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Jingdong book

护士临床思维训练

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护士临床思维训练

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《护士临床思维训练》以临床病例为引导,深入浅出地将临床中常见的疾病及相关护理知识融会贯通,通过对临床病例的分析,引导护士了解临床常见疾病的发生、发展与结局,在疾病的各个阶段中如何对病人进行护理观察以及应该采取的护理措施。《护士临床思维训练》包括三部分:学习篇(包括常见病例的学习)、提高篇(包括涉及多科室的复杂病例的分析)、思考篇(包括一些临床病例、问题及答案)。
Catalogue

学习篇
冠状动脉粥样硬化性心脏病
心肌梗死
慢性心力衰竭
慢性阻塞性肺病
肺间质纤维化
支气管哮喘
2型糖尿病
脑出血
脑梗死
肾病综合征
消化道出血
再生障碍性贫血
过敏性休克
甲状腺瘤
胃癌
颈椎病
右胫腓骨骨折、踝关节骨折
髋关节置换
膝关节置换
下肢深静脉血栓
脊髓损伤
肾结石
心脏瓣膜病
食管癌术后肺不张
膝关节骨关节病
肩袖撕裂
盆底器官膨出
子痫前期(重度)
支原体肺炎
新生儿高胆红素血症
扁桃体炎
青光眼
眼外伤
天疱疮

提高篇
1例大量心包积液致心包压塞的护理
1例应用低分子肝素引起患者注射部位以外出血的护理
1例重症甲型流感并发急性呼吸窘迫综合征(ARDS)患者应用体外膜肺氧合
(ECMO)辅助治疗的护理
1例胃管误入气管患者的护理
1例系统性红斑狼疮(SLE)伴多脏器损害的护理
1例急性髓细胞性白血病M3型患者合并出血的护理
1例经PICC(经外周置入的中心静脉导管)化疗合并皮疹病人的护理
1例氯氮平中毒致急性胃扩张的急救与护理
1例黑斑息肉病患者的护理
1例肠穿孔修补术后气管切开患者的护理
1例胰腺癌合并胃造瘘患者的护理
1例冠状动脉旁路移植术后并发乳糜胸的护理
1例慢性阻塞性肺气肿、肺大疱患者术后出现气管食管瘘的护理
1例胸椎旁肿瘤合并下肢静脉血栓患者的护理
1例肛周会阴坏死性筋膜炎并发多脏器功能受损患者的护理
1例产后出血患者的护理
1例妊娠合并慢性肾功能不全的护理
1例双眼爆炸伤合并双上肢损伤患者的护理
1例真菌性鼻窦炎伴颅内感染合并糖尿病的护理
1例大疱性表皮松解坏死型药疹患者的护理

思考篇
病例简介-冠心病
病例简介-心肌梗死
病例简介-慢性心力衰竭
病例简介-慢性阻塞性肺疾病
病例简介-肺间质纤维化
病例简介-支气管哮喘
病例简介-2型糖尿病
病例简介-脑出血
病例简介-脑梗死
病例简介-肾病综合征
……
附录
Book Abstract

一、病历资料
(一)病例摘要
患者,男性,82岁,主因“肠穿孔”在全身麻醉下行“开腹探查,粘连松解,乙状结肠穿孔修补术”,术后因病情需要转入外科ICU病房治疗。术后第5天,因切口裂开急诊在全身麻醉下行“清创缝合术”。术后第26天,突发心跳、呼吸骤停,抢救复苏成功后转入外科ICU病房。术后第51天,在全身麻醉下行“气管切开造瘘术”。
(二)病程介绍
人院第1天,患者因行结肠镜检查后“持续性腹痛2天,加重3小时”收入院。查体:下腹压痛,以下腹正中偏右为重,伴肌紧张,反跳痛,肠鸣音减弱,1次/分。CT示:下腹正中偏右乙状结肠周围可疑散在游离气体,诊断为“肠穿孔”。既往高血压病、冠心病20年(口服硝苯地平),前列腺肥大10年(口服盐酸特拉唑嗪),COPD10年,冠状动脉支架植入术后2年(口服阿司匹林、氯吡格雷),阑尾切除术后10年。急诊在全身麻醉下行“开腹探查,结肠穿孔修补术”,带有气管插管、胃管、尿管及腹腔引流管,术后转入ICU病房。
人院第2天,由ICU病房转入普通病房,持续吸氧、监测,血氧饱和度85%~94%,咳嗽,咳黄白色黏痰,量多,不易咳出,伴呼吸困难,喘憋。查体:喘息貌,60。卧位,口唇略发绀,双肺呼吸音粗,散在哮鸣音,双下肺湿哕音,心律不齐,可及早搏,双下肢轻度可凹性水肿,测量CVPl7~24cmH2O,请内科急会诊示:肺炎,房颤,心功能不全。
……
Introduction

随着护理临床工作内容的不断拓展、病人周转的加快,如何保证临床护士掌握较全面的知识,为临床患者提供安全、优质的护理,已成为当今护士培训需要解决的重要课题。
北京大学第三医院是一所三级甲等综合医院,各项管理指标处于我国先进水平,多次受到卫生部和北京市卫生局的表彰。护理工作在医院各项工作的完成中起到了重要的作用。2010年在卫生部首批重点学科建设项目申请中,北京大学第三医院的专科护理很荣幸地获得了项目支持。
为了更好地发展学科,北医三院护理人在护理临床、护士培训、护理管理模式创新方面进行了孜孜不倦的探索。出于将多年来的经验与同行共同学习、共同分享’的目的,我们组织大量具有丰富临床经验的护士编写了本书。
本书共分三部分,既介绍了大量的临床病例,帮助护士能够在短时间内了解不同疾病的特点,同时也进行了大量护理分析,帮助护士树立正确的临床护理思维。
由于各方面条件限制,不足之处恳请各位护理同仁给予批评指正。

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