美国急诊临床病例解析100例

美国急诊临床病例解析100例

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原价 :89元

ISBN :9787548718918

出版时间 : 2015年9月


目 录

危重病篇(Critical Care) 

病例一:ST段抬高型心肌梗死伴糖尿病酮症酸中毒和高钾血症(STEMI with DKA and hyperkalemia)(1)

病例二:严重脑出血(Extensive intracerebral hemorrhage)(7)

病例三:你见过这么大的气道异物吗?(Have you seen this size of foreign body in upper airway?)(9)

病例四:高血压危象,肺水肿和心房扑动2:1房室传导(Hypertensive emergency with acute pulmonary edema and atrial flutter with 2:1 conduction)(11)

病例五:乳突炎引起的硬脑膜下脓肿(Subdural empyema due to mastoiditis)(16)

心肺脑复苏篇(Cardiopulmonary Cerebral Resuscitation)

病例六:心脏骤停(Cardiac arrest)(18)

心血管疾病篇(Cardiovascular Emergencies) 

病例八:早期ST段抬高型心肌梗死患者的动态ECG(Dynamic ECG evolution from STEMI) (25)

病例九:导管介入治疗中心的ST段抬高型心肌梗死患者的急诊处理(STEMI management in a PCI center)(28)

病例十:非导管介入治疗中心的ST段抬高型心肌梗死患者的急诊处理(STEMI management in a nonPCI hospital)(31)

病例十一:胸痛突然恶化(Sudden worsening of chest pain)(34)

病例十二:典型心绞痛症状和病史,但是ECG……(Typical angina and history,but ECG...) (37)

病例十三:无痛性心肌梗死(Painless myocardial infarction)(39)

病例十四:STEMI,但近期心脏核素负荷试验阴性(STEMI with recent negative stress test) (41)

病例十五:快速心房颤动的急诊流程(Emergency management of atrial fibrillation with rapid ventricular response)(43)

病例十六:预激性快速心房颤动的处理(Atrial fibrillation with rapid ventricular response in a patient with WPW)(47)

病例十七:心源性晕厥:AVB伴室性停搏25秒(Cardiac syncope:AVB with asystole for 25 seconds)(50)

病例十八:不稳定三度房室传导阻滞(Unstable third degree AVB)(52)

病例十九:严重一度房室传导阻滞的处理(Management of Severe first degree AVB)(56)

病例二十:升主动脉动脉瘤(Ascending aortic aneurysm)(58)

病例二十一:腹主动脉动脉瘤(Abdominal arterial aneurysm,AAA)(60)

病例二十二:腹主动脉瘤破裂(Abdominal arterial aneurysm rupture)62)

病例二十三:主动脉夹层动脉瘤(Aortic dissection aneurysm)(64)

病例二十四:急性坏死性胆囊炎伴AAA(AAA in a patient with acute necrotizing cholelicystitis)(66)

病例二十五:心包积液(Pericardial effusion)(69)

病例二十六:呼吸道感染后心包积液(Pericardial effusion following upper respiratory infection)(71)

病例二十七:急性左下肢动脉栓塞伴肺炎及肺动脉栓塞(Acute arterial ischemia with pneumonia and pulmonary embolism)(75)

病例二十八:下腔静脉及双下肢静脉血栓形成的新疗法(Inferior vein and limb deep vein thrombosis)(79)

病例二十九:血压为什么测不出来?(Why is blood pressure not measurable?)(84)

病例三十:单极植入式心电图记录仪(Implantable loop recorder)(87)

呼吸系统疾病篇(Respiratory Emergencies) 

病例三十一:肺栓塞(Pulmonary embolism)(88)

病例三十二:服华法林的COPD和DVT患者的咳血(Warfarininduced coagulopathy in a patient with COPD and DVT)(91)

病例三十三:非结核堪萨斯分枝杆菌感染(Nontuberculous mycobacterium kasassi infection) (94)

病例三十四:慢性咳嗽咳痰呼吸困难(Respiratory distress with chronic productive cough) (96)

病例三十五:自发性气胸与套管针胸导管(Trocar catheter in a patient with spontaneous pneumothorax)(98)

病例三十六:自发性气胸与Wayne胸导管(Wayne catheter in a patient with spontaneous pneumothorax)(100)

神经系统疾病篇(Neurological Emergencies) 

病例三十七:t-PA治疗脑卒中的典型病例及流程(A typical stroke patient who received t-PA)(103)

病例三十八:急性缺血性脑卒中(Acute ischemic stroke)(108)

病例三十九:左踝手术后左臂运动障碍伴低氧血症(Unable to move left arm with hypoxia following left ankle operation)(112)

病例四十:脑囊虫病导致的脑卒中(Stroke due to neurocysticercosis)(116)

病例四十一:脊髓造影一天后出现脑水肿(Brain edema following myelogram)(118)

病例四十二:急性左侧椎动脉狭窄(Acute vertebral artery stenosis)(120)

病例四十三:颈胸腰脊髓硬膜外感染伴颈髓硬膜外脓肿(C/T/L-epidural infection with cervical epidural abscess)(122)

感染性疾病篇(Infectious Disease Emergencies) 

病例四十四:结肠癌穿孔,脓气胸,严重脓毒症(Pyopneumothorax and severe sepsis from colonic cancer perforation) (127)

病例四十五:早产儿,腹胀(Abdominal distention in a premature newborn baby)(132)

病例四十六:急诊膀胱超声与医源性泌尿道感染(Emergent ultrasound and iatrogenic UTI) (135)

病例四十七:气肿性肾盂肾炎(Emphysematous Pyelonephritis)(137)

病例四十八:脚上水泡(Foot blister)(138)

病例四十九:急性骨髓炎(Acute Osteomyelitis)(140)

病例五十:腭和舌扁桃体炎伴舌咽部梗阻(Palatine and lingual tonsillitis with airway obstruction)(144)

消化系统疾病篇(Gastrointestinal Emergencies) 

病例五十一:胰腺感染性坏死(Infected pancreatic necrosis)(147)

病例五十二:ERCP后胰腺炎(PostERCP pancreatitis)(150)

病例五十三:两例小儿食管异物(Different esophageal foreign bodies in 2 children)(152)

病例五十四:误食纽扣电池的急诊处理(Emergent management of button battery ingestion) (154)

肾脏疾病篇(Nephrology Emergencies)

病例五十五:输尿管囊肿伴输尿管及肾盂积水(Ureterocele with hydrouteronephrosis) (158)

病例五十六:如何清除膀胱内血块?(How to remove blood clots from urinary bladder?) (160)

病例五十七:自发性肾内出血伴肾旁血肿(Spontaneous renal hemorrhage with perinephric hematoma)(162)

血液和肿瘤疾病篇(Hematology/Oncology Emergencies)

病例五十八:特发性血小板减少性紫癜(Idiopathic thrombocytopenic purpura)(165)

病例五十九:低分化非小细胞肺癌伴脑转移(Low differentiate non-small cell lung cancer with brain metastasis) (168)

病例六十:多发性骨髓瘤(Multiple myoloma)(170)

病例六十一:菊池病(Kikuchi disease)(175)

儿科疾病篇(Pediatric Emergencies) 

病例六十二:良性急性儿童型肌炎(Benign acute childhood myositis)(177)

中毒性疾病篇(Toxicology Emergencies) 

病例六十四:海蜇蜇伤的现场处理(Jellyfish sting)(180)

病例六十五:严重酒精中毒的合并症(Complications due to alcohol intoxication)(182)

病例六十六:静脉吸毒者的“棉花热”(‘Cotton fever’in a patient with IV drug abuse) (185)

妇产科疾病篇(Obstetrics/Gynecology Emergencies) 

病例六十七:异位双胎妊娠(Heterotopic pregnancy)(187)

病例六十八:左输卵管妊娠破裂(Ruptured fallopian pregnancy)(189)

外科与外伤篇(Surgery/Trauma Emergencies) 

病例六十九:食管旁疝伴胃扭转和胃梗阻(Gastric volvulus and obstruction due to paraesophageal hernia)(191)

病例七十:胃梗阻(Gastric outlet obstruction)(193)

病例七十一:十二指肠穿孔(Duodenal perforation) (195)

病例七十二:空肠肠套叠(Jejunalintersusception)(197)

病例七十三:小肠肠系膜扭转(Midgut volvulus)(199)

病例七十四:结肠镜导致的盲肠穿孔(Ilium perforation following colonoscopy)(201)

病例七十五:右侧外伤性张力性血胸(Traumatic hemothorax) (203)

病例七十六:醉酒后摔伤致脾破裂(Spleen rupture due to fall)(205)

病例七十七:肛周坏死性筋膜炎(Perirectal necrotizing fasciitis)(208)

病例七十八:后背部外伤动脉出血性血肿(Hematoma from arterial hemorrhage(210)

病例七十九:高处坠落,颈痛(Fall from height with neck pain)(212)

病例八十:颈部多发刀刺伤,右侧气胸(Multiple stab wounds to neck with right pneumothorax) (214)

骨科疾病篇(Orthopedic Emergencies) 

病例八十一:无明显外伤的骨筋膜室综合征(Compartment syndrome without noticeable trauma)(217)

病例八十二:操作镇静下踝关节三踝骨折脱位复位(Trimalleolar fracture with dislocation s/p reduction under procedural sedation)(220)

病例八十三:尺骨鹰嘴,掌骨骨折和舟状骨骨折伴月状骨周围脱位(Fractures of olecranon,metacarpal bone,and scaphoid bone with perilunate dislocation)(224)

病例八十四:肩关节脱位(Shoulder dislocation)(231)

病例八十五:拇指掌指关节脱位及复位(Right thumb metacarpal phalangeal joint dislocation) (235)

病例八十六:拇指被狗咬伤致开放性骨折及部分断指(Partial amputatation of thumb due to a dog bite)(237)

皮肤疾病篇(Dermatology Emergencies) 

病例八十七:眼带状疱疹的哈钦森征(Herpes zoster ophthalmicus with Hutchinson sign) (240)

临床技能篇(Clinical Skills) 

病例八十八:皮肤脓肿切开引流(Incision and drainage of a skin abscess)(242)

病例八十九:三刺形鱼钩的取出方法(Fishhook removal)(248)

有趣影像篇(Interesting Imagings) 

病例九十:手指神经阻滞下取异物(Finger foreign body removocl urder digital block)(251)

病例九十一:你见过这么严重的癫痫发作时的舌咬伤吗?(Have you seen this severe tongue contusion?)(252)

病例九十二:内植式中央静脉导管断裂在右心室(A broken port-a-cath)(254)

病例九十三:肝海绵状血管瘤(Hepatic hemagioma)(255)

病例九十四:腹腔包块两例(Intraabdominal masses)(256)

病例九十五:多发性肠套叠(Multiple intussusceptions)(258)

病例九十六:多囊肾和多囊肝(Polycystic kidney disease and polycystic liver disease)(259)

病例九十七:无痛性肉眼血尿与肾癌(Painless hematuria)(261)

病例九十八:尿道异物(Urinary bladder foreign bodies)(262)

病例九十九:前臂骨折伴移位(Displaced distal forearm fracture)(263)

病例一百:面部裂伤缝合(Facial laceration repair)(265)

其他篇(Miscellaneous) 

一、2013年中美医生生活方式比较(Comparison of life styles of American and Chinese physicians in 2013)(267)

二、美国急诊科临床实践内容规范(Practice scopes of emergency medicine physicians) (269)

三、美国院前急诊医疗体系简介(An introduction of prehospital emergency medical system in USA)(271)

四、2013年医学理念的颠覆和改变(New changes that may change your practice in 2013) (273)

五、美国住院医师培训简介(Residency training programs in USA)(275)

六、解决中国医疗信任危机的根本方法:将“信任危机”的恶性循环转换成“标准化医疗”的良性循环(The radical resolution of trust crisis in healthcare in China: transferring‘trust crisis’into‘trust healthcare’)(279)

内容简介:

本书收录的100个病例均为作者及其同事在最近两年在美国亲自接诊过的真实病例。为了让读者更好地了解这些病例,理解每个病例诊断和治疗的临床思维过程,每个病例都从以下几个方面展现给大家:病例简介、体格检查、实验室及辅助检查、本病例的急诊诊断、本病例的处理、病程进展或随诊,以及通过本病例需要掌握的急诊医学要点。通过如此安排,以期达到使大家领略到不同体质下的急诊医学的理念和实践。有比较才有鉴别、吐纳和发展。

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