Health care of Kyrgyzstan
Zdravoohraneniye Kyrgyzstana

ISSN 1694-8068 (Print)

ISSN 1694-805X (Online)

Lake Louise acute mountain sickness score for assessing acute mountain sickness in workers in mountain area in the Kyrgyz Republic

Lake Louise acute mountain sickness score for assessing acute mountain sickness in workers in mountain area in the Kyrgyz Republic
Полный текст  

Abstract

Introduction. Since 1991, the Lake Louise Acute Mountain Sickness Score (LLAMSS) has been used around the world as a diagnostic tool. In the Kyrgyz Republic, this scoring system is not used in most cases for various reasons. Health care workers working in remote locations in mountainous areas should make greater use of the LLAMSS for diagnosing this pathological condition. Purpose of the study- To study the significance of the LLAMSS for assessing AMS in shift workers in mountainous areas in the Kyrgyz Republic. Materials and research methods.200 people were examined, working on a rotational basis at the mine at an altitude of 3800 meters above sea level. All surveyed workers underwent a medical examination six hours after arrival at work and were given a questionnaire containing vital signs, physical parameters of a person, occupational questions and the LLAMSS. The statistical program SPSS was used to process the data and identify the relationship between various indicators. Results.The use of the LLAMSS has shown to be a reliable and informative tool for diagnosing AMS. None of the surveyed workers experienced difficulties in understanding its main parameters. Comparison of the LLAMSS and physical parameters in workers was carried out, it did not show the relationship between the incidence of AMS, physical data of workers and occupational factors. Conclusion. In world practice, LLAMSS is a tool for diagnosing AMS. At the same time, in the Kyrgyz Republic, medical workers in the highlands do not have enough knowledge about the methods of prevention, diagnosis and treatment of AMS. This pathology is known only to a small group of specialists involved in mountain medicine. In the Kyrgyz Republic, thousands of people work on rotations in the highlands. To bridge this gap, it is necessary to create clinical protocols for medical workers working in mountainous areas. They should describe the main pathological conditions encountered in mountainous areas, including prevention, diagnosis, and treatment of AMS.

About the authors

Ашырбаев Айбек Арсымович, к.м.н., доцент кафедры Госпитальной хирургии медицинского факультета, КРСУ им. Б.Н. Ельцина, Бишкек, Кыргызская Республика
Толбашиева Гульджан Усеновна,к.м.н.,ассистент кафедры анестезиологии, интенсивной терапии до и после дипломного обучения КГМА им. И.К. Ахунбаева, Бишкек, Кыргызская Республика
Кадыров Максуд Саттарович, к.м.н., доцент кафедры Госпитальной хирургии медицинского факультета, КРСУ им. Б.Н. Ельцина, Бишкек, Кыргызская Республика

Джузумалиева Кулжамал Сардаровна, к.м.н., доцент кафедры Госпитальной хирургии медицинского факультета, КРСУ им. Б.Н. Ельцина, Бишкек, Кыргызская Республика

 

Ashyrbaev Aibek Arsymovich, Ph.D., Associate Professor of the Department of Hospital Surgery, Faculty of Medicine, KRSU named after B.N. Yeltsin, Bishkek, Kyrgyz Republic
Tolbashieva Guldzhan Usenovna, Ph.D., Assistant of the Department of Anesthesiology, Intensive Care Before and After Graduation of the KSMA named after I.K. Akhunbayeva, Bishkek, Kyrgyz Republic
Kadyrov Maksud Sattarovich, Ph.D., Associate Professor of the Department of Hospital Surgery, Faculty of Medicine, KRSU named after. B.N. Yeltsin, Bishkek, Kyrgyz Republic

Djuzumalieva Kulzhamal Sardarovna, Ph.D., Associate Professor of the Department of Hospital Surgery, Faculty of Medicine, KRSU named after. B.N. Yeltsin, Bishkek, Kyrgyz Republic

Ашырбаев Айбек Арсымович, медицина илимдеринин кандидаты, Б. Н. Ельцин атындагы Кыргыз-Россия Славян университетинин медицина факультетинин оорукана хирургиясы кафедрасынын доценти, Бишкек, Кыргыз Республикасы 

Толбашиева Гүлжан Усеновна, медицина илимдеринин кандидаты, И.К.  Ахунбаев атындагы Кыргыз мамлекеттик медициналык академиясынын анестезиология, реанимацияга чейинки жана дипломдон кийинки билим берүү кафедрасынын ассистенти, Бишкек, Кыргыз Республикасы

Кадыров Максуд Саттарович, медицина илимдеринин кандидаты, Б. Н. Ельцин атындагы Кыргыз-Россия Славян университетинин медицина факультетинин оорукана хирургиясы кафедрасынын доценти, Бишкек, Кыргыз Республикасы 

Джузумалиева Кулжамал Сардаровна,  медицина илимдеринин кандидаты, Б. Н. Ельцин атындагы Кыргыз-Россия Славян университетинин медицина факультетинин оорукана хирургиясы кафедрасынын 
доценти, Бишкек, Кыргыз Республикасы 

References

1. Hackett P.H., Roach R.C. High altitude cerebral edema. Journal High Altitude Medicine and Biology, - n.5, - 2004, p.136-146;
2. Международная классификация болезней, 10-я версия. http://med.rnx.ru/db/db-mkb10/
3. Дергунов А.В., Дергунов А.А. Горная патология. В кн.: Гипоксия. Адаптация, патогенез, клиника. – СПб, ООО “ЭЛБИ-СПб”, - 2000, - с. 123-176; [Dergunov A.B., Dergunov A.A. Mountaneous pathology, in the book: Hypoxia: adaptation, pathogenesis, clinical manifestations. – St-Petersburg, LLC “ELBI-SPb”, -2000, - p. 123-176.]
4. Roach R.C., Bartsch P., Hackett P.H., Oelz O. The Lake Louise Acute Mountain Sickness Scoring System. In: Hypoxia and Molecular Medicine. J.R.Sutton, C.S Houston, G.Coates, eds. Queen City Press, Burlington, VT, p.272-274;
5. Миррахимов М.М., Гольдберг П.Н. Горная медицина. – Фрунзе: Кыргызстан, 1978. – 167 с. [Mirrakhimov M.M., Goldberg P.N. Mountain medicine. – Frunze: Kyrgyzstan, 1978. – p.167]
6. Roach R.C., Hackett P.H., Oelz O., Bartsch P., Luks A.M., MacInnis M.J., Baillie J.K. and The Lake Louise AMS score consensus committee. The 2018 Lake Louise Acute Mountain Sickness Score. In: High altitude medicine and biology, vol.19, n.1, 2018, p.4-7;
7. Horiuchi M., Endo J., Akatsuka S., Uno T., Jones T.E. Prevalence of acute mountain sickness on Mount Fuji: A pilot study. Journal of Travel Medicine, 2016, - v.23, - n.4, - p.1-5, (doi: 10.1093/jtm/taw024);
8. Кошукеева А., Карашева Н.Т., Бримкулов Н.Н. Частота и особенности острой горной болезни на высоте 4000 метров над уровнем моря. Здравоохранение Кыргызстана, 2020, №1, с.11-18; [Koshukeeva A., Karasheva N.T., Brimkulov N.N.Frequency and features of the acute mountain sickness at a height of above 4000 meters above sea level.Healthcare of Kyrgyzstan, 2020, n.1, p.11-18; ]
9. Basnyat B., Subedi D., Sleggs J., Lemaster J., Bhasyal G., Aryal B., Subedi N. Disoriented and ataxic pilgrims: an epidemiological study of the acute mountain sickness and high-altitude cerebral edema at a sacred lake at 4300 meters in the Nepal Himalayas. Wilderness and Environmental Medicine. n.11(2), - 2000, - p.89-93
10. Vargas M. Studies on acute mountain sickness and high altitude pulmonary edema in acute exposure and intermittent chronic exposure at high altitude. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile,- 2000; - p.269;
11. Beazly M.F., Wright A.D., Hillenbrand P., Bredwell A.R. and BMRES. Acute mountain sickness scoring system. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile, - 2000; - p.227;
12. Kupper T., Gieseler U., Angelini C., Hillebrandt D., Milledge J. Recommendations of the medical commission, Union Internationale des associations d’alpinisme (UIAA). - v.2, - 2012; - p.19. 

1. Hackett P.H., Roach R.C. High altitude cerebral edema. Journal High Altitude Medicine and Biology, - n.5, - 2004, p.136-146;
2. International Classification of Diseases, 10th edition. http://med.rnx.ru/db/db-mkb10/
3. Dergunov A.B., Dergunov A.A. Mountaneous pathology, in the book: Hypoxia: adaptation, pathogenesis, clinical manifestations. – St-Petersburg, LLC “ELBI-SPb”, -2000, - p. 123-176.
4. Roach R.C., Bartsch P., Hackett P.H., Oelz O. The Lake Louise Acute Mountain Sickness Scoring System. In: Hypoxia and Molecular Medicine. J.R.Sutton, C.S Houston, G.Coates, eds. Queen City Press, Burlington, VT, p.272-274;
5. Mirrakhimov M.M., Goldberg P.N. Mountain medicine. – Frunze: Kyrgyzstan, 1978. – p.167
6. Roach R.C., Hackett P.H., Oelz O., Bartsch P., Luks A.M., MacInnis M.J., Baillie J.K. and The Lake Louise AMS score consensus committee. The 2018 Lake Louise Acute Mountain Sickness Score. In: High altitude medicine and biology, vol.19, n.1, 2018, p.4-7;
7. Horiuchi M., Endo J., Akatsuka S., Uno T., Jones T.E. Prevalence of acute mountain sickness on Mount Fuji: A pilot study. Journal of Travel Medicine, 2016, - v.23, - n.4, - p.1-5, (doi: 10.1093/jtm/taw024);
8. Koshukeeva A., Karasheva N.T., Brimkulov N.N.Frequency and features of the acute mountain sickness at a height of above 4000 meters above sea level.Healthcare of Kyrgyzstan, 2020, n.1, p.11-18.
9. Basnyat B., Subedi D., Sleggs J., Lemaster J., Bhasyal G., Aryal B., Subedi N. Disoriented and ataxic pilgrims: an epidemiological study of the acute mountain sickness and high-altitude cerebral edema at a sacred lake at 4300 meters in the Nepal Himalayas. Wilderness and Environmental Medicine. n.11(2), - 2000, - p.89-93
10. Vargas M. Studies on acute mountain sickness and high altitude pulmonary edema in acute exposure and intermittent chronic exposure at high altitude. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile,- 2000; - p.269;
11. Beazly M.F., Wright A.D., Hillenbrand P., Bredwell A.R. and BMRES. Acute mountain sickness scoring system. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile, - 2000; - p.227;
12. Kupper T., Gieseler U., Angelini C., Hillebrandt D., Milledge J. Recommendations of the medical commission, Union Internationale des associations d’alpinisme (UIAA). - v.2, - 2012; - p.19. 

1. Hackett P.H., Roach R.C. High altitude cerebral edema. Journal High Altitude Medicine and Biology, - n.5, - 2004, p.136-146;
2. Международная классификация болезней, 10-я версия. http://med.rnx.ru/db/db-mkb10/
3. Дергунов А.В., Дергунов А.А. Горная патология. В кн.: Гипоксия. Адаптация, патогенез, клиника. – СПб, ООО “ЭЛБИ-СПб”, - 2000, - с. 123-176; [Dergunov A.B., Dergunov A.A. Mountaneous pathology, in the book: Hypoxia: adaptation, pathogenesis, clinical manifestations. – St-Petersburg, LLC “ELBI-SPb”, -2000, - p. 123-176.]
4. Roach R.C., Bartsch P., Hackett P.H., Oelz O. The Lake Louise Acute Mountain Sickness Scoring System. In: Hypoxia and Molecular Medicine. J.R.Sutton, C.S Houston, G.Coates, eds. Queen City Press, Burlington, VT, p.272-274;
5. Миррахимов М.М., Гольдберг П.Н. Горная медицина. – Фрунзе: Кыргызстан, 1978. – 167 с. [Mirrakhimov M.M., Goldberg P.N. Mountain medicine. – Frunze: Kyrgyzstan, 1978. – p.167]
6. Roach R.C., Hackett P.H., Oelz O., Bartsch P., Luks A.M., MacInnis M.J., Baillie J.K. and The Lake Louise AMS score consensus committee. The 2018 Lake Louise Acute Mountain Sickness Score. In: High altitude medicine and biology, vol.19, n.1, 2018, p.4-7;
7. Horiuchi M., Endo J., Akatsuka S., Uno T., Jones T.E. Prevalence of acute mountain sickness on Mount Fuji: A pilot study. Journal of Travel Medicine, 2016, - v.23, - n.4, - p.1-5, (doi: 10.1093/jtm/taw024);
8. Кошукеева А., Карашева Н.Т., Бримкулов Н.Н. Частота и особенности острой горной болезни на высоте 4000 метров над уровнем моря. Здравоохранение Кыргызстана, 2020, №1, с.11-18; [Koshukeeva A., Karasheva N.T., Brimkulov N.N.Frequency and features of the acute mountain sickness at a height of above 4000 meters above sea level.Healthcare of Kyrgyzstan, 2020, n.1, p.11-18; ]
9. Basnyat B., Subedi D., Sleggs J., Lemaster J., Bhasyal G., Aryal B., Subedi N. Disoriented and ataxic pilgrims: an epidemiological study of the acute mountain sickness and high-altitude cerebral edema at a sacred lake at 4300 meters in the Nepal Himalayas. Wilderness and Environmental Medicine. n.11(2), - 2000, - p.89-93
10. Vargas M. Studies on acute mountain sickness and high altitude pulmonary edema in acute exposure and intermittent chronic exposure at high altitude. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile,- 2000; - p.269;
11. Beazly M.F., Wright A.D., Hillenbrand P., Bredwell A.R. and BMRES. Acute mountain sickness scoring system. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile, - 2000; - p.227;
12. Kupper T., Gieseler U., Angelini C., Hillebrandt D., Milledge J. Recommendations of the medical commission, Union Internationale des associations d’alpinisme (UIAA). - v.2, - 2012; - p.19. 

Для цитирования

Ашырбаев А.А.,Толбашиева Г.У., Кадыров М.С., Джузумалиева К. С. Балльная шкала Лейк Луиз для оценки острой горной болезни у рабочих в горной местности в Кыргызской республике. Здравоохранение Кыргызстана 2023, №1, с.128-134. https://dx.doi.org/10.51350/zdravkg2023.1.2.18.128.134

For citation

Ashyrbaev A.A.,Tolbashieva G.U.,Kadyrov M.S.,Djuzumalieva K.S. Lake louise acute mountain sickness scorefor assessing acute mountain sickness in workers in mountain area in the Kyrgyz republic.Health care of Kyrgyzstan 2023, No.1, pp. 128-134. https://dx.doi.org/10.51350/zdravkg2023.1.2.18.128.134

Цитата үчүн

Ашырбаев А.А.,Толбашиева Г.У., Кадыров М.С., Джузумалиева К.С. Кыргыз республикасындагы тоолордогу эмгекчилердин кучур тоолордун ооруларына баалоо учун Лейк Луис курч тоо оорусун баллдык шкаласы. Кыргызстандын саламаттык сактоо 2023, № 1, б.128-134.  https://dx.doi.org/10.51350/zdravkg2023.1.2.18.128.134

Authors Ashyrbaev A.A., Kadyrov M.S., Tolbashieva G.U., Djuzumalieva K.S.
Link doi.org https://dx.doi.org/10.51350/zdravkg2023.1.2.18.128.134
Pages 128-134
Keywords Kyrgyz Republic, remote medicine, mountain medicine, acute mountain sickness, remote healthcare, Lake Louise Acute Mountain Sickness Score
Russian
Об авторах

Ашырбаев Айбек Арсымович, к.м.н., доцент кафедры Госпитальной хирургии медицинского факультета, КРСУ им. Б.Н. Ельцина, Бишкек, Кыргызская Республика
Толбашиева Гульджан Усеновна,к.м.н.,ассистент кафедры анестезиологии, интенсивной терапии до и после дипломного обучения КГМА им. И.К. Ахунбаева, Бишкек, Кыргызская Республика
Кадыров Максуд Саттарович, к.м.н., доцент кафедры Госпитальной хирургии медицинского факультета, КРСУ им. Б.Н. Ельцина, Бишкек, Кыргызская Республика

Джузумалиева Кулжамал Сардаровна, к.м.н., доцент кафедры Госпитальной хирургии медицинского факультета, КРСУ им. Б.Н. Ельцина, Бишкек, Кыргызская Республика

 

Полный текст

PDF (RUS)

Список литературы

1. Hackett P.H., Roach R.C. High altitude cerebral edema. Journal High Altitude Medicine and Biology, - n.5, - 2004, p.136-146;
2. Международная классификация болезней, 10-я версия. http://med.rnx.ru/db/db-mkb10/
3. Дергунов А.В., Дергунов А.А. Горная патология. В кн.: Гипоксия. Адаптация, патогенез, клиника. – СПб, ООО “ЭЛБИ-СПб”, - 2000, - с. 123-176; [Dergunov A.B., Dergunov A.A. Mountaneous pathology, in the book: Hypoxia: adaptation, pathogenesis, clinical manifestations. – St-Petersburg, LLC “ELBI-SPb”, -2000, - p. 123-176.]
4. Roach R.C., Bartsch P., Hackett P.H., Oelz O. The Lake Louise Acute Mountain Sickness Scoring System. In: Hypoxia and Molecular Medicine. J.R.Sutton, C.S Houston, G.Coates, eds. Queen City Press, Burlington, VT, p.272-274;
5. Миррахимов М.М., Гольдберг П.Н. Горная медицина. – Фрунзе: Кыргызстан, 1978. – 167 с. [Mirrakhimov M.M., Goldberg P.N. Mountain medicine. – Frunze: Kyrgyzstan, 1978. – p.167]
6. Roach R.C., Hackett P.H., Oelz O., Bartsch P., Luks A.M., MacInnis M.J., Baillie J.K. and The Lake Louise AMS score consensus committee. The 2018 Lake Louise Acute Mountain Sickness Score. In: High altitude medicine and biology, vol.19, n.1, 2018, p.4-7;
7. Horiuchi M., Endo J., Akatsuka S., Uno T., Jones T.E. Prevalence of acute mountain sickness on Mount Fuji: A pilot study. Journal of Travel Medicine, 2016, - v.23, - n.4, - p.1-5, (doi: 10.1093/jtm/taw024);
8. Кошукеева А., Карашева Н.Т., Бримкулов Н.Н. Частота и особенности острой горной болезни на высоте 4000 метров над уровнем моря. Здравоохранение Кыргызстана, 2020, №1, с.11-18; [Koshukeeva A., Karasheva N.T., Brimkulov N.N.Frequency and features of the acute mountain sickness at a height of above 4000 meters above sea level.Healthcare of Kyrgyzstan, 2020, n.1, p.11-18; ]
9. Basnyat B., Subedi D., Sleggs J., Lemaster J., Bhasyal G., Aryal B., Subedi N. Disoriented and ataxic pilgrims: an epidemiological study of the acute mountain sickness and high-altitude cerebral edema at a sacred lake at 4300 meters in the Nepal Himalayas. Wilderness and Environmental Medicine. n.11(2), - 2000, - p.89-93
10. Vargas M. Studies on acute mountain sickness and high altitude pulmonary edema in acute exposure and intermittent chronic exposure at high altitude. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile,- 2000; - p.269;
11. Beazly M.F., Wright A.D., Hillenbrand P., Bredwell A.R. and BMRES. Acute mountain sickness scoring system. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile, - 2000; - p.227;
12. Kupper T., Gieseler U., Angelini C., Hillebrandt D., Milledge J. Recommendations of the medical commission, Union Internationale des associations d’alpinisme (UIAA). - v.2, - 2012; - p.19. 

Для цитирования

Ашырбаев А.А.,Толбашиева Г.У., Кадыров М.С., Джузумалиева К. С. Балльная шкала Лейк Луиз для оценки острой горной болезни у рабочих в горной местности в Кыргызской республике. Здравоохранение Кыргызстана 2023, №1, с.128-134. https://dx.doi.org/10.51350/zdravkg2023.1.2.18.128.134

English
About authors

Ashyrbaev Aibek Arsymovich, Ph.D., Associate Professor of the Department of Hospital Surgery, Faculty of Medicine, KRSU named after B.N. Yeltsin, Bishkek, Kyrgyz Republic
Tolbashieva Guldzhan Usenovna, Ph.D., Assistant of the Department of Anesthesiology, Intensive Care Before and After Graduation of the KSMA named after I.K. Akhunbayeva, Bishkek, Kyrgyz Republic
Kadyrov Maksud Sattarovich, Ph.D., Associate Professor of the Department of Hospital Surgery, Faculty of Medicine, KRSU named after. B.N. Yeltsin, Bishkek, Kyrgyz Republic

Djuzumalieva Kulzhamal Sardarovna, Ph.D., Associate Professor of the Department of Hospital Surgery, Faculty of Medicine, KRSU named after. B.N. Yeltsin, Bishkek, Kyrgyz Republic

References

1. Hackett P.H., Roach R.C. High altitude cerebral edema. Journal High Altitude Medicine and Biology, - n.5, - 2004, p.136-146;
2. International Classification of Diseases, 10th edition. http://med.rnx.ru/db/db-mkb10/
3. Dergunov A.B., Dergunov A.A. Mountaneous pathology, in the book: Hypoxia: adaptation, pathogenesis, clinical manifestations. – St-Petersburg, LLC “ELBI-SPb”, -2000, - p. 123-176.
4. Roach R.C., Bartsch P., Hackett P.H., Oelz O. The Lake Louise Acute Mountain Sickness Scoring System. In: Hypoxia and Molecular Medicine. J.R.Sutton, C.S Houston, G.Coates, eds. Queen City Press, Burlington, VT, p.272-274;
5. Mirrakhimov M.M., Goldberg P.N. Mountain medicine. – Frunze: Kyrgyzstan, 1978. – p.167
6. Roach R.C., Hackett P.H., Oelz O., Bartsch P., Luks A.M., MacInnis M.J., Baillie J.K. and The Lake Louise AMS score consensus committee. The 2018 Lake Louise Acute Mountain Sickness Score. In: High altitude medicine and biology, vol.19, n.1, 2018, p.4-7;
7. Horiuchi M., Endo J., Akatsuka S., Uno T., Jones T.E. Prevalence of acute mountain sickness on Mount Fuji: A pilot study. Journal of Travel Medicine, 2016, - v.23, - n.4, - p.1-5, (doi: 10.1093/jtm/taw024);
8. Koshukeeva A., Karasheva N.T., Brimkulov N.N.Frequency and features of the acute mountain sickness at a height of above 4000 meters above sea level.Healthcare of Kyrgyzstan, 2020, n.1, p.11-18.
9. Basnyat B., Subedi D., Sleggs J., Lemaster J., Bhasyal G., Aryal B., Subedi N. Disoriented and ataxic pilgrims: an epidemiological study of the acute mountain sickness and high-altitude cerebral edema at a sacred lake at 4300 meters in the Nepal Himalayas. Wilderness and Environmental Medicine. n.11(2), - 2000, - p.89-93
10. Vargas M. Studies on acute mountain sickness and high altitude pulmonary edema in acute exposure and intermittent chronic exposure at high altitude. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile,- 2000; - p.269;
11. Beazly M.F., Wright A.D., Hillenbrand P., Bredwell A.R. and BMRES. Acute mountain sickness scoring system. Abstracts of the 4th World Congress on Mountain Medicine and High Altitude Physiology, Arica, Chile, - 2000; - p.227;
12. Kupper T., Gieseler U., Angelini C., Hillebrandt D., Milledge J. Recommendations of the medical commission, Union Internationale des associations d’alpinisme (UIAA). - v.2, - 2012; - p.19. 

For citation

Ashyrbaev A.A.,Tolbashieva G.U.,Kadyrov M.S.,Djuzumalieva K.S. Lake louise acute mountain sickness scorefor assessing acute mountain sickness in workers in mountain area in the Kyrgyz republic.Health care of Kyrgyzstan 2023, No.1, pp. 128-134. https://dx.doi.org/10.51350/zdravkg2023.1.2.18.128.134

Kyrgyz
Авторлор жөнүндө

Ашырбаев Айбек Арсымович, медицина илимдеринин кандидаты, Б. Н. Ельцин атындагы Кыргыз-Россия Славян университетинин медицина факультетинин оорукана хирургиясы кафедрасынын доценти, Бишкек, Кыргыз Республикасы 

Толбашиева Гүлжан Усеновна, медицина илимдеринин кандидаты, И.К.  Ахунбаев атындагы Кыргыз мамлекеттик медициналык академиясынын анестезиология, реанимацияга чейинки жана дипломдон кийинки билим берүү кафедрасынын ассистенти, Бишкек, Кыргыз Республикасы

Кадыров Максуд Саттарович, медицина илимдеринин кандидаты, Б. Н. Ельцин атындагы Кыргыз-Россия Славян университетинин медицина факультетинин оорукана хирургиясы кафедрасынын доценти, Бишкек, Кыргыз Республикасы 

Джузумалиева Кулжамал Сардаровна,  медицина илимдеринин кандидаты, Б. Н. Ельцин атындагы Кыргыз-Россия Славян университетинин медицина факультетинин оорукана хирургиясы кафедрасынын 
доценти, Бишкек, Кыргыз Республикасы 

Шилтемелер

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Цитата үчүн

Ашырбаев А.А.,Толбашиева Г.У., Кадыров М.С., Джузумалиева К.С. Кыргыз республикасындагы тоолордогу эмгекчилердин кучур тоолордун ооруларына баалоо учун Лейк Луис курч тоо оорусун баллдык шкаласы. Кыргызстандын саламаттык сактоо 2023, № 1, б.128-134.  https://dx.doi.org/10.51350/zdravkg2023.1.2.18.128.134

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