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Jingdong book

儿科临床起点

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儿科临床起点

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《儿科临床起点》主要侧重于介绍疾病的诊断程序和思路、常见辅助检查结果的判读、常用治疗方案和医嘱,对于临床少见病和罕见病,以及疾病的最新诊治进展则基本不涉及。《儿科临床起点》作者从事多年临床工作,并多次带教见习和实习医学生,深知高年级临床医学生和低年资住院医生的需求。对有志于从事儿科专业的医学生而言,首先需要掌握的是常见疾病的诊断和治疗;对无意从事儿科专业的医学生而言,需要掌握基础的儿科知识以通过执业医师资格考试。《儿科临床起点》紧扣儿科学教学见习和实习大纲,从临床实践需要出发编写而成,希望对高年级临床医学生的儿科见习和实习有所帮助,同时适合于儿科研究生及低年资住院医师阅读参考。
Catalogue

第一章 常见疾病诊断思路
第一节 维生素D缺乏性佝偻病
第二节 急性喉炎
第三节 肺炎
第四节 哮喘
第五节 腹泻病
第六节 先天性心脏病
第七节 川崎病
第八节 过敏性紫癜
第九节 消化道出血
第十节 发热待查
第十一节 出疹性传染病
第十二节 急性链球菌感染后肾小球肾炎
第十三节 肾病综合征
第十四节 血尿待查
第十五节 肾上腺皮质危象
第十六节 多尿多饮
第十七节 泌尿系感染
第十八节 急性淋巴细胞白血病
第十九节 贫血待查
第二十节 特发性血小板减少性紫癜
第二十一节 化脓性脑膜炎
第二十二节 结核性脑膜炎
第二十三节 惊厥
第二十四节 热性惊厥
第二十五节 肢体瘫痪
第二十六节 急性炎症性脱髓鞘性多发性神经根神经病
第二十七节 头痛待查
第二十八节 颅内压增高
第二十九节 偏头痛
第三十节 抽动症
第三十一节 苯丙酮尿症
第三十二节 肝豆状核变性
第三十三节 智力低下
第三十四节 21.三体综合征
第三十五节 新生儿窒息复苏
第三十六节 新生儿缺氧缺血性脑病
第三十七节 新生儿黄疸
第三十八节 新生儿溶血病
第三十九节 新生儿肺透明膜病
第四十节 急性中毒

第二章 常用诊疗方案和医嘱
第一节 医嘱通项
第二节 上呼吸道感染常用医嘱
第三节 急性喉炎常用医嘱
第四节 哮喘急性发作常用医嘱
第五节 支气管肺炎常用医嘱
第六节 传染性单核细胞增多症常用医嘱
附:传染性单核细胞增多症特殊用药及指征
第七节 婴儿腹泻病常用医嘱
第八节 细菌性痢疾常用医嘱
附:腹泻患儿液体疗法
第九节 川崎病常用医嘱
第十节 病毒性心肌炎常用医嘱
第十一节 心力衰竭常用医嘱
第十二节 肾病综合征常用医嘱
第十三节 肾小球肾炎常用医嘱
第十四节 过敏性紫癜常用医嘱
第十五节 化脓性脑膜炎常用医嘱
第十六节 病毒性脑炎常用医嘱
……
第三章 常用辅助检查结果判读
第四章 儿童保健
第五章 常用的病例记录范文
附录:临床常用的疾病诊断标准
Book Abstract

一、再生障碍性贫血
白细胞总数减少的急性淋巴细胞白血病需要与再生障碍性贫血鉴别。鉴别要点:①外周血原始和幼稚淋巴细胞,再生障碍性贫血时全血细胞减少,外周血白细胞分类淋巴细胞比例常明显增高,无原始和幼稚淋巴细胞,而急性淋巴细胞白血病时外周血中常可见原始和幼稚淋巴细胞;②肝、脾、淋巴结肿大,再生障碍性贫血时肝、脾、淋巴结不大,而急性淋巴细胞白血病往往有肝、脾、淋巴结增大;③骨髓象,再生障碍性贫血时骨髓有核细胞增生低下,无幼稚白细胞增生,而急性淋巴细胞白血病时骨髓增生活跃,见大量原始和幼稚淋巴细胞。
二、传染性单核细胞增多症
本病肝、脾、淋巴结常肿大,外周血白细胞总数增高并出现异型淋巴细胞,易与急性淋巴细胞白血病混淆。但本病病程经过一般良好,血象多于1个月左右恢复正常;血清嗜异性凝集反应阳性;特异性EB病毒抗体检查阳性:骨髓象无白血病改变。
三、类白血病反应
外周血白细胞总数升高的急性淋巴细胞白血病需要与类白血病反应鉴别。类白血病反应为造血系统对感染、中毒和溶血等刺激因素的一种异常反应,以外周血象中出现幼稚白细胞或白细胞数增高为特征。当原发疾病被控制后,血象即恢复正常。类白血病反应时血小板数多正常;白细胞分类以中性粒细胞为主,可以伴有中毒性改变,如中毒颗粒和空泡形成;而急性淋巴细胞白血病时外周血白细胞总数升高,以淋巴细胞为主,血小板数常常是减低的。
四、幼年特发性关节炎
急性淋巴细胞白血病伴有关节浸润症状时,临床出现发热、关节疼痛症状,需要与幼年特发性关节炎鉴别。急性淋巴细胞白血病往往伴随有贫血、出血等造血系统受累症状,而幼年特发性关节炎多不伴随出血症状。具体需要结合病程、C-反应蛋白、类风湿因子等辅助检查进行鉴别,必要时行骨髓穿刺进一步鉴别诊断。
……

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