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Jingdong book

肺结核中西医诊断治疗学

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Jingdong book

肺结核中西医诊断治疗学

Name: 肺结核中西医诊断治疗学
Brand: Jingdong book
SKU: 3117005941
Price: 43.80 USD
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《肺结核中西医诊断治疗学》根据现代医学对肺结核病的研究成果，分别对肺结核的病原学、流行病学、临床表现、实验室检查、影像学检查、病理学检查、肺结核的诊断、鉴别诊断、化学药物治疗及其他西医多种治疗方法、中医中药以及肺结核并发症、几种特殊类型（如儿童、老年、妊娠期及耐药）肺结核和肺结核合并病（如肺癌、糖尿病、肺尘埃沉着症和艾滋病）和肺外结核病（如结核性胸膜炎、支气管结核、结核性脑膜炎、肠结核、结核性心包炎、颈淋巴结核、结核性脓胸和脊柱结核等）的诊治等进行了系统的阐述；此外，书中还特地结合作者的经验就肺结核各种辨证类型以及各种常见症状（如发热、咳嗽、盗汗、咯血、失眠、胸痛、遗精和月经不调等）的饮食疗法作了介绍；同时，对肺结核的护理以及肺结核的预防与预后等也进行了介绍。内容丰富，通俗易懂，实用性和操作性较强，适合临床医师、医学生、结核病患者和家属以及有兴趣者参考阅读。

Author Description

林小田，中国人民解放军第422中心医院（广东湛江）感染内科、肝病中心、广州军区传染病（肺病）重点学科主任、主任医师、教授，专业技术5级。长期从事各种感染病、结核病、急慢性肝病等临床诊治及科研工作，积累了丰富的临床经验；对各种感染病、肺结核、肝硬化、肝癌等中西医结合及食疗等进行了系统地研究。先后在《中华内科杂志》、《世界华人消化杂志》和《解放军预防医学杂志》等发表论文130余篇，分别由^东科技出版社、世界图书出版公司、科学技术文献出版社和军事医学科学出版社等出版《传染病诊治新概念》、《肝病中医辨治及验方》、《肝胆病疗养与康复》、《新编肝病饮食疗法》、《传染病饮食疗法》、《结核病辨治验方》、《结核病饮食疗法》、《脂肪肝诊治及食疗》、《水果食疗与宜忌》、《蔬菜食疗与宜忌》、《药茶食疗与宜忌》、《风湿病疗养与康复》、《皮肤传染病辨治验方》、《男科感染病疗养与康复》、《健康体检与医学指导》、《现代肝病诊断与治疗》、《原发性肝癌伽玛刀治疗》等专著23部，获得全军科技进步三等奖、全军医疗成果三等奖、广东省优秀专著奖、广东省自然科学优秀论文奖等10余项。因专业成绩突出先后多次荣立三等功、获得广州军区科技先进个人、广州军区“1383”人才工程“优秀成才奖”、广州军区优秀学科带头人，享受军队优秀专业人才岗位津贴。兼任全军医学科学技术委员会传染病专业组委员、广州军区传染病专业委员会副主任委员、广东省肝病学会理事、肝炎肝硬化专业委员会常委、广东省医学会感染病分会常委、广东省医师协会感染病分会委员；南方医科大学、右江民族医学院兼职教授：兼任《世界感染杂志》和《公共卫生与临床医学》杂志编委等。

Catalogue

第一章肺结核的病原学与流行病学
第一节肺结核的病原学
第二节肺结核的流行病学及特点

第二章肺结核的临床表现
第一节肺结核的症状
第二节肺结核的体格检查

第三章肺结核的实验室检查
第一节肺结核的常规检查
第二节肺结核的细菌学检查
第三节肺结核的免疫学检查

第四章肺结核的影像学检查
第一节肺结核的×线检查
第二节肺结核的电子计算机体层摄影（CT）检查
第三节肺结核的磁共振（MRI）检查

第五章肺结核的病理学检查
第一节肺结核病的基本病理变化
第二节各型肺结核病的病理变化

第六章肺结核的诊断
第一节肺结核的诊断方法与结核病分类
第二节关于涂阴肺结核的诊断问题

第七章肺结核的鉴别诊断
第一节原发性肺结核的鉴别诊断
第二节血行播散型肺结核的鉴别诊断
第三节继发型肺结核的鉴别诊断
第四节结核性胸腔积液的鉴别诊断
第五节肺结核合并曲菌感染的鉴别诊断

第八章肺结核的化学药物治疗
第一节化学药物治疗的目的、原则与适应证
第二节抗结核病的化学药物
第三节肺结核的化学药物治疗方案
第四节抗结核化疗药物常见的不良反应与处理

第九章肺结核的其他西医治疗方法
第一节肺结核的营养支持疗法
第二节肺结核的免疫治疗
第三节肺结核病的介入治疗
第四节肺结核病的外科治疗

第十章肺结核并发症的治疗
第一节肺结核咯血
第二节肺部继发感染
第三节自发性气胸
……
第十一章几种特殊类型肺结核的诊治
第十二章肺结核的中医药治疗
第十三章肺结核的饮食疗法
第十四章肺结核合并病的诊治
第十五章肺结核的护理
第十六章常见肺外结核病的诊治
第十七章肺结核的预防与预后
第十八章肺结核常用临床操作技术

Book Abstract

（五）肺功能测定
是测定肺呼吸功能的无创性检查方法，包括测定肺容量、通气功能（小气道功能及分钟最大通气量测定等）、通气分布、弥散功能、通气／血流比率、气道可逆性试验等。支气管扩张主要表现为阻塞性通气功能障碍，FEVl、最大通气量、FEVl／FVC及小气道用力呼气流速均降低，而残气量／肺总量比增高。如本病进一步发展为广泛性肺组织纤维化时，则肺功能出现弥散性功能障碍。禁忌证如活动性咯血、心血管疾病和血管瘤等；患活动性肺结核、未经胸腔引流的气胸和近期眼部手术者慎做本检查。
五、诊断
主要依据：
1．病史既往有肺结核病史或儿童期患过结核性胸膜炎、支气管淋巴结核等治疗史，突然出现反复咯血、咳痰等症状。
2．典型的慢性咳嗽、咳痰或反复咯血，且常有固定部位水泡音出现。
3．x线胸片显示有条索状、斑点状、卷发状阴影伴胸膜肥厚粘连等改变。必要时行支气管碘油造影或支气管检查可以明确诊断。
六、鉴别诊断
（一）慢性支气管炎
本病可以出现慢性咳嗽、咳痰、痰中带血、反复肺部感染等类似于支气管扩张，但慢性支气管炎以冬春季多见，脓痰不多，听诊肺部哕音不固定，x线胸片示肺部纹理粗乱、条索阴影，支气管碘油造影呈索条样阴影。痰查结核杆菌阴性，PPD试验阴性，抗生素治疗有效。
（二）非结核性支气管扩张
常有麻疹、百日咳、流感等原发病史，年龄30岁以下多见，肺底部哕音不固定，PPD试验阴性，好发于肺下叶，支气管扩张部位无结核病灶，痰查结核分枝杆菌阴性。
（三）肺炎
常有上呼吸道感染史，急性起病，高热多见，可有痰中带血，很少有大咯血，好发于上叶前段、中叶、舌叶或下叶基底段，细菌培养阳性，PPD试验阴性，抗感染治疗显效，病灶消散快。
（四）弥漫性细支气管炎
常有鼻窦炎或副鼻窦炎史，可有家族史，主要表现连续性咳嗽、咳白黏痰或脓痰，肺部可闻及广泛性干哕音或捻发音，杵状指多见，x线胸片示两肺弥漫性病变，cT示弥漫性小叶中心性结节，细支气管扩张。肺功能示混合性通气功能障碍，类风湿因子阳性，冷凝集试验阳性，抗核抗体阳性，PPD试验阴性，抗结核治疗无效。
（五）先天性支气管发育不良
常有肺部反复感染，自幼发病，可有家族史，表现胸闷、气短，无反复咯血和大量脓痰，肺部有固定的干鸣音。胸部x线片示病灶多占据一侧肺，肺纹理稀疏，气管与纵隔多移位，PPD试验阴性，痰液结核分枝杆菌阴性。
（六）尘肺
有粉尘接触史，胸闷、气短症状进行性加重，咯血为痰中带血，呈泡沫痰，肺部可闻及捻发音。
……

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