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临床儿童耳鼻咽喉头颈外科学
$87.14
1.以临床为主,章末有“关键点”,实用性强。2.反映当今新技术在儿童耳鼻咽喉领域开展的内容。3.编写团队均为耳鼻喉及口腔等专业的富有临床经验的编者编写。4.融合出版,微创手术治疗视频使读者更易理解和掌握。
本书系统、完整的介绍了儿童耳鼻咽喉头颈外科解剖、生理、疾病,疾病、以及诊断及治疗等内容,丰富、实用,特别是微创诊治技术,力求引导工作在临床一线的医师开拓思路,借鉴经验,提高诊治技术,满足患者需求。主编许政敏,中国医师协会儿童耳鼻咽喉专业委员会主任委员,中国康复医学会听力康复专业委员会副主任委员,世界卫生组织(WHO)防聋专家组委员,中华医学会耳鼻咽喉头颈外科分会儿科学组委员,中国医师协会青春期医学专业委员会青春期医学耳鼻咽喉保健学组副组长。
许政敏,男,任上海复旦大学附属儿科医院耳鼻喉科主任。中国医师协会儿童耳鼻咽喉专业委员会主任委员,中国康复医学会听力康复专业委员会副主任委员,世界卫生组织(WHO)防聋专家组委员,中华医学会耳鼻咽喉头颈外科分会儿科学组委员,中国医师协会青春期医学专业委员会青春期医学耳鼻咽喉保健学组副组长。
篇 总 论章 儿童耳鼻咽喉头颈外科发展史及疾病特点 /2节 发展史 /2第二节 疾病特点 /4第二章 儿童耳鼻咽喉头颈外科患儿的护理 /7第三章 儿童耳鼻咽喉头颈外科手术麻醉与围手术期护理 /14节 儿童耳鼻喉科手术的麻醉特点 /14第二节 气道手术的通气方式 /14第三节 鼻窦内镜手术的麻醉 /16第四节 扁桃体和/ 或腺样体摘除术的麻醉 /16第五节 扁桃体切除术后出血手术的麻醉 /16第六节 中耳手术或人工耳蜗植入术的麻醉 /17第七节 气管异物取出术的麻醉 /18第八节 喉乳头状瘤手术的麻醉 /18第九节 颈部肿块的麻醉 /19第四章 儿童上下气道炎症性疾病特点 /21节 概述 /21第二节 解剖及胚胎发育特点 /22第三节 病理生理特点 /24第四节 联合诊治策略 /26第五章 交流障碍及言语- 语言评估与训练 /29第六章 儿童耳鼻咽喉相关的免疫缺陷病 /35节 概述 /35第二节 原发性免疫缺陷病的耳鼻咽喉科表现 /37第三节 继发性免疫缺陷病的耳鼻咽喉科表现 /38第二篇 耳 科第七章 儿童耳科概论 /42第八章 儿童耳及颞骨的结构和功能 /44节 外耳的解剖、生理和功能 /44第二节 中耳的解剖、生理和功能 /44第三节 内耳的解剖、生理和功能 /46第九章 儿童颞骨的影像学检查 /49节 概述 /49第二节 高分辨率CT 检查 /49第三节 磁共振成像检查 /53第十章 儿童听力学检查 /56节 儿童听觉生理 /56第二节 儿童听力学检查方法 /57第十一章 儿童平衡生理以及运动障碍平衡失调 /65第十二章 儿童先天性耳畸形 /71节 先天性耳郭畸形 /71第二节 先天性外耳道畸形 /77第三节 先天性中耳畸形 /81第四节 先天性耳郭畸形的无创治疗 /86第十三章 儿童外耳疾病 /93节 副耳及外耳瘘管 /93第二节 感染性外耳道疾病 /94第十四章 儿童中耳和乳突急性疾病 /99节 急性化脓性中耳炎 /99第二节 急性坏死性中耳炎 /100第三节 急性乳突炎 /101第十五章 儿童中耳和乳突慢性疾病 /103节 慢性化脓性中耳炎 /103第二节 中耳不张 /105第三节 鼓室硬化 /106第四节 中耳胆固醇肉芽肿 /108第十六章 儿童分泌性中耳炎 /112节 概述 /112第二节 诊断 /113第三节 鉴别诊断 /114第四节 处理原则 /115第十七章 儿童胆脂瘤 /118节 外耳道胆脂瘤 /118第二节 中耳胆脂瘤 /119第十八章 儿童中耳炎局部和颅内并发症 /124节 中耳炎局部并发症 /124第二节 中耳炎颅内并发症 /126第十九章 儿童耳蜗及迷路疾病 /131第二十章 儿童感音神经性听力障碍 /135节 遗传性感音神经性聋 /135第二节 先天性非遗传性聋 /137第三节 中毒性聋 /138第四节 感染性聋 /138第五节 外淋巴瘘 /140第六节 慢性疾病相关性耳聋 /141第七节 内耳免疫和自身免疫性内耳病 /141第八节 爆震性耳聋和噪声性声损伤 /142第九节 听神经病 /143第十节 大前庭水管综合征 /145
从20 世纪50 年代起,我国儿童耳鼻咽喉科学在姜泗长、徐荫祥等老一辈专家、教授的关怀下开始起步;1958 年3 月,著名耳鼻喉科专家阎承先教授在天津市儿童医院创建了儿童耳鼻咽喉科;毛承樾教授在1958 年底至1959 年期间积极参与上海第二医学院儿科医学系的创建工作,在新华医院创建了儿科系耳鼻喉学并任教研组主任,之后学科逐渐发展,特别是进入21 世纪,儿童耳鼻咽喉头颈外科学得到了快速发展,并相继在部分综合性医院耳鼻咽喉头颈外科成立了儿童学组,以及在全国各大儿童专科医院和妇幼保健院成立了儿童耳鼻咽喉头颈外科,特别是在一些地级市儿童专科医院及妇幼保健院也相应有了耳鼻咽喉科。其主要原因是随着我国经济的发展,儿童的诊治需求量越来越多,社会更多地关注儿童耳鼻咽喉疾病的早发现、早治疗,从而提高患儿的生活质量,降低死亡率。儿童耳鼻咽喉头颈外科学科不是成人的缩小版,具有独特性,其特点主要有两个方面:,儿童具有一个生长发育的过程,这个过程导致了其疾病也同生长发育相一致,儿童生长发育的不同阶段其疾病谱也不尽相同;第二,先天性和遗传性疾病占有重要的部分,其中先天性儿童气道结构畸形属于先天性疾病,而先天性耳聋,以及儿童变态反应性鼻炎等疾病与遗传有着密切的关系。因此,对儿童先天性和遗传性疾病,早发现、早诊断、早治疗尤为重要。随着学科的发展,一方面在我国相应成立了中华医学会耳鼻咽喉头颈外科分会儿童学组、中国医师协会儿科医师分会儿童耳鼻咽喉专业委员会、中国妇幼保健协会儿童变态反应专业委员会和儿童耳鼻咽喉微创学组、亚太医学生物免疫学会儿童耳鼻咽喉头颈外科分会,以及国家儿童医学中心暨国家儿童临床研究中心儿童耳鼻咽喉专家联盟等学术团体,并进行定期的学术交流;另一方面随着儿童ENT 疾病的各种诊治新技术在临床上开展,以及在我国从事儿童耳鼻咽喉头颈外科专业的医师及护士团队逐渐壮大,迫切需要一本规范性的儿童耳鼻咽喉疾病领域的专著,来阐述儿童耳鼻咽喉疾病的发病机制、诊断和治疗特点,以及介绍一些疾病诊治的技术,从而满足儿童专科医院和基层医疗单位医务人员的临床应用和需求。本书的特色:,以临床为主,特别是对一些先天性儿童气道结构异常的疑难罕见病的发病机制与早期处理进行了详细的阐述,详细描述了儿童阻塞性睡眠障碍常见病的发病特点和规范性处理策略等内容;第二,反映当今新技术在儿童耳鼻咽喉领域开展的内容,如内镜技术和听力学功能检测技术等,其中喉气管镜、可视喉镜、支撑喉镜、鼻内镜、耳内镜的应用,促进了早期和精准的处理;第三,增加了微创手术治疗视频,使读者更易理解和掌握。另外,在本书中还增设了“关键点”,能使读者在阅读时更易掌握要点;第四,编写人员共有59 人,其中相当一部分专家从事儿童耳鼻咽喉临床工作20 余年,并在国外进修、学习与工作,积累了相当丰富的国内外的临床经验。另外,还有儿童普外科专家、口腔正畸科专家、听力师、听力康复师、麻醉师、护理师,以及分子诊断等相关专家一起参加本书的编写,其撰写的专家团队具有广泛性和专业性。本书的编写得到了我国耳鼻咽喉头颈外科领域里德高望重的吴展元教授、卜行宽两位教授的大力支持和指导,在此予以诚挚的感谢。希望此书的出版,对从事儿童耳鼻咽喉头颈专业领域的医务人员有所帮助。本书出版之际,恳切希望广大读者在阅读过程中不吝赐教,欢迎发送邮件至邮箱renweifuer@pmph.com,或扫描封底二维码,关注“人卫儿科学”,对我们的工作予以批评指正,以期再版修订时进一步完善,更好地为大家服务。许政敏 刘大波2022 年6 月
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