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ICU临床思维与病例演练(ICU专科医师文库)
$48.18
本书以临床问题为主线串联重症疾病及重症技术的关键知识点,重点解析诊疗思路与策略,帮助读者提炼并强化临床诊疗的流程化思维模式,从而提高重症疾病的诊疗能力。
本书为“ICU专科医师文库”之一。本书选择重症医学常见及典型病例,包括严重脓毒症、重症感染、各种类型休克、急性冠脉综合征、ARDS、肺栓塞、肾脏损伤、肝功能障碍、消化道出血、脑梗塞及脑出血等,以病情及病情发展中的临床问题为主线,通过问题及思考串联临床重症及重症技术的各个关键知识点,逐层解析诊疗思路,结合重症医学理论和*的指南、共识及其他循证学依据,提炼成为临床诊疗的流程化思维模式。临床工作者可以通过阅读本书,加强临床诊疗思维模式训练,从而提高对临床常见重症疾病的诊断及治疗能力。 本书读者对象为ICU专科医师,同时也可供急诊、内科、外科医师学习参考。
管向东:医学博士、教授、博士生导师。中山大学附属医院重症医学科主任医师。中华医学会 重症医学分会主任委员、广东省卫计委ICU医疗质量控制中心主任、国家卫计委重症医学医疗质量控制评价中心副主任、广东省健康管理学会重症医学分会 主任委员等。现任Critical Care Medicine中文版执行主编,并任Annals of Surgery中文版、《中华内科杂志》《中国危重病与急救医学杂志》《中国实用外科杂志》《中华胰腺病杂志》等十余杂志编委。 杨毅:国内重症医学知名专家,教授(三级),主任医师,博士生导师。现任东南大学附属中大医院重症医学科主任、东南大学医学院重症医学系副主任。担任中华医学会重症医学分会委员兼副秘书长,江苏省医学会重症医学分会侯任主任委员,中国微循环学会休克专业委员会副主任委员,江苏省医学会创伤医学分会副主任委员,江苏省医学会重症专科分会常务委员兼秘书长、江苏省中西医结合学会急症医学分会副主任委员、南京医学会重症医学分会副主任委员。
第1章 呼吸系统疾病
病例1 重症肺炎伴急性呼吸窘迫综合征·危“禽”时刻病例2 慢性阻塞性肺疾病急性加重·渴望畅快的呼吸病例3 肺栓塞伴梗阻性休克·久卧起身需警惕病例4 重度哮喘、哮喘持续状态·“胎气”动了“真气”病例5 支气管扩张咯血伴窒息·咯血无小事病例6 侵袭性肺曲霉病·致命孢子第2章 循环系统疾病
病例7 急性心肌梗死伴心源性休克·胸痛——心脏的呼救信号病例8 急性重症心肌炎伴心源性休克·我的心很“乱”病例9 主动脉夹层·“蜘蛛人”妈妈第3章 消化系统
病例10 上消化道出血致失血性休克·止痛不当险酿大祸病例11 急性肠梗阻、穿孔合并弥漫性腹膜炎·差点要了命的“花花肠子”病例12 急性梗阻性化脓性胆管炎伴感染性休克·不可小觑的腹痛病例13 急性肝衰竭、弥散性血管内凝血·都是酒精惹的祸病例14 急性胃肠功能损伤——急性重症胰腺炎·都是火锅惹的祸第4章 神经系统
病例15 蛛网膜下腔出血伴神经源性休克·年轻人的噩梦病例16 重度颅脑损伤、颅高压、癫痫持续状态·午夜凶铃病例17 高位颈髓损伤·生命存于呼吸间病例18 急性脑膜脑炎、癫痫持续状态·昏迷中的抽动第5章 泌尿系统
病例19 泌尿系感染伴感染性休克·小石头,大危害
病例20 急性肾损伤·尿量那点事第6章 中毒
病例21 百草枯中毒·没有后悔的机会病例22 有机磷中毒·“蒜味儿”太“重”怎么办?病例23 苯二氮类药物中毒·痴情险把性命丢,妙手回春救余生病例24 急性一氧化碳中毒·难忘是樱桃红第7章 代谢性疾病
病例25 糖尿病酮症酸中毒·你以为是你吃了糖,其实是糖“吃”了你病例26 高血糖高渗状态·都是高糖惹的祸病例27 电解质紊乱·一、 横纹肌溶解综合征并发高钾血症·夺命动感单车二、 严重低钾血症·背后的隐形杀手三、 急性重度低钠血症·“水”都去哪儿了?第8章 其他
病例28 多发伤和创伤性凝血病·与死神竞速病例29 妊娠期高血压疾病、HELLP综合征·悲喜交集的日子病例30 羊水栓塞·突变的病情病例31 热射病·夏天户外运动要警惕的凶手病例32 呼吸心搏骤停·时间就是生命,全民普及心肺复苏术常用术语缩略词
重症医学作为医学领域中富有朝气的年轻学科,正由稚嫩逐渐走向成熟,重症医学相关疾病的诊疗过程亦逐渐规范化,但年轻的重症医学科医师的临床诊疗能力尚需进一步提高。除了具备扎实的理论知识、掌握娴熟的技术技能外,通过病例演练锤炼临床思维,是提高临床实战能力的重要环节。因此,我们组织了一批富有临床经验的重症医学专家,编写了本书,旨在为中青年医师搭建基础与临床之间的桥梁。 本书选择重症医学科中的典型病例,还原临床情景,通过提问,引导读者思考,通过解答,揉合相关知识,逐步深入的问题和解答清晰地展现了临床诊疗思路。在编写过程中,我们尽量做到选择典型病例,涵盖重症医学科中遇到的各种疾病状况;展现疾病的动态发展变化过程,体现重症医学科病例病情瞬息万变的特点;问题和解答要点清晰、内容简明,通过抽丝剥茧,展现疾病的诊疗思路,并不断拓展疾病相关知识;注重体现诊疗规范,注重实用性;图文并茂,内容表达简明清晰,便于理解和记忆。希望通过本书,为重症医学科医师提高临床思维能力和实战能力提供切实的帮助,为我国重症医学专业人才建设尽一份绵薄之力。 本书的编写得到了著名重症医学专家邱海波教授的鼓励和支持,得到了国内众多重症医学前辈和同道的帮助,在此致以诚挚的谢意!同时,感谢各位编写者对本书的付出,感谢他们在繁忙的工作之余抽出宝贵的时间完成本书,并无私地分享他们宝贵的临床经验。 虽然我们尽力完善本书,但囿于时间和水平,书中一定还有许多不足之处,诚望读者予以批评指正。 管向东 杨 毅2019年11月
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