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Jingdong book

实用外科门诊急诊手册

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实用外科门诊急诊手册

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《实用外科门诊急诊手册》是在《现代外科诊疗手册》(才文彦主编)的基础上进行的,侧重于临床思维和门诊、急诊具体的处理方法。第一部分以患者主诉症状为起点,展开临床思维程序,按步骤分析,作出初步诊断,并提供治疗原则;第二部分以疾病为中心,讨论门诊、急诊患者的处理方法,尤其是进一步诊断和具体的治疗措施,包括检查项目和中、西药物处方等。期望通过临床症状和疾病诊治的研讨,让青年医生掌握正确的临床思维方法,能为门诊、急诊患者作出及时的诊断和恰当的治疗。
Catalogue

第一篇主诉症状的临床思维
第一章 疼痛
第一节 头痛
第二节 胸痛
第三节 腹痛
第四节 颈肩痛
第五节 慢性腰痛
一、腰椎病损引发的腰痛
二、软组织引发的腰痛
第六节 四肢痛

第二章 肿物
第一节 体表肿物
第二节 软组织肿物
第三节 头颈部肿物
第四节 甲状腺结节
第五节 乳腺肿物
第六节 淋巴结肿大
第七节 肺内肿物
第八节 腹内肿物
第九节 肝脏肿物
第十节 腹膜后肿物
第十一节 阴囊内肿物
第十二节 肛门肿物

第三章 出血
第一节 咯血
第二节 呕血
第三节 便血
第四节 乳头溢液

第四章 消化道症状
第一节 吞咽困难
第二节 恶心与呕吐
第三节 腹胀与便秘
第四节 梗阻性黄疸

第五章 泌尿系症状
第一节 排尿改变和排尿
困难
第二节 血尿

第六章 外伤与休克
第一节 外科休克
第二节 头部外伤
第三节 颈部创伤
一、颈部血管损伤
二、喉和气管损伤
三、咽喉和食管损伤
第四节 腹部创伤
一、闭合伤
二、穿通伤
三、腹壁创伤
四、脾破裂
五、肝破裂
六、胰腺损伤
七、胃创伤
八、十二指肠创伤
九、小肠损伤
十、大肠损伤
第五节 周围血管损伤

第二篇 普通外科
第七章 外科感染
第一节 皮肤和软组织的化脓性感染
一、疖、痈
二、急性淋巴管炎及淋巴结炎
三、丹毒
四、急性蜂窝织炎
第二节 手部急性化脓性感染
一、甲沟炎
二、脓性指头炎
三、急性化脓性腱鞘炎脓性滑囊炎
四、手掌深部间隙感染
五、指蹼间隙化脓性感染
第三节 败血症
第四节 破伤风
第五节 气性坏疽

第八章 烧伤
第一节 烧伤严重程度诊断
一、烧伤面积计算
二、烧伤深度估计
三、烧伤严重程度分类
第二节 现场急救与早期处理
一、现场急救
二、早期处理
第三节 烧伤休克防治
一、补液方法
二、烧伤休克期的监护
第四节 烧伤创面处理
一、清创术
二、包扎疗法
三、暴露疗法
四、三度创面处理
第五节 特殊原因烧伤
一、吸人性损伤
二、电击伤

第九章 颈部疾病
第一节 颈部先天性疾病
一、甲状腺舌管囊肿和瘘
二、鳃裂囊肿和瘘
三、颈部囊状水瘤
第二节 颈淋巴结结核
第三节 颈部肿瘤
一、颈部转移癌
二、颈部恶性淋巴瘤

第十章 甲状腺和甲状旁腺疾病
第一节 甲状腺肿瘤
一、甲状腺腺瘤
二、甲状腺癌
第二节 甲状腺炎
一、亚急性甲状腺炎
二、急性化脓性甲状腺炎
三、慢性纤维性甲状腺炎
四、慢性淋巴性甲状腺炎
第三节 甲状腺功能亢进
第四节 甲状旁腺肿瘤
第五节 甲状旁腺功能异常
一、甲状旁腺功能低下
二、甲状旁腺功能亢进

第十一章 乳房疾病
第一节 良性疾病
一、先天性畸形
二、男性乳房发育症
三、乳腺囊肿
四、乳腺囊性增生症
第二节 乳房炎性疾病
一、急性乳腺炎
二、浆细胞性乳腺炎
第三节 乳腺良性肿瘤
一、乳腺纤维瘤
二、乳腺导管内乳头状瘤
第四节 乳腺恶性肿瘤
一、乳腺癌
二、叶状肿瘤
三、恶性淋巴瘤
四、纤维肉瘤

第十二章 腹部疝
第一节 腹外疝
一、腹股沟斜疝
二、腹股沟直疝
三、股疝
四、脐疝
五、腹壁疝
第二节 腹内疝

第十三章 腹壁和腹膜后疾病
第一节 腹壁肿物
一、腹直肌鞘血肿
二、腹壁肿瘤
三、腹壁硬纤维瘤
第二节 腹膜疾患
一、腹膜炎
二、腹膜肿瘤
第三节 肠系膜疾患
一、急性肠系膜淋巴结炎
二、肠系膜囊肿和肿瘤
第四节 大网膜疾患
一、大网膜扭转和梗死
二、大网膜粘连综合征
第五节 腹膜后疾患
一、腹膜后血肿
二、腹膜后感染
三、原发性腹膜后肿瘤

第十四章 胃十二指肠疾病
第一节 胃十二指肠溃疡病的外科治疗
一、十二指肠溃疡的外科治疗
二、胃溃疡的外科治疗
三、胃十二指肠溃疡穿孔
四、胃十二指肠溃疡出血
五、胃十二指肠溃疡并发幽门梗阻
第二节 应激性溃疡
第三节 胃良性肿瘤
一、胃腺瘤
二、胃间质瘤
第四节 胃恶性肿瘤
一、胃癌
二、残胃癌
三、胃淋巴瘤
四、胃间质肉瘤
第五节 胃其他疾病
一、胃息肉
二、胃憩室
三、胃内异物
四、急性胃扩张
五、胃扭转
六、肠系膜上动脉压迫
……
第三篇 骨科
第四篇 泌尿外科
第五篇 胸心外科
第六篇 神经外科
第七篇 门急诊常用操作技术
Book Abstract

甲状腺腺瘤(thyroid adenoma)多见于40岁以下中青年,散发,无地区流行,女多于男。多为滤泡状腺瘤,乳头状腺瘤较少,甲状腺畸胎瘤则罕见。滤泡状腺瘤有完整包膜,可分为胚胎型、胎儿型、胶质型和嗜酸细胞瘤型。乳头状腺瘤多呈囊性,因可能为恶性,诊断时应慎重。
【主要症状】颈部肿块:多为单发,生长缓慢,较大时可有压迫症状。乳头状腺瘤可因囊壁血管破裂而发生囊内出血,肿瘤体积在短期内迅速增大,局部有胀痛。
【重要体征】甲状腺肿物:甲状腺圆形或椭圆形单发肿物,光滑,质地较软,检查时随吞咽上下活动,不伴颈部淋巴结肿大。
【辅助检查】
(一)实验室检查:甲状腺功能正常,TG、TM、Tg均正常。
(二)B型超声:辨别甲状腺结节单发或多发,以及囊实性和血流情况。
(三)同位素扫描:应用131I或99Tc扫描,一般呈温结节,囊性变时可呈凉或冷结节。
Introduction

为了配合临床医学的飞速发展和临床工作的需要,北京大学医学出版社组织编写了临床医学系列丛书——实用门诊急诊手册。外科分册是在《现代外科诊疗手册》(才文彦主编)的基础上进行的,侧重于临床思维和门诊、急诊具体的处理方法。第一部分以患者主诉症状为起点,展开临床思维程序,按步骤分析,作出初步诊断,并提供治疗原则;第二部分以疾病为中心,讨论门诊、急诊患者的处理方法,尤其是进一步诊断和具体的治疗措施,包括检查项目和中、西药物处方等。期望通过临床症状和疾病诊治的研讨,让青年医生掌握正确的临床思维方法,能为门诊、急诊患者作出及时的诊断和恰当的治疗。
在才文彦教授铸就的坚实基础上,经老、中、青三代外科一线的医生辛勤笔耕近两年,完成了编写任务,使手册得以顺利出版。因个人能力和学识所限,难免欠缺,请随时给予指正。

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