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Jingdong book

心脏内科1000问

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心脏内科1000问

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本书共17个部分。除介绍了心脏内科医师平时必须掌握的基本内容和常遇到的重要问题外,还着重对近年来心脏学领域的新理论、新技术、新进展,尤其是有关循环医学研究的最新成果的国内外专家所形成的最新共识或相应专题专家组最新推出的指南性、建议性意见等主要内容,采用问答形式,进行解答、阐述。
全书分为“高血压”、“冠心病”、“肥胖与血脂异常”、“心包、心肌、心内膜疾病”、“肺心病”、“先天性心脏病”、“其他心脏病”、“心力衰竭”、“心律失常”、“人工心脏起搏”、“心脏复苏”、“晕厥”、“其他系统疾病心血管表现”、“血管疾病”、“心血管疾病治疗药物”、“心血管疾病诊断技术”、“基础及其他”17个部分。除对心脏内科医师平时必须掌握的基本内容和常遇到的重要问题进行解答外,还着重对近年来心脏内科学领域的新理论、新技术、新进展,尤其是有关循证医学研究的最新成果和国内外专家所形成的最新共识或相应专题专家组最新推出的指南性、建议性意见等主要内容,采用问答形式,进行解答、阐述。编写过程中力争使其反映当今该领域发展水准,确对临床内科医师,尤其是心脏内科主治医师、住院医师、进修医师等具有较强的实用性和指导性。
Author Description

张泽灵,1957年4月22日生于河南太康,1983年毕业于第二军医大学,同年分配到解放军第四二四医院内科工作,历任住院医师、主治医师、科主任等职,期间曾先后到海军总医院心内科和北京阜外医院内科深造学习,1993年晋升为副主任医师兼海军南海舰队高级专业技术职务评审委员会委员。1997年调到海南边防医院工作,先后任内科主任、医疗副院长,1998年晋升为主任医师,兼中国卫生法学会理事、全国无创心功能学会委员、中华医学会海南心血管专业委员会委员、海南省医学科学技术委员会委员、海南省医学继续教育专家库成员、海南省和海口市两级首批医疗事故技术鉴定委员会专家库成员、海南省科技成果评审委员会专家库成员、《海南医学院学报》审稿专家库成员。
毕业后一直从事心脏内科临床研究工作,并不断总结经验,结合国内外有关资料,先后在全国多家医学杂志上发表论著、综述、专题笔谈等文章30多篇,获军队和地方科技进步奖三项,曾独立编著第一、二版《心脏内科主治医生400问》,主编《心脏内科疾病诊断治疗指导》、《戒毒医生数百问》,参编《现代心血管疾病的诊断及治疗》、《尿毒性心血管疾病》等专著,其中《心脏内科主治医生400问》曾被北京医科大学、中国协和医科大学联合出版社评为优秀图书,并通过海南省科技成果评审,被一致认为达国内选进水平。
Catalogue

一、高血压
1.目前,高血压是如何进行定义与分类的?
2.近20年来高血压诊断、分类标准有何改变?
3.为何提倡患者自测血压?
4.对于确诊高血压的患者,为确定治疗方案,应做哪些方面的评价?
5.与JNC6比,JNC7对成人血压的分类有哪些修订和更新?
6.JNC7中规定,不同血压水平个体的防治原则和对策是什么?
7.高血压与心血管疾病事件的关系怎样?
8.如何进行高血压的危险分层?
9.对高血压病患者怎样进行诊断性评估?
10.高血压病患者的心脏和肾脏各有哪些病理改变?
11.高血压病引起的良性肾小动脉硬化如何与原发性肾脏病变引起的高血压进行鉴别?
12.为什么说左室肥厚是较其他因素更为重要的独立的心血管危险因素?
13.左室肥厚的后果怎样?左室肥厚减轻究竟有多大益处?
14.何谓高血压血管重构?其机制是什么?
15.如何正确测量血压?
16.动态血压监测(ABPM)的正常值应为多少?
17.目前对ABPM的正确性和可重复性评价如何?
18.临床上应怎样掌握ABPM的应用指征?
19.如何评价无创性ABPM技术?
20.最新中国高血压防治指南对1999年中国高血压防治指南重点进行了哪些修订?
21.高血压与哪些发病因素有关?
22.胰岛素抵抗致高血压的机制是什么?
23.高血压、胰岛素抵抗与糖尿病三者在病因学上的关系怎样?
24.胰岛素抵抗的认识对高血压治疗观念有何影响?
25.肾素的作用及血管紧张素一Ⅱ受体的作用机制是什么?
26.B受体综合征病因病机是什么?
27.应如何认识饮酒对高血压和心血管病的利与弊?
28.所谓高血压病患者心血管病发病的其他危险因素指什么?
29.正常人的血压昼夜变化节律是什么?
30.目前认为夜间血压变化有什么临床意义?
31.目前对急性心血管事件发生率的昼夜变异有什么认识?
32.血压和心脏事件促发因素的昼夜变异有何临床意义?
33.治疗高血压的基本原则是什么?
34.高血压的治疗目标与治疗策略是什么?
35.为什么强调对收缩压升高的控制?
36.高血压的主要治疗措施包括哪些?
37.何谓老年高血压?老年高血压有何特点?
38.老年高血压有何病理生理学特点?
39.如何用药物治疗老年人高血压?
40.老年高血压治疗过程中需注意哪些问题?
41.老年收缩期高血压有何临床特点?
42.对老年人单纯收缩期高血压应采取什么对策?
43.妊娠高血压妇女应如何选择药物?
44.儿童和青少年高血压的诊断标准是什么?如何选择抗高血压药物?
45.何谓妊娠高血压综合征?何谓妊娠合并慢性高血压?何谓妊娠前高血压状态并妊娠高血压综合征?
46.如何处理妊娠高血压综合征?
47.如何处理妊娠期高血压?
48.冠心病并发高血压应如何处理?
49.如何治疗伴有肾脏损害的高血压?
50.慢性肾脏疾病的高血压如何选择抗高血压药物?
51.高血压并肾功能不全的基本用药原则是什么?
52.糖尿病人群高血压的发病机制是什么?
53.如何治疗糖尿病伴发的高血压?
54.合并糖尿病的高血压病患者能否选用利尿剂?
55.为什么在抗高血压治疗时应注意改善胰岛素抵抗?
56.肥胖和代谢综合征时的高血压应如何控制?
57.目前应怎样评价抗高血压药物?
58.目前常用抗高血压药物分哪几类?如何选择应用?
59.抗高血压药物对性功能有何影响?
60.降压谷:峰比值与平滑指数指什么?各有何临床意义?
61.怎样测量、计算谷:峰比值?
62.何谓抗高血压撤药综合征?
63.何谓哌唑嗪首剂综合征?
64.近年来又开发研制了哪些新型降压药?
65.开发缓释和控释制剂对控制血压及防止冠脉事件发生有何意义?
66.怎样联合使用降压药?如何评价复方降压药?
67.应用复方降压制剂时应注意什么?
68.目前国内有哪些常用复方降压制剂?
69.如何评价抗高血压阶梯疗法?
70.高血压病非药物治疗的具体措施包括哪些?应如何评价?
71.高血压急症包括哪些内容?
72.如何做好高血压病患者的治疗随访?
73.高血压并左心衰竭应如何治疗?
74.伴有脑血管病的高血压应如何治疗?
75.如何对肾血管性高血压进行筛检诊断?
76.什么是嗜铬细胞瘤?如何与高血压病进行鉴别?
77.何谓原发性醛固酮增多症?如何与高血压病进行鉴别?
78.口服避孕药所致高血压的临床特点有哪些?
79.如何提高高血压的控制率?
80.如何处理难治性高血压?
81.临床上遇到难治性高血压时,为什么首先应想到患者的非依从性?
82.何谓高血压脑病?诊断要点是什么?
83.何谓高血压危象?如何处理?
84.为什么要大力加强高血压的研究和防治?
……

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