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儿科急诊学手册

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儿科急诊学手册

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《儿科急诊学手册》的疏漏和不足在所难免,同时随着急诊医学的发展,有些内容会不适宜。因此,恳请读者提出宝贵意见。
Content Description

《儿科急诊学手册》由在著名的加拿大多伦多儿童医院(Hospital for Slck Childrenin toronto)工作的35位顶级儿科医生和临床工作人员编写完成、该手册共包括67章,涵盖了儿科疾病和儿童损伤各种急症的评估和治疗。内容根据人体系统编排,可方便读者快速查阅,使读者能够立即找到所关注的主要话题,并根据循证医学的原则对患者进行诊治。
本手册的编写是为了给临床医生提供一个可在床边使用的工具,包括抢救、主要内科急症、外科问题以及在某些急症情况下的一般程序无论对在门诊工作的医生,还是在急诊室处理急性疾病及外伤患儿的医生都是一本很好的参考书 书中相关知识均以一种易读简练的方式编写,并附有表格和插图 有关轻微损伤、疼痛和镇静、社会心理急症的章节为临床工作人员在遇见这些常见急症情况下提供了一个切实可行的“真实世界”的临床指南、
此书是每一位儿科临床工作者必备的工具书。
Catalogue

第一部分 危重症
第一章 儿科患者的预检分类
第二章 儿科转运
第三章 小儿心肺复苏
第四章 休克
第五章 严重过敏反应
第六章 小儿创伤
第七章 颅脑外伤
第八章 颈椎创伤
第九章 骨科创伤
第十章 明显生命危胁事件
第十一章 新生儿急症

第二部分 头颈急症
第十二章 眼科急症
第十三章 牙科急症
第十四章 中耳炎
第十五章 鼻窦炎
第十六章 口咽部感染

第三部分 呼吸系统急症
第十七章 毛细支气管炎
第十八章 格鲁布
第十九章 支气管哮喘
第二十章 肺炎

第四部分 心脏急症
第二十一章 心脏急症
第二十二章 晕厥

第五部分 胃肠急症
第二十三章 胃肠炎与口服补液
第二十四章 体液和电解质紊乱
第二十五章 便秘
第二十六章 急腹症
第二十七章 消化道出血
第二十八章 阑尾炎
第六部分 泌尿生殖系统急症
第二十九章 尿路感染
第三十章 肾脏急症
第三十一章 泌尿外科急症
第三十二章 高血压的急症处理

第七部分 感染性疾病急症
第三十三章 发热
第三十四章 脑膜炎及脑炎
第三十五章 发热和热带病

第八部分 血液/肿瘤急症
第三十六章 镰状细胞病
第三十七章 肿瘤急症
第三十八章 血液系统急症

第九部分 风湿病急症
第三十九章 风湿病急症
第四十章 川崎病
第四十一章 跛行
第四十二章 骨髓炎和化脓性关节炎

第十部分 内分泌系统急症
第四十三章 糖尿病急症
第四十四章 肾上腺危象

第十一部分 神经系统急症
第四十五章 头痛
第四十六章 意识状态改变的分级
第四十七章 惊厥和癫痫持续状态
第四十八章 脑室腹膜腔分流

第十二部分 妇科急症
第四十九章 盆腔炎症性疾病
第五十章 妇科急症

第十三部分 皮肤科急症
第五十一章 皮肤科急症

第十四部分 环境医学急症
第五十二章 淹溺
第五十三章 烧伤
第五十四章 过热/低体温
第五十五章 中毒I:服用毒物的处理
第五十六章 中毒Ⅱ:特异性毒素
第五十七章 吸毒
第五十八章 电击伤

第十五部分 轻创伤
第五十九章 异物
第六十章 外伤的处理
第六十一章 咬伤
第六十二章 急救常规程序
第六十三章 骨内通路

第十六部分 疼痛和镇静
第六十四章 疼痛治疗
第六十五章 诊疗操作的镇静
第十七部分 社会心理学急症
第六十六章 儿童虐待
第六十七章 精神病急症
索引
Book Abstract

第一部分 危重症
第一章 儿科患者的预检分类
预检分类的目标
为了快速识别存在紧急的、威胁生命情况的患儿
为送至急诊科的患儿确定最适合的治疗区域
减少急诊治疗区域的拥挤
对患儿的病情提供动态评估
为就诊的患儿和家庭提供关于医疗服务、预期护理和等待就诊时间的信息
提供信息,帮助急诊部门确定工作的敏度等级标准
加拿大急诊预检标尺(CTAS)
加强急诊科内快速预检分类的能力
及时识别需要立即救治和优先护理的患儿是CTAS主要关注的焦点
有助于CTAS在低年龄组患儿中的应用
依据于年龄相关的心理学测试结果,包括发育、家庭和社会心理问题
预检分类的制订
依据“常见表现”,直觉,分类人员的经验和客观测定结果,如生命体征和疼痛等级等
在儿童期,身材、发育、正常参数和表现复合症状的显著性等方面的变化较大
每一名儿童必须按照年龄、发育阶段和分辨能力进行预检分类
家庭变动、文化和社会变化同样是预检分类中重要考虑的问题
时间响应
这些是客观指标,不是已建立的护理标准
“分位数反应”是在推荐的CTAS时间框内,按照给定的预检分类水平计算就诊的患儿占所有就诊患儿的比例
“分位数反应”并非论述单一个体的延误治疗是否有理由或是可被接受的
如果在给定的时间范围内,未能完全预检出需要优先处理的患儿群体,预检分类水平可能需要改进
Introduction

急诊医学是一门解决急性病和危重病的学科,它研究如何更迅速、更有效、更有组织地抢救危急病例和处理“灾难事件”所遇到的各种紧急救治问题,它属于医学科学的组成部分,是一门独立学科。随着医学科学的发展,急诊医学必然也会迅速发展。
本手册是儿科急诊专业手册,由加拿大多伦多病儿医院的儿科医生和临床工作人员编写。本书共有67章,内容丰富,涉及儿科急诊工作中各专业的急救,儿童各系统疾病的急救,在急诊室可见到疾病的诊断和紧急处理。作者运用循证医学的规则,吸收最新的疾病诊断治疗技术,给出了详细、可行、实用的急症处理程序。而且语言简练,方便易读,是一本可供临床医生床边使用的手册。
本手册改变了一些按学科的分类法,而是按人体系统编排,如阑尾炎列在胃肠急诊部分,跛行章节在风湿病部分,读者查找和使用起来很方便。为方便查阅,在书后还提供疾病的索引。本书适用于各级儿科医师阅读,可提供快速、准确的临床指导,也可以作为医疗机构医务人员的培训教材,有助于儿科医师掌握正确的临床思维方法。但是,书中一些内容不适用于目前我国的情况,如手册中有些治疗药物的剂量偏大,编者结合我国药典的规定,给出参考剂量;六十六章的儿童虐待部分,在我国还不突出,同时相关的服务和保护机构在我国也不同,所以,手册给出的此部分的诊疗流程仅供参考。
本手册在翻译出版的过程中得到了首都儿科研究所领导和同仁的大力支持,各位译者在繁忙的临床工作中挤出时间完成了翻译工作,在此向他们表示诚挚的感谢。还要感谢中华急诊医学会儿科学组组长宋国维教授为本手册作序。
希望本书的出版能为从事急诊工作的医生提供帮助。由于水平有限,本书的疏漏和不足在所难免,同时随着急诊医学的发展,有些内容会不适宜。因此,恳请读者提出宝贵意见。

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