The confusion of consciousness in the elderly treatment. Confusion of consciousness. In the elderly

Violations of consciousness are manifestations of dysfunction of individual parts of the brain, which may be accompanied by a temporary complete or partial loss of communication with reality, hallucinations, nonsense, aggression or a sense of fear.

The violations of consciousness include, stupor, stunning, coma, twilight permanent of consciousness and some other states in which the patient is not capable of adequate perception of reality.

Why does consciousness disappear?

The main reasons for violations of consciousness include:

• Without visible structural changes in the brain;
• and electrical activity of the brain;
• , metabolic and mental illness;
• drug addiction, alcoholism, toxicism;

Types of disorders and disorders of consciousness

Disorders of consciousness are divided into two large groups: quantitative and high-quality. The group of quantitative includes coma, stunning (doubt) and stupor. Qualitative is the twilight permanent of consciousness, outpatient automatism, fugue and some other violations of the brain.

Main types of violations and / or clouding consciousness:

1. Stupor (). Translated from Latin, this word means "Cleaning". The patient in a stupor ceases to respond to the surrounding reality. His reaction does not even cause strong noise and inconvenience, for example, the wet bed. During natural disasters (fires, earthquakes, floods), the patient is not aware that it is in danger, and does not move from the place. The stupor is accompanied by motor disorders and the absence of reaction to pain.
2. Twilight permanent consciousness. This type of disorder is characterized by suddenly arising and also suddenly disappearing disorientation in space. A person keeps the ability to reproduce automated familiar actions.
3. Syndrome of a locked man. This is the name of the condition in which the patient completely loses the ability to speak, to move, express emotions, etc. The surrounding mistakes believe that the patient is in and cannot adequately react to what is happening. In reality, a person is in consciousness. He is aware of everything that happens around him, but because of the paralysis of the whole body, it is not possible even to express emotions. Only eyes remain moving, with the help of the movement of which the patient communicates with the surrounding.
4. . This condition in which the patient is in consciousness, but its confusion is present. Him surrender understanding of the surrounding reality. The patient easily finds the sound source, reacts to pain. At the same time, he completely or practically loses the ability to speak and move. After his cure, patients say that they fully realized everything that happened around them, but some power prevented adequately to react to reality.
5. . It is characterized by a constant desire to fall asleep. At night, the sleep continues significantly longer than it should be. Awakening usually does not occur without artificial stimulation, such as alarm clock. 2 types of hypersignia should be distinguished: the one that meets is completely healthy man, and one that is characteristic of people with mental and other types of deviations. In the first case, elevated drowsiness can be a consequence of chronic fatigue syndrome or. In the second case, hypersmia testifies to the presence of the disease.
6. Stunning (or syndrome stunning consciousness). When stunning, already mentioned hypersmia and a significant increase in the threshold of perception of all external irritants are observed. The patient may have partial amnesia. The patient is not able to answer the easiest questions, hearing voices and knowing where the sound source is. Highlight 2 types of stunning consciousness. In a more easy-to-form patient, the teams given to him, moderate drowsiness and partial disorientation in space are observed. With a more severely form, the patient performs only the simplest commands, the level of its drowsiness will be significantly higher, the disorientation in space will be complete.
7. Wakeful coma (). Develops after serious. The name "Coma" This state was obtained because, despite the finding of consciousness, the patient is not able to come into contact with the outside world. Patient's eyes are open, eyeballs rotate. In this case, the look is not fixed. The patient has no emotional reactions and speech. The patient does not perceive the teams, but it is able to experience pain, reacting with incense with inseparal sounds and chaotic movements.
8. . Mental disorder flowing with violations of consciousness. The patient suffers with visual hallucinations. Him there is a disorientation in time, orientation in space is partially broken. The causes of the occurrence of delirium can be a lot. Hallucinations suffer from elderly people and alcoholics. Delia may testify about the presence of schizophrenia.
9. . Due to injury and for some other reasons, a person loses the ability to mental activity. Motor reflexes in the patient are saved. A cycle of sleep and wake change is preserved.
10. Dissociative Fuga. The type of mental disorder in which the patient completely loses its former personality and begins a new life. The patient usually seeks to move to a new place of residence, where no one knows him. Some patients change their habits and tastes, take another name. The fugue can last from several hours (the patient, as a rule, does not have time to radically change his life) up to several years. Over time, return to the previous person. The patient may lose all the memories of the life he led during the Fugue. Mental disorder can be caused by the events of the traumatic psyche of character: the death of a loved one, divorce, rape, etc. Psychiatrists believe that a fugue is a special protective mechanism of our body that allows you to symbolically "escape" from ourselves.
11. . The confusion disorder of consciousness, in which the patient loses the ability to synthesis. The overall picture of the world for him disintegrates into separate fragments. The inability to combine these elements with each other leads to a patient to complete disorientation. The patient is not capable of productive contact with the surrounding reality due to the incoherence of speech, the meaninglessness of the movements and the gradual loss of his own personality.
12. Coma. The patient is unconscious, it is impossible to derive from which in conventional ways. Allocate 3 degrees of this state. At a coma of the first degree, the patient is able to react to stimuli and pain. He does not come into consciousness, but the irritation corresponds to protective movements. While in a coma of the second degree, a person is not able to react to stimuli and experience pain. Under a coma of a third degree, the vital functions are in a catastrophic state, there is muscular atony.
13. Short-term loss of consciousness (,). The fainting is caused by a temporary violation of cerebral blood flow. The reasons for the short-term loss of consciousness can be the state of a reduced oxygen content in the blood, as well as states accompanied by violations of the nervous regulation of vessels. Syncopes are possible with some neurological diseases.

Twilight state of consciousness and its types

The permanent of consciousness (twilight) occurs when, and. This type of consciousness disorder is called transitory, that is, unexpectedly emerging and cutting down.

Long resistance (up to several days) is possible mainly in epileptics. This condition may be accompanied by fear, aggression and some other negative emotions.

For the twilight disorder of consciousness characteristic of hallucinations and nonsense. Vision are awesome. Expressed aggression is aimed at people, animals and inanimate objects. For a person suffering from twilight permanent, amnesia is characterized. The patient does not remember what he spoke and did during his seizures, and also does not remember what they saw hallucinations.

Twilight consciousness is found in several versions:

1. Ambulatory automatism. This condition is not accompanied by nonsense, hallucinations or aggressive behavior. Externally, the behavior of the patient is no different from his behavior in the usual condition. A person automatically makes all the usual actions. The patient can wander down the street aimlessly, passing familiar routes.
2. Rave. The patient's behavior does not always change. For this state, silence is characteristic, a missing look. The patient can be aggression.
3. Oriented Twilight Measurement Consciousness. The patient fragmentary retains consciousness, can recognize close people. Brad and hallucinations may be absent. The patient is experiencing fear or aggression.
4. Hallucinations. Visions that visit the patient during an attack are threatening. Patients see red or blood. In vision, a fictional character or fantastic creatures showing aggression may be present. The patient begins to defend themselves, damage even the closest people.

At the first signs of twilight states, it is necessary to provide prefigure help, to ensure care and observation. It is impossible to leave the patient alone. If consciousness is not fully lost, contact with it can be supported.

Sometimes familiar faces become the only guideline for the one who loses relationship with reality. Do not wait until the patient will completely lose contact with the outside world. He needs urgent transportation to the hospital.

First aid in violated consciousness

During the attack in the patient surrounding it, people should take urgent measures. If the consciousness is lost completely, you need to try to bring a person to feelings: let him sniff the ammonia, put the napkin moistened in cold water.

It should be immediately called "ambulance", even if the lost consciousness managed to exit a fainting state.

With a partial loss of consciousness, the provision of preferences can be complicated by the inadequate behavior of the patient. In case of incomplete loss of communication with a person with a person, it is necessary to maintain a permanent dialogue so that it does not take full break with reality.

The patient should not be one on one with him. However, others need to remember that in a similar state, a person may be subject to various kinds of hallucinations. He is able to harm those who loves.

Rendering medical care

A person suffering from any kind of mental disorders must constantly observe the psychiatrist and in time to undergo a medical examination. Since the reasons for the violation of consciousness may be different, the treatment may also differ in each particular case.

For example, if the patient suffers to renal failure, hemodialysis is prescribed. In case of drugs overdose naloxone is needed. The loss of consciousness caused by alcohol poisoning requires large doses of thiamine. In addition, with any poisoning you need to first rinse the stomach.

If during the next attack the patient lost the consciousness for a long time, he fell into someone, a vegetative state or a stupor, a doctor need to evaluate the vital functions and find out whether the patient's body can independently provide their livelihoods.

(Tisercine,) - drugs most frequently used in the treatment of disorders of consciousness introduced intramuscularly. Cordiamine is prescribed for the prevention of collaptoid state. In the presence of the first signs of the patient, it is necessary to hospitalize. The patient put a nurse for care and permanent surveillance.

Violations of consciousness are a group of mental diseases and disorders that does not give a patient to independently help help. At native and close patients, a huge responsibility is entrusted.

They should not allow the patient for a long time to remain granted to himself, and at the first signs began the seizure they are obliged to be able to assist him.

With which the ability to think at normal speed is lost, clarity and sequence of thought are disturbed. Under this name summarizes a whole group of damage in the complex work of the brain. Consider in more detail the concept of "confused".

Symptoms of the disease

The first signs allowing to detect confusion are problems with attention and orientation. Then you can begin to manifest memory disorders and logical thinking. Violation does not necessarily concern immediately all the highest functions of the psyche, only one of them may be damaged, for example, speech recognition. Communication problems or spatial orientation may be marked. In such cases, the disease is respectively called aphasia, dementia and agnosia.

Fast and slow manifestation of syndrome

The appearance of confused syndrome can be both fast and slow, depending on the causes that determine its causes. It is often temporary, but it also happens with constant, usually associated with dementia and nonsense.

Individuals with confused consciousness are usually very silent, moving little and look depressed. It happens that the disease is accompanied by illusions and hallucinations. If the first arises due to improper interpretation of stimuli, then the second appear at all without them.

It should be understood that the confiscation of each manifests itself individually, depending on the degree of intoxication or severity of another reason. The slowness and inconsistency of thinking are well noticeable in the conversation, and this is the first concomitant symptoms of symptoms. Therefore, in order to see the presence of a problem, do not be a professional.

Disorientation, its varieties

The disorientation can be as a allopsyichetic, in which a person is not able to name the date and the place in which it is now and the outopsychic, at which its own identification is difficult. Find out the presence of a disorientation is also easy by setting a couple of questions. According to the answers, the result is a clear consciousness; The confused is the time it's time for professional assistance. It should be referred to a psychiatrist or narcologist.

In assistance, it is necessary to pay sufficient attention to the meaning of the word "confused". A person in such a situation really experiences difficulties with the implementation of decisions, including consent to hospitalization, therefore, in such cases, it becomes necessary to conduct it on the basis of state testimony.

Dependence on the root cause

The root causes often cause characteristic features. With IRCs, obvious vegetatives and moderate painful sensations are glad, with a sick syndrome infarction, is very pronounced and sometimes able to cause a shock state. Metabolic causes are usually accompanied by various characteristic manifestations, such as smells.

In the elderly

The confident in the elderly has a chronic character, so they can partially develop adaptation to it. If such a state is for a long time, then, most likely, will lead to a negative outcome. Speech in such cases is usually slow, inconsistencies may be observed in it, sometimes breaking the delusional ideas, illusory images passing into hallucinogenic images may occur. The mood of such persons is also often changed and difficult to predict, therefore it should be treated with caution. There are also changes in a dream, and they can be diametrically opposed: from full insomnia to excess drowsiness.

Diagnostics

For diagnosis, both a classic survey and special neurological and psychiatric, such as the scale of the coma of Glasgow are used. And with organic diseases it is necessary to test blood, urine, make ECG and MRI. This will help reveal the root cause and start the right treatment.

Connected Consciousness: Causes of Appearance

This violation may manifest itself in view of a number of completely different reasons. That is why it cannot be a signal of a certain pathology, but it is necessary to realize its danger and try to find the cause. One thing is clear: such a disease speaks of a neurological existence.

Consider the possible causes of confidentiality:

1. Traumatic. The disease can be a consequence of cranial injuries, especially if they have a penetrating nature. Although sometimes the brain injury can cause such problems due to the high sensitivity of the brain tissues. Often the reason for the aneurysms characterized by a large number of dangerous manifestations.

2. Toxic. The cause of the disease can be alcoholic beverages or narcotic drugs. In wartime, various neurotropic gases and phosphorran substances were used as a weapon acting in a similar way. Neurotoxins may be contained in food such as carambola, fugu fish. The emergence of such consequences of poisoning mushrooms is also common.

3. Consequences of diseases. Diseases accompanied by severe intoxication of the body and hemetertermia (flu, angina, ORZ and others), sometimes lead to the appearance of confusion of consciousness. This is especially true for children and youthful age. The risk of appearance of such states occurs when injuries, fractures and large blood loss. Tuberculosis and syphilis are another one of the possible reasons. Encephalitis, sugar diabetes in acute form, severe hepatitis of various types, final stage of AIDS can be caused.

4. Neoplastic manifestationsWorking and not necessarily arising in the tissues of the brain. This is due to the fact that tumors are always accompanied by strong intoxication, so the confiscation of oncology in the later stages becomes inevitable. The danger is not only classic tumors, but also leukemia. It manifests itself in 15-30% of patients, and the last weeks of life reaches 85%. It makes an additional tension in the patient's condition and its relatives and affects the symptoms and methods of cancer therapy, including correcting the impact on pain.

5. Pathology of blood circulation. Both serious disorders, such as insulte, and ischemia, considered transient, i.e., flowing without consequences and only that are a signal of the presence of problems, often provoke the confidence of consciousness. The severity of the disease and manifestations of symptoms will be different depending on the seriousness of pathology that serves as a starting mechanism. With myocardial infarction, confusion arises due to problems with blood circulation and fragility of pain sensitivity.

6. Vegeta dystonia in view of partial disorders in vessels and vegetative nervous system Also accompanied by a mold confusion.

7. The result of degenerative diseases. The manifestation may arise in a serious degree at the peak of senile dementia, marasmism of various origin, Alzheimer's disease. In this case, it is caused by brain problems and problems with orientation.

The launched points of such processes can be the most diverse situations of varying severity. For emotionally weak people, strongly emotional shocks. Even lack of vitamins, supercooling, long deficiency of sleep and oxygen can lead to such consequences.

Treatment of confused

To treat the confusion of consciousness, it is initially necessary to establish the cause of its occurrence and already eliminate it. Since it is often the cause of any drugs, it is necessary to stop the reception of all drugs to the correction of all metabolic disorders. The etiology of confusion of consciousness is often determined quite easily due to specific symptoms, but sometimes you can help with this, having carried out

Alcohol as a reason

Sometimes it is possible to determine the cause and adjust the starting factors yourself. This applies to alcohol intoxication, reducing blood sugar levels. With a drop of sugar levels, sweet tea or candy will help. With the loss of a large amount of fluid, it is worth resorting to rehydration therapy using the means available in the pharmacy. Absorbents and a large amount of liquid will help alcohol intoxication.

Injury

If the reason was the injury, it is important to identify it on time and eliminate. Sometimes it has to resort to the help of neurosurgery. After ischemic stroke, thrombolytics are used, with hemorrhagic, operational disposal of hematoma is practiced. The effects of toxic substances, in particular heavy metals, and radiation impact also require appropriate directional treatment. Diseases accompanied by intoxication of the organism and increased temperature are treated with antiviral and antipyretic agents. With IT, the day and diet mode is adjusted, soothing medicines and teas are also applied: chamomile, mint, melissal.

There are certain drugs that can help get rid of the disease, but the most effective is to maintain the medical and security regime. If the patient is in an excited state, beds having a fence over sides are used, or a special chair. Sometimes, doctors are forced to resort to the patient's fixation, but it is advisable to avoid, giving it the possibility of an unlimited movement in a limited space.

Disorientation in time

If the disease is conjugate with time disorientation, it is important to ensure that things are in the room helping to navigate: large calendars and hours. This will reduce the level of anxiety and will help the patients feel more confident. With insomnia, it is necessary to provide a sick with a radio and to leave him a book and a lamp on, which will help to take time. In general, it is important to communicate with sick, support in it faith in recovery. A confidential consciousness is facilitated in this way.

If such funds do not have sufficient impact, resort to drug treatment, usually concluded in the reception of neuroleptics. At the same time, there are no accurate information about the advantage of any medicines before other, the main parameter is the presence of a sedative action. However, it is not always possible to apply them. The medicine is first prescribed in a minimum dose, and then gradually increase it, while observing the resulting reaction. It is important that no manifestations of the opposite is to increase behavioral disorders.

The complexity causes and restoring the sleep and wake cycle. Sometimes to improve the night's sleep, the patient is not allowed to fall asleep. Snow pills rarely have the necessary effect and most often the cycle comes back to normal after the confidential consciousness passes.

Violations of the mental state of a person is a serious symptom requiring close attention and adequate timely correction. Such a violation may indicate the development of many states, including life-threatening. Accordingly, the development of such problems is an occasion for immediate treatment for doctoral help. Let's talk on this page www.rasteniya-lecarstvennie.ru about the features of such a violation, as a confusion of consciousness slightly in more detail, consider its treatment, possible symptoms and reasons.

About how the confusion of consciousness is manifested (symptoms)

The confusion of consciousness can be described as inability to reflect in normal familiar speed and with the adequate rate of the thought process in the brain. Such a pathological condition may be accompanied by a sense of disorientation, weakening attention, violation of attention and difficulties in making decisions.

The confusion of consciousness may occur quickly or slowly, as well as for a long time, which depends on the causes of such a violation. Quite often, such confusion is temporary. In this case, it is considered constant and at the same time incurable, most often such a violation is associated with nonsense or dementia.

The confusion of consciousness is most often manifested by illegible speech or long-term pauses in speech. The patient may have a disorientation regarding location or time. A person can simply lose the essence of the task, trying to fulfill it. One of the classic examples of confusion is considered sudden changes in mood, for example, an unexpected occurrence of concern. Patients become inattentive, can not support the conversation for a long time.

Sometimes the symptoms described are complemented by more serious manifestations, among which illusions, hallucinations, excessive drowsiness.

About why the confusion of consciousness arises (causes in different life situations)

The confusion of consciousness may occur in a variety of life situations. Sometimes such a violation is provoked by alcohol intoxication of the body. In addition, it can cause tumor lesions of the brain, its concussion, an increase in body temperature. The confusion of consciousness can develop with electrolyte imbalance, against the background of head injuries and cranial injuries. Often, such symptoms arises in the elderly at the corresponding age-related changes, and with existing neurological ailments, for example, under stroke.

In some cases, the confidence of consciousness develops against the background of infectious lesions, a long deficit of sleep, with a decrease in the amount of blood sugar and a low level of oxygen (for example, with chronic lungal illnesses).

In certain situations, such symptoms are provoked by drug intake and a serious shortage of nutrient elements, presented primarily by niacin, thiamine, vitamin C and vitamin B12. Consciousness can still be impaired and with a sharp decrease in the temperature of the body temperature, for example, with hypothermia, etc.

How corrects the confusion of consciousness (treatment)

Therapy confusion depends solely on the causes of the development of such a state. Sometimes such provoking factors can be determined and corrected by its own, this concerns the reduction of blood sugar, electrolyte balance disorders, alcohol intoxication, etc.

So with a low blood sugar, it is worth drinking sweet tea or eat candy. In the event that significant fluid loss has occurred by the body, it is necessary to carry out rehydration therapy using special solutions that can be purchased in any pharmacy (for example, recider, etc.). With alcohol intoxication, absorbents should be used, drink more fluid (or the same recider).

If the confidence of consciousness is triggered by a sharp increase in temperature, it is worth a knocked down to be tapered - to adopt the antipyretic and wipe the patient with cool water (can with dissolved vinegar). If the temperature does not fall - you need to urgently call a doctor. A sudden decline in body temperature requires consultation with the doctor and the corresponding correction.

Special attention deserves changes in consciousness provoked by head injuries. They require immediate consultation with a specialist or emergency call. With such states, the patient must be observed to observe the bed and take many drugs.

Tumor formations are treated depending on their nature and location. Someone shows surgical intervention, and someone receive medicines to relieve symptoms.

The shortage of nutrients is fairly easily corrected. The patient introduces the missing elements intravenously, intramuscularly either orally. However, with such a violation it is very important to find out which factor caused hypovitaminosis, and eliminate it.

If the violations of consciousness arise due to a constant shortage of sleep, the patient needs to optimize its regime of the day. To combat insomnia, a variety of drugs can be used, starting with light sedatives on herbs, and ending with tranquilizers.

If the confidence of consciousness is the result of age-related changes, then supporting therapy is carried out using nootropic drugs, drugs for of cardio-vascular system etc.

The confusion of consciousness is a serious reason to appeal to the doctor, and sometimes to immediately call ambulance.

www.rasteniya-lecarstvennie.ru.

Connected Consciousness: Symptoms, Causes and Treatment

Under confused, it is customary to understand the state of consciousness, in which the ability to think at normal speed is lost, clarity and sequence of thought are disturbed. Under this name summarizes a whole group of damage in the complex work of the brain. Consider in more detail the concept of "confused".

Symptoms of the disease

The first signs allowing to detect confusion are problems with attention and orientation. Then you can begin to manifest memory disorders and logical thinking. Violation does not necessarily concern immediately all the highest functions of the psyche, only one of them may be damaged, for example, speech recognition. Communication problems or spatial orientation may be marked. In such cases, the disease is respectively called aphasia, dementia and agnosia.

Fast and slow manifestation of syndrome

The appearance of confused syndrome can be both fast and slow, depending on the causes that determine its causes. It is often temporary, but it also happens with constant, usually associated with dementia and nonsense.

Individuals with confused consciousness are usually very silent, moving little and look depressed. It happens that the disease is accompanied by illusions and hallucinations. If the first arises due to improper interpretation of stimuli, then the second appear at all without them.

It should be understood that the confiscation of each manifests itself individually, depending on the degree of intoxication or severity of another reason. The slowness and inconsistency of thinking are well noticeable in the conversation, and this is the first concomitant diagnosis of the symptoms. Therefore, in order to see the presence of a problem, do not be a professional.

Disorientation, its varieties

The disorientation can be as a allopsyichetic, in which a person is not able to name the date and the place in which it is now and the outopsychic, at which its own identification is difficult. Find out the presence of a disorientation is also easy by setting a couple of questions. According to the answers, the result is a clear consciousness; The confused is the time it's time for professional assistance. It should be referred to a psychiatrist or narcologist.

In assistance, it is necessary to pay sufficient attention to the meaning of the word "confused". A person in such a situation really experiences difficulties with the implementation of decisions, including consent to hospitalization, therefore, in such cases, it becomes necessary to conduct it on the basis of state testimony.

Dependence on the root cause

The root causes often cause characteristic features. With IRCs, obvious vegetatives and moderate painful sensations are glad, with a sick syndrome infarction, is very pronounced and sometimes able to cause a shock state. Metabolic causes are usually accompanied by various characteristic manifestations, such as smells.

In the elderly

The confident in the elderly has a chronic character, so they can partially develop adaptation to it. If such a state is for a long time, then, most likely, will lead to a negative outcome. Speech in such cases is usually slow, inconsistencies may be observed in it, sometimes breaking the delusional ideas, illusory images passing into hallucinogenic images may occur. The mood of such persons is also often changed and difficult to predict, therefore it should be treated with caution. There are also changes in a dream, and they can be diametrically opposed: from full insomnia to excess drowsiness.

Diagnostics

For diagnosis, both a classic survey and special neurological and psychiatric, such as the scale of the coma of Glasgow are used. And with organic diseases it is necessary to test blood, urine, make ECG and MRI. This will help reveal the root cause and start the right treatment.

Connected Consciousness: Causes of Appearance

This violation may manifest itself in view of a number of completely different reasons. That is why it cannot be a signal of a certain pathology, but it is necessary to realize its danger and try to find the cause. One thing is clear: such a disease speaks of the patient a neurological problem in the patient.

Consider the possible causes of confidentiality:

1. Traumatic. The disease can be a consequence of cranial injuries, especially if they have a penetrating nature. Although sometimes the brain injury can cause such problems due to the high sensitivity of the brain tissues. Often the reason for the aneurysms characterized by a large number of dangerous manifestations.

2. Toxic. The cause of the disease may be mercury poisoning, alcoholic beverages or narcotic drugs. In wartime, various neurotropic gases and phosphorran substances were used as a weapon acting in a similar way. Neurotoxins may be contained in food such as carambola, fugu fish. The emergence of such consequences of poisoning mushrooms is also common.

3. Consequences of diseases. Diseases accompanied by severe intoxication of the body and hemetertermia (flu, angina, ORZ and others), sometimes lead to the appearance of confusion of consciousness. This is especially true for children and youthful age. The risk of appearance of such states occurs when injuries, fractures and large blood loss. Tuberculosis and syphilis are another one of the possible reasons. Encephalitis, sugar diabetes in acute form, severe hepatitis of various types, final stage of AIDS can be caused.

4. Neoplastic manifestationsWorking and not necessarily arising in the tissues of the brain. This is due to the fact that tumors are always accompanied by strong intoxication, so the confiscation of oncology in the later stages becomes inevitable. The danger is not only classic tumors, but also leukemia. It manifests itself in 15-30% of patients, and the last weeks of life reaches 85%. It makes an additional tension in the patient's condition and its relatives and affects the symptoms and methods of cancer therapy, including correcting the impact on pain.

5. Pathology of blood circulation. Both serious disorders, such as insulte, and ischemia, considered transient, i.e., flowing without consequences and only that are a signal of the presence of problems, often provoke the confidence of consciousness. The severity of the disease and manifestations of symptoms will be different depending on the seriousness of pathology that serves as a starting mechanism. With myocardial infarction, confusion arises due to problems with blood circulation and fragility of pain sensitivity.

6. Vegeta dystonia Due to partial disorders in the vessels and the vegetative nervous system, it is also accompanied by a mold confusion.

7. The result of degenerative diseases. The manifestation may arise in a serious degree at the peak of senile dementia, marasmism of various origin, Alzheimer's disease. In this case, it is caused by brain problems and problems with orientation.

The launched points of such processes can be the most diverse situations of varying severity. For emotionally weak people, strongly emotional shocks. Even lack of vitamins, supercooling, long deficiency of sleep and oxygen can lead to such consequences.

Treatment of confused

To treat the confusion of consciousness, it is initially necessary to establish the cause of its occurrence and already eliminate it. Since it is often the cause of any drugs, it is necessary to stop the reception of all drugs to the correction of all metabolic disorders. The etiology of confusion of consciousness is often determined quite easily due to specific symptoms, but sometimes you can help with this, having fully examined the body.

Alcohol as a reason

Sometimes it is possible to determine the cause and adjust the starting factors yourself. This applies to alcohol intoxication, reducing blood sugar levels. With a drop of sugar levels, sweet tea or candy will help. With the loss of a large amount of fluid, it is worth resorting to rehydration therapy using the means available in the pharmacy. Absorbents and a large amount of liquid will help alcohol intoxication.

If the reason was the injury, it is important to identify it on time and eliminate. Sometimes it has to resort to the help of neurosurgery. After ischemic stroke, thrombolytics are used, with hemorrhagic, operational disposal of hematoma is practiced. The effects of toxic substances, in particular heavy metals, and radiation impact also require appropriate directional treatment. Diseases accompanied by intoxication of the organism and increased temperature are treated with antiviral and antipyretic agents. With IT, the day and diet mode is adjusted, soothing medicines and teas are also applied: chamomile, mint, melissal.

There are certain drugs that can help get rid of the disease, but the most effective is to maintain the medical and security regime. If the patient is in an excited state, beds having a fence over sides are used, or a special chair. Sometimes, doctors are forced to resort to the patient's fixation, but it is advisable to avoid, giving it the possibility of an unlimited movement in a limited space.

Disorientation in time

If the disease is conjugate with time disorientation, it is important to ensure that things are in the room helping to navigate: large calendars and hours. This will reduce the level of anxiety and will help the patients feel more confident. With insomnia, it is necessary to provide a sick with a radio and to leave him a book and a lamp on, which will help to take time. In general, it is important to communicate with sick, support in it faith in recovery. A confidential consciousness is facilitated in this way.

If such funds do not have sufficient impact, resort to drug treatment, usually concluded in the reception of neuroleptics. At the same time, there are no accurate information about the advantage of any medicines before other, the main parameter is the presence of a sedative action. However, it is not always possible to apply them. The medicine is first prescribed in a minimum dose, and then gradually increase it, while observing the resulting reaction. It is important that no manifestations of the opposite is to increase behavioral disorders.

The complexity causes and restoring the sleep and wake cycle. Sometimes to improve the night's sleep, the patient is not allowed to fall asleep. Snow pills rarely have the necessary effect and most often the cycle comes back to normal after the confidential consciousness passes.

Concision confusion

The confusion of consciousness is the symptoms of the dimmed consciousness of a person who can be short-term or long-term in character, depending on the root cause. This condition may be a manifestation of both a somatic process and a psychological disorder or strong nervous shock. Such a symptom requires comprehensive treatment under the supervision of a doctor.

Clinicians allocate the following etiological factors that can lead to the development of this state of a person:

dosage intoxication;

psychological diseases;

encephalitis;

card and brain injury;

severe concussion of the brain;

vascular brain pathology;

neurological disorders;

defeat CNS;

metabolic disorders;

post-trachemic psychosis;

epileptic attacks;

alzheimer's disease;

toxic poisoning;

strong intrication of the body and high body temperature;

multiple sclerosis;

alcohol poisoning;

hidden internal bleeding;

myocardial infarction.

In some cases, the confusion may be observed in circulatory impairment, especially when cervical osteochondrosis.

Classification

Allocate the following forms of this violation, depending on the etiological factor and age of the patient:

hallucinatory;

manic;

catatonic;

corrective;

vascular.

Separately identify such a form of symptom as the confusion of consciousness in the elderly. In this case, the manifestation of such a violation may not always be due to any ailment, the symptom may be a consequence of age-related changes.

Symptomatics

The confusion of consciousness can be complemented by the following features:

partial memory loss, in most cases, a short time - a person may forget what he did or spoke a few minutes ago, periodically not recognize his relatives, passport data and other similar information;

the patient may forget all information about himself;

disorientation;

consistent mood swings - the condition of full rest can be replaced by a sharp aggression even to loved ones;

slow and inconsistent speech;

uncontrolled urine release and defecation;

sleep disturbance.

With cervical osteochondrosis, the above-described clinical picture can be complemented by such signs:

pain in the heart and stubborn area;

increased sweating;

violation of the motor function;

weakening of muscle tone.

If conflict is due to hidden internal bleeding (most often intestinal), then the clinical picture can be complemented by such signs:

The confusion of consciousness in psychological disorder may be accompanied by such additional symptoms:

inadequate behavior;

attacks of aggression;

sleep disorder, insomnia;

incorrect interpretation of the actions of the surrounding people;

downtry feeling of fear.

With this condition of the patient, you should urgently cause medical care. It is impossible to ignore the above-described clinical manifestations, as it is fraught with the development of serious complications. In this case, the death should not be excluded, since the person in such a state is not responsible for its actions.

At confused consciousness, contact the therapist. After the primary inspection, the doctor, if necessary, will send a patient to a psychiatrist or further treatment will be carried out together.

The initial inspection of the patient with the clarification of the anamnesis is required. The conversation with the patient should pass together with a close man who can specifically answer some of the doctor's questions.

To determine the root cause of the factor, such laboratory and instrumental methods of examination can be assigned:

• blood fence for general and biochemical analysis;
• general urine analysis;
• Ultrasound of internal organs;
• doppler Vessels;
• consultation of the psychiatrist.



In any case, no matter how the alleged etiological cause is not a violation of the clarity of human consciousness, consultation of the psychiatrist, even in preventive purposes, is obligatory.

If the conference confusion is a sign of a serious pathological process, and not a short-term symptom like post-traumatic psychosis, then hospitalization is required. If possible, someone from loved ones should remain with the patient.

If the patient is in a state of excitement, the doctor may prescribe the following drug drugs:

Preparations are introduced intramuscularly, starting with a minimum dose. It is impossible to apply such medications yourself, as this can lead not only to irreversible pathological processes, but also to death.

In addition to therapy with medicines, the patient needs to ensure complete peace. Since in such a state, a person is not responsible for his actions, he needs care, including in the hygienic plan.

The duration of treatment and basic therapy is individual. The general program of therapy with such a symptom is not. You can not make adjustments to the course of treatment, even with improved well-being.

No preventive events. As a basis, you can take preventive recommendations regarding diseases that relate to etiological factors.

The "confusion of consciousness" is observed for diseases:



Anaerobic infection is a disease of bacteriological nature, due to the growth and reproduction of bacteria without access of oxygen or with an acute shortage. The causative agent is anaerobic bacteria. Their toxins penetrate the body and are considered very dangerous. Bacteria are mostly affected by muscle and connecting fabrics. Patients more often appear symptoms of organism poisoning than signs of a local nature. In women, such pathology arises due to an incorrect abortion or severe genital injuries.



Asthma is a chronic disease, which is characterized by short-term attacks of choking, due to spasms in bronchops and the edema of the mucous membrane. A certain group of risk and age limitations does not have this disease. But, as medical practice shows, women are sick of asthma 2 times more often. According to official data, more than 300 million people in the world live in the world today. The first symptoms of the disease appear most often in childhood. Elderly people endure the disease much more difficult.



Acidosis is the condition of the body, which comes due to certain etiological factors, is characterized by a disorder of the acid-alkaline balance. Such a violation may arise both in adults and in children. Metabolic acidosis, as well as other forms of this pathological process, can lead not only to complications, but also to death. Therefore, self-proof is unacceptable - you need to seek medical care.



Bradycardia is a type of pathology, in which a sinus rhythm, controlled by a sinus node, is subjected to a violation, that is, the direct "driver" rhythm. Bradycardia, the symptoms of which are to reduce heart abbreviations (within 30-50 UD / min.), Is defined as sinus bradycardia with reduced automatism in the sinus node.



Inflammation of lungs (officially pneumonia) is an inflammatory process in one or both respiratory organs, which usually has an infectious nature and is caused by various viruses, bacteria and fungi. In ancient times, this disease was considered one of the most dangerous, and, although modern treatments make it possible to get rid of infection quickly and without consequences, no uncenses have lost its relevance. According to official data, in our country every year about a million people suffer from inflammation of lungs in one form or another.



The hematoma of the brain (intracranial hematoma) is a pathological process, in which blood is accumulated as a result of injury in the injured cavity. Along the way, the vascular wound occurs. It should be noted that such an injury in adults or a child can be localized in any field of brain. This kind of injury is extremely dangerous to human life, so it should be immediately applied for medical care.



Hypercalcemia is defined as a disease characterized by a high concentration in calcium blood in which its indicators exceed 2.6 mmol / l. Hypercalcemia, the symptoms of which often may be absent in the patient, is detected by studying blood. As for the main cause of its occurrence, it is usually determined on the basis of the patient's questionings regarding drug and nutrition consumed. Meanwhile, the definition of the causes of hypercalcemia is mainly reduced to conducting x-ray research and laboratory tests.



Hypomania is a pathological condition, which is characterized by a decrease in magnesium level in the body under the influence of various etiological factors. This, in turn, leads to the progression of heavy pathologies, including neurological and cardiovascular.



Hypothermia is a pathological decrease in the central body temperature in men or in women (including the newborn), to the level below 35 degrees. The state is extremely dangerous for the life of a person (it is no longer about complications): if you do not give a person to medical care, death comes.



Purulent meningitis is an acute inflammatory disease that affects the soft shell of the brain. Such a dangerous disease can hit a person almost at any age. But people with a weakened immune system have been most susceptible to purulent meningitis, who previously carried heavy infectious or inflammatory diseases, with head injuries. Also in the risk group premature children.



As is known, the respiratory function of the body is one of the basic functions of the normal life of the body. The syndrome in which the balance of blood components is disturbed, and to be more accurate, the concentration of carbon dioxide and decreases the volume of oxygen, is called "acute respiratory failure", it can go into a chronic form. As in this case, he feels a sick, what kind of symptoms it can disturb, what signs and causes of occurrence has this syndrome - read below. Also from our article you will learn about the methods of diagnosis and the most advanced ways of treating this disease.



Gastrointestinal bleeding - is the expiration of blood from damaged vessels into the cavity of the organs included in the digestive system. The main risk group of such disorder includes older people - from forty-five to sixty years, but it is sometimes diagnosed in children. It is noteworthy that it meets several times more often in men than women.



Gastric bleeding is a pathological process that is characterized by the expiration of blood from damaged vessels of the stomach in the enumeration of the organ. This clinical manifestation may be due to both a gastroenterological disease and the pathology of other organs or systems of the body, an uncontrolled admission of heavy medicines and injury.



Malignant neuroleptic syndrome (XNS. ZNS) is a pathological condition that develops against the background of long-term intake of psychotropic substances (neuroleptics or antipsychotics). It is noteworthy that the disease can develop even a completely healthy person who for any reason has appointed such medicines.



A cardiogenic shock is a pathological process when the reduction function of the left ventricle occurs, the blood supply to the tissues and internal organs deteriorates, which often ends with the death of man.



Left-sided pneumonia - represents the rarest form of development of the infectious process in the lungs of two existing species. Despite this, the disease is a greater threat to the patient's life. The main reason for the development of the disease is the pathological effect of pathogenic microorganisms, which penetrate the left lightly rarely and often with a strong weakening of immunity. In addition, doctors distinguish a large number of predisposing factors.



Meningism - syndrome, manifested in infectious diseases, poisoning and cranial injuries. It is characterized by irritation of the shells of the brain. Some confuse the problem with meningitis, but there is a difference in their clinical paintings. Meningitis symptoms manifest clearly and bright enough.



Meningitis is an infectious disease, the flow of which is characterized by extensive inflammation of the dorsal and brain, as its pathogens act different types of viruses and bacteria. Meningitis, the symptoms of which manifest themselves depending on the specific type of pathogens, arises or suddenly, or in a period of several days from the date of infection.



Meningitis is a severe pathological condition characterized by an edema of the brain and damage to the brain shells. Most often meets meningitis in children by virtue of the anatomy-physiological characteristics of the body and inconsigned immunity. The inflammation is subjected to the shells of the head and spinal cord, but the brain cells themselves are not involved in the process. The disease characterize heavy symptoms, and if the treatment is not started in a timely manner, the disease can cause severe complications, representing a threat to the child's life.



Metabolic acidosis is a pathological condition for which a violation of the acid-alkaline balance in the blood is characteristic. Development is developing against the background of poor oxidation of organic acids or their insufficient removal from the human body.



Dehydration is a process that appears due to the large loss of the body of the fluid, the volume of which several times prevails over the volume that the person consumes consumes. As a result, there is a disorder of the normal performance of the body. Often, manifests itself with heat, vomiting, diarrhea and increased sweating. It occurs most often in the hot season or when performing heavy physical exertion with not too large receiving fluid. This disorder is susceptible to every person, regardless of gender and age, but according to statistics, children, the elderly age group, and people suffering from the chronic course of one or another disease are most often predisposed.



The occlusion of the arteries is an acute vascular failure arising from violation of the patency or blockage of blood vessels, as a result of which blood delivery to one or another body is disturbed, which leads to failures in its functioning.



The brain tumor is a disease for which the cancer defeat of cerebral shells, nerve endings, skulls are characteristic. This type of disease is very dangerous, since if you run it and do not carry it on time, then everything will lead to a fatal outcome.



ARZ (acute respiratory disease) is a group of viral or bacterial illness, a characteristic feature of which is the defeat of the upper respiratory tract, the symptoms of the general intoxication of the body. Respiratory infections affect people from all age categories - from small children to old people. This group of diseases manifests itself seasonally - more often pathology arise when changing the seasons of the year (in the autumn-winter period). It is important to engage in time to engage in the prevention of the ARS, so that in the height of the epidemic is not to become infected.



Acute coronary syndrome is a pathological process in which the natural blood supply to myocardium through coronary arteries is disturbed. In this case, in a certain area, oxygen does not come to the heart muscle, which can lead not only to a heart attack, but also to death.



The disease that is inherent in the formation of light insufficiency, presented in the form of a mass yield of transudate from capillaries to a light cavity and as a result, the contributing of the infiltration of the alveoli, is called the edema of the lungs. Speaking with simple words, the eighty edema is a position when a liquid leaked through blood vessels is stared in the lungs. The disease is characterized as an independent symptom and can be formed on the basis of other serious ailments of the body.



The focal pneumonia is an inflammatory infectious disease, which affects not all the lightweight tissue, but only a certain area. At the same time, the formation of small-scale or large-scale inflammation in lung slices. Pathology can be both independent and secondary. In the first case, the source is pathogenic bacteria, and in the second - the flow of other ailments that negatively affect the tissues of this body.



A panic attack applies applies to the attacks that begin in a sudden way and accompanied by intense fears with a number of characteristic symptoms. Panic attack, the symptoms of which, in particular, are expressed in the participation of heartbeat, sweating, pale, the difficulty of breathing and in other manifestations, lasts no more than three times a week.



Pancreatic pancreas - dangerous and hard pathology, in which the body itself begins to actively digest its own cells. This, in turn, leads to the fact that certain areas of the gland are necrotized. This pathological process can provoke the progression of purulent abscess. Pancreonenecosis also negatively affects the functioning of other vital organs. If timely and full-fledged treatment is not conducted, then the disease is often leading to the patient's death.



Peritonitis is an inflammatory disease that affects the peritoneum. This state represents a huge danger to the body, since the result of such pathology is the violation of the performance of all vital organs. The symptoms of peritonitis are different depending on the degree of disease flow and its shape: acute and chronic.

Page 1 of 2

With the help of exercise and abstinctness, most people can do without medicine.

The confusion is the symptoms of the dimmed consciousness of a person who can be short-term or long in nature, depending on the etiological factor. This condition is a manifestation of a somatic process and psychological disorder or strong nervous shock. Such a symptom requires integrated hospital treatment.

Diseases for which characterized by the symptom:

• diabetes;
• hyperthyroidism;
• schizophrenia;
• bipolar personality disorder;
• encephalitis;
• card and brain injury;
• severe concussion of the brain;
• atherosclerosis;
• myocardial infarction;
• alzheimer's disease;
• epilepsy;
• oncology of the central nervous system (CNS);
• post-trachemic psychosis;
• toxic poisoning;
• multiple sclerosis;
• alcoholic cancellation syndrome;
• sudden drop in body temperature (hypothermia).

Connection confusion: general characteristics

The ailments are characterized by a praised human consciousness, in which violation of speech, drowsiness and hallucinations are noted. Pathology is temporary or permanent, depending on the reasons for which it appeared. The confusion of consciousness can develop against the background of psychological disorders, neurological diseases, or blood circulation disorders. This pathology requires observation from a specialist, careful diagnosis and treatment. Approximately 10% of patients entering the medical institution with acute diseases, the state is complicated by the advent of the confusion of consciousness.

Etiology and pathogenesis

Clinicians allocate the following etiological factors that can lead to the development of this state of a person:

• dosage intoxication;
• psychological diseases;
• encephalitis;
• card and brain injury;
• strong concussion
• vascular diseases of the brain;
• neurological disorders;
• defeat CNS;
• metabolic disorders;
• post-trachemic psychosis;
• epileptic attacks and twilight states;
• alzheimer's disease;
• toxic poisoning;
• strong intrication of the body and high body temperature;
• multiple sclerosis;
• alcoholic intoxication and cancellation syndrome;
• hidden internal bleeding;
• myocardial infarction;
• artificial state (post-instantaneous).

The state of acute confusion, due to the adoption of a large amount of alcohol, is easily recognized. Such patients are usually alarming, disoriented in time and place, do not understand the situations in which they were. If they ask them about this situation, motor excitement will be observed.

Tranquilizing drugs can lead to intoxication, which will cause confusion and disorientation. Such patients are not anxious and not excited, a decrease in the level of wakefulness is observed. In these cases, eye symptoms are useful: many drugs cause nystagm (involuntary oscillatory movements of high frequency eye) and pupil disorders.

Eye symptoms for intoxication are described in the table below.

It is useful to make a toxicological analysis of urine, but usually research is performed long enough to help in place.

The following state at which the acute start of the confusion occurs, is encephalitis. The first symptoms of non-specific diseases. Often this diagnosis is established by the method of excluding other possible causes. It is useful to pay attention to the acute appearance of fever, headaches and violation of consciousness.

The subgroup of vascular diseases of the brain includes various states on the etiology, which are usually readily differentiated. With ischemic stroke, mental disorders rarely dominate, while intracerebral hemorrhage can lead to confusion of consciousness and to the appearance of symptoms of lesion of the brain barrel (dizziness, nausea, coordination disorders, walking, penalties, witness voices, violation of swallowing and speech).

In Alzheimer's disease, the nervous system is defeated, in which a person gradually loses mental abilities. Among the common symptoms, there are such as unreasonable concern, depression, delusional ideas, the impossibility of recognizing familiar objects and persons, the forgetting of individual words, a violation of orientation in space and time, indifference to what is happening around the events, problems with gait, inability to make decisions. Initially, emotional reactions are preserved, as well as the usual social skills of patients. The appearance of acute confusion is often associated with changes in the life of the patient, such as moving, loss of expensive family members, or room in the hospital.

The condition of the acute confusion of consciousness due to metabolic violations is almost impossible to diagnose on the clinical level. List of main reasons includes: diabetes mellitus, Addison disease, dehydration, hypercalcemia, hyperinsulinism, hyper- and hypoparathyroidism, porphyria, respiratory acidosis and thiamine deficiency, renal and liver failure, chronic diseases Light et al.

Hidden bleeding, including intestinal, can lead to a decrease in the number of circulating erythrocytes. The result will be the global insufficiency of the oxygen of the brain. The state of the confusion is characterized by the absence of neuropsychological disorders, or a decrease in the level of wakefulness.

The twilight state of the epileptic nature may take place not only in patients who know about their disease, but also after the first attack. It manifests itself in every patient in different ways. Sometimes the attack may be accompanied by aura (impaired sensitivity in the form of numbness of body parts, feelings of crawling goosebumps, cold or heat, tingling, hallucinations of visual, auditory, olfactory). A person temporarily loses contact with the surrounding, falls or slides on the ground, there is a reduction in the muscles of the body of considerable strength. After stopping the attack, the patient feels weakness, drowsiness, headache.

Characteristic features of the state of post-traumatic psychosis are anxiety, anxiety and illusory disturbed interpretation of the surrounding. Patients tend to leave their bed, or even leave the department, despite the strict instructions to comply with bed regime. It is often regarded as a violation of the regime, and the pathological nature of the state is not recognized.

Sometimes in a post-anatomy state or after several sessions of electrosalproof therapy, a transient state of confusion with disorientation and inadequate behavior is developing.

In some cases, the confusion may be observed in circulatory impairment, especially when cervical osteochondrosis. The disease is characterized by a violation of the structure of the intervertebral disc, which leads to pinching of nerve endings and vessels.

Symptoms

The confusion of consciousness is the form of a permanent of consciousness, in which individual elements of different syndromes are combined, first of all - aimenia and delirium. Amentia is a severe cloud of consciousness, accompanied by a violation of orientation in place, time and self (patient may forget all information about himself). Loses the ability to synthetic perception, pronounced confusion, incoherence of thinking, speech and movements. Delium - psychopathological syndrome, which is accompanied by true hallucinations, nonsense, behavioral and emotional disorders.

The syndrome can manifest itself gradually or rapidly, depending on the reasons, against the background of which he began to develop. Most often is temporary and after the treatment of the disease completely disappears.

The confusion of consciousness can be complemented by the following features:

• partial memory loss, in most cases, a short time - a person may forget what he did or spoke a few minutes ago, periodically not recognize his relatives, passport details and other information;
• consistent mood swings - the condition of full rest can be replaced by a sharp aggression even to loved ones;
• slow and inconsistent speech;
• uncontrolled urine release and defecation;
• sleep breakdown, insomnia.

If conflict is due to hidden internal bleeding (most often intestinal), then the clinical picture can be complemented by such signs:

• loss of consciousness;
• increased sweating;
• pallor skin;
• black Cal;
• low blood pressure;
• tachycardia.

The confusion of consciousness in psychological disorder may be accompanied by such additional symptoms:

• incorrect interpretation of the actions of the surrounding people;
• downtry feeling of fear.

With this condition of the patient, you should urgently cause medical care. It is impossible to ignore the above-described clinical manifestations, as it is fraught with the development of serious complications. In this case, the death should not be excluded, since the person in such a state is not responsible for its actions.

Violation of consciousness can be one of the symptoms of osteochondrosis. The disease is characterized by limiting the mobility of the joints of the cervical spine, which causes insufficiency of blood supply to the brain. The common cause of osteochondrosis is stress.

With cervical osteochondrosis, the above-described clinical picture can be complemented by such signs:

• pain in the heart and sternum;
• increased sweating;
• violation of the motor function;
• weakening of muscle tone.

Violation of the structure of intervertebral discs and the depressive state can lead to confusion. It is necessary to get rid of osteochondrosis and depression.

The reasons

The confusion of consciousness may manifest itself in view of a number of different reasons. That is why it cannot be a signal of a certain pathology. However, it is very important to realize its danger and try to find the cause.

Consider the possible causes of confidentiality:

• traumatic. The disease can be a consequence of cranial injuries, especially if they have a penetrating nature. Although sometimes the brain injury can cause similar problems due to the high sensitivity of the brain tissues;
• toxic. The cause of the disease can be mercury poisoning, alcoholic beverages or narcotic drugs, mushrooms. In wartime, various neurotropic gases and phosphorodorganic substances were used as weapons;
• consequences of diseases. Diseases accompanied by severe intoxication of the body and hyperthermia (flu, angina, ORZ, etc.), sometimes lead to the appearance of confusion. This is especially true for children and youth;
• neopastic manifestations. This is due to the fact that tumors are always accompanied by strong intoxication, so the confiscation of oncology in the later stages becomes inevitable. Danger represent not only classic tumors, but also leukemia. It manifests itself in 15-30% of patients, and the last weeks of life reaches 85;
• pathology of blood circulation. Often provoke the confidence of consciousness of serious disorders, such as strokes and ischemia, considered transient, proceeding without consequences and a signal of the presence of problems;
• vegetative-vascular dystonia. Pathology is characterized by a circulatory impairment in the brain, in which the vegetative system suffers. As a result, faint states and a violation of speech may be manifested;
• the result of degenerative diseases. The manifestation may arise in a serious degree at the peak of senile dementia, marasmism of various origin, Alzheimer's disease. Even lack of vitamins, supercooling, long deficiency of sleep and oxygen can lead to such consequences.

It is very important to establish the cause of this state, since it depends on the correctness of the treatment and the rate of recovery. Only a doctor with extensive experience will be able to analyze the data of additional methods for examining the patient, the development and course of the disease in order to exclude pathologies that do not correspond to this case.

Risk factors

Connection Risk Factors:

• age older than 85 years;
• the presence of encephalopathy or dementia;
• attaching pneumonia or urological infection;
• osteochondrosis of the cervical
• lack of blood glucose control in patients with diabetes;
• violation of hemoglobin levels;
• weight impairment (excess and insufficient);
• the presence of flicker arrhythmia (as a trend);
• the presence of cerebrid factors;
• the severity of traumatic damage;
• brain circulation failure.

The most common confusion state is found in the departments of the therapeutic and neurological profile.

Varieties

Depending on the age of the patient and the etiological factor, several forms of this state are distinguished.

Conscious confusion forms:

• hallucinatory (main sign - frequent hallucinations);
• maniacal (at the same time, the patient is marked by delusional ideas);
• vascular (associated with circulatory impairment);
• catatonic (deviations in the psychic condition of the patient);
• confabulant (noted with strong intoxication by drugs and is characterized by confusion of answers to the questions posed).

Select clinical and dynamic variants of confusion states of consciousness:

• transient (with anti-psychopathological symptomatic symptomatic, once or episodically arising, mainly at night);
• abortive confusion (large, compared to the transient, severity of psychopathological disorders and excitement, periodically emerging at night, sometimes during the day);
• deployed confusion (pronounced disorders arising regularly and accompanied by psychomotor excitation).

The confusion of consciousness in the elderly is a separate form, since the violation can develop against the background of certain diseases and age-related changes.

Related symptoms for diseases

The root causes are the manifestation of characteristic features. With the vegetative-vascular dystonia, the patient is disturbed by digestion disorders, drowsiness and moderate pain. With a heart attack, the patient is very alarmed. It bothers him a strongly expressed pain syndrome, which is able to cause a shock. The metabolic causes of confusion of consciousness are usually accompanied by various characteristic manifestations, for example, the smell of acetone from the oral cavity.

Concision confusion in a child

This symptom occurs when high temperatures. The confusion of consciousness can happen in the head injuries, insufficient supply of the brain with oxygen or blood, which often happens when hitting. In this case, the child must be immediately delivered to the hospital.

Doctor's advice! The first help will lay a child on the bed, making a lateral fence so that it does not fall. Bear next. Do not disturb the child. At high temperatures, give a preparation containing paracetamol, but not aspirin

Confusion of consciousness in older people

Separately identify such a form of symptom as the confusion of consciousness in the elderly. In this case, the manifestation of such a violation may not always be due to any ailment, the symptom may be a consequence of age-related changes. The confident in the elderly has a chronic character, so they can partially develop adaptation to it. If such a state is long in time, then most likely will lead to a negative outcome.

Speech in such patients is usually slow, there may be discrepancies in it, sometimes delusional ideas may occur, illusory images may occur. The mood of such patients is also often changing and difficult to predict, therefore it should be treated with caution. There are also changes in a dream, and they can be diametrically opposed: from full insomnia to excess drowsiness.

First aid

In suspected confusion of consciousness, it is necessary to immediately cause a doctor. First aid for this pathology includes a sedative conversation with a person. The patient must be put and talking to him about the present reality (what is the day today, who is where is located). Soothing drugs are not recommended, as it can harm. First of all, the complaints of the injury, dizziness, numbness, weakness, ringing in the ears, and a speech disorder, a fuzziness of vision should be alert. Such manifestations may be signs of stroke.

When and to which doctor to contact

At confused consciousness, contact. After the initial inspection, the doctor, if necessary, will send a patient to, or further treatment will be carried out together. Transportation of a patient with an upset consciousness causes difficulty due to the emergence of the states of excitement of the aggressive plan. Therefore, at least three people should be accompanying. When finding a patient in acute psychosis, it is placed in a separate ward. In any case, no matter how the alleged etiological cause is not a violation of the clarity of human consciousness, consultation of the psychiatrist, even in preventive purposes, is obligatory.

Diagnostics

To treat the confusion of consciousness, it is initially necessary to establish the cause of its occurrence and then eliminate it. Since it is often the cause of any drugs, it is necessary to stop receiving drugs to the correction of all metabolic disorders. The initial inspection of the patient with the clarification of the anamnesis is required. The conversation with the patient should pass together with a close man who can specifically answer some of the doctor's questions. In patients with the state of an acute confusion of consciousness, it is often impossible to assemble.

To determine the root cause of the factor, such laboratory and instrumental methods of examination can be assigned:

• blood fence for general and biochemical analysis;
• general urine analysis;
• electrocardiogram (ECG);
• ultrasound examination (ultrasound) of internal organs;
• doppler of vessels (method allowing to evaluate blood flow in vessels);
• electroencephalogram (EEG);
• computed tomography (CT);
• magnetic resonance tomography (MRI);
• consultation of the psychiatrist;
• screening of metabolic disorders.

Based on the data obtained, the doctor determines the cause of the disease and prescribes treatment.

Treatment

Under the confidence of consciousness, treatment is carried out in a hospital and is directed to a somatic disease, since a mental state deteriorates because of it. If possible, doctors advise relatives to be near the patient. If the patient is in the state of excitement, the doctor may prescribe medication.

The following drugs are prescribed for treatment (table below).

	Tranquilizers	Sedatives	Sad preparations
A drug	Haloperidol	Meliprammin	Aminazin
Skiving symptoms	5-10 mg intramuscularly, every 4-8 hours, not more than 50 mg per day	25-50 mg 3-4 times a day, then a daily dose increases by 25 mg and adjust it to 200-250 mg / day, the duration of treatment 4-6 weeks	1-5 ml of 2.5% solution intramuscularly, not more than 3 times a day, daily dose - 0.6 g
Supporting therapy	0.5-20 mg per day in tablets. The duration of the course of treatment, on average, 2-3 months	After the dose, gradually reduce (by 25 mg every 2-3 days) and switch to supporting therapy at a dose of 25 mg 1-4 times a day for another 4-6 weeks	25-300 mg / day. Drier taking after eating. The duration of the course of treatment should not exceed 1-1.5 months
Indications	Brad and hallucinations of various origins	The states of various etiologies, accompanied by motor inhabacy	Diseases accompanied by psychomotor excitation, fear, insomnia; Acute alcoholic psychosis
Contraindications	Coma of various etiology, acute stroke period, severe toxic depression of CNS caused by drugs, or alcohol	Increased sensitivity to the drug, myocardial infarction, infringement of intracardiac conductivity	Liver and kidney disease, cardiovascular system, ulcerative ulcer

Preparations are introduced intramuscularly or intravenously, starting with a minimum dose. It is impossible to apply them yourself, as this can lead not only to irreversible pathological processes, but also to death.

Important! The confusion of consciousness is a condition in which the human ability to think at normal speed is lost, the sequence and clarity of thoughts is disturbed. The symptom occurs during crank-brain injuries, oncological processes, mental disorders. Treatment is aimed at getting rid of the cause of the disease

The patient needs to ensure complete peace and care. In such a state, a person is not responsible for his actions, he needs care, including in a hygienic plan. The duration of treatment is individual. Base therapy depends on the age of the patient and the cause of the violation of consciousness. There is no common treatment program with such a symptom. Adjustments independently in the course of therapy can not, even with improved well-being.

Possible consequences and complications

The consequences and complications after the confusion of consciousness may occur mainly due to the late set of etiological factor. Consequently, treatment was appointed only symptomatic, and not to eliminate the causes of the disease. Most people do not register the confusion of consciousness as an important symptom and appeal to the doctor is postponed. These factors affect the final outcome of the disease and on the completeness of the patient's recovery.

Prevention

To avoid disruption of consciousness, it is necessary to limit the use of alcoholic beverages, products with high cholesterol content and get rid of bad habits. Patients are also recommended to adhere to a balanced diet with a large number of vitamins, minerals and fiber, accept prescribed drugs. Positively affects the health status of the right dream. If the patient is sick with diabetes, it should control blood glucose levels. It is recommended to also perform morning charge and constantly train thinking, develop memory.

Forecast

For a patient with confusion of consciousness, the forecast depends on the initial causes and on the time it is required to stop, or inhibiting these reasons. Pathology can be temporary or permanent. This condition can develop against the background of psychological disorders, neurological diseases or blood circulation disorders in the brain. The forecast depends on the age of the patient, from the presence of harmful habits of concomitant pathologies. The outcome of the disease varies from complete recovery to persistent damage to the brain or death. If the patient adhere to the recommendations of the doctor, the forecast will be favorable.

Panina Valentina Viktorovna

Actress, Honored Artist RSFSR

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I learned about you on the Internet - you need to urgently do MRI.

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Let everything be just as good in the soul, like me now, despite all the problems ...

Be !!! We are on joy! Your Panina V.V.

\u003d\u003e Array (\u003d\u003e 50 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 577 \u003d\u003e 87769 \u003d\u003e image / jpeg \u003d\u003e iblock / d82 \u003d\u003e. Jpg \u003d\u003e Pic_Comments2-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/d82/d823d79d608bd750c9be67d6f85f03ca.jpg \u003d\u003e /upload/iblock/d82/d823d79d608bd750c9be67d6f85f03ca.jpg \u003d\u003e /upload/iblock/d82/d823d79d608bd750c9be67d6f85f03ca.jpg \u003d\u003e Panina Valentina Viktorovna \u003d\u003e Panina Valentina Viktorovna) [~ preview_picture] \u003d\u003e 50 \u003d\u003e [~ Detail_Text] \u003d\u003e \u003d\u003e [~ Detail_PICTURE] \u003d\u003e \u003d\u003e [~ DATE_ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ DATE_ACTIVE_TO] \u003d\u003e \u003d\u003e [~ ACTIVE_TO] \u003d\u003e \u003d\u003e [~ show_counter] \u003d\u003e \u003d\u003e [~ show_counter_start] \u003d\u003e \u003d\u003e content [~ iblock_type_id] \u003d\u003e content \u003d\u003e 10 [~ iblock_id] \u003d\u003e 10 \u003d\u003e Reviews [~ iblock_code] \u003d\u003e Reviews \u003d\u003e Reviews [~ iBlock_name] \u003d\u003e Reviews \u003d\u003e [~ iblock_external_id] \u003d\u003e \u003d\u003e 02/06/2018 19:41:18 [~ Date_Create] \u003d\u003e 02/06/2018 19:41 : 18 \u003d\u003e 1 [~ Created_by] \u003d\u003e 1 \u003d\u003e (Admin) [~ Created_user_name] \u003d\u003e (admin) \u003d\u003e 07.02.2018 14: 1 1:01 [~ TimeStamp_x] \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 [~ modified_by] \u003d\u003e 1 \u003d\u003e (admin) [~ user_name] \u003d\u003e (admin) \u003d\u003e [~ iblock_section_id] \u003d\u003e \u003d \u003e /Content/detail.php?id\u003d107 [~ Detail_Page_URL] \u003d\u003e /Content/detail.php?id\u003d107 \u003d\u003e /Content/index.php?id\u003d10 [~ list_page_url] \u003d\u003e / Content / Index. php? ID \u003d 10 \u003d\u003e Text [~ Detail_Text_Type] \u003d\u003e Text \u003d\u003e HTML [~ preview_text_type] \u003d\u003e HTML \u003d\u003e / [~ Lang_Dir] \u003d\u003e / \u003d\u003e 107 [~ external_id] \u003d\u003e 107 \u003d\u003e s1 [~ Lid] \u003d\u003e s1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e array () \u003d\u003e array (\u003d\u003e 107 \u003d\u003e \u003d\u003e 107 \u003d\u003e Panin Valentina Viktorovna \u003d\u003e \u003d\u003e 100 \u003d\u003e

I learned about you on the Internet - you need to urgently do MRI.

And after the performance I have. I really liked your employees. Thank you for your attention, goodwill and accuracy.

Let everything be just as good in the soul, like me now, despite all the problems ...

Be !!! We are on joy! Your Panina V.V.

\u003d\u003e Array (\u003d\u003e 50 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 577 \u003d\u003e 87769 \u003d\u003e image / jpeg \u003d\u003e iblock / d82 \u003d\u003e. Jpg \u003d\u003e Pic_Comments2-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/d82/d823d79d608bd750c9be67d6f85f03ca.jpg \u003d\u003e /upload/iblock/d82/d823d79d608bd750c9be67d6f85f03ca.jpg \u003d\u003e /upload/iblock/d82/d823d79d608bd750c9be67d6f85f03ca.jpg \u003d\u003e Panina Valentina Viktorovna \u003d\u003e Panina Valentina Viktorovna) \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e content \u003d\u003e 10 \u003d\u003e Reviews \u003d\u003e Reviews \u003d\u003e \u003d\u003e 02.02.2018 19:41:18 \u003d \u003e 1 \u003d\u003e (Admin) \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 \u003d\u003e (admin)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d \u003e 10 \u003d\u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e N \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 241 \u003d\u003e Panina Valentine Viktorovna \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ Value] \u003d\u003e Panina Valentina Viktorovna [~ description] \u003d\u003e [~ Name ] \u003d\u003e Who left feedback [~ D EFAULT_VALUE] \u003d\u003e) \u003d\u003e array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e signature \u003d\u003e y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e L \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 242 \u003d\u003e actress, deserved artist RSFSR \u003d \u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ VALUE] \u003d\u003e actress, deserved artist RSFSR [~ description] \u003d\u003e [~ Name] \u003d\u003e signature [~ default_value] \u003d\u003e)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 241 \u003d\u003e Panina Valentine Viktorovna \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ Value] \u003d \u003e Panina Valentina Viktorovna [~ Description] \u003d\u003e [~ Name] \u003d\u003e Who left feedback [~ Default_Value] \u003d\u003e \u003d\u003e Panina Valentina Viktorovna) \u003d\u003e Array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e signature \u003d\u003e y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 242 \u003d\u003e actress, deserved artist RSFSR \u003d\u003e \u003d\u003e \u003d\u003e \u003d \u003e [~ VALUE] \u003d\u003e actress, deserved artist RSFSR [~ description] \u003d\u003e [~ Name] \u003d\u003e signature [~ default_value] \u003d\u003e \u003d\u003e actress, deserved artist RSFSR)) \u003d\u003e array (\u003d\u003e 1 \u003d\u003e Array (\u003d\u003e 50 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 577 \u003d\u003e 87769 \u003d\u003e image / jpeg \u003d\u003e iblock / d82 \u003d\u003e. Jpg \u003d\u003e pic_comments2-big.jpg \u003d\u003e \u003d \u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/d82/d823d79d608bd750c9be67d6f85f03ca.jpg) \u003d\u003e Array (\u003d\u003e /upload/resize_cache/iblock/d82/264_380_1/d823d79d608bd750c9be67d6f85f03ca.jpg \u003d\u003e 264 \u003d\u003e 366 \u003d\u003e 49035) \u003d\u003e retina retina-x2-src \u003d "/ upload / resize_cache / iblock / d82 / 264_380_1 /.jpg" \u003d\u003e Array (\u003d\u003e /upload/resize_cache/iblock/d82/132_190_1/d823d79d608bd750c9be67d6f85f03ca.jpg \u003d\u003e 132 \u003d\u003e 183 \u003d\u003e 14952 \u003d\u003e Panina Valentina Viktorovna)))

Sergei Shnurov

Russian rock musician, film actor, TV presenter and artist.

Ts. M. R. T. Petrogradsky Thank you!

Array (\u003d\u003e 108 [~ ID] \u003d\u003e 108 \u003d\u003e [~ CODE] \u003d\u003e \u003d\u003e 108 [~ XML_ID] \u003d\u003e 108 \u003d\u003e Sergey cords [~ Name] \u003d\u003e Sergey Shnurov \u003d\u003e [~ Tags] \u003d\u003e \u003d\u003e 120 [~ SORT] \u003d\u003e 120 \u003d\u003e C. M. R. T. "Petrogradsky" Thank you! [~ Preview_text] \u003d\u003e Ts. M. R. T. Petrogradsky Thank you! \u003d\u003e Array (\u003d\u003e 47 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 183 \u003d\u003e 132 \u003d\u003e 13218 \u003d\u003e image / png \u003d\u003e iblock / 922 \u003d\u003e. 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M. R. T. Petrogradsky Thank you! \u003d\u003e Array (\u003d\u003e 47 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 183 \u003d\u003e 132 \u003d\u003e 13218 \u003d\u003e image / png \u003d\u003e iblock / 922 \u003d\u003e. 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[~ Description] \u003d\u003e [~ Name] \u003d\u003e signature [~ default_value] \u003d\u003e)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e who Left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d \u003e N \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 243 \u003d\u003e Sergey cords \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ Value] \u003d\u003e Sergey cords [~ description] \u003d\u003e [~ Name] \u003d\u003e Who left feedback [ ~ Default_Value] \u003d\u003e \u003d\u003e Sergey cords) \u003d\u003e array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e signature \u003d\u003e y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d\u003e s \u003d \u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 244 \u003d\u003e Russian Rock musician, film actor, TV presenter and artist. \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ Value] \u003d\u003e Russian rock musician, film actor, TV presenter and artist. 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Thank you very much for such good, professional service in your clinic. Nice, comfortable! Beautiful people, excellent conditions.

Open scan response

Array (\u003d\u003e 115 [~ ID] \u003d\u003e 115 \u003d\u003e [~ CODE] \u003d\u003e \u003d\u003e 115 [~ XML_ID] \u003d\u003e 115 \u003d\u003e Kiseleva I.V. [~ Name] \u003d\u003e Kiseleva I.V. \u003d\u003e [~ Tags] \u003d\u003e \u003d\u003e 500 [~ SORT] \u003d\u003e 500 \u003d\u003e Thank you so much for such good, professional service in your clinic. Nice, comfortable! Beautiful people, excellent conditions. [~ Preview_text] \u003d\u003e Thank you so much for such Good, professional service in your clinic. Nice, comfortable! Beautiful people, excellent conditions. \u003d\u003e Array (\u003d\u003e 57 \u003d\u003e 02/07/2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 561 \u003d\u003e 154991 \u003d\u003e image / jpeg \u003d\u003e iblock / bf4 \u003d\u003e. jpg \u003d\u003e pic_comments7-big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/bf4/bf4cefd9296b73518435a3fcfd00636b.jpg \u003d\u003e / upload / iblock / bf4 /BF4Cefd9296b73518435a3fcfd00636b.jpg \u003d\u003e /upload/iblock/bf4/bf4cefd9296b73518435a3fcfd00636b.jpg \u003d\u003e Kiseleva I.V. \u003d\u003e Kiseleva I.V.) [~ preview_picture] \u003d\u003e 57 \u003d\u003e [~ Detail_Text] \u003d\u003e \u003d\u003e [~ Detail_PICTURE] \u003d\u003e \u003d\u003e [~ DATE_ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ DATE_ACTIVE_TO] \u003d\u003e \u003d\u003e [~ ACTIVE_TO] \u003d\u003e \u003d\u003e [~ show_counter] \u003d\u003e \u003d\u003e [~ show_counter_start] \u003d\u003e \u003d\u003e content [~ iblock_type_id] \u003d\u003e content \u003d\u003e 10 [~ iblock_id] \u003d\u003e 10 \u003d\u003e Reviews [~ iblock_code] \u003d\u003e Reviews \u003d\u003e Reviews [~ ~ iblock_name] \u003d\u003e Reviews \u003d\u003e [~ iblock_external_id] \u003d\u003e \u003d\u003e 07.02.2018 12:40:21 [~ Date_Create] \u003d\u003e 07.02.2018 12:40 : 21 \u003d\u003e 1 [~ CREATED_BY] \u003d\u003e 1 \u003d\u003e (Admin) [~ Created_user_name] \u003d\u003e (admin) \u003d\u003e 07.02.2018 14:11:01 [~ timestamp_x] \u003d\u003e 02/07/2018 14:11:01 \u003d\u003e 1 [~ modified_by] \u003d\u003e 1 \u003d\u003e (admin) [~ user_name] \u003d\u003e (admin) \u003d\u003e [~ iblock_section_id] \u003d\u003e \u003d\u003e /content/detail.php?id\u003d115 [~ Detail_Page_URL] \u003d\u003e /Content/detail.php?id\u003d115 \u003d\u003e /Content/index.php?id\u003d10 [~ list_page_url] \u003d\u003e /content/index.php?id\u003d10 \u003d\u003e Text [~ Detail_Text_Type] \u003d\u003e Text \u003d\u003e text [~ preview_text_type] \u003d\u003e Text \u003d\u003e / [~ Lang_dir] \u003d\u003e / \u003d\u003e 115 [~ external_id] \u003d\u003e 115 \u003d\u003e s1 [~ lid] \u003d\u003e s1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e array () \u003d \u003e Array (\u003d\u003e 115 \u003d\u003e \u003d\u003e 115 \u003d\u003e Kiseleva I.V. \u003d\u003e \u003d\u003e 500 \u003d\u003e Thank you so much for such good, professional service in your clinic. Nice, comfortable! Beautiful people, excellent conditions. \u003d\u003e Array (\u003d\u003e 57 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 561 \u003d\u003e 154991 \u003d\u003e image / jpeg \u003d\u003e iblock / bf4 \u003d\u003e. Jpg \u003d\u003e pic_comments7-big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/bf4/bf4cefd9296b73518435a3fcfd00636b.jpg \u003d\u003e /upload/iblock/bf4/bf4cefd9296b73518435a3fcfd00636b.jpg \u003d\u003e /upload/iblock/bf4/bf4cefd9296b73518435a3fcfd00636b.jpg \u003d\u003e Kiseleva I. V. \u003d\u003e Kiseleva I.V.) \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e content \u003d\u003e 10 \u003d\u003e Reviews \u003d\u003e Reviews \u003d\u003e \u003d\u003e 07.02.2018 12:40:21 \u003d\u003e 1 \u003d\u003e (Admin) \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 \u003d\u003e (admin)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d \u003e N \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ value] \u003d\u003e [~ description] \u003d\u003e [~ Name] \u003d\u003e Who left a review [~ DEFAULT_VALUE] \u003d\u003e) \u003d\u003e array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e signature \u003d\u003e y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d \u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d \u003e \u003d\u003e [~ VALUE] \u003d\u003e [~ description] \u003d\u003e [~ Name] \u003d\u003e signature [~ default_value] \u003d\u003e)) \u003d\u003e array () \u003d\u003e array (\u003d\u003e 1 \u003d\u003e array (\u003d\u003e 57 \u003d \u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 561 \u003d\u003e 154991 \u003d\u003e image / jpeg \u003d\u003e iblock / bf4 \u003d\u003e. jpg \u003d\u003e pic_comments7-big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/bf4/bf4cefd9296b73518435a3fcfd00636b.jpg) \u003d\u003e Array ( \u003d\u003e /upload/resize_cache/iblock/bf4/264_380_1/bf4cefd9296b73518435a3fcfd00636b.jpg \u003d\u003e 264 \u003d\u003e 376 \u003d\u003e 70332) \u003d\u003e retina retina-x2-src \u003d "/ upload / resize_cache / iblock / bf4 / 264_380_1 /.jpg "\u003d\u003e Array (\u003d\u003e /upload/Resize_cache/iblock/bf4/132_190_1/bf4cefd9296b73518435a3fcfd00636b.jpg \u003d\u003e 132 \u003d\u003e 188 \u003d\u003e 18203 \u003d\u003e Kiseleva I.V.)))

Rusanova

Open scan response

Array (\u003d\u003e 114 [~ ID] \u003d\u003e 114 \u003d\u003e [~ CODE] \u003d\u003e \u003d\u003e 114 [~ xml_id] \u003d\u003e 114 \u003d\u003e Rusanova [~ Name] \u003d\u003e Rusanova \u003d\u003e [~ Tags] \u003d\u003e \u003d\u003e 500 [~ SORT] \u003d\u003e 500 \u003d\u003e I want to thank employees for a careful and friendly attitude. It's good that such a clinic is at least you.
[~ Preview_text] \u003d\u003e I want to thank employees for a careful and friendly attitude. It is good that such a clinic is at least you. \u003d\u003e Array (\u003d\u003e 56 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 575 \u003d\u003e 175172 \u003d\u003e image / jpeg \u003d\u003e iblock / ae8 \u003d\u003e. Jpg \u003d\u003e Pic_Comments6-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/ae8/ae8e1a20dc0f51db073a5d7e6c8ffb7b.jpg \u003d\u003e /upload/iblock/ae8/ae8e1a20dc0f51db073a5d7e6c8ffb7b.jpg \u003d\u003e /upload/iblock/ae8/ae8e1a20dc0f51db073a5d7e6c8ffb7b.jpg \u003d\u003e Rusanova \u003d\u003e Rusanova) [~ preview_picture] \u003d\u003e 56 \u003d\u003e [~ Detail_Text] \u003d\u003e \u003d\u003e [~ Detail_Picture] \u003d\u003e \u003d\u003e [~ date_active_from] \u003d\u003e \u003d\u003e [~ ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ DATE_ACTIVE_TO] \u003d\u003e \u003d\u003e [~ Active_TO] \u003d\u003e \u003d\u003e [~ show_counter] \u003d\u003e \u003d\u003e [~ show_counter_start] \u003d\u003e \u003d\u003e content [~ iblock_type_id] \u003d\u003e content \u003d\u003e 10 [~ iblock_id] \u003d\u003e 10 \u003d\u003e Reviews [ ~ Iblock_code] \u003d\u003e Reviews \u003d\u003e Reviews [~ iblock_name] \u003d\u003e Reviews \u003d\u003e [~ iblock_external_id] \u003d\u003e \u003d\u003e 02/07/2018 12:39:29 [~ Date_Create] \u003d\u003e 02/07/2018 12:39:29 \u003d\u003e 1 [~ Created_BY] \u003d\u003e 1 \u003d\u003e (Admin) [~ Created_user_name] \u003d\u003e (admin) \u003d\u003e 07.02.2018 14:11:01 [~ timestamp_x] \u003d\u003e 02/07/2018 14 : 11: 01 \u003d\u003e 1 [~ modified_by] \u003d\u003e 1 \u003d\u003e (admin) [~ user_name] \u003d\u003e (admin) \u003d\u003e [~ iblock_section_id] \u003d\u003e \u003d\u003e /content/detail.php?id\u003d114 [~ Detail_Page_URL] \u003d\u003e /Content/Detail.php?id\u003d114 \u003d\u003e /Content/index.php?id\u003d10 [~ list_page_url] \u003d\u003e /Content/index.php?id\u003d10 \u003d\u003e Text [~ Detail_Text_Type] \u003d \u003e Text \u003d\u003e Text [~ preview_text_type] \u003d\u003e Text \u003d\u003e / [~ Lang_dir] \u003d\u003e / \u003d\u003e 114 [~ external_id] \u003d\u003e 114 \u003d\u003e s1 [~ lid] \u003d\u003e s1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e Array () \u003d\u003e array (\u003d\u003e 114 \u003d\u003e \u003d\u003e 114 \u003d\u003e Rusanova \u003d\u003e \u003d\u003e 500 \u003d\u003e I want to thank employees for a careful and friendly attitude. It is good that such a clinic is at least you.
\u003d\u003e Array (\u003d\u003e 56 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 575 \u003d\u003e 175172 \u003d\u003e image / jpeg \u003d\u003e iblock / ae8 \u003d\u003e. Jpg \u003d\u003e Pic_Comments6-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/ae8/ae8e1a20dc0f51db073a5d7e6c8ffb7b.jpg \u003d\u003e /upload/iblock/ae8/ae8e1a20dc0f51db073a5d7e6c8ffb7b.jpg \u003d\u003e /upload/iblock/ae8/ae8e1a20dc0f51db073a5d7e6c8ffb7b.jpg \u003d\u003e Rusanova \u003d\u003e Rusanova) \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e content \u003d\u003e 10 \u003d\u003e Reviews \u003d\u003e Reviews \u003d\u003e \u003d\u003e 07.02.2018 12:39:29 \u003d\u003e 1 \u003d\u003e (admin) \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 \u003d\u003e (admin)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e N \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e 247 \u003d\u003e Rusanova \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ Value] \u003d\u003e Rusanova [~ description] \u003d\u003e [~ Name] \u003d\u003e Who left feedback [~ Default_Value] \u003d\u003e) \u003d\u003e Array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e Signature \u003d\u003e Y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e N \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ VALUE] \u003d\u003e [~ description] \u003d\u003e [~ Name] \u003d\u003e signature [~ default_value] \u003d\u003e)) \u003d \u003e Array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e L \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 247 \u003d\u003e Rusanova \u003d\u003e \u003d\u003e \u003d \u003e \u003d\u003e [~ Value] \u003d\u003e Rusanova [~ description] \u003d\u003e [~ Name] \u003d\u003e Who left a review [~ default_value] \u003d\u003e \u003d\u003e Rusanova)) \u003d\u003e array (\u003d\u003e 1 \u003d\u003e array (\u003d\u003e 56 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 800 \u003d\u003e 575 \u003d\u003e 175172 \u003d\u003e image / jpeg \u003d\u003e iblock / ae8 \u003d\u003e. Jpg \u003d\u003e pic_comments6-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [ ~ src] \u003d\u003e \u003d\u003e /upload/iblock/ae8/ae8e1A20DC0F51DB073A5D7E6C8FFB7B.jpg) \u003d\u003e array (\u003d\u003e / upload / resize_cache / iblock / ae8 / 264_380_1 / ae8e1a20dc0f51db073a5d7e6c8 ffb7b.jpg \u003d\u003e 264 \u003d\u003e 367 \u003d\u003e 76413) \u003d\u003e Retina Retina-x2-src \u003d "/ upload / resize_cache / iblock / ae8 / 264_380_1 /.jpg" \u003d\u003e Array (\u003d\u003e / Upload / resize_cache / iblock /ae8/132_190_1/ae8e1A20DC0F51DB073A5D7E6C8FFB7B.jpg \u003d\u003e 132 \u003d\u003e 183 \u003d\u003e 19499 \u003d\u003e Rusanova)))

Everything is very competent, very polite service. I will recommend this clinic to friends. Successes !!!

Open scan response

Array (\u003d\u003e 113 [~ ID] \u003d\u003e 113 \u003d\u003e [~ CODE] \u003d\u003e \u003d\u003e 113 [~ XML_ID] \u003d\u003e 113 \u003d\u003e anonymous [~ name] \u003d\u003e anonymous \u003d\u003e [~ tags] \u003d\u003e \u003d\u003e 500 [~ SORT] \u003d\u003e 500 \u003d\u003e Everything is very competent, very polite service. I will recommend this clinic to friends. Successes !!! [~ preview_text] \u003d\u003e Everything is very competent, very polite service. I will recommend this clinic to friends. Successes! !! \u003d\u003e Array (\u003d\u003e 55 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 778 \u003d\u003e 572 \u003d\u003e 46441 \u003d\u003e image / jpeg \u003d\u003e iblock / 348 \u003d\u003e. Jpg \u003d\u003e pic_comments5-big .jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/348/348950e3a3aa606332cb5c05e3b767d0.jpg \u003d\u003e /upload/iblock/348/348950e3a3aa606332cb5c05e3b767d0.jpg \u003d\u003e /upload/iblock/348/348950e3a3aa606332cb5c05e3b767d0.jpg \u003d\u003e Anonymous \u003d\u003e anonymous) [~ preview_picture] \u003d\u003e 55 \u003d\u003e [~ Detail_Text] \u003d\u003e \u003d\u003e [~ Detail_PICTURE] \u003d\u003e \u003d\u003e [~ DATE_ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ Date_active_to] \u003d\u003e \u003d\u003e [~ Active_TO] \u003d\u003e \u003d\u003e [~ show_counter] \u003d\u003e \u003d\u003e [~ show_counter_star T] \u003d\u003e \u003d\u003e content [~ iblock_type_id] \u003d\u003e content \u003d\u003e 10 [~ iblock_id] \u003d\u003e 10 \u003d\u003e Reviews [~ iblock_code] \u003d\u003e Reviews \u003d\u003e Reviews [~ iblock_name] \u003d\u003e Reviews \u003d\u003e [~ iblock_External_id] \u003d\u003e \u003d\u003e 07.02.2018 12:37:43 [~ date_create] \u003d\u003e 07.02.2018 12:37:43 \u003d\u003e 1 [~ Created_by] \u003d\u003e 1 \u003d\u003e (Admin) [~ Created_user_name] \u003d\u003e (admin) \u003d\u003e 07.02.2018 14:11:01 [~ timestamp_x] \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 [~ modified_by] \u003d\u003e 1 \u003d\u003e (admin) [~ user_name] \u003d\u003e (admin) \u003d\u003e [~ Iblock_section_id] \u003d\u003e \u003d\u003e /Content/Detail.php?id\u003d113 [~ Detail_page_URL] \u003d\u003e /Content/Detail.php?id\u003d113 \u003d\u003e /Content/index.php?id\u003d10 [~ List_Page_URL] \u003d\u003e /Content/index.php?id\u003d10 \u003d\u003e Text [~ Detail_Text_Type] \u003d\u003e Text \u003d\u003e Text [~ preview_text_type] \u003d\u003e Text \u003d\u003e / [~ Lang_Dir] \u003d\u003e / \u003d\u003e 113 [~ EXTERNAL_ID] \u003d \u003e 113 \u003d\u003e s1 [~ lid] \u003d\u003e s1 \u003d\u003e \u003d\u003e \u003d\u003e array () \u003d\u003e array (\u003d\u003e 113 \u003d\u003e \u003d\u003e 113 \u003d\u003e anonymous \u003d\u003e \u003d\u003e 500 \u003d\u003e everything is very competent, very Furnishing service. I will recommend this clinic to friends. Successes !!! \u003d\u003e Array (\u003d\u003e 55 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 778 \u003d\u003e 572 \u003d\u003e 46441 \u003d\u003e image / jpeg \u003d\u003e iblock / 348 \u003d\u003e. Jpg \u003d\u003e Pic_Comments5-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/348/348950e3a3aa606332cb5c05e3b767d0.jpg \u003d\u003e /upload/iblock/348/348950e3a3aa606332cb5c05e3b767d0.jpg \u003d\u003e /upload/iblock/348/348950e3a3aa606332cb5c05e3b767d0.jpg \u003d\u003e Anonymous \u003d\u003e anonymous) \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e content \u003d\u003e 10 \u003d\u003e Reviews \u003d\u003e Reviews \u003d\u003e \u003d\u003e 07. 02.2018 12:37:43 \u003d\u003e 1 \u003d\u003e (admin) \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 \u003d\u003e (admin)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02 06 19:37:56 \u003d\u003e 10 \u003d\u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d \u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ value] \u003d\u003e [~ description] \u003d\u003e [~ Name ] \u003d\u003e Who left feedback [~ Default_Value] \u003d\u003e) \u003d\u003e array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e signature \u003d\u003e y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d \u003e S \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d \u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ VALUE] \u003d\u003e [~ DESCRIPTION] \u003d\u003e [~ NAME] \u003d\u003e signature [~ default_value] \u003d\u003e)) \u003d\u003e array () \u003d\u003e array (\u003d\u003e 1 \u003d\u003e Array (\u003d\u003e 55 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 778 \u003d\u003e 572 \u003d\u003e 46441 \u003d\u003e image / jpeg \u003d\u003e iblock / 348 \u003d\u003e. Jpg \u003d\u003e pic_comments5-big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e / upload / iblock / 348 / 348950e 3a3aa606332cb5c05e3b767d0.jpg) \u003d\u003e Array (\u003d\u003e /upload/resize_cache/iblock/348/264_380_1/348950e3a3aa606332cb5c05e3b767d0.jpg \u003d\u003e 264 \u003d\u003e 359 \u003d\u003e 48124) \u003d\u003e retina retina-x2-src \u003d "/ upload / resize_cache / iblock /348/264_380_1/348950e3a3aa606332cb5c05e3b767d0.jpg "\u003d\u003e Array (\u003d\u003e /upload/resize_cache/iblock/348/132_190_1/348950e3a3aa606332cb5c05e3b767d0.jpg \u003d\u003e 132 \u003d\u003e 179 \u003d\u003e 14994 \u003d\u003e Anonymous)))

Kuznetsov V.A.

Open scan response

Array (\u003d\u003e 112 [~ ID] \u003d\u003e 112 \u003d\u003e [~ CODE] \u003d\u003e \u003d\u003e 112 [~ XML_ID] \u003d\u003e 112 \u003d\u003e Kuznetsov V.A. [~ Name] \u003d\u003e Kuznetsov V.A. \u003d\u003e [~ Tags] \u003d\u003e \u003d\u003e 500 [~ SORT] \u003d\u003e 500 \u003d\u003e Very responsive administrator. Polite, cultural, kind.
[~ Preview_text] \u003d\u003e Very responsive administrator. Polite, cultural, kind. \u003d\u003e Array (\u003d\u003e 53 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 783 \u003d\u003e 560 \u003d\u003e 69584 \u003d\u003e image / jpeg \u003d\u003e iblock / 58a \u003d\u003e. Jpg \u003d\u003e pic_comments4-big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/58a/58a0be58e116e783ec9345d2b58017f2.jpg \u003d\u003e /upload/iblock/58a/58a0be58e116e783ec9345d2b58017f2.jpg \u003d\u003e /upload/iblock/58a/58a0be58e116e783ec9345d2b58017f2.jpg \u003d\u003e Kuznetsov V.A. \u003d\u003e Kuznetsov V.A.) [~ PREVIEW_PICTURE] \u003d\u003e 53 \u003d\u003e [~ DETAIL_TEXT] \u003d\u003e \u003d\u003e [~ Detail_Picture] \u003d\u003e \u003d\u003e [~ date_active_from] \u003d\u003e \u003d\u003e [~ ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ DATE_Active_TO] \u003d\u003e \u003d\u003e [~ Active_TO] \u003d\u003e \u003d\u003e [~ show_counter] \u003d\u003e \u003d\u003e [~ show_counter_start] \u003d\u003e \u003d\u003e content [~ iblock_type_id] \u003d\u003e content \u003d\u003e 10 [~ IBLOCK_ID ] \u003d\u003e 10 \u003d\u003e Reviews [~ iblock_code] \u003d\u003e Reviews \u003d\u003e Reviews [~ iblock_name] \u003d\u003e Reviews \u003d\u003e [~ iblock_external_id] \u003d\u003e \u003d\u003e 02/07/2018 12:35:47 [~ date_create] \u003d\u003e 07.02. 2018 12:35:47 \u003d\u003e 1 [~ Created_by] \u003d\u003e 1 \u003d\u003e (Admin) [~ Created_user_name] \u003d\u003e (admin) \u003d\u003e 02/07/2018 14:11:01 [~ timestamp_x] \u003d\u003e 07.0 2.2018 14:11:01 \u003d\u003e 1 [~ modified_by] \u003d\u003e 1 \u003d\u003e (admin) [~ user_name] \u003d\u003e (admin) \u003d\u003e [~ iblock_section_id] \u003d\u003e \u003d\u003e /content/detail.php?id\u003d112 [~ Detail_Page_URL] \u003d\u003e /Content/Detail.php?id\u003d112 \u003d\u003e /Content/index.php?id\u003d10 [~ list_page_url] \u003d\u003e /content/index.php?id\u003d10 \u003d\u003e Text [~ Detail_Text_Type ] \u003d\u003e Text \u003d\u003e Text [~ preview_text_type] \u003d\u003e Text \u003d\u003e / [~ Lang_dir] \u003d\u003e / \u003d\u003e 112 [~ external_id] \u003d\u003e 112 \u003d\u003e s1 [~ lid] \u003d\u003e s1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e Array () \u003d\u003e array (\u003d\u003e 112 \u003d\u003e \u003d\u003e 112 \u003d\u003e Kuznetsov V.A. \u003d\u003e \u003d\u003e 500 \u003d\u003e A very responsive administrator. Polite, cultural, kind.
\u003d\u003e Array (\u003d\u003e 53 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 783 \u003d\u003e 560 \u003d\u003e 69584 \u003d\u003e image / jpeg \u003d\u003e iblock / 58a \u003d\u003e. Jpg \u003d\u003e pic_comments4-big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/58a/58a0be58e116e783ec9345d2b58017f2.jpg \u003d\u003e /upload/iblock/58a/58a0be58e116e783ec9345d2b58017f2.jpg \u003d\u003e /upload/iblock/58a/58a0be58e116e783ec9345d2b58017f2.jpg \u003d\u003e Kuznetsov V.A. \u003d\u003e Kuznetsov V.A.) \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e content \u003d\u003e 10 \u003d\u003e Reviews \u003d\u003e Reviews \u003d\u003e \u003d\u003e 07.02.2018 12: 35:47 \u003d\u003e 1 \u003d\u003e (admin) \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 \u003d\u003e (admin)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19: 37:56 \u003d\u003e 10 \u003d\u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d \u003e N \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e 246 \u003d\u003e Kuznetsov V.A \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ VALUE] \u003d\u003e Kuznetsov V.A. [ ~ Description] \u003d\u003e [~ Name] \u003d\u003e Who left feedback [~ Default_Value] \u003d\u003e) \u003d\u003e array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19 : 37: 56 \u003d\u003e 10 \u003d\u003e signature \u003d\u003e y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e N \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ value] \u003d\u003e [~ description] \u003d\u003e [~ Name] \u003d\u003e Signature [~ DEFAULT_VALUE] \u003d\u003e)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e S \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 246 \u003d\u003e Kuznetsov V.A. \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ Value] \u003d\u003e Kuznetsov V.A. [~ Description] \u003d\u003e [~ Name] \u003d\u003e Who left a review [~ default_value] \u003d\u003e \u003d\u003e Kuznetsov V.A.)) \u003d\u003e Array (\u003d\u003e 1 \u003d\u003e Array (\u003d\u003e 53 \u003d\u003e 07.02.2018 14 : 11: 01 \u003d\u003e iblock \u003d\u003e 783 \u003d\u003e 560 \u003d\u003e 69584 \u003d\u003e image / jpeg \u003d\u003e iblock / 58a \u003d\u003e. Jpg \u003d\u003e pic_comments4-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d \u003e /upload/iblock/58a/58a0be58e116e783ec9345d2b58017f2.jpg) \u003d\u003e Array (\u003d\u003e /upload/resize_cache/iblock/58a/264_380_1/58a0be58e116e783ec9345d2b58017f2.jpg \u003d\u003e 264 \u003d\u003e 369 \u003d\u003e 61367) \u003d\u003e retina retina-x2-src \u003d "/ upload / resize_cache / iblock / 58a / 264_380_1 /.jpg" \u003d\u003e Array (\u003d\u003e /upload/resize_cache/iblock/58a/132_190_1/58a0be58e116e783ec9345d2b58017f2.jpg \u003d\u003e 132 \u003d\u003e 184 \u003d\u003e \u003d 18518\u003e Kuznetsov .BUT.)))

Khrabrova V.E.

Open scan response

Array (\u003d\u003e 111 [~ ID] \u003d\u003e 111 \u003d\u003e [~ CODE] \u003d\u003e \u003d\u003e 111 [~ XML_ID] \u003d\u003e 111 \u003d\u003e Khrabrova V.E. [~ Name] \u003d\u003e Herbral V.E. \u003d\u003e [~ Tags] \u003d\u003e \u003d\u003e 500 [~ SORT] \u003d\u003e 500 \u003d\u003e I express great appreciation to the administrator of Christine and Rinat Chubarov for a careful and friendly attitude when conducting a survey, I wish that there are more such personnel that there are rare in our days.
[~ Preview_text] \u003d\u003e I express great appreciation to the administrator of Christine and Rinat Chubarov for a careful and friendly attitude when conducting a survey, I wish more such personnel that there are rare in our days. \u003d\u003e Array (\u003d\u003e 54 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 795 \u003d\u003e 566 \u003d\u003e 59952 \u003d\u003e image / jpeg \u003d\u003e iblock / 4F6 \u003d\u003e. Jpg \u003d\u003e Pic_Comments3-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/4f6/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg \u003d\u003e /upload/iblock/4f6/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg \u003d\u003e /upload/iblock/4f6/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg \u003d\u003e Khbrova V.E. \u003d\u003e Khbrova V.E.) [~ Preview_picture] \u003d\u003e 54 \u003d\u003e [~ Detail_Text] \u003d\u003e \u003d\u003e [~ Detail_PICTure] \u003d\u003e \u003d\u003e [~ date_active_from] \u003d\u003e \u003d\u003e [~ Active_From] \u003d\u003e \u003d\u003e [~ DATE_Active_TO] \u003d\u003e \u003d\u003e [~ Active_TO] \u003d\u003e \u003d\u003e [~ show_counter] \u003d\u003e \u003d\u003e [~ show_counter_start] \u003d\u003e \u003d\u003e content [~ iblock_type_id] \u003d\u003e content \u003d\u003e 10 [~ IBLOCK_ID ] \u003d\u003e 10 \u003d\u003e Reviews [~ iblock_code] \u003d\u003e Reviews \u003d\u003e Reviews [~ iblock_name] \u003d\u003e Reviews \u003d\u003e [~ iblock_external_id] \u003d\u003e \u003d\u003e 02/07/2018 12:34:11 [~ date_create] \u003d\u003e 07.02. 2018 12:34:11 \u003d\u003e 1 [~ Created_by] \u003d\u003e 1 \u003d\u003e (Admin) [~ Created_user_name] \u003d\u003e (Admin) \u003d\u003e 07.02.2018 14:11:01 [~ timestamp_x] \u003d\u003e 07.0 2.2018 14:11:01 \u003d\u003e 1 [~ modified_by] \u003d\u003e 1 \u003d\u003e (admin) [~ user_name] \u003d\u003e (admin) \u003d\u003e [~ iblock_section_id] \u003d\u003e \u003d\u003e /content/detail.php?id\u003d111 [~ Detail_Page_URL] \u003d\u003e /Content/detail.php?id\u003d111 \u003d\u003e /Content/index.php?id\u003d10 [~ list_page_url] \u003d\u003e /content/index.php?id\u003d10 \u003d\u003e Text [~ Detail_Text_Type ] \u003d\u003e text \u003d\u003e text [~ preview_text_type] \u003d\u003e text \u003d\u003e / [~ lang_dir] \u003d\u003e / \u003d\u003e 111 [~ external_id] \u003d\u003e 111 \u003d\u003e s1 [~ lid] \u003d\u003e s1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e Array () \u003d\u003e array (\u003d\u003e 111 \u003d\u003e \u003d\u003e 111 \u003d\u003e Khrabrova V.E. \u003d\u003e \u003d\u003e 500 \u003d\u003e I express great appreciation to the administrator of Christine and Rinat Chubarov for a careful and friendly relationship when conducting a survey, I wish that there were more such staff that there are rare in our days.
\u003d\u003e Array (\u003d\u003e 54 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 795 \u003d\u003e 566 \u003d\u003e 59952 \u003d\u003e image / jpeg \u003d\u003e iblock / 4F6 \u003d\u003e. Jpg \u003d\u003e Pic_Comments3-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/4f6/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg \u003d\u003e /upload/iblock/4f6/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg \u003d\u003e /upload/iblock/4f6/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg \u003d\u003e Khbrova V.E. \u003d\u003e Khrabrova V.E.) \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e content \u003d\u003e 10 \u003d\u003e Reviews \u003d\u003e Reviews \u003d\u003e \u003d\u003e 07.02.2018 12: 34:11 \u003d\u003e 1 \u003d\u003e (admin) \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 \u003d\u003e (admin)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19: 37:56 \u003d\u003e 10 \u003d\u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d \u003e N \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 245 \u003d\u003e Khrabrova V.E. \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ Value] \u003d\u003e Khbrova V.E. [ ~ Description] \u003d\u003e [~ Name] \u003d\u003e Who left feedback [~ Default_Value] \u003d\u003e) \u003d\u003e array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19 : 37: 56 \u003d\u003e 10 \u003d\u003e signature \u003d\u003e y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e N \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ value] \u003d\u003e [~ description] \u003d\u003e [~ Name] \u003d\u003e Signature [~ DEFAULT_VALUE] \u003d\u003e)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e S \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e 245 \u003d\u003e Khrabrova V.E. \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ Value] \u003d\u003e Khrabrova V.E. [~ Description] \u003d\u003e [~ Name] \u003d\u003e Who left feedback [~ default_value] \u003d\u003e \u003d\u003e Khrabrova V.E.)) \u003d\u003e Array (\u003d\u003e 1 \u003d\u003e Array (\u003d\u003e 54 \u003d\u003e 07.02.2018 14 : 11: 01 \u003d\u003e iblock \u003d\u003e 795 \u003d\u003e 566 \u003d\u003e 59952 \u003d\u003e image / jpeg \u003d\u003e iblock / 4f6 \u003d\u003e. Jpg \u003d\u003e pic_comments3-Big.jpg \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d \u003e /upload/iblock/4f6/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg) \u003d\u003e Array (\u003d\u003e /upload/resize_cache/iblock/4f6/264_380_1/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg \u003d\u003e 264 \u003d\u003e 370 \u003d\u003e 49706) \u003d\u003e retina retina-x2-src \u003d "/ upload / resize_cache / iblock / 4f6 / 264_380_1 /.jpg" \u003d\u003e Array (\u003d\u003e /upload/resize_cache/iblock/4f6/132_190_1/4f6a1cf8d5ae2b88db75270e0ab7cc95.jpg \u003d\u003e 132 \u003d\u003e \u003d 185\u003e 15022 \u003d\u003e In Khrabrova .E.)))

Array (\u003d\u003e 110 [~ ID] \u003d\u003e 110 \u003d\u003e [~ CODE] \u003d\u003e \u003d\u003e 110 [~ xml_id] \u003d\u003e 110 \u003d\u003e Evgenia Andreeva [~ Name] \u003d\u003e Evgenia Andreeva \u003d\u003e [~ Tags] \u003d\u003e \u003d\u003e 500 [~ SORT] \u003d\u003e 500 \u003d\u003e I express a lot of gratitude to Catherine Root for patience, professionalism, kindness and fantastic attitude towards patients.
[~ Preview_text] \u003d\u003e I express a lot of gratitude to Catherine Root for patience, professionalism, kindness and fantastic attitude towards patients. \u003d\u003e Array (\u003d\u003e 49 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 183 \u003d\u003e 132 \u003d\u003e 35147 \u003d\u003e image / png \u003d\u003e iblock / f27 \u003d\u003e. PNG \u003d\u003e LAYER 164.PNG \u003d \u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png \u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png \u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png \u003d\u003e Eugene Andreeva \u003d\u003e Evgenia Andreeva) [~ preview_picture] \u003d\u003e 49 \u003d\u003e [~ Detail_Text] \u003d\u003e \u003d\u003e [~ Detail_PICTURE] \u003d\u003e \u003d\u003e [~ DATE_ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ ACTIVE_FROM] \u003d\u003e \u003d\u003e [~ DATE_ACTIVE_TO ] \u003d\u003e \u003d\u003e [~ ACTIVE_TO] \u003d\u003e \u003d\u003e [~ show_counter] \u003d\u003e \u003d\u003e [~ show_counter_start] \u003d\u003e \u003d\u003e content [~ iblock_type_id] \u003d\u003e content \u003d\u003e 10 [~ iblock_id] \u003d\u003e 10 \u003d\u003e Reviews [~ Iblock_code] \u003d\u003e Reviews \u003d\u003e Reviews [~ iblock_name] \u003d\u003e Reviews \u003d\u003e [~ iblock_external_id] \u003d\u003e \u003d\u003e 02/06/2018 19:44:06 [~ date_create] \u003d\u003e 02/06/2018 19:44:06 \u003d \u003e 1 [~ Created_by] \u003d\u003e 1 \u003d\u003e (Admin) [~ Created_user_name] \u003d\u003e (admin) \u003d\u003e 02/07/2018 14:11:01 [~ timestamp_x] \u003d\u003e 07.02.2 018 14:11:01 \u003d\u003e 1 [~ modified_by] \u003d\u003e 1 \u003d\u003e (admin) [~ user_name] \u003d\u003e (admin) \u003d\u003e [~ iblock_section_id] \u003d\u003e \u003d\u003e /Content/detail.php?id\u003d110 [~ Detail_Page_URL] \u003d\u003e /Content/Detail.php?id\u003d110 \u003d\u003e /Content/index.php?id\u003d10 [~ List_Page_URL] \u003d\u003e /Content/index.php?id\u003d10 \u003d\u003e Text [~ Detail_Text_Type ] \u003d\u003e Text \u003d\u003e Text [~ preview_text_type] \u003d\u003e Text \u003d\u003e / [~ Lang_dir] \u003d\u003e / \u003d\u003e 110 [~ external_id] \u003d\u003e 110 \u003d\u003e s1 [~ lid] \u003d\u003e s1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e Array () \u003d\u003e Array (\u003d\u003e 110 \u003d\u003e \u003d\u003e 110 \u003d\u003e Evgenia Andreeva \u003d\u003e \u003d\u003e 500 \u003d\u003e I express a lot of gratitude to Catherine root for patience, professionalism, kindness and fantastic attitude towards patients.
\u003d\u003e Array (\u003d\u003e 49 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 183 \u003d\u003e 132 \u003d\u003e 35147 \u003d\u003e image / png \u003d\u003e iblock / f27 \u003d\u003e. PNG \u003d\u003e LAYER 164.PNG \u003d \u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png \u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png \u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png \u003d\u003e Eugene Andreeva \u003d\u003e Evgenia Andreeva) \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e content \u003d\u003e 10 \u003d\u003e Reviews \u003d\u003e Reviews \u003d\u003e \u003d\u003e 02/06/2018 19:44:06 \u003d\u003e 1 \u003d \u003e (admin) \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 \u003d\u003e (admin)) \u003d\u003e array (\u003d\u003e array (\u003d\u003e 25 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d \u003e Who left feedback \u003d\u003e y \u003d\u003e 500 \u003d\u003e name \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e N \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ value] \u003d\u003e [~ description] \u003d\u003e [~ Name] \u003d\u003e Who left feedback [~ Default_Value] \u003d\u003e) \u003d\u003e Array (\u003d\u003e 26 \u003d\u003e 2018-02-06 19:37:56 \u003d\u003e 10 \u003d\u003e signature \u003d\u003e y \u003d\u003e 500 \u003d\u003e description \u003d\u003e \u003d\u003e s \u003d\u003e 1 \u003d\u003e 30 \u003d\u003e l \u003d\u003e n \u003d\u003e \u003d\u003e \u003d\u003e 5 \u003d\u003e \u003d\u003e 0 \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e n \u003d\u003e 1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e [~ VALUE] \u003d\u003e [~ description] \u003d\u003e [~ Name] \u003d\u003e signature [~ default_value] \u003d\u003e)) \u003d\u003e array () \u003d\u003e Array (\u003d\u003e 1 \u003d\u003e array (\u003d\u003e 49 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 183 \u003d\u003e 132 \u003d\u003e 35147 \u003d\u003e image / png \u003d\u003e iblock / f27 \u003d\u003e. PNG \u003d\u003e Layer 164.png \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png) \u003d\u003e array (\u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png \u003d\u003e 132 \u003d\u003e 183 \u003d\u003e 35147) \u003d\u003e Retina Retina-X2-SRC \u003d "/ Upload / iblock / F27 / F272783DAA9DE38C00293FBBD9983097.png" \u003d\u003e array (\u003d\u003e /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png \u003d\u003e 132 \u003d\u003e 183 \u003d\u003e 35147 \u003d\u003e Evgenia Andreeva)))

Many thanks for the consultation and examination ... Very politely, accessible and detailed explained the course and result.

Array (\u003d\u003e 109 [~ ID] \u003d\u003e 109 \u003d\u003e [~ Code] \u003d\u003e \u003d\u003e 109 [~ xml_id] \u003d\u003e 109 \u003d\u003e anonymous [~ name] \u003d\u003e anonymous \u003d\u003e [~ tags] \u003d\u003e \u003d\u003e 500 [~ SORT] \u003d\u003e 500 \u003d\u003e Thank you very much for the consultation and examination ... It is very politely, accessible and explained in detail and the result. [~ Preview_text] \u003d\u003e Thank you very much for the consultation and examination ... Very polite, accessible and explained in detail and the result. \u003d\u003e array (\u003d\u003e 48 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 183 \u003d\u003e 132 \u003d\u003e 24647 \u003d\u003e image / pNG \u003d\u003e iblock / 2db \u003d\u003e. PNG \u003d \u003e Layer 165.png \u003d\u003e \u003d\u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e /upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png \u003d\u003e /upload/iblock/2DB/2DB2B520CB9BBFD8F6F4195B6998BF18.png \u003d\u003e / Upload / iblock / 2DB / 2DB2B520CB9BBFD8F6F4195B6998BF18.png \u003d\u003e anonymous \u003d\u003e anonymous) [~ preview_picture] \u003d\u003e 48 \u003d\u003e [~ Detail_Text] \u003d\u003e \u003d\u003e [~ detail_picture] \u003d\u003e \u003d\u003e [~ date_active_from] \u003d\u003e \u003d\u003e [~ ACTIVE_FROM] \u003d\u003e \u003d \u003e [~ Date_active_to] \u003d\u003e \u003d\u003e [~ Active_TO] \u003d\u003e \u003d\u003e [~ show_counter] \u003d\u003e \u003d\u003e [~ sh Ive_counter_start] \u003d\u003e \u003d\u003e content [~ iblock_type_id] \u003d\u003e content \u003d\u003e 10 [~ iblock_id] \u003d\u003e 10 \u003d\u003e Reviews [~ iblock_code] \u003d\u003e Reviews \u003d\u003e Reviews [~ iblock_name] \u003d\u003e Reviews \u003d\u003e [~ iblock_external_id] \u003d\u003e \u003d\u003e 06.02.2018 19:43:22 [~ date_create] \u003d\u003e 02/06/2018 19:43:22 \u003d\u003e 1 [~ Created_by] \u003d\u003e 1 \u003d\u003e (Admin) [~ Created_user_name] \u003d\u003e (Admin) \u003d\u003e 07.02.2018 14:11:01 [~ timestamp_x] \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e 1 [~ modified_by] \u003d\u003e 1 \u003d\u003e (admin) [~ user_name] \u003d\u003e (admin) \u003d\u003e [~ Iblock_section_id] \u003d\u003e \u003d\u003e /Content/detail.php?id\u003d109 [~ Detail_Page_URL] \u003d\u003e /Content/Detail.php?id\u003d109 \u003d\u003e /Content/index.php?id\u003d10 [~ list_page_url] \u003d\u003e /Content/index.php?id\u003d10 \u003d\u003e Text [~ Detail_Text_Type] \u003d\u003e Text \u003d\u003e Text [~ preview_text_type] \u003d\u003e text \u003d\u003e / [~ lang_dir] \u003d\u003e / \u003d\u003e 109 [~ external_id] \u003d \u003e 109 \u003d\u003e s1 [~ lid] \u003d\u003e s1 \u003d\u003e \u003d\u003e \u003d\u003e \u003d\u003e array () \u003d\u003e array (\u003d\u003e 109 \u003d\u003e \u003d\u003e 109 \u003d\u003e anonymous \u003d\u003e \u003d\u003e 500 \u003d\u003e Thank you very much for the consultation and Survey ... Very polite, available and detailed about Sciating stroke and result. \u003d\u003e Array (\u003d\u003e 48 \u003d\u003e 07.02.2018 14:11:01 \u003d\u003e iblock \u003d\u003e 183 \u003d\u003e 132 \u003d\u003e 24647 \u003d\u003e image / png \u003d\u003e iblock / 2db \u003d\u003e. 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PNG \u003d\u003e Layer 165.png \u003d\u003e \u003d \u003e \u003d\u003e [~ src] \u003d\u003e \u003d\u003e / upload / iblock / 2DB / 2DB2B520CB9BBFD8 f6f4195b6998bf18.png) \u003d\u003e Array (\u003d\u003e /upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png \u003d\u003e 132 \u003d\u003e \u003d 183\u003e 24647) \u003d\u003e retina retina-x2-src \u003d "/ upload / iblock / 2db /.png "\u003d\u003e Array (\u003d\u003e /upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png \u003d\u003e 132 \u003d\u003e 183 \u003d\u003e 24647 \u003d\u003e anonymous)))