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Jingdong book

麻醉病例分析

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Books Medical Science Surgery

Jingdong book

麻醉病例分析

Name: 麻醉病例分析
Brand: Jingdong book
SKU: 3117078611
Price: 42.14 USD
Availability: OutOfStock

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《麻醉病例分析》特点60例经典病例的讨论语言分析；每章后精心设计3个思考题并予解答；为所有热点问题提供了新的论据；专门针对住院医师继续教育的学习引导。

Content Description

麻醉药物的发现及使用是美国医学界对人类最重要的贡献。其影响甚至超过人类基因组的阐明。如果没有麻醉学先驱的神奇发现，外科手术在种类、复杂性及安全性方面的突飞猛进是无法实现的。更重要的是，麻醉学成为确保患者安全性的最重要的专业。
培训以及继续教育是推动这些发展的核心原则。值得一提的是，在19世纪，麻醉学仅仅被当作一门没有科学价值的技术。直至100年以后，该专业才形成严密的科学基础并具有研究生培训课程。更不可思议的是20世纪末期仍很少有北美人撰写的麻醉学专著。住院医师教育教材、专业备考以及临床工作的参考书，主要为英国原著。

Catalogue

第1章他汀类药物和围手术期风险
第2章围手术期β受体阻滞剂的应用
第3章围手术期血糖的控制
第4章心脏麻醉中的椎管内镇痛技术
第5章非体外循环下冠状动脉手术
第6章抑肽酶和抗纤维蛋白溶解药在心脏手术中的应用
第7章心脏手术中重组因子Ⅶa的使用
第8章心脏术后神经病变
第9章术后视力丧失
第10章术后认知功能障碍
第11章围手术期心肌梗死
第12章肝素诱导的血小板减少
第13章高渗盐水复苏
第14章术前肝功能检查异常
第15章围手术期白蛋白应用
第16章外周神经阻滞神经系统并发症
第17章外周神经阻滞和硬膜外镇痛用于全膝关节置换术的比较
第18章胸科手术椎旁神经阻滞
第19章颈动脉狭窄
第20章肺叶切除术后肺水肿
第21章围手术期抗血小板治疗
第22章围手术期血液保护策略
第23章输血阈值和术中凝血异常
第24章减肥手术的麻醉
第25章后叶加压素与复苏
第26章麻醉与高血压
第27章心肌药物预处理
第28章困难面罩通气预测
第29章清醒气管插管
第30章琥珀胆碱的未来
第31章带套囊气管导管在儿童中的使用
第32章术中BIS监测
第33章 Duchenne型肌营养不良症与吸入麻醉药
第34章磁共振成像检查的麻醉
第35章预防术后恶心呕吐的循证医学
第36章超声引导下中心静脉置管
第37章区域麻醉的预后
第38章超声引导下外周神经阻滞
第39章持续可行走区域麻醉
第40章阿片类药物成瘾的创伤患者的术后镇痛
第41章阿尔茨海默病与麻醉
第42章镰状细胞病
第43章过敏反应
第44章持续术后疼痛
第45章阿片类药物诱导的痛觉过敏
第46章经尿道前列腺切除综合征
第47章麻醉与睡眠呼吸障碍
第48章中草药和麻醉
第49章左西孟旦与急性心力衰竭
第50章抗血小板药物、低分子肝素及椎管内阻滞
第51章脑动脉瘤手术的神经保护
第52章脑动脉瘤栓塞手术的麻醉
第53章 ugamadex紧急逆转罗库溴铵诱导的神经肌肉阻滞
第54章术中知晓
第55章线粒体病与麻醉
第56章儿童苏醒期躁动
第57章急性疼痛治疗组在创伤性上肢截肢患者管理中的作用
第58章麻醉药物的职业暴露
第59章胎儿氧饱和度与剖宫产
第60章血管收缩药在剖宫产术中低血压的应用
索引

Book Abstract

与他汀类药物有关的严重肝毒性或肌病已经有所报道，但很少见加。阿托伐他汀在他汀类药物中不良反应是最小的加。他汀类药物肝脏毒性较温和，患者剂量相关的血清谷草转氨酶和丙氨酸氨基转移酶升高的发生率大约1％，急性肝损伤也只有几个案例。尽管他汀类药物被认为是慢性肝病的禁忌，但最近的一项对普伐他汀治疗高脂血症患者的多中心、随机、双盲、安慰剂对照试验表明，他汀类药物并不增加慢性代偿性肝病患者他汀类药物相关肝毒性。但在慢性肝病患者中使用他汀类药物还是应该小心，也许应该在与胃肠病学家讨论之后进行。
他汀类药物最严重的潜在副作用是横纹肌溶解症。据报道横纹肌溶解在长期大量使用他汀类药物的患者中发生率小于0.7 ％控。已知发生横纹肌溶解症的风险最高的（3.1 6例／百万）西伐他汀已经退出市场加。相比之下，常用的他汀类药物发生横纹肌溶解症的风险只是在0-0.1 9例／百万∞。发生横纹肌溶解症的危险与增加他汀类药物血清浓度的因素有关，如体型小、老年、肝或肾功能障碍、糖尿病、甲状腺功能减退以及与他汀类药物代谢相互干扰的药物（如环孢素、抗真菌剂、钙通道阻滞剂、胺碘酮）加。由于这些因素在外科中普遍存在，监测患者围手术期他汀类药物的副作用是可取的，特别是有肌肉疾病或肝肾功能不全者。本例涉及体型小、肾功能不全的老年患者，在急性围手术期应密切监测酸中毒、肌肉疼痛、虚弱以及肌酐激酶水平的升高。

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Jingdong book

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