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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">thealth</journal-id><journal-title-group><journal-title xml:lang="ru">Здравоохранение Таджикистана</journal-title><trans-title-group xml:lang="en"><trans-title>Health care of Tajikistan</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">0514-2415</issn><publisher><publisher-name>Редакция журнала «Здравоохранение Таджикистана»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.52888/0514-2515-2021-350-95-104</article-id><article-id custom-type="elpub" pub-id-type="custom">thealth-275</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEW</subject></subj-group></article-categories><title-group><article-title>Современные принципы и перспективы консервативного лечения хронической ишемии нижних конечностей</article-title><trans-title-group xml:lang="en"><trans-title>Modern principles and prospects of conservative treatment of chronic lower limb ischemia</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Собиров</surname><given-names>С. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Sobirov</surname><given-names>S. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Собиров Собир Сафаралиевич - докторант PhD кафедры хирургических болезней №2</p><p>734003, Республика Таджикистан, г. Душанбе, пр. Рудаки 139</p></bio><bio xml:lang="en"><p>Sobirov Sobir Safaralievich - PhD student</p><p>734003 Republic of Tajikistan, Dushanbe, Rudaki Ave. 139</p></bio><email xlink:type="simple">sobirov-s.s@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гаибов</surname><given-names>А. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Gaibov</surname><given-names>A. D.</given-names></name></name-alternatives><bio xml:lang="en"><p>Dushanbe</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Рафиев</surname><given-names>Ф. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Rafiev</surname><given-names>F. R.</given-names></name></name-alternatives><bio xml:lang="en"><p>Dushanbe</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Камолов</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Kamolov</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="en"><p>Dushanbe</p></bio><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Кафедра хирургических болезней №2, Таджикский государственный медицинский университет им. Абуали ибни Сино</institution><country>Таджикистан</country></aff><aff xml:lang="en"><institution>Department of Surgical Diseases No. 2, Avicenna Tajik State Medical University; State Institution “Republican Scientific Center for Cardiovascular Surgery”</institution><country>Tajikistan</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Кафедра хирургических болезней №2, Таджикский государственный медицинский университет им. Абуали ибни Сино; ГУ «Республиканский научный центр сердечно-сосудистой хирургии»</institution><country>Таджикистан</country></aff><aff xml:lang="en"><institution>Department of Surgical Diseases No. 2, Avicenna Tajik State Medical University; State Institution “Republican Scientific Center for Cardiovascular Surgery”</institution><country>Tajikistan</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Кафедра хирургических болезней №2, Таджикский государственный медицинский университет им. Абуали ибни Сино; ГУ «Республиканский научный центр сердечно-сосудистой хирургии»</institution><country>Таджикистан</country></aff><aff xml:lang="en"><institution>Department of Surgical Diseases No. 2, Avicenna Tajik State Medical University</institution><country>Tajikistan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>29</day><month>10</month><year>2021</year></pub-date><volume>0</volume><issue>3</issue><fpage>95</fpage><lpage>104</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Собиров С.С., Гаибов А.Д., Рафиев Ф.Р., Камолов А.Н., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Собиров С.С., Гаибов А.Д., Рафиев Ф.Р., Камолов А.Н.</copyright-holder><copyright-holder xml:lang="en">Sobirov S.S., Gaibov A.D., Rafiev F.R., Kamolov A.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.zdrav.tj/jour/article/view/275">https://www.zdrav.tj/jour/article/view/275</self-uri><abstract><p>В статье представлен анализ литературных данных по проблемам диагностики и лечения критической ишемии нижних конечностей. Подробно анализированы понятия и характер критической ишемии нижних конечностей. Описаны основные современные методы обследования, в частности, оценка кровообращения по крупным и периферическим сосудам. Отражены современные принципы комплексного консервативного лечения от применения вазоконстриктиных препаратов до ангиопротекторов нового поколения в сочетании внутривенным лазерным облучением крови.</p></abstract><trans-abstract xml:lang="en"><p>The article presents an analysis of a review of world literature on the diagnosis and treatment of critical lower limb ischemia (CLLI). The concepts and nature of critical lower limb ischemia are analyzed in detail. The main modern examination methods are described, in particular, the assessment of blood circulation through large and peripheral vessels. The work also reflects the modern principles of complex conservative treatment using vasoconstrictive drugs to a new generation of angioprotectors in combination with intravenous laser blood irradiation (ILBI).</p></trans-abstract><kwd-group xml:lang="ru"><kwd>критическая ишемия нижних конечностей</kwd><kwd>этиология</kwd><kwd>патогенез</kwd><kwd>клиника</kwd><kwd>лечение</kwd><kwd>внутривенное лазерное облучение крови</kwd></kwd-group><kwd-group xml:lang="en"><kwd>critical lower limb ischemia</kwd><kwd>etiology</kwd><kwd>pathogenesis</kwd><kwd>clinic</kwd><kwd>treatment</kwd><kwd>intravenous laser blood irradiation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Абдуллоев Д.А. Дифференцированное лечение синдрома диабетической стопы, осложнённого гнойно-некротическими процессами / Д.А. 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