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Jingdong book

心血管内科护理手册（第2版）

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Jingdong book

心血管内科护理手册（第2版）

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Content Description

本套丛书遵循"专病专护"的原则，在参考常规护理程序的基础上，结合临床实际过程中各专科常见疾病、多发疾病护理的难点、重点分别做了详尽的阐述，内容包括各专科常见疾病概述、护理评估、临床常见症状评估、辅助检查评估、主要护理问题、护理目标、护理措施、常见并发症的预防与护理、护理常规操作、各专科特殊检查护理及护理新技术、新业务和相关知识等，写作上特别注重对护理人员临床护理技能的提高，具有很强的可读性与实用性。
Catalogue

第一章 总论
第一节 概述
第二节 循环系统疾病患者常见的症状与检查
第三节 循环系统疾病患者常见的护理问题与护理措施

第二章 心力衰竭患者的护理
第一节 慢性心力衰竭患者的护理
第二节 急性心力衰竭患者的护理

第三章 心律失常患者的护理
第一节 概述
第二节 窦性心律失常患者的护理
第三节 房性心律失常患者的护理
第四节 房室交界区性心律失常患者的护理
第五节 室性心律失常患者的护理
第六节 房室传导阻滞患者的护理
第七节 心律失常的介入治疗及护理

第四章 冠心病患者的护理
第一节 冠心病概述
第二节 动脉粥样硬化
第三节 稳定型心绞痛患者的护理
第四节 急性冠脉综合征患者的护理
第五节 冠状动脉疾病的其他形式
第六节 冠心病介入治疗及护理

第五章 原发性高血压患者的护理
第六章 心肌疾病患者的护理
第一节 心肌病患者的护理
第二节 心肌炎患者的护理

第七章 先天性心血管病患者的护理
第一节 常见先天性心血管病患者的护理
第二节 先天性心血管病患者介入治疗的围手术期护理

第八章 心瓣膜病患者的护理
第九章 心包疾病患者的护理
第一节 急性心包炎患者的护理
第二节 心包疾病及心脏压塞患者的护理
第三节 缩窄性心包炎患者的护理

第十章 感染性心内膜炎患者的护理
第十一章 心搏骤停与心脏性猝死
第十二章 主动脉夹层患者的护理
第十三章 心血管神经症患者的护理
第十四章 心脏介入诊疗的护理
第一节 冠心病介入诊疗护理
第二节 先天性心脏病介入诊疗护理
第三节 心律失常介入诊疗护理
第四节 瓣膜病的介入诊疗护理
第五节 肥厚型梗阻性心肌病介入诊疗护理
参考文献
Book Abstract

《心血管内科护理手册（第2版）》：
2.体征①心律失常：常以房性与室性期前收缩及房室传导阻滞多见。②心界扩大及杂音：心界扩大为暂时性的，心肌炎好转随之好转；可闻及第三、第四心音或奔马律，也有部分患者心尖部可闻及收缩期吹风样杂音。心力衰竭患者可查见颈静脉怒张、肺部湿哕音、肝大等体征。重者出现血压降低、四肢湿冷、体温不升等心源性休克等体征。
（二）辅助检查
1.胸部X线检查可见心影正常或扩大，合并心包积液时呈现烧瓶样改变。
2.心电图常见ST—T改变，合并心包炎时ST段可见广泛抬高，出现严重心肌损害时可出现病理性Q波，需与心肌梗死鉴别。可见各型心律失常，常见室性心律失常和房室传导阻滞。
3.超声心动图心脏大小正常或者左心室增大，室壁运动减弱，左心室收缩功能降低，附壁血栓等。合并有心包炎者可见心包积液。
4.实验室检查急性期心肌损害标准物检查可见心肌肌酸激酶（CK—MB）及血清肌钙蛋白（T或I）增高，白细胞总数轻度升高，血沉轻至中度增快，中性粒细胞偏高，起病2—4周后可出现柯萨基病毒抗体B—IgM抗体及抗心肌抗体阳性。
5.心脏磁共振对心肌炎诊断具有较大价值，典型表现为钆延迟增强扫描见心肌片状强化。
……

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