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神经病学诊断思路
$52.84
本书内容包括两部分,章介绍了神经病学诊断的历史源头、发展及现状;第二章至第十六章分别介绍了头痛的诊断思路、头晕的诊断思路、脑血管疾病的诊断思路、运动障碍的诊断思路、认知障碍的诊断思路、围脑膜感染的诊断思路、自身免疫性脑炎的诊断思路、癫痫的诊断思路、慢性炎性脱髓鞘性神经根周围神经病的诊断思路、肌病的诊断思路、神经系统遗传病的诊断思路、神经眼科疾病的诊断思路、神经口腔科疾病的诊断思路、功能性神经疾病的诊断思路、内科疾病相关脑病的诊断...
本书内容包括两部分,章介绍了神经病学诊断的历史源头、发展及现状;第二章至第十六章分别介绍了头痛的诊断思路、头晕的诊断思路、脑血管疾病的诊断思路、运动障碍的诊断思路、认知障碍的诊断思路、围脑膜感染的诊断思路、自身免疫性脑炎的诊断思路、癫痫的诊断思路、慢性炎性脱髓鞘性神经根周围神经病的诊断思路、肌病的诊断思路、神经系统遗传病的诊断思路、神经眼科疾病的诊断思路、神经口腔科疾病的诊断思路、功能性神经疾病的诊断思路、内科疾病相关脑病的诊断思路等。本书内容丰富,层次清晰,论述严谨,适合神经精神内科医师、普通内科医师、眼科、口腔科及相关医护人员使用。
CONTENTS目 录
章 神经病学诊断发展史第二章 头痛诊断思路第三章 头晕诊断思路第四章 脑血管疾病诊断思路第五章 运动障碍诊断思路第六章 认知障碍诊断思路第七章 围脑膜感染诊断思路第八章 自身免疫性脑炎诊断思路第九章 癫痫诊断思路第十章 慢性炎性脱髓鞘性神经根周围神经病诊断思路第十一章 肌肉疾病诊断思路第十二章 神经系统遗传病诊断思路第十三章 神经眼科疾病诊断思路第十四章 神经口腔科疾病诊断思路第十五章 功能性神经疾病诊断思路第十六章 内科疾病相关脑病诊断思路名词对照及索引
PREFACE前 言
作为一门独立二级学科,神经病学(Neurology)常与“卓尔不群”相行。面对神经病学时,初入医林的医学生常会因对神经解剖、生理等基础学科心存恐惧而出现神经恐惧症(neurophobia),望而却步;而中青年专科医师即使口念“定位定性”,胸怀“VITAMINS”、 “MIDNIGHTS”原则,但一旦具体到某一患者身上,仍然会有“线索如麻,无从下手”之感,虽想“按图索骥”,却“无图可查”。事实上,国内外不乏神经诊断的众多教材和专著,但始终少有能以专病化形式,从疾病症状和病种着手,将体检、辅助检查有的放矢,以诊断思路为核心,能够给专科医师尤其是中青年专科医师执业中的迷茫加以点拨并提升其临床思维能力的专著。 作者历经多年的构思和策划,聚集了全国20余位知名神经病学专家,共同编就这本临床诊疗实践的专著《神经病学诊断思路》,旨在填补这一空白。本专著首次尝试从疾病症状和疾病分类两个维度对神经疾病的诊断实践及进展进行系统总结和介绍,内容充分体现了神经疾病复杂性、多样性、疑难性和趣味性的特点,围绕某一症状或疾病,引入神经影像、体液标志物、神经电生理、基因检测以及神经病理等辅助诊断技术,全方位、多视角地介绍了上述疾病的临床诊断思路和流程,尤其突出编者自身的临床实践,系统介绍收集病史的要点、行床边查体的手法技巧和代表性体征及其意义,而后针对性地选择辅助检查,强调“无论何种形式的辅助检查”绝不能替代“临床医师的床边查体”,时刻不忘“临床”本色,这一点尤显弥足珍贵。本专著按照常见症状学及疾病分为: 头痛、头晕、脑血管病、神经免疫病(周围神经病及脑炎)、脑膜感染、癫痫、神经变性病(帕金森病及相关运动障碍和阿尔茨海默病及相关认知障碍)、神经遗传病、神经眼科学(neuroophthalmology)、内科疾病相关脑病等,并将新兴的“功能性神经疾病(functional neurology)”和作者团队首次提出的“神经口腔科学(neurostomatology)”作为两大病种予以介绍,在国内尚属首次。同时,为突出临床教学特色,在每个章节的结尾都设置了思考题,以便启迪读者的思维。专著面向的读者不仅为神经科、精神心理科专科医师,也包括老年科、大内科、影像科、眼科、口腔科、病理科及其他对神经精神病学诊断感兴趣的医务工作者和科研人员。 在本书的撰写过程中,得到了我的导师、本书名誉主编陈生弟教授的鼓励和支持,在此深表谢意;同时我也要深深感谢参与本书编撰的每一位专家及所在团队成员,感谢他(她)们愿意敞开心扉、与我一起携手,积数十年之临床经验和心得,将一个个症状和疾病,抽丝剥茧,悉心传授,尽显医者风采、师者荣光。在此也要感谢瑞金医院及临床医学院领导对本书出版的支持。后我要感谢家人对我一贯的包容与支持。 本书力求风格统一、图文并茂,所收录图片如无特殊说明,均为来自各章作者临床实践病例;书中若有纰漏,恳请各位前辈及同道批评指正,以期再次修订时完善,无限致谢! 王刚上海交通大学医学院附属瑞金医院神经内科2022年3月
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