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诊断学基础(第3版)(精编教材)
$37.62
诊断学基础是论述诊断疾病的基本理论和方法的一门课程,其基本理论是研究诊断疾病的原理和建立诊断的依据。全书稿主要内容包括症状诊断、检体诊断、实验诊断、器械诊断、影像诊断及病历与诊断步骤与思维方法。诊断学基础是中医类、中西医结合类各临床专业的必修课,本书稿是在第二版基础上进行修订。本修订书稿除继续坚持精编教材“精、新、实、廉”的特点外,也拟根据教育改革的特点,在以下几个方面进一步提升教材质量:一是继续缩减实验诊断、器械检查、影像诊断的内容。简化相对次要的文字内容,重点放在检查的适应证、影像学表现的特点、临床意义上。二是适当增加实验室、器械检查及影像诊断的新概念、新变化、新进展。三是适当更新图片,尤其是书中的心电图,替换了书中过时且不够准确的图片,使全书图文相符,利于教学。
詹华奎,教授,成都中医药大学临床医学院西诊、西内教研室主任。中国中医药出版社十三五规划教材《诊断学》主编,我社精编教材《诊断学基础(第2版)》第二主编。其主要方向是肾脏疾病的中医、中西医结合治疗研究。作为课题负责人,主持四川省科委项目“中西医结合优化方案治疗难治性肾病的临床研究”、四川省中医药管理局课题“难治性肾病中西医结合治疗方案多中心临床研究”;作为主研,开展了国家自然科学基金项目“基于Ras/MAPK通路研究肾阳虚证之异病‘同证异治’”、四川省中医药管理局“补肾养血法防治白血病化疗毒副反应的研究”。
绪论1
篇症状诊断
章问诊7第二章常见症状12节发热 / 12
第二节咳嗽与咳痰 / 17
第三节咯血 / 19
第四节疼痛 / 21
第五节呼吸困难 / 30
第六节发绀 / 33
第七节心悸 / 34
第八节水肿 / 36
第九节恶心与呕吐 / 38
第十节呕血与黑便 / 41
第十一节腹泻 / 43
第十二节黄疸 / 46
第十三节尿频、尿急、尿痛 / 50
第十四节血尿 / 52
第十五节皮肤黏膜出血 / 53
第十六节眩晕 / 55
第十七节晕厥 / 57
第十八节意识障碍 / 58
第十九节抽搐 / 60
第二篇检体诊断
第三章基本检查法65第四章一般检查71节全身状态检查 / 71
第二节皮肤检查 / 79
第三节淋巴结检查 / 82第五章头部检查85第六章颈部检查94第七章胸部检查97节胸部体表标志及分区 / 97
第二节胸廓、胸壁与乳房检查 / 99
第三节肺和胸膜检查 / 102
第四节心脏检查 / 114
第五节血管检查 / 132
第六节循环系统常见病变的主要体征 / 134第八章腹部检查137第九章肛门、直肠及外生殖器检查155第十章脊柱与四肢检查161第十一章神经系统检查166节脑神经检查 / 166
第二节感觉功能检查 / 177
第三节运动功能检查 / 180
第四节神经反射检查 / 184
第五节自主神经功能检查 / 191第十二章全身体格检查193
第三篇实验诊断
第十三章血液学检查199节血液一般检测 / 199
第二节溶血性贫血的实验室检测 / 209
第三节出血、血栓与止血检测 / 212
第四节血型鉴定与交叉配血试验 / 219第十四章骨髓细胞学检测222第十五章排泄物、分泌物及体液检查231节尿液检查 / 231
第二节粪便检查 / 241
第三节痰液检查 / 245
第四节浆膜腔穿刺液检查 / 247
第五节脑脊液检查 / 249
第六节生殖系统体液检查 / 254第十六章肝脏病常用实验室检查259第十七章肾功能检查272第十八章临床常用生化检查278节血糖及其代谢产物检测 / 278
第二节血清脂质和脂蛋白检测 / 282
第三节无机离子检测 / 285
第四节维生素及微量元素检测 / 288
第五节心脏病生物标志物检测 / 293
第六节常用血清酶检测 / 296
第七节动脉血气分析与酸碱度测定 / 298第十九章内分泌激素检测302第二十章临床常用免疫学检查309第二十一章临床常用病原体检查324节概述 / 324
第二节临床常见感染性疾病病原体检查 / 326
第三节性传播疾病病原体检查 / 329
第四节医院感染常见病病原体检查 / 330
第五节病原体耐药性检测 / 332
第四篇器械检查
第二十二章心电图诊断337节心电图基本知识 / 337
第二节心电图测量及各波段变化的临床意义 / 346
第三节心房异常及心室肥大 / 354
第四节心肌缺血与心肌梗死 / 358
第五节心律失常 / 363
第六节电解质紊乱及药物所致心电图改变 / 382
第七节动态心电图与心电图运动负荷试验 / 384
第八节心电图分析方法及临床应用价值 / 386第二十三章肺功能检查389第二十四章内镜检查395第二十五章脑电图及脑电地形图检查399
第五篇影像诊断
第二十六章超声诊断413节超声成像的基本知识 / 413
第二节超声心动图 / 417
第三节肝脏、胆道、胰腺超声诊断 / 421
第四节泌尿系统超声诊断 / 424
第五节妇产科超声诊断 / 426
第六节其他部位的超声诊断 / 428第二十七章放射诊断433节总论 / 433
第二节肺与纵隔 / 442
第三节心脏与大血管 / 459
第四节消化系统 / 468
第五节泌尿系统 / 482
第六节骨关节系统 / 487
第七节中枢神经系统 / 502
第八节眼、耳、鼻、喉 / 509
第九节介入放射学 / 511第二十八章放射性核素诊断513节脏器功能检查 / 513
第二节脏器显像 / 516
第三节体外竞争性放射分析 / 519
第六篇病历与诊断方法
第二十九章病历523第三十章诊断步骤和临床思维537附录一临床常用诊断技术544附录二临床心电图常用表555主要参考文献558
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