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临床急救医学
$50.19
本书由国际近百位急救医学专家共同编著而成
涵盖急诊科常见的急症及急救基本技能
通过简明扼要的流程图、精练的文字进行描述
实用性强,可作为基层急救培训的参考用书
本书由美国、澳大利亚、黎巴嫩等国近百位急救医学的专家共同编著而成。全书包含19个部分、98个专题,主要从急救常见操作、急救理论及急救基本处理三个方面进行论述,强调了在遇到常见急救疾病时需要掌握的基本知识点,给出了急救时必须知晓的简明扼要的流程图,通俗、易懂,实用性强。
本书内容贴近基层,更侧重于院前及在急诊室的抢救,为进一步的专科诊断及治疗奠定基础,可作为基层急救培训的参考用书。
Ⅰ 常用技术操作 ·
1 切开与引流 ·
2 动脉血气 ·
3 中心静脉通路 ·
4 程序性镇静 ·
5 腰椎穿刺 ·
6 撕裂伤修复 ·
7 胸膜腔穿刺引流术 ·
8 急诊超声介绍 ·
Ⅱ 复苏 ·
9 急诊医疗服务 ·
10 呼吸心搏骤停 ·
11 气道管理 ·
12 休克 ·
Ⅲ 心脏急症 ·
13 胸痛 ·
14 急性冠脉综合征 ·
15 充血性心力衰竭 ·
16 心律失常 ·
17 主动脉夹层 ·
18 高血压危象 ·
19 晕厥 ·
Ⅳ 肺部急症 ·
20 呼吸困难 ·
21 哮喘 ·
22 慢性阻塞性肺疾病 ·
23 肺炎 ·
24 气胸 ·
25 肺栓塞 ·
Ⅴ 腹部急症 ·
26 急性腹痛 ·
27 阑尾炎 ·
28 急性胆囊炎 ·
29 腹主动脉瘤 ·
30 胃肠道出血 ·
31 肠梗阻 ·
32 肠系膜缺血 ·
Ⅵ 感染性急症 ·
33 发热 ·
34 脓毒症 ·
35 脑膜炎和脑炎 ·
36 软组织感染 ·
37 人类免疫缺陷病毒 ·
38 血液和体液暴露 ·
Ⅶ 泌尿系统急症 ·
39 肾结石 ·
40 泌尿系感染 ·
41 睾丸扭转 ·
42 阴茎疾病 ·
Ⅷ 妇产科急症 ·
43 阴道出血 ·
44 阴道分泌物 ·
45 先兆子痫和子痫 ·
46 急诊分娩 ·
Ⅸ 儿科急症 ·
47 儿科患者 ·
48 儿童发热 ·
49 呼吸窘迫 ·
50 腹痛 ·
51 脱水 ·
52 中耳炎 ·
53 咽炎 ·
Ⅹ 中毒 ·
54 中毒患者 ·
55 醇类中毒 ·
56 对乙酰氨基酚中毒 ·
57 水杨酸中毒 ·
58 一氧化碳中毒 ·
59 地高辛中毒 ·
60 环类抗抑郁药中毒 ·
Ⅺ 环境 ·
61 低体温 ·
62 寒冷导致的组织损伤 ·
63 热相关疾病 ·
64 溺水事件 ·
65 咬螫伤 ·
Ⅻ 代谢急症 ·
66 糖尿病急症 ·
67 钾离子紊乱 ·
68 甲状腺急症 ·
69 肾上腺急症 ·
血液/肿瘤急症 ·
70 肿瘤急症 ·
71 镰状细胞病急诊 ·
72 输血反应 ·
73 抗凝治疗及其并发症 ·
ⅩⅣ 眼耳鼻喉科急症 ·
74 裂隙灯检查 ·
75 红眼症 ·
76 急性视力丧失 ·
77 鼻出血 ·
78 口腔急症 ·
ⅩⅤ 神经系统急症 ·
79 精神状态改变 ·
80 头痛 ·
81 头晕 ·
82 脑血管意外 ·
83 癫痫和癫痫持续状态 ·
ⅩⅥ 创伤 ·
84 创伤原则 ·
85 头部损伤 ·
86 颈椎损伤 ·
87 胸部损伤 ·
88 腹部创伤 ·
89 烧伤 ·
ⅩⅦ 骨科急症 ·
90 上肢损伤 ·
91 下肢损伤 ·
92 腰痛 ·
93 筋膜室综合征 ·
94 化脓性关节炎 ·
95 夹板疗法 ·
ⅩⅧ 皮肤科急症 ·
96 危及生命的皮肤病 ·
97 过敏反应 ·
ⅪⅩ 精神科急症 ·
98 精神障碍 ·
有经验的急诊科医师都知道急诊科临床工作的特殊性,病情急、病程短、变化快等特点决定了急诊科医师或急诊科轮转和实习医师需要具备相当扎实的临床功底,在保证患者生命体征稳定的前提下,必须做到准确、快速、有效地处置。因为,不管是院前急救的医师,还是院内急诊科的医师;不管是可能随时碰到应急处置情况的急诊科轮转医师,还是基层社区医院医师;不管是规范化培训医师,还是实习医师,都会经常碰到患者紧急或亟须处理的情况。然而急诊科医师的处理能力不是一朝一夕能练成的,刚出校门或即将出校门的医师对这些紧急事件的处理思路及应变能力尚薄弱。
美国芝加哥拉什大学医疗中心(Rush University Medical Center)及芝加哥库克郡立医院(Cook County Hospital)的4名急诊科教授牵头,联合美国多家医院的相关专业医师及急诊教育工作者撰写了这本《临床急救医学》。该书涵盖了急诊科较常见的急症及急救的基本操作技能,从临床的实用性角度出发,重点强调在遇到紧急情况时,如何快速地稳定生命体征及做出紧急处置,给进一步的专科治疗留下时间和机会。该书使急救的“先救命,再治伤”的精髓得到了完美体现,它贴近临床实际,以临床应急处置为重点,辅以相关文献理论的推荐,能培养医师快速急救处理的临床思维,提高临床实际应急处置能力。对于基层从事急诊急救或应急的医师、学生,本书值得鼎力推荐。基于此,我们引进翻译了此书,希望通过这部专著,能让读者在急救处置能力上有一个“质”的提升。
《临床急救医学》共19个部分,98个专题,涵盖了急诊内科、外科、妇产科、儿科、眼耳鼻喉科、皮肤科的各类急症,并包含了急救的基本操作技能。每一专题均从需要掌握的急诊处置要点开始,然后给出急救初步诊断思维的流程图,便于读者能快速地抓住患者病情的重点,在诊治方向上给予指导。这也是本书的亮点。其次,对各类急诊常见疾病做了简单介绍,同时给予紧急药物的处理建议,并罗列了常用药物的用法、用量,使读者能快速确定患者急救措施。后,可帮助读者快速识别患者病情的严重程度,并给出进一步治疗的依据,同时给予急诊紧急处置后的出入院标准和建议。
对于本书的出版,我们首先要感谢美国的作者,是他们将临床的知识点化繁为简,并尝试通过4周的学习,读者能掌握初步的实用急救技能,提高急救能力;还要感谢上海健康医学院附属嘉定区中心医院领导的大力支持;更要感谢各位参与翻译的医师,他们对每一句话甚至每一个单词的表达准确性都进行了反复求证,力求在不违背原意的基础上,让表达更加符合中国人的阅读习惯。但由于时间和水平的限制,本书难免会存在疏漏和不足,希望各位读者能提出宝贵意见。
后,我们希望读者能通过本书的学习,提高自己的实际急救技能。
吴 晓 胡善友 常 庆
2018年10月于上海
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