{{sellerTotalView > 1 ? __("sellers", {number: sellerTotalView}) : __("seller", {number: sellerTotalView}) }}, {{numTotalView > 1 ? __("items", {number: numTotalView}) : __("item", {number: numTotalView}) }}
free FREE

Change Your Zip Code

Inventory information and delivery speeds may vary for different locations.

Location History

{{email ? __('Got it!') : __('Restock Alert')}}

We will notify you by email when the item back in stock.

Cancel
Yami

Jingdong book

临床诊疗指南·消化系统疾病分册

{{buttonTypePin == 3 ? __("Scan to view more PinGo") : __("Scan to start")}}

临床诊疗指南·消化系统疾病分册

{{__(":people-members", {'people': item.limit_people_count})}} {{ itemCurrency }}{{ item.valid_price }} {{ itemCurrency }}{{ item.invalid_price }} {{ itemDiscount }}
Ends in
{{ itemCurrency }}{{ item.valid_price }}
{{ itemCurrency }}{{ priceFormat(item.valid_price / item.bundle_specification) }}/{{ item.unit }}
{{ itemDiscount }}
{{ itemCurrency }}{{ item.valid_price }} {{ itemCurrency }}{{ priceFormat(item.valid_price / item.bundle_specification) }}/{{ item.unit }} {{ itemCurrency }}{{ item.invalid_price }} {{itemDiscount}}
{{ itemCurrency }}{{ item.valid_price }}
Sale ends in
Sale will starts after Sale ends in
{{ getSeckillDesc(item.seckill_data) }}
{{ __( "Pay with Gift Card to get sale price: :itemCurrency:price", { 'itemCurrency' : itemCurrency, 'price' : (item.giftcard_price ? priceFormat(item.giftcard_price) : '0.00') } ) }} ({{ itemCurrency }}{{ priceFormat(item.giftcard_price / item.bundle_specification) }}/{{ item.unit }}) Details
Best before

Currently unavailable.

We don't know when or if this item will be back in stock.

Unavailable in your area.
Sold Out

Details

Full product details
Content Description

本书系国家卫生部委托中华医学会组织全国著名专家集体编写的权威性诊疗指南。全书分为胃肠道胆胰病部分和肝病部分,分别对消化系统各个器官疾病的临床表现、诊断、治疗等各个方面进行了全面的阐述。本书内容科学实用,对规范消化内科的临床工作有很强的指导意义。本书适用于消化内科专科医师和医疗行政管理人员使用。
Catalogue

上篇胃肠道胆胰疾病
第一章消化道出血
第一节上消化道出血
第二节下消化道出血
第二章黄疸
第一节溶血性黄疸
第二节肝细胞性黄疸
第三节胆汁淤积性黄疸
第四节先天性非溶血性黄疸
第三章腹水
第一节漏出性腹水
第二节渗出性腹水
第三节恶性腹水
第四节乳糜性腹水
第四章胃食管反流病
第五章食管裂孔疝
第六章食管贲门失弛缓症
第七章食管、胃化学性灼伤
第八章急性胃炎
第九章慢性胃炎
第十章消化性溃疡
第十一章功能性消化不良
第十二章幽门螺杆菌感染
第十三章胃癌
第十四章原发性胃淋巴瘤
第十五章胃异物
第一节外源性异物
第二节胃石症
第十六章溃疡性结肠炎
第十七章克罗恩病
第十八章肠易激综合征
第十九章特发性假性肠梗阻
第二十章吸收不良综合征
第二十一章肠结核
第二十二章结核性腹膜炎
第二十三章伪膜性肠炎
第二十四章消化道憩室
第二十五章消化道息肉及息肉病
第二十六章胃肠道类癌及类癌综合征
第二十七章胃肠道血管畸形和发育不良
第二十八章急性胰腺炎
第二十九章慢性胰腺炎
第三十章胰腺癌
第三十一章胰岛内分泌细胞瘤
下篇肝脏疾病
第一章肝硬化
第二章肝硬化腹水
第三章自发性细菌性腹膜炎
第四章肝性脑病
第五章肝肾综合征
第六章原发性肝癌
第七章肝脏良性肿瘤
第一节海绵伏血管瘤
第二节肝细胞腺瘤
第三节肝局灶性结节性增生
第八章布加综合征
第九章药物性肝病
第十章酒精性肝病
第一节酒精性脂肪肝
第二节酒精性肝炎
……
Book Abstract

(1)粪便潜血试验简易有效,在无症状的早期消化道肿瘤的诊断中很有价值。
(2)人院时应作血常规、血清丙氨酸氨基转移酶、胆红素、白蛋白/球蛋白、凝血三项检查,配血型及交叉试验备血。
(3)纤维或电子胃镜检查:对消化道出血的诊断既安全又可靠,能及时发现急性浅表性病变。只要患者情况允许,检查时机越早越好,24h内检查诊断率高于24~48h内镜检查者,及早明确诊断亦有利于治疗,有休克者须在纠正休克后进行。为明确上消化道出血的原因,内镜检查要从食管上段至十二指肠降部都全面细致观察,积血的部位和颜色有助于出血部位的判断。活动性出血指病灶有新鲜渗血或滴血,近期出血时可见病灶的基底呈棕褐色,附着血块或血痂,黏膜上有出血斑点,或见到裸露血管。此外,出血性溃疡往往无苔,与贫血时苍白的胃黏膜相比无明显差异,观察时要注意黏膜的完整性和寻找出血灶。
(4)选择性腹腔动脉造影:对出血量大而消化道内镜检查阴性者有帮助。在出血速度超过200ml/h或0.5ml/min以上时,可见血管造影剂有外渗,即可作为术前定位诊断,并可灌注垂体后叶素或经导管栓塞出血血管,以治疗出血。
(5)放射性核素扫描:主要应用99mTc标记红细胞进行腹部显像。消化道出血时,标记红细胞可以从出血病灶的破损血管渗出,此时在相应部位就可见到异常放射性聚集。方法简单,且无损伤性。
(6)其他:小肠出血如肿瘤、炎症等病变,可用胶囊内镜;止血后做小肠钡灌或小肠镜检查确定病变的性质。
【治疗】
1.一般护理:去枕平卧或低枕平卧,大出血时可吸氧,呕血量大时注意避免血块阻塞呼吸道。
2.补充血容量,纠正出血性休克,可用平衡盐液、血浆代用品和全血,避免单纯依靠应用升压药来维持血压。输血指征:①血红蛋白<70g/L;②收缩压低于12kPa(90mmHg);③脉搏120次/min以上。对老年患者要适当放宽,有高血压者要根据基础血压灵活掌握,并应密切观察血压、脉搏、心率、末梢循环的情况及尿量等,直到休克得到纠正。
3.饮食:食管胃底静脉曲张出血患者应禁食2~3d,消化性溃疡病患者呕血停止后,宜进食偏凉流汁,并逐渐改为半流质或软食。
4.口服止血药局部止血
(1)凝血酶:500~1000u溶于生理盐水或凉牛奶50~100ml口服,每6h1次。凝血酶能直接作用于纤维蛋白原,变为不溶性纤维蛋白而促进血液凝固。
(2)孟氏液:10%~20%孟氏液每次30~40ml,口服或经胃管注入,服后立即用4%碳酸氢钠溶液嗽口,保护口腔黏膜,患者可出现强烈恶心、呕吐及腹痛,剂量不宜过大,目前已较少采用。
5.全身止血药物应用及控制胃液酸度
(1)H2受体阻滞剂:①西咪替丁400mg静滴,8~12h1次,病情好转后改口.服。对老年人,肝肾功能不全者应注意其副作用;②雷尼替丁100mg静滴,12h1次;③法莫替丁20mg静滴,12h1次,3~5d改口服。
……

Specifications

Brand Jingdong book
Brand Origin China

Disclaimer

Product packaging, specifications and price are subject to change without notice. All information about the products on our website is provided for information purposes only. Please always read labels, warnings and directions provided with the product before use.

View Full Terms of Use
Add to favorites
{{ $isZh ? coupon.coupon_name_sub : coupon.coupon_ename_sub | formatCurrency }}
{{__("Buy Directly")}} {{ itemCurrency }}{{ item.directly_price }}
Quantity
{{ quantity }}
{{ instockMsg }}
{{ limitText }}
{{buttonTypePin == 3 ? __("Scan to view more PinGo") : __("Scan to start")}}
Sold by JD@CHINA
Ship to
{{ __("Ship to United States only") }}
Free shipping over 69
Genuine guarantee

Added to Cart

Keep Shopping

More to Consider

{{ item.brand_name }}

{{ item.item_name }}

{{ item.currency }}{{ item.market_price }}

{{ item.currency }}{{ item.unit_price }}

{{ item.currency }}{{ item.unit_price }}

Coupons

{{ coupon.coupon_name_new | formatCurrency }}
Clip Clipped Over
{{ getCouponDescStr(coupon) }}
{{ coupon.use_time_desc }}
Expires soon {{ formatTime(coupon.use_end_time) }}

Share this item with friends

Cancel

Yami Gift Card

Get this exclusive deal when paying with gift card

Terms and Conditions

Gift card deals are special offers for selected products;

The gift card deals will automatically be activated if a customer uses gift card balance at check out and the balance is sufficient to pay for the total price of the shopping cart products with gift card deals;

You will not be able to activate the gift card deals if you choose other payment methods besides gift card. The products will be purchased at their normal prices;

If your account balance is not enough to pay for the products with gift card deals, you can choose to reload your gift card balance by clicking on the Reload button at either shopping cart page or check out page;

Products that have gift card deals can be recognized by a special symbol showing 'GC Deal';

For any additional questions or concerns, please contact our customer service;

Yamibuy reserves the right of final interpretation.

Sold by Yami

Service Guarantee

Yami Free Shipping over $49
Yami Easy Returns
Yami Ships from United States

Shipping

  • United States

    Standard Shipping is $5.99 (Excluding Alaska & Hawaii). Free on orders of $49 or more.

    Local Express is $5.99 (Available in Parts of CA, NJ, MA & PA). Free on orders of $49 or more.

    2-Day Express (Includes Alaska & Hawaii) starts at $19.99.

Return Policy

Yami is committed to provide our customers with a peace of mind when purchasing from us. Most items shipped from Yamibuy.com can be returned within 30 days of receipt of shipment (For Food, Beverages, Snacks, Dry Goods, Health supplements, Fresh Grocery and Perishables Goods, within 7 days of receipt of shipment due to damages or quality issues; To ensure that every customer receives safe and high-quality products, we do not provide refunds or returns for beauty products once they have been opened or used, except in the case of quality issues; Some products may have different policies or requirements associated with them, please see below for products under special categories, or contact Yami Customer Service for further assistance).
Thank you for your understanding and support.

Learn More

Sold by Yami

Terms and Conditions of Yami E-Gift Card

If you choose “Redeem automatically” as your delivery method, your gift card balance will be reload automatically after your order has been processed successfully;

If you choose “Send to Email”as your delivery method, the card number and CVV will be sent to the email address automatically;

Any user can use the card number and CVV to redeem the gift card, please keep your gift card information safely. If you have any trouble receiving email, please contact Yami customer service;

Yami gift card can be used to purchase both Yami owned or Marketplace products;

Yami gift card will never expire;

Yami gift card balance does not have to be used up at once;

All rights reserved by Yami.

Return Policy

Gift card that has already been consumed is non-refundable.

Sold by JD@CHINA

Service Guarantee

Yami Free Shipping over $49
Yami Easy Returns
Yami Ships from United States

Shipping

  • United States

    Standard Shipping is $5.99 (Excluding Alaska & Hawaii). Free on orders of $49 or more.

    Local Express is $5.99 (Available in Parts of CA, NJ, MA & PA). Free on orders of $49 or more.

    2-Day Express (Includes Alaska & Hawaii) starts at $19.99.

Return Policy

You may return product within 30 days upon receiving the product. Items returned must be new in it's original packing, including the original invoice for the purchase. Customer return product at their own expense.

Sold by JD@CHINA

Service Guarantee

Yami Cross-store Free Shipping over $69
Yami 30-days Return

Yami-China FC

Yami has a consolidation warehouse in China which collects multiple sellers’ packages and combines to one order. Our Yami consolidation warehouse will directly ship the packages to your door. Cross-store free shipping over $69.

Return Policy

You may return products within 30 days upon receiving the products. Sellers take responsibilities for any wrong shipment or missing items. Packing needs to be unopened for any other than quality issues return. We promise to pack carefully, but because goods are taking long journey to destinations, simple damages to packaging may occur. Any damages not causing internal goods quality problems are not allowed to return. If you open the package and any quality problem is found, please contact customer service within three days after receipt of goods.

Shipping Information

Yami Consolidation Service Shipping Fee $9.99(Free shipping over $69)

Sellers in China will ship their orders within 1-2 business days once the order is placed. Packages are sent to our consolidation warehouse in China and combined there. Our Yami consolidation warehouse will directly ship the packages to you via UPS. The average time for UPS to ship from China to the United States is about 10 working days and it can be traced using the tracking number. Due to the pandemic, the delivery time may be delayed by about 5 days. The package needs to be signed by the guest. If the receipt is not signed, the customer shall bear the risk of loss of the package.

Sold by JD@CHINA

Service Guarantee

Free shipping over 69
Genuine guarantee

Shipping

Yami Consolidated Shipping $9.99(Free shipping over $69)


Seller will ship the orders within 1-2 business days. The logistics time limit is expected to be 7-15 working days. In case of customs clearance, the delivery time will be extended by 3-7 days. The final receipt date is subject to the information of the postal company.

Yami Points information

All items are excluding from any promotion or points events on Yamibuy.com

Return Policy

You may return product within 30 days upon receiving the product. Items returned must be new in it's original packing, including the original invoice for the purchase. Customer return product at their own expense.

Yami

Download the Yami App

Back Top

Recommended for You

About the brand

Jingdong book

为您推荐

Yami
欣葉
2种选择
欣叶 御大福 芋头麻薯 180g

周销量 600+

$1.66 $1.99 83折
Yami
欣葉
2种选择
欣叶 御大福 芋头麻薯 180g

周销量 600+

$1.66 $1.99 83折
Yami
欣葉
2种选择
欣叶 御大福 芋头麻薯 180g

周销量 600+

$1.66 $1.99 83折
Yami
欣葉
2种选择
欣叶 御大福 芋头麻薯 180g

周销量 600+

$1.66 $1.99 83折
Yami
欣葉
2种选择
欣叶 御大福 芋头麻薯 180g

周销量 600+

$1.66 $1.99 83折
Yami
欣葉
2种选择
欣叶 御大福 芋头麻薯 180g

周销量 600+

$1.66 $1.99 83折

Reviews{{'('+ commentList.posts_count + ')'}}

Have your say. Be the first to help other guests.

Write a review
{{ totalRating }} Write a review
  • {{i}} star

    {{i}} stars

    {{ parseInt(commentRatingList[i]) }}%

Yami Yami
{{ comment.user_name }}

{{ showTranslate(comment) }}Show Less

{{ strLimit(comment,800) }}Show more

Show Original

{{ comment.content }}

Yami
Show All

{{ formatTime(comment.in_dtm) }} VERIFIED PURCHASE {{groupData}}

{{ comment.likes_count }} {{ comment.likes_count }} {{ comment.reply_count }} {{comment.in_user==uid ? __('Delete') : __('Report')}}
Yami Yami
{{ comment.user_name }}

{{ showTranslate(comment) }}Show Less

{{ strLimit(comment,800) }}Show more

Show Original

{{ comment.content }}

Yami
Show All

{{ formatTime(comment.in_dtm) }} VERIFIED PURCHASE {{groupData}}

{{ comment.likes_count }} {{ comment.likes_count }} {{ comment.reply_count }} {{comment.in_user==uid ? __('Delete') : __('Report')}}

No related comment~

Review

Yami Yami

{{ showTranslate(commentDetails) }}Show Less

{{ strLimit(commentDetails,800) }}Show more

Show Original

{{ commentDetails.content }}

Yami
Show All

{{ formatTime(commentDetails.in_dtm) }} VERIFIED PURCHASE {{groupData}}

{{ commentDetails.likes_count }} {{ commentDetails.likes_count }} {{ commentDetails.reply_count }} {{commentDetails.in_user==uid ? __('Delete') : __('Report')}}

Please write at least one word

Comments{{'(' + replyList.length + ')'}}

Yami Yami

{{ showTranslate(reply) }}Show Less

{{ strLimit(reply,800) }}Show more

Show Original

{{ reply.reply_content }}

{{ formatTime(reply.reply_in_dtm) }}

{{ reply.reply_likes_count }} {{ reply.reply_likes_count }} {{ reply.reply_reply_count }} {{reply.reply_in_user==uid ? __('Delete') : __('Report')}}

Please write at least one word

Cancel

That’s all the comments so far!

Write a review
How would you rate this item?

Please add your comment.

  • A nice nickname will make your comments more popular!
  • The nickname in your account will be changed to the same as here.
Thanks for your review
Our community rely on great reviews like yours to find the best of Asia.

Report

If you find this content inappropriate and think it should be removed from the Yami.com site, let us know please.

Cancel

Are you sure to delete your review?

Cancel

You’ve Recently Viewed

About the brand

Jingdong book