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实用儿科危重病抢救常规和流程手册(第2版)
$54.22
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★ 儿童危重症抢救领域是儿科热点领域,对儿童危重症的抢救与诊疗体现了儿科的*水平,也是对儿科医生提高临床技能的基本要求。★ 本书*版自出版以来深受读者欢迎,由于便于携带、查阅,全部以流程图表形式呈现,精彩而有特色,干货满满,非常适用于儿科临床使用。★ 本书再版仍由全国知名权威儿科专家团队组织编写,内容科学,实用可信。内容仍采用流程图表的形式,纯干货分享,更新近几年*进展,将多年从...
★ 儿童危重症抢救领域是儿科热点领域,对儿童危重症的抢救与诊疗体现了儿科的*水平,也是对儿科医生提高临床技能的基本要求。★ 本书*版自出版以来深受读者欢迎,由于便于携带、查阅,全部以流程图表形式呈现,精彩而有特色,干货满满,非常适用于儿科临床使用。★ 本书再版仍由全国知名权威儿科专家团队组织编写,内容科学,实用可信。内容仍采用流程图表的形式,纯干货分享,更新近几年*进展,将多年从事儿童重症医学的专家临床经验,融入全书,使读者迅速掌握儿童危重症处理要点,★ 本书采用环装设计,口袋书的形式,方便临床医生携带及查阅。为儿科临床读物!
本书含有115个儿科领域核心流程图表,全部为儿童危重症临床处理技能,内容包括呼吸系统、循环系统、神经系统、泌尿系统消化系统、内分泌代谢系统、血液系统、皮肤等各系统疾病抢救常规,以及严重感染,中毒、意外伤害,水盐电解质平衡等各种危重症情况紧急处理办法,此外还包括围手术期监护各种评分及用药表、常用的监护和治疗技术等基本技术、基本操作的要点和注意。全书在*版基础上查漏补缺,修订超过1/3的内容,使本书更贴近当下的儿科领域新发展新技术新规范。内容高度总结,极为凝练,重点突出,易读易查,可帮助儿科医生迅速识别及处理各种危急重症,为儿科临床必不可少的贴心助手!
许 峰 教授重庆医科大学附属儿童医院危重病救治中心主任兼重症医学科主任,主任医师、国家二级教授、博士研究生导师。中华医学会儿科学分会急救学组副组长、中国医师协会儿童重症医师分会副会长、重庆医师协会儿童重症医师分会会长,《中华实用儿科临床杂志》副总编辑。1985年毕业于重庆医科大学儿科系,1989年获重庆医科大学儿科系硕士学位,1999年获香港中文大学博士学位,2004~2005年获*留学基金在加拿大哥伦比亚大学妇女儿童医院危重医学部研修。主要从事儿科危重病急救医学临床、科研及教学工作,研究方向为危重病患儿肺损伤的发病机制。先后获得国家自然科学基金、*博士点基金多项,培养指导研究生50余名,国内外公开发表学术论文160余篇,参编教材和专著多部。入选重庆市学术技术带头人,获重庆市科学技术进步奖二等奖1项,重庆市医学科技成果奖一等奖1项,实用新型专利1项。
一、总论1.重症医学高级生命支持技术2.急救抢救措施与流程 3.必须立即处理的四种临床表现 4.PICU的收治范围5.急诊预检分诊标准 6.急诊患儿分诊流程图 7.急诊应急抢救呼叫流程图 8.突发群体事件应急处置流程图 9.120院前急救流程图 10.危重患儿院内转运流程图 11.心肺复苏(CPR)基本步骤12.心肺复苏(CPR)抢救站位图 13.危重患儿体外膜肺氧合(ECMO)技术二、呼吸系统14.窒息抢救常规 15.急性喉梗阻抢救常规 16.气道异物抢救常规 17.急性呼吸窘迫综合征( ARDS )抢救常规 18.呼吸机相关性肺炎(VAP)抢救常规 19.急性气胸抢救常规 20.哮喘持续状态抢救常规 三、循环系统21.休克抢救流程图 22.脓毒性(感染性)休克抢救常规 23.心源性休克抢救常规 24.低血容量性休克抢救常规 25.急性失血性休克抢救常规26.过敏性休克抢救常规 27.心力衰竭抢救常规 28.肺动脉高压(PH)危象抢救常规 29.高血压危象抢救常规30.急性心脏压塞抢救常规31.川崎病休克综合征抢救常规32.严重快速性或缓慢性心律失常抢救常规四、神经系统33.昏迷抢救流程图 34.惊厥和惊厥持续状态(CSE)抢救常规 35.急性脑水肿和颅内高压抢救常规 36.吉兰-巴雷综合征抢救常规37.急性横贯性脊髓炎抢救常规38.急性播散性脑脊髓炎抢救常规39.重症肌无力危象抢救常规40.儿童脑死亡的诊断流程图五、严重感染41.重型乙型脑炎抢救常规 42.重型流行性脑脊髓膜炎抢救常规43.重型手足口病抢救常规 44.重症流行性感冒抢救常规45.重症肺炎支原体感染抢救常规 46.重型中毒性菌痢抢救常规 47.重症百日咳抢救常规48.破伤风抢救常规49.侵袭性肺炎链球菌感染抢救常规50. 耐甲氧西林金黄色葡萄球菌(MRSA)感染抢救常规51.侵袭性真菌感染治疗流程图六、泌尿系统52.急性肾损伤(AKI)抢救常规53.溶血尿毒症综合征(HUS)抢救常规 七、消化系统54.急性上消化道出血抢救常规 55.坏死性小肠结肠炎抢救常规 56.腹腔间隙综合征(ACS)抢救流程图57.急性肝功能衰竭抢救常规 58.瑞氏综合征抢救常规59.儿童急腹症抢救常规60.儿童胰腺炎(AP)抢救常规 八、内分泌代谢系统61.高、低血糖症抢救常规 62.糖尿病酮症酸中毒(DKA)抢救常规 63.肾上腺危象抢救常规 64.血氨代谢异常抢救常规 九、血液系统65.弥散性血管内凝血(DIC)抢救常规 66.急性贫血危象抢救常规 67.嗜血细胞综合征(HLH)抢救常规 68.肿瘤溶解综合征抢救常规69.暴发性紫癜抢救常规 十、中毒、意外伤害70.中毒抢救常规 71.急性蛇咬伤抢救常规 72.毒鼠强中毒抢救常规 73 急性有机磷中毒抢救常规 74.急性亚硝酸盐中毒抢救常规 75.急性百草枯中毒抢救常规 76.蜂刺伤抢救常规77.溺水抢救常规78.婴儿捂热综合征抢救常规 十一、水盐电解质平衡79.水电解质平衡失调抢救常规 80.酸碱平衡失调抢救常规十二、皮肤81.血气分析 82.烧伤抢救常规83.重症药疹抢救常规 84.葡萄球菌性烫伤样皮肤综合征(4S)抢救常规85.静脉渗漏性损伤处理流程图 86.静脉血栓处理流程图 十三、围手术期监护87.肝移植术后监护常规 88.新生儿外科术后监护常规89.先天性心脏病(CHD)术后监护常规90.脑外科术后监护常规十四、各种评分及用药表91.儿童危重症评价系统 92.小儿预警系统评分(PEWS) 93.小儿死亡评分 94.Glasgow昏迷评分表(GCS)95.意识障碍临床分类96.常用急救药物使用方法 十五、常用的监护和治疗技术97.脑功能监护流程图 98.颅内压监测技术流程图 99.亚低温治疗技术流程图100.振幅整合脑电图(aEEG)和脑氧饱和度( rSO2 )监护技术流程图101.血流动力学监护流程图 102.心脏临时起搏技术流程图103.心脏电复律及除颤技术流程图104.呼吸功能监护流程图 105.简易呼吸气囊的操作技术流程图106.人工气道管理技术流程图107.气管插管技术流程图108.纤维支气管镜技术流程图109.气管导管内壁清理技术流程图110.肠内和肠外营养支持技术流程图111.连续性血液净化(CBP)技术流程图112.股动脉穿刺置管技术流程图113.深静脉置管技术流程图114.镇痛镇静技术流程图115.小儿常用正常生理指标
前言 重症医学和急诊医学的特点在于对各种危重患者特别是那些有脏器功能衰竭的患者进行连续、系统的监测,并提供特殊形式的生命支持。因此,现代医务工作者必须充分熟练地掌握各种抢救措施和生命支持手段。 危重病急救医学更新较快,医疗工作者很难在短时间之内掌握,特别对基层医疗工作者和初学者。现在有关急救和重症医学的书籍不少,但用图表和流程图形式让读者对知识点一目了然的工具书仍不多。 本手册第1版出版于2016年1月,本次再版补充了3年来新的观点、新的治疗方法,使之尽量与国内外新的指南接轨,同时保留原手册突出儿科危急重症和临床实用性的初衷,仍然采用图表和流程图的方式,使读者一目了然,迅速掌握其要点。该手册自第1版出版以来深受读者喜爱,同时我们也收到了众多读者的意见与建议,加之近年来儿科重症监护病房(pediatric intensive care unit,PICU)已从大医院逐步向基层医院发展,从事儿童重症医学专业的儿科医师数量迅速增加,这也是鼓励我们不断修订出版的原因。特别说明,为方便读者阅读、记忆,以及考虑到流程图表布局与篇幅,一些临床常用名词采用了缩称,英文名词亦尽量不写出全称,只采用缩写形式。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。 许峰于重庆医科大学附属儿童医院2020年2月
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