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老年麻醉学(第三版)
$109.51
这个版本建立在前两个版本的坚实基础之上。然而,随着老年麻醉学领域的迅速发展,我们也在关注重要的新进展。部分包括几个新的章节,反映了老年患者围术期多学科管理的演变。我们着重介绍了围术期之家的发展演变及不断增长的阐述与康复相关的文献。此外,在多学科合作的内容中,我们还增加了关于外科医生和老年病学专家对老年人群外科手术看法的章节。这一点很重要,因为随着患者年龄的增长和病情的加重,医疗护理必将成为一项更具协作性的工作。第二部分和第三...
这个版本建立在前两个版本的坚实基础之上。然而,随着老年麻醉学领域的迅速发展,我们也在关注重要的新进展。部分包括几个新的章节,反映了老年患者围术期多学科管理的演变。我们着重介绍了围术期之家的发展演变及不断增长的阐述与康复相关的文献。此外,在多学科合作的内容中,我们还增加了关于外科医生和老年病学专家对老年人群外科手术看法的章节。这一点很重要,因为随着患者年龄的增长和病情的加重,医疗护理必将成为一项更具协作性的工作。第二部分和第三部分回顾了与衰老相关的系统的生理变化以及老年患者接受手术时的药理学考虑。这些章节是任何有关老年麻醉学的综合教材的必要组成部分,尽管许多材料与前两个版本相似,但已尽力更新与老年麻醉实践变化有关的任何信息。例如,在关于老年人长期用药的一章中,特别着重于某些迅速发展的影响临床医疗的药物,如新的抗抑郁药和新的抗凝剂。
本书内容主要分五部分,包括基础知识、系统功能变化、老年患者药理学特点、围术期特别关注点、术后护理等,细分为31个章节,本书全面深入系统地介绍了老年患者围术期麻醉管理,包括各类常见手术清晰的老年患者术前评估,术中及术后麻醉管理。介绍了老年人各器官、系统的变化以及麻醉对各器官系统的影响,麻醉药物在老年患者中药代学和药效学的特点,并就老年人围手术期处理及关注点、麻醉后护理等问题做了详细阐述。对于专科医生来说是一部良好的指南,可以从中把握老年患者麻醉的基本原则,帮助读者在不同情况下进行很好的老年麻醉决策,提高老年麻醉质量,很大限度保证安全。
李金宝,上海人民医院麻醉科主任,博士,主任医师,博士研究生导师。上海交通大学附属人民医院麻醉科主任,现任上海市医学会麻醉专科分会秘书长兼老年麻醉学组组长,中华医学会麻醉学分会危重病学组副组长,中华医学会麻醉学分会老年麻醉学组委员,上海市医师协会麻醉科医师分会委员,中国高等教育学会医学教育委员会麻醉学教育学组秘书长,中国药理学会麻醉药理专业委员会委员,中国研究型医院学会麻醉专业委员会常委,中国研究型医院学会休克与脓毒症专业委员会常委,中国心胸血管麻醉学会围术期器官保护学会常委。擅长各类疑难危重症麻醉及围术期处理。担任《中华麻醉学杂志》、《临床麻醉学杂志》、《国际麻醉学与复苏杂志》等杂志编委/通讯编委。近五年以项目负责人获国家自然科学基金面上项目及省部级项目共5项,发表SCI收录论文30余篇,主编(译)专著2部,获军队医疗成果二等奖2项以及上海市医学科技奖二等奖1项。
目录部分基础知识1老年麻醉学:何去何从?2衰老理论与机制3老年病学的伦理和法律问题4术前基本评估和术前管理5老年人群的围术期患者之家6改善围手术期功能7老年外科手术患者的护理:外科医生的观点8老年医师对老年人群手术的看法9老年患者护理的医疗、行政和财务事项第二部分系统功能变化10老年麻醉:年龄依赖性中枢与周围神经系统的变化11心血管系统12衰老的呼吸系统:尽量减少术后肺部并发症的策略13肾脏、代谢和内分泌系统的老化14肌肉骨骼和皮肤系统15老年人围手术期体温调节第三部分药理学16吸入麻醉药17静脉镇静剂和麻醉药18静脉阿片类药物的药理作用19局部麻醉药和区域麻醉20神经肌肉阻滞剂和拮抗剂21慢性药物使用对麻醉的影响第四部分围术期特别关注点22老年患者手术室外手术的麻醉23心胸血管手术24起搏器的围手术期管理25骨科手术中特殊注意事项26老人创伤和急诊/紧急手术27老年癌症患者的围手术期护理第五部分术后护理28疼痛管理29 ICU管理30老年患者术后认知障碍31麻醉相关的姑息治疗
全世界人口寿命普遍延长。事实上, 65岁以上人群是全世界增长快的年龄群体。根据美国人口普查局(U.S. Census Bureau)的数据,到2030年, 年龄在65岁及以上人口将占总人口的近20%。考虑到人口不断增长,65岁及以上的病人接受手术的比例与年轻病人不成比例的事实,麻醉医师必须准备面对越来越多的老年病人。因此,以循证医学为基础的老年患者围术期护理对执业麻醉医师的重要性将继续增加。本版的任务与前两版相同:汇集日益增长的老年麻醉知识,提供给麻醉医师用于日常麻醉实践。然而,随着我们对老年外科患者围术期护理知识的增长,我们的问题也随之增多。在这一版中,我们要求所有作者在每一章中加入一节,标题为"我们知识的差距"。这些部分突出了需要研究的领域,并希望能够启发读者开始解决其中的一些问题。
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