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全国医学高等专科学校教材:外科护理学(第2版)

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全国医学高等专科学校教材:外科护理学(第2版)

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《全国医学高等专科学校教材·外科护理学(第2版)》主要针对医学高等院校护理学专科层次的学生所编写的。全书在保持原有精华的基础上,结合目前国内护理教育和临床实践的现状,对整体结构和内容进行较大调整,部分内容进行重新编写。新版教材中强调基础理论、基本知识和基本技能,参照国内外护理发展状况,安排编写内容、结构和体例.在体例编排上主要分两大部分,第一部分阐述疾病的病因、病理、临床表现、辅助检查和处理原则等基础医学知识;第二部分阐述疾病的护理内容,主要以护理程序为框架,力求能够体现整体护理理念。该书可供各大专院校作为教材使用,也可供从事相关工作的人员作为参考用书使用。
Catalogue

第一章 绪论
一、外科学及外科护理学的范畴
二、外科学和外科护理学的发展
三、如何学习外科护理学

第二章 水、电解质、酸碱平衡失调病人的护理
第一节 概述
第二节 水和钠的代谢失调
一、等渗性缺水
二、低渗性缺水
三、高渗性缺水
四、水中毒

第三节 钾的代谢失调
一、低钾血症
二、高钾血症

第四节 酸碱平衡失调
一、代谢性酸中毒
二、代谢性碱中毒
三、呼吸性酸中毒
四、呼吸性碱中毒

第三章 外科营养支持病人的护理
一、营养状况的评估
二、营养支持方法与实施
三、护理
第四章 外科休克病人的护理

第五章 多器官功能障碍综合征病人的护理
第一节 概述
第二节 急性肾衰竭
第三节 急性呼吸窘迫综合征

第六章 麻醉病人的护理
第一节 概述
第二节 麻醉前病人的护理
第三节 常用麻醉方法及麻醉期间的监护
一、局部麻醉
二、椎管内麻醉
三、全身麻醉
第四节 麻醉后护理

第七章 围手术期病人的护理
第一节 概述
第二节 手术前期病人的护理
第三节 手术中期病人的护理
第四节 手术后期病人的护理

第八章 外科重症病人的监护
第一节 概述
一、ICU的发展史
二、ICU的设置
三、ICU的人员配置要求
四、ICU的管理
五、病人收治范围

第二节 重要脏器功能监护
一、循环功能监护
二、呼吸功能监护
三、其他脏器功能的监护

第九章 外科感染病人的护理
第一节 概述
第二节 浅部软组织化脓性感染
一、疖
二、痈
三、急性蜂窝织炎
四、丹毒
五、急性淋巴管炎和急性淋巴结炎
第三节 手部急性化脓性感染
第四节 全身性感染
第五节 破伤风

第十章 损伤病人的护理
第一节 概述
第二节 烧伤
第十一章 肿瘤病人的护理
第十二章 颅内压增高病人的护理

第十三章 颅脑损伤病人的护理
第一节 头皮损伤
第二节 颅骨骨折
第三节 脑损伤

第十四章 甲状腺疾病病人的护理
第一节 甲状腺功能亢进
第二节 单纯性甲状腺肿
第三节 甲状腺肿瘤

第十五章 乳房疾病病人的护理
第一节 急性乳腺炎
第二节 乳腺癌

第十六章 胸部损伤病人的护理
第一节 概述
第二节 肋骨骨折
第三节 气胸
第四节 血胸
第十七章 肺癌病人的护理
第十八章 食管癌病人的护理
第十九章 急性化脓性腹膜炎病人的护理

第二十章 腹外疝病人的护理
第一节 概述
第二节 腹股沟疝
第三节 其他常见腹外疝
一、股疝
二、脐疝
三、切口疝

第二十一章 腹部损伤病人的护理
第一节 概述
第二节 常见内脏器官损伤
一、脾破裂
二、肝破裂
三、肠破裂

第二十二章 胃、十二指肠疾病病人的护理
第一节 胃、十二指肠溃疡
第二节 胃癌

第二十三章 肠梗阻病人的护理
第一节 概论
第二节 几种常见类型的肠梗阻
一、粘连性肠梗阻
二、蛔虫性肠梗阻
三、肠扭转
四、肠套叠

第二十四章 阑尾炎病人的护理
第一节 急性阑尾炎
第二节 特殊类型阑尾炎
一、新生儿急性阑尾炎
二、小儿急性阑尾炎
三、老年急性阑尾炎
四、妊娠期急性阑尾炎
五、慢性阑尾炎

第二十五章 结、直肠和肛管疾病病人的护理
第一节 直肠肛管良性疾病
一、痔
二、直肠肛管周围脓肿
三、肛瘘
四、肛裂
第二节 大肠癌
第二十六章 门静脉高压症病人的护理
第二十七章 原发性肝癌病人的护理

第二十八章 胆道感染、胆石病病人的护理
第一节 概述
第二节 急性胆囊炎、胆囊结石
第三节 慢性胆囊炎、胆石症
第四节 急性胆管炎、胆管结石

第二十九章 胰腺疾病病人的护理
第一节 急性胰腺炎
第二节 胰腺癌

第三十章 周围血管功能疾病病人的护理
第一节 下肢静脉曲张
第二节 血栓闭塞性脉管炎

第三十一章 泌尿系统损伤病人的护理
第一节 肾损伤
第二节 膀胱损伤
第三节 尿道损伤

第三十二章 尿石症病人的护理
第一节 概述
第二节 上尿路结石
第三节 下尿路结石
第三十三章 良性前列腺增生病人的护理
第三十四章 肾结核病人的护理

第三十五章 泌尿系肿瘤病人的护理
第一节 肾癌
第二节 膀胱癌

第三十六章 骨折病人的护理
第一节 概述
第二节 常见四肢骨折
一、肱骨髁上骨折
二、桡骨下端骨折
三、股骨颈骨折
四、股骨干骨折

第三节 脊柱骨折与脊髓损伤
一、脊柱骨折
二、脊髓损伤

第三十七章 关节脱位病人的护理
第一节 概述
第二节 肩关节脱位
第三节 肘关节脱位
第四节 髋关节脱位
第三十八章 颈椎病病人的护理
第三十九章 腰椎间盘突出症病人的护理

第四十章 骨与关节感染病人的护理
第一节 化脓性骨髓炎
一、急性血源性骨髓炎
二、慢性骨髓炎
第二节 骨与关节结核
Book Abstract

第一章 绪论
一、外科学及外科护理学的范畴
外科学是医学的一个重要组成部分,在医学的历史发展中逐渐形成外科学的范畴,且此范畴还在不断变化和发展。通常将外科诊治的疾病根据病因大致分为五类:①损伤:如内脏破裂、烧伤、骨折等因暴力或其他致伤因子引起的人体组织的破坏。②感染:因致病微生物侵袭致组织器官损害,可导致内脏器官坏死、脓肿,女胆囊炎、肝脓肿等。③肿瘤:分良性和恶性两种,绝大多数肿瘤需要行手术治疗。④畸形:如先天性心脏病、肛管直肠闭锁等需要手术治疗,而后天性畸形,如烧伤后瘢痕,也需要手术修复。⑤功能障碍性疾病:如肠梗阻、尿路梗阻等器官梗阻,下肢深静脉血栓形成、门静脉高压等血液循环障碍,胆结石、尿结石等结石形成,甲状腺功能亢进等内分泌功能失调等,也常需要手术给予纠正。
手术是外科工作的重要组成部分和手段,但是外科疾病并不一定都需要手术,而常在一定的发展阶段才需要手术。随着医疗技术的发展,一些原本需要手术的疾病,可以采用非手术方法治疗,如肾结石采用体外冲击波碎石。而原本无法手术的疾病,现在有了有效的手术方法,如先天性心脏病的手术治疗。内镜技术、介入治疗的发展也使外科与其他学科更趋于交叉,外科学的领域也在不断的变化。
外科护理学是护理学的一大分支,是研究外科病人身心康复的护理方法及预防保健的一门学科,主要包括医学基础理论、外科学基础理论、护理学基础理论及技术。外科护理学的范畴也随着外科学的变化而变化。外科护士与外科医师一起,对外科的疾患进行治疗与护理,并在护理的过程中,体现以人为中心的个体化的整体护理。同时外科护士的工作范畴也由医院向社区、家庭延伸。
二、外科学和外科护理学的发展
自人类出现以来,就有疾病,而且就有手术的存在,但直到19世纪,外科手术还是一种简陋而又危险的治疗方式。19世纪40年代,消毒灭菌和无菌技术、止血输血、麻醉止痛的问世,解决了长期困扰外科的感染、出血和疼痛等问题,这也成为进人现代外科学的标志。
……

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