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肾脏疾病居家指南 黎渐英 肾脏疾病防治常见肾病及自我护理 肾病患者控制病情 肾病常见症状和体征...
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目前,我国肾脏疾病防治工作面临着社会知晓率低、防治率低、并发症危害大等严峻挑战。为指导患者科学防治肾脏疾病及其并发症,多位三甲医院肾科临床一线的医护专家集体编写了这本《肾脏疾病居家指南》。本书内容全面,资料新颖,实用性强,通俗易懂,对肾脏疾病患者控制病情进展具有重要指导意义,是一本适合肾病患者及家属阅读的医学科普书,也适合医护人员参考。
本书从患者居家自我护理的角度,以问答的形式介绍了肾脏的结构和功能,常见肾脏病的临床表现,治疗,及肾病患者最关心的饮食、运动、自我观察等问题。全书共分5篇,分别为了解奇妙的肾脏、常见肾病及自我护理、肾科常见检查、肾科常见药物使用指导、慢性肾脏病营养管理。
黎渐英,主任护理师,中山大学护理学院副院长,中山大学附属第一医院肾内区护长,中华护理学会血液净化护理专委会委员,广东省护理学会腹膜透析护理专业委员会副主任委员,广东省护士协会肾脏病护理分会副会长。担任Renal Failure,《国际护理(英文)》,《现代临床护理》审稿专家;2020年主持广东省科技创新基金二项,发表SCI收录论著5篇,摘要6篇,参编论著5部。
第一篇 了解奇妙的肾脏
第一章 肾脏的结构 / 002
第一节 肾脏的位置 / 002
第二节 肾脏的形状、大小、特征 / 002
第三节 肾脏的基本结构和功能 / 003
第四节 肾脏的形态特点 / 005
第二章 肾脏的作用 / 007
第一节 肾脏有哪些功能 / 007
第二节 肾小球如何起到滤过的作用 / 007
第三节 肾小管有哪些功能 / 008
第四节 肾脏如何生成尿液 / 008
第五节 肾脏如何排出代谢废物、毒物和药物 / 009
第六节 肾脏如何调节体液、电解质及酸碱平衡 / 009
第七节 肾脏的内分泌功能有哪些 / 010
第三章 肾病常见症状和体征 / 011
第一节 水肿 / 011
第二节 腰痛 / 014
第三节 尿量异常 / 015
第四节 夜尿增多 / 019
第五节 蛋白尿 / 019
第六节 血尿 / 023
参考文献 / 026
第二篇 常见肾病及自我护理
第四章 肾病综合征 / 028
第一节 概述 / 028
第二节 临床表现 / 029
第三节 常见治疗 / 032
第四节 自我护理 / 035
第五章 糖尿病肾病 / 039
第一节 概述 / 039
第二节 临床表现 / 040
第三节 常见治疗 / 042
第四节 自我护理 / 044
第六章 狼疮性肾炎 / 054
第一节 概述 / 054
第二节 临床表现 / 055
第三节 常见治疗 / 056
第四节 自我护理 / 057
第七章 高尿酸血症肾病 / 064
第一节 概述 / 064
第二节 临床表现 / 066
第三节 常见治疗 / 067
第四节 自我护理 / 068
第八章 多囊肾 / 073
第一节 概述 / 073
第二节 临床表现 / 075
第三节 常见治疗 / 077
第四节 自我护理 / 079
第九章 尿路感染 / 081
第一节 概述 / 081
第二节 肾盂肾炎 / 086
第三节 膀胱炎 / 089
第十章 急性肾损伤 / 092
第一节 概述 / 092
第二节 临床表现 / 096
第三节 常见治疗 / 097
第四节 自我护理 / 099
第十一章 慢性肾脏病 / 102
第一节 概述 / 102
第二节 分期与临床表现 / 104
第三节 常见治疗 / 108
第四节 自我护理 / 111
第十二章 慢性肾脏病围透析期 / 117
第一节 慢性肾脏病围透析期的定义及特点 / 117
第二节 慢性肾脏病透析前期 / 117
第三节 慢性肾脏病初始透析期 / 120
参考文献 / 123
第三篇 肾脏替代治疗及自我护理
第十三章 腹膜透析 / 130
第一节 概述 / 130
第二节 腹膜透析手术与方式 / 133
第三节 腹膜透析居家护理 / 138
第十四章 血液透析 / 161
第一节 概述 / 161
第二节 血液透析过程的配合 / 163
第三节 血液透析居家护理 / 166
第十五章 肾移植 / 193
第一节 肾移植的适应证与禁忌证 / 193
第二节 肾移植相关问题 / 194
参考文献 / 205
第四篇 肾科常见检查
第十六章 常见肾功能检查 / 212
第一节 尿常规检查 / 212
第二节 尿红细胞位相检查 / 214
第三节 微量蛋白尿检查 / 214
第四节 尿培养检查 / 215
第五节 24h尿蛋白含量检查 / 216
第十七章 超声引导下肾穿刺活检 / 218
参考文献 / 222
第五篇 肾科常见药物使用指导
第十八章 降压药 / 226
第十九章 利尿剂 / 231
第二十章 肾上腺皮质激素 / 233
第二十一章 免疫抑制剂 / 237
第二十二章 治疗肾性贫血的药物 / 240
第二十三章 降血脂药 / 242
第二十四章 护肾药物 / 244
第二十五章 治疗肾性骨病的药物 / 245
参考文献 / 246
第六篇 慢性肾脏病营养管理
第二十六章 慢性肾脏病与营养不良 / 248
第二十七章 慢性肾脏病与营养物质 / 252
第一节 人体所需营养物质 / 252
第二节 慢性肾脏病营养物质选择的特点 / 255
第二十八章 慢性肾脏病与营养治疗 / 260
第一节 慢性肾脏病早期(G1~2期)非糖尿病 / 260
第二节 慢性肾脏病中晚期(G3~5期)非糖尿病 / 266
第三节 慢性肾脏病中晚期(G3~5期)合并糖尿病 / 269
第四节 维持性腹膜透析 / 271
第五节 维持性血液透析 / 272
第二十九章 慢性肾脏病与饮食选择 / 274
参考文献 / 280
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