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Jingdong book

内科住院医师手册

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Books Medical Science Internal Medicine

Jingdong book

内科住院医师手册

Name: 内科住院医师手册
Brand: Jingdong book
SKU: 3117109921
Price: 41.49 USD
Availability: OutOfStock

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《新编临床医师丛书：内科住院医师手册》的编写人员均来自常年工作在临床一线的资深医师，编入的每种疾病、每项内容均凝聚了编者多年的临床经验。书中涉及内科领域的各个分支，从住院医师培训要求出发，突出了各个专科的常见病、疑难病的重点内容。在编写过程中，编者注重了临床经验的介绍，特别列出了每种疾病在临床工作中的难点和要点，故临床实用性是《新编临床医师丛书：内科住院医师手册》的重要特点。
《新编临床医师丛书：内科住院医师手册》特点：面对青年医师，强化临床实用；临床医师实际工作必备参考书；新增“临床经验”栏目，强调临床经验的重要性；有锦囊妙计之功，画龙点睛之妙。

Content Description

与医学教科书不同，马迎民、刘又宁主编的《内科住院医师手册》力求言筒意赅，在疾病的介绍上采用条目的书写方式，以较少的文字概括疾病的特点和难点，把教科书的相关内容进行系统的、提纲挈领的归纳总结，使知识条理化。在住院医师的培训中，临床分析能力尤其重要，本手册加入了临床经验栏目，编者在每部分内容中都加入了自已在临床实践中的心得和体会，以增强实用性。本手册的主要读者对象是内科及相关科室的住院医师、进修医师、本科高年级医学生。从事医务工作的其他人员，也会发现本手册通俗实用，覆盖了内科临床的常见问题。我们将不断修订和充实本手册的内容，使之更为连贯、简明、准确和实用。

Catalogue

第一篇内科常用诊疗技术
第二篇内科常见症状的鉴别
第三篇内科急症
第四篇内科常见病

Book Abstract

【治疗方案】
1.一般治疗：无症状者应增加适当的体力活动与休息，限制钠盐的摄入量及呼吸道感染的预防和治疗。有风湿活动的患者长期甚至终身应用青霉素抗链球菌，预防风湿热复发及感染性心内膜炎；硝酸酯类可缓解心绞痛症状。
2.药物治疗：出现呼吸困难等症状者，宜口服利尿药并限制钠盐摄入；右心衰竭明显或出现快速心房颤动时，用洋地黄类制剂可缓解症状，控制心室率。
3.手术治疗：无明显症状的心功能Ⅰ级患者不需手术治疗。心功能Ⅱ、Ⅲ级患者应行手术治疗。心功能Ⅳ级者应行强心、利尿等治疗，待心功能改善后再行手术。伴有心房纤颤、肺动脉高压、体循环栓塞及功能性三尖瓣关闭不全者亦应手术。但手术危险性增大。有风湿活动或细菌性心内膜炎者应在风湿活动及心内膜炎完全控制后6个月再行手术。
【临床经验】
1.病情观察与诊断方面：
（1）病史：患者有急性风湿热史，或有反复链球菌扁桃体炎或咽峡炎史。
（2）体格检查：注意有无心脏普遍增大，双肺底可出现细湿哕音等心衰体征，心包摩擦音，关节红、肿胀，活动受限；少数患者在躯干或四肢的内侧皮肤可见淡红色环形红斑。
（3）辅助检查：抗O抗体可判断是否有风湿活动，心脏超声可协助诊断。
2.治疗方面：减轻心脏负荷，防治感染及风湿；积极治疗心衰、心绞痛；适宜手术者尽早手术治疗；对症支持治疗。
3.医患沟通方面：
（1）医护人员应告知患者积极预防风湿活动，避免瓣膜病变加重。
（2）对风湿活动期的患者，应卧床休息，待发热、关节痛等症状基本消失，血液化验正常后逐渐增加日常工作活动。
……

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Jingdong book

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