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Jingdong book

国内名院、名科、知名专家临床诊疗思维系列丛书·儿内科疾病临床诊疗思维

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国内名院、名科、知名专家临床诊疗思维系列丛书·儿内科疾病临床诊疗思维

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《儿内科疾病临床诊疗思维》由国内知名的权威专家编写。以临床病例为基础,通过展现作者从接诊病人到患者出院全过程的诊疗思维,启发和引导读者建立起科学缜密的临床思维。
《儿内科疾病临床诊疗思维》汇聚了首都医科大学附属北京儿童医院儿内科各专业经验丰富的医师,将自己亲自诊疗的病例作为案例,展现了诊断和处理方案制订的整个思维分析过程。认真阅读该书,学习专家们如何将理论应用于临床实践,对医学生和年轻医师的成长将大有裨益。
《儿内科疾病临床诊疗思维》适用于临床医学专业五年制、七年制、八年制高年级医学生,专业学位研究生及住院医师。
Author Description

申昆玲,女,医学博士,儿科学教授,主任医师,博士生导师。现为首都医科大学附属北京儿童医院副院长,首都医科大学儿科医学院副院长。自1982年起,从事小儿内科临床、教学和科研工作(尤其是儿科呼吸及病毒感染性疾病研究方面有一定造诣)。承担国家863计划、国家科技支撑计划、科技部国家科技攻关计划、北京市自然基金及国际交流合作项目等多项科研课题;目前担任中华医学会儿科学会副主任委员,卫生部卫生专业技术资格考试专家委员会委员,并在中华医学会儿科分会感染组、北京医师协会儿科专业专家委员会、中国医师协会、中国女医师协会、北京优生优育协会等社会团体中兼职;在中华儿科杂志,中国现代儿科杂志、国外医学儿科分册、国际儿科学杂志、中国医学杂志英文版、儿童急救临床杂志英文版、临床儿科杂志英文版等十余种儿科专业杂志中任副主编或编委。作为研究生导师,共培养硕士研究生29名、博士研究生1611。多年来,在各类期刊杂志发表专业论文129篇,参与编写诸福棠《实用儿科学》、《当代实用儿科学》、《当代医学新理论与新技术丛书》 等医学专著和医学院校五年制、七年制国家级规划教材:在十一五国家级规划教材《儿科学》(高教出版社、北京大学出版社)及全国高等学校医学研究生规划教材《儿科学》中任主编,全国专科医师培训规划教材《小儿内科学》中任主编,主译的Pediatrics儿科学双语教材获2006年北京市精品教材。
Catalogue

第一章 营养障碍性疾病
病例1 进行性肥胖1年伴头晕、头痛、胸闷1个月
病例2 间断抽搐10天

第二章 新生儿疾病
病例3 生后易惊36小时,呼吸急促24小时
病例4 生后气促、青紫1天
病例5 呻吟14小时,口唇青紫进行性加重10小时
病例6 发热2天
病例7 发热2天,抽搐1天
病例8 口吐沫、呛奶4天,伴皮肤黄染加重1天
病例9 皮肤黄疸26小时
病例10 呕血、便血12小时
病例11 呕吐伴腹泻4天

第三章 遗传代谢疾病
病例12 生长发育迟缓7个月
病例13 自幼身材矮小
病例14 阴茎小,无青春期发育
病例15 间断抽搐、皮肤毛发色淡1年半
病例16 动作笨拙2年余,说话不清1年
病例17 自幼生长缓慢
病例18 生长迟缓3年

第四章 免疫缺陷病
病例19 发热、咳嗽21天,伴抽搐1次
病例20 发现左锁骨上、左腋下肿块3周,发热2周
病例21 发热伴腹泻22天
病例22 间断发热、咳嗽2年,消瘦伴间断腹泻9个月
病例23 反复腹泻,伴进行性消瘦3月余

第五章 风湿性疾病
病例24 尿色加深半年,乏力4天
病例25 周身乏力、面色苍白2个月,双眼睑水肿10天
病例26 发热20天,伴手足关节肿胀、疼痛
病例27 反复左膝关节肿痛1年
病例28 双下肢皮疹4天
病例29 间断发热,双膝关节肿痛1年5个月
病例30 间断咳嗽2个月,四肢无力1个月
病例31 间断多关节肿痛2个月

第六章 感染性疾病
病例32 发热咳嗽5天,皮疹2天
病例33 发热5天伴咽痛
病例34 发现皮肤黄染2月余
病例35 发热1个月
病例36 发热1个月,伴头痛、呕吐半个月,咳嗽3天
病例37 发热40天
病例38 发热19天
病例39 发热16天,嗜睡2天,抽搐1次

第七章 消化系统疾病
病例40 反复咳嗽2年余,加重20天
病例41 腹痛6小时伴血便3次
病例42 发热3天,腹泻2天
病例43 黄疸4个月余
病例44 腹泻7个月
病例45 间断腹痛、腹泻10个月

第八章 呼吸系统疾病
病例46 咳嗽、声音嘶哑并伴喘息1天
病例47 咳喘3天
病例48 发热咳喘7天,加重伴呼吸困难2天
病例49 间断发热咳嗽12天,气促2天
病例50 发热、咳嗽10天
病例51 咳嗽、发热7天
病例52 发热、咳嗽1周
病例53 间断发作性喘息、气促6个月,加重1天
病例54 入睡打鼾2年
……
第九章 循环系统疾病
第十章 泌尿系统疾病
第十一章 造血系统疾病
第十二章 神经肌肉系统疾病
第十三章 内分泌疾病
第十四章 小儿常见危重症
Book Abstract

第一章 营养障碍性疾病
病例1 进行性肥胖1年伴头晕、头痛、胸闷1个月
患儿,男,14岁,于2007年6月15日入院。
一、接诊时家长主诉
进行性肥胖1年伴头晕、头痛、胸闷1个月。
二、病史询问
对于一个肥胖儿童首先要考虑是单纯性肥胖还是病理性肥胖。单纯性肥胖是由于能量摄入长期超过人体的消耗,使体内脂肪过度积聚,体重超过了一定范围的一种慢性营养障碍性疾病。病理性肥胖是继发于其他疾病的肥胖,常见于其他内分泌、遗传代谢疾病,如皮质醇增多症、原发性甲状腺功能减退症及伴有肥胖的遗传综合征等。患儿头晕、头痛需注意有无儿童高血压。高血压也要考虑是原发性还是继发性的。原发性高血压病因未明,与遗传、肥胖、膳食、情绪等因素有关。家族成员中常有患肥胖、高血压、冠心病、脑卒中、糖尿病、肾脏疾病等。继发性高血压病因多为肾脏疾病、血管病变、内分泌疾病、颅脑病变、中毒及药物等。
(一)进一步询问内容及目的
1.病程长短病理性的肥胖一般较快发生,单纯性病史长,起病缓慢。
2.家族史父母双方是否肥胖。因肥胖有家族发病倾向,有研究指出父母双方肥胖者,子女发生肥胖的几率大约有70%~80%;父或母单方肥胖者,子女发生肥胖的几率大约有40%~50%。故需询问有无高血压、冠心病、脑卒中、糖尿病、肾脏疾病等疾病家族史。
3.饮食习惯家庭饮食是否以高脂饮食、肉食为主,有无食量大、喜食肉类、甜食、饮料和油炸食品。摄入过多高糖、高热量食物,或进食过快等都是导致肥胖的原因。
4.生活方式是否不爱运动,长时间学习、看电视和玩电脑游戏。体力活动少,久坐不活动的不健康的生活方式是肥胖发生的另一重要因素。
5.有无生长减慢、智力低下、长期服用皮质激素史。以鉴别继发于其他疾病的病理性肥胖。
……

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