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Jingdong book

骨科疾病临床诊断与治疗方案

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骨科疾病临床诊断与治疗方案

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《骨科疾病临床诊断与治疗方案》的目的是指导骨科(外科)医师开展临床工作,规范其医疗行为;对常见病、多发病提出工作程序使其很快掌握如何组织和实施骨科的临床诊断与治疗。内容着重于临床实际工作,具体、实用和规范,按书操作就能开展相应的骨科临床工作。
Catalogue

第1章 运动系统创伤
第一节 开放性骨折的诊断与治疗
第二节 多发性骨与关节损伤
第三节 上肢损伤
第四节 肘部损伤
第五节 手部骨折与脱位
第六节 下肢骨折及关节损伤
第七节 骨盆骨折
第八节 骨骺损伤
第九节 周围神经损伤
第十节 断肢(指)再植
第十一节 四肢血管损伤
第十二节 骨筋膜室综合征

第2章 脊柱外科
第一节 脊柱骨折
第二节 脊髓损伤
第三节 颈椎病
第四节 腰椎间盘突出症
第五节 椎管狭窄
第六节 腰椎滑脱症与腰椎不稳症
第七节 DDD退变性椎间盘源性病变
第八节 脊柱侧凸
第九节 脊柱后凸
第十节 脊柱结核
第十一节 脊柱微创外科

第3章 骨关节疾病
第一节 肩关节疾病
第二节 肘关节疾病
第三节 腕关节疾病
第四节 股骨头缺血性坏死
第五节 弹响髋和臀肌筋膜挛缩症
第六节 膝部疾病
第七节 足踝关节疾病
第八节 骨与关节化脓性感染

第4章 骨与软组织肿瘤和瘤样病变
第一节 骨肿瘤概论
第二节 成骨源性肿瘤
第三节 成软骨源性肿瘤
第四节 纤维组织来源的骨肿瘤
第五节 骨髓来源肿瘤
第六节 骨巨细胞瘤
第七节 脊索瘤
第八节 骨转移瘤
第九节 脊柱肿瘤
第十节 骨盆(骶骨)肿瘤
第十一节 滑膜肿瘤
第十二节 软组织肿瘤

第5章 儿童运动系统疾病
第一节 先天性肌性斜颈
第二节 先天性高肩胛症
第三节 发育性髋关节脱位
第四节 先天性髋关节脱位和发育不良
第五节 先天性髋内翻
第六节 先天性胫骨假关节
第七节 先天性马蹄内翻足
第八节 骨骺疾病
第九节 小儿麻痹后遗症
第十节 脑瘫的临床诊断与外科治疗
Book Abstract

三、肱骨近端骨折
肱骨近端骨折多发生于老年女性,常因摔倒时用手撑地,暴力向近端传导致伤,青壮年在车祸等高能量暴力损伤中也可发生,且骨折更严重,往往有其他伴发损伤。根据骨折的部位、骨折块相对于肱骨头的位置以及是否合并肩关节脱位等,可分为一部分骨折、两部分骨折(或骨折脱位)、三部分骨折(或骨折脱位)、四部分骨折(或骨折脱位),肱骨头骨折根据关节面受累情况又可分为劈裂型骨折和压缩型骨折。肩关节创伤系列平片、CT扫描与三维重建有助于骨折的分型。无移位、轻微移位或闭合复位后骨折端稳定的肱骨近端骨折可采用非手术治疗,闭合复位后骨折端不稳定或闭合复位失败者需手术治疗,手术方式有闭合复位经皮穿针内固定、切开复位内固定和肱骨头置换术等,术后(或伤后)规范化的康复治疗和功能锻炼至关重要,甚至比手术本身还更重要。
【诊断步骤】
(一)外伤史与损伤机制
1.最常见的原因是滑倒时用手撑地,暴力沿上肢纵轴向近端传导至肱骨近端致伤。
2.肌肉强烈收缩,如癫痫发作、触电或电休克治疗等,可致大结节骨折,有时可合并肩关节脱位。
(二)临床检查
1.一般情况肩部疼痛、肿胀、活动受限。
2.局部检查①肩部肿胀,可见皮下瘀斑,且在伤后数天更明显,可扩展至侧胸壁。②肱骨近端压痛,有反常活动和骨擦感。③患肢神经血管检查:重点检查腋神经和肌皮神经功能。
3.伴发损伤的检查高能量损伤者注意检查是否有头、颈、胸、同侧上肢或其他部位的损伤。
Introduction

当今,医学的发展日新月异,医学理论不断创新,新理论、新技术不断涌现。随着人们对疾病的认识不断深化,有些疾病的诊断和治疗规范也在不断改变中。为了适应现代医学的快速发展,我们编写了《临床诊断与治疗方案》系列丛书。
《临床诊断与治疗方案》系列丛书的编写采取主编负责制,编者完稿后由分册主编组织相关专家集体讨论定稿,最后由总主编整理。本书的编者是以中山大学附属第一医院各学科的知名专家和业务骨干为核心,编者以各自的临床实践经验和体会为基础,并参阅大量国内外最新文献撰写而成。
本系列丛书共1000多万字,分为21分册,包含心血管内科疾病临床诊断与治疗方案、血液病临床诊断与治疗方案、呼吸内科疾病临床诊断与治疗方案、风湿及内分泌科疾病临床诊断与治疗方案、消化病临床诊断与治疗方案、神经内科疾病临床诊断与治疗方案、肾内科疾病临床诊断与治疗方案、精神科疾病临床诊断与治疗方案、普通外科疾病临床诊断与治疗方案、骨科疾病临床诊断与治疗方案、胸心血管外科疾病临床诊断与治疗方案、泌尿外科疾病临床诊断与治疗方案、神经外科疾病临床诊断与治疗方案、整形外科疾病临床诊断与治疗方案、皮肤病临床诊断与治疗方案、妇产科疾病临床诊断与治疗方案、儿科疾病临床诊断与治疗方案、耳鼻喉科疾病临床诊断与治疗方案、口腔科疾病临床诊断与治疗方案、感染病临床诊断与治疗方案和眼科疾病临床诊断与治疗方案。

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