>9 ?8I59. @8 :@>2>E0@:0=L5 2>7=8:05B G0AB0O @2>B0, 1>;L=>9 2 MB> 2@5<O B5@O5B 1>;LH>5 :>;8G5AB2> :0;LF8O, =0B@8O E;>@840 8 15;:0.  B0:8E A;CG0OE A ?8I59 22>4OB 15 20 3 ?>20@5==>9 A>;8 8;8 ?@8<5=ONB 2=CB@825==K5 2;820=8O 55 38?5@B>=8G5A:>3> @0AB2>@0. 07:8 4;O <8:@>A:>?8G5A:>3> 8AA;54>20=8O B@0=A?>@B8@CNBAO 2 A?5F80;L=KE ?;0=H5B0E. ;O ?@54>E@0=5=8O >B ?5@5:@5AB=>9 :>=B0<8=0F88 ?@8 B@0=A?>@B8@>2:5 >=8 =5 4>;6=K :0A0BLAO 4@C3 4@C30. 0640O ?@>10 <0B5@80;0 4>;6=0 1KBL ?@><0@:8@>20=0, 8<5BL A>>B25BAB2CNI55 =0?@02;5=85, 0 2AO ?0@B8O - 70?>;=5==K9 A>?@>2>48B5;L=K9 ;8AB. > 871560=85 8=D8F8@>20=8O 1;0=:>2 =0?@02;5=89 8 A>?@>2>48B5;L=KE 4>:C<5=B>2 65;0B5;L=> ?><5I0BL 8E 2 G8ABK9 :>=25@B 8;8 ?>;8MB8;5=>2K9 ?0:5B 8 ?5@54020BL =5?>A@54AB25==> 2 @C:8 2>48B5;N 02B>B@0=A?>@B0, =5 ?><5I0O 8E 2 B@0=A?>@B8@>2>G=K9 :>=B59=5@. 0B53>@8G5A:8 70?@5I05BAO 702>@0G820BL D;0:>= A <0B5@80;>< 2 1;0=: =0?@02;5=8O. -B> =5>1E>48<> >1JOA=8BL 1>;L=><C 8 @01>B=8:C, >B25BAB25==><C 70 A1>@ 8 B@0=A?>@B8@>2:C <0B5@80;0. 548F8=A:89 @01>B=8: >1O70= 0:B82=> ?@>2>48BL A0=8B0@=>-?@>A25B8B5;L=CN @01>BC A@548 68B5;59 >1A;C68205<>9 B5@@8B>@88, 0:B82=> ?@82;5:0BL ;8F, =5 >1A;54>20==KE D;N>@>3@0D8G5A:8 2 8 1>;55 ;5B, :>=B@>;8@>20BL A>1;N45=85 :@0B=>AB8 >1A;54>20=8O 4@C38<8 3@C??0<8 =0A5;5=8O. 57C;LB0BK >A<>B@>2 (?>42>@=KE >1E>4>2) CG8BK20NBAO 8 :>=B@>;8@CNBAO ?> 40==K< 2 D>@<5 54><>ABL CG5B0 ?>A5I5=89 : A@54=5<C <548F8=A:><C ?5@A>=0;C 74@02?C=:B0, D5;L4H5@A:>-0:CH5@A:>3> ?C=:B0, :>;E>7=>3> @>44><0 D039-1/C-88 8;8 54><>ABL CG5B0 2@0G51=KE ?>A5I5=89 2 0<1C;0B>@=>-?>;8:;8=8G5A:8E CG@5645=8OE, =0 4><C D039/C-02. >?>;=8B5;L=> 2 3@0D0E 1 8 2 D039-1/C-88 8 3@0D0E 2 8 10 D039/C-02 2 A:>1:0E C:07K205BAO :>;8G5AB2> 1>;L=KE (2 B>< G8A;5), >1A;54>20==KE (;N1K< 87 <5B>4>2) =0 BC15@:C;57.  C@=0;5 @538AB@0F88 0<1C;0B>@=KE 1>;L=KE D074C C:07K205BAO ?@8=04;56=>ABL ;8F0, >A<>B@5==>3> =0 BC15@:C;57, : 2KH5?5@5G8A;5==K< 3@C??0<, <5B>4 >1A;54>20=8O 8 53> @57C;LB0B. 0:;NG5=85 "@C4=>AB8 1>@L1K A BC15@:C;57>< A2O70=K A =5:>B>@K<8 >A>15==>ABO<8 2>71C48B5;O, 2K7K20NI53> 70@065=85. 5;> 2 B><, GB> 10F8;;K >E0 25AL<0 CAB>9G82K : 2>7459AB28N D0:B>@>2 2=5H=59 A@54K. =8 2K45@6820NB 70<>@06820=85 ?@8 B5<?5@0BC@5 4> -180 ! 2 B5G5=85 2>AL<8 4=59, A>E@0=ONB 687=5A?>A>1=>ABL =0 >45645 1>;L=>3> 3-4 <5AOF0, =0 AB@0=8F0E :=83  4> 6 <5AOF52 8 B.4. 081>;55 3C18B5;L=> 459AB2CNB =0 10F8;;C >E0 A>;=5G=K5 ;CG8 (C;LB@0D8>;5B>20O G0ABL A?5:B@0), :8?OG5=85, E;>@>BI5?;ONI85 ?@5?0@0BK (4578=D5:F8O E;>@0<8=><, E;>@=>9 8725ABLN), ?5@5:8AL 2>4>@>40 8 2>;=K 72C:0 C;LB@02KA>:>9 G0AB>BK. @O<>9 A>;=5G=K9 A25B C18205B BC15@:C;57=K5 ?0;>G:8 2 B5G5=85 >4=>3>-42CE G0A>2. '5;>25: 70@0605BAO BC15@:C;57>< G0I5 2A53> (90%) 0M@>35==K< ?CB5<, B> 5ABL ?@8 ?@>=8:=>25=88 <8:>10:B5@89 2 >@30=87< 2<5AB5 A 2>74CE>< G5@57 4KE0B5;L=K5 ?CB8, 2 B>< G8A;5 8 G5@57 25@E=85 >B45;K MB8E ?CB59, A;878ABCN =>A>3;>B:8 8;8 <8=40;8=K. 8:>10:B5@88 BC15@:C;570 ?>?040NB 2 >@30=87< ;81> A :0?5;L:0<8 <>:@>BK, >1@07CNI8<8AO C 1>;L=>3> ?@8 :0H;5 8;8 G8E0=88 (:0?5;L=0O 8=D5:F8O), ;81> A ?K;52K<8 G0AB8F0<8, A>45@60I8<8 2KA>EHCN <>:@>BC (?K;520O 8=D5:F8O). > 8<5NI8<AO 40==K< M?845<8>;>38G5A:>3> 8AA;54>20=8O, ?>GB8 ?>;>28=0 10F8;;O@=KE 1>;L=KE, ?@54AB02;ONI8E M?845<8>;>38G5A:CN >?0A=>ABL 4;O >:@C60NI8E, A2>52@5<5==> =5 2KO2;ONBAO. 564C B5< B0:>9 1>;L=>9 <>65B 70@078BL 70 3>4 >B 5 4> 50 G5;>25:. >MB><C 2 AB@0=5 @0725@BK20NBAO @01>BK ?> 2KO2;5=8N 10F8;;O@=KE 1>;L=KE. !2>52@5<5==>5 2KO2;5=85 8 ;5G5=85 10F8;;O@=KE 1>;L=KE BC15@:C;57>< ?>72>;ONB 4>18BLAO ?@5:@0I5=8O 10:B5@8>2K45;5=8O 8 @0AA5820=8O BC15@:C;57=>9 8=D5:F88, GB> O2;O5BAO 206=59H8< ?@>D8;0:B8G5A:8< <5@>?@8OB85<. <5==> ?>MB><C 2 =0AB>OI55 2@5<O 1>;LH>5 2=8<0=85 C45;O5BAO @538AB@0F88 70@07=KE 1>;L=KE BC15@:C;57><, :>=B@>;N 70 ?@82;5G5=85< 8E : ;5G5=8N 8 =01;N45=8N 70 =8<8 2 ?@>F5AA5 ;5G5=8O 8B5@0BC@0 1. >@8A>2 !.. @>1;5<K BC15@:C;570. - 2001. 6\< 6C@=0; @0G- !3  5A.74. !1:  5AL, 2005  68A 2. >@=8H5=:0 !.. @>D8;0:B8:0 8 0:B82=>5 2KO2;5=85 BC15@:C;570 2 CG@5645=8OE ?5@28G=>9 <548:>-A0=8B0@=>9 ?><>I8. 6\< 6C@=0; @0G, 2007 ! 8 -117A. 3. @82>E86 .. "C15@:C;57: !>2@5<5==K9 273;O4 =0 ;5G5=85 8 ?@>D8;0:B8:C. 4. 8@8=>2 . @>D8;0:B8:0 BC15@:C;570 ;53:8E. .: 548F8=0, 2007- 54A.     PAGE  PAGE 12 HZ^ڑ h@BDHJNPTVZ\hjlnpr~ĸġșȡȎxrxrnjxrxh0uhf hf0Jjhf0JUh7jh7Uh.(h|DCJaJhfCJaJh|Dh|DCJaJh|Dh05CJ aJ h|Dh|D5CJ aJ h0h|DCJaJh0h0CJaJh=fh=fCJaJh00J5CJaJhh=f0J5CJaJ'ڑpBFHLNRTXZlnh]hgdf &`#$gd0u$hdh^ha$gdf $`a$gdf`gdf$dh`a$gdfnp$hdh^ha$gdfh]hgdf &`#$gd0uh.(h|DCJaJh7h0uhf hf0Jjhf0JUh]o0JmHnHu< 001hP:pf. A!"S#n$n% B@B 1KG=K9CJ_HaJmHsHtHBA@B A=>2=>9 H@8DB 0170F0XiX 1KG=0O B01;8F04 l4a .k. 5B A?8A:0 D^@D N 1KG=K9 (251)dd[$\$,W@, =f!B@>3895\BOB =f osntxt_slevadd[$\$J @"J f86=89 :>;>=B8BC;  E$4)@14 f><5@ AB@0=8FKA 7h     #Q  & e "*Tx91h{$I/012345678q\o!#5&f'j();.m/q162345?778888\;'=??????b@@EAAAAAAAAAAAAAAAAA000 0 0000000000000000000000000000000000000000000000000000000000000000000 00000000000000000000000000000000000I00FI00I00FI00I00FI00@00I00@01I00I00@0@0I0 0XFI00 %%%( J>H%)*-PS& 6&p>ڑn&(+,QR' !(!!8@0(  B S  ? #_AbAC*urn:schemas-microsoft-com:office:smarttagsmetricconverter  1 < ProductID56/;BLX\(3 k } ^ o  &&&&&&'':'](g(++f5v5::>>(@,@e@o@@@@AIAPAAAAAAAAAAAAAAA 6 2>#1!4!&&*,99??C@E@P@R@@@AAAAAAAAAAAAAA 67/88AAAAAAAAAAAAAA56AAAAAAAAAAAAAA4} LCTG5E 4fI ;~B2:b].h ^`hH.h ^`hH.h pLp^p`LhH.h @ @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PLP^P`LhH. ^`hH. ^`hH. pLp^p`LhH. @ @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PLP^P`LhH.h^`5o(. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.h^h`o(. 8^8`hH. L^`LhH.  ^ `hH.  ^ `hH. xL^x`LhH. H^H`hH. ^`hH. L^`LhH.h ^`hH.h ^`hH.h pL^p`LhH.h @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PL^P`LhH.^`OJPJQJ^J. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.^`OJPJQJ^J. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.G ;~BEb]f4} zbTr(|@Z+agE8Q  0u0=f]o|Ds7Nnf@AIl0@(o A@@ @\UnknownGz Times New Roman5Symbol3& z Arial"1h4Ҧ6 7!v 7!v!n4oAoA 2QHX?N28<0User(       Oh+'0T    (4<DLNormalUser6Microsoft Office Word@0@`B@+ 7՜.+,0 hp|  v!oA     !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTVWXYZ[\]^_`abcdefghijklmopqrstuwxyz{|}Root Entry F51TableU]0WordDocument>SummaryInformation(nDocumentSummaryInformation8vCompObjq  F Microsoft Office Word MSWordDocWord.Document.89q