上海疑难肝病倶乐部病例精选与临床思维

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上海疑难肝病倶乐部病例精选与临床思维

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上海疑难肝病倶乐部病例精选与临床思维

上海疑难肝病倶乐部病例精选与临床思维

$62.04

编辑推荐

本书不仅详细展现了案例的诊治经过,而且凝练出关键的临床问题,补充了罕见病的背景知识,提供了的循证医学证据,并由相关领域的专家结合国内外文献进行深入点评,方便读者进一步学习。病例中展现的缜密逻辑和专家们的经验智慧,对青年医师提升临床思维和拓展视野具有重要的价值。

 内容简介
Product Details

编辑推荐

本书不仅详细展现了案例的诊治经过,而且凝练出关键的临床问题,补充了罕见病的背景知识,提供了的循证医学证据,并由相关领域的专家结合国内外文献进行深入点评,方便读者进一步学习。病例中展现的缜密逻辑和专家们的经验智慧,对青年医师提升临床思维和拓展视野具有重要的价值。

 
内容简介

本书收集了2019—2021年海疑难肝病俱乐部菁英论坛的29个精彩案例,由海疑难肝病俱乐部专家委员会评议,并按照感染、自身免疫、遗传代谢、肿瘤、血管等病因进行分类。书中收录了许多临床非常罕见的疾病,如肝移植后新发IgG4相关自身免疫性肝炎、多种酰基辅酶A脱氢酶缺乏症、巴尔通体肝脓肿、肝脏黑色素瘤、肝淀粉样变性、肝豆状核变性相关肝衰竭、POEMS综合征等。通过编者细致的病史整理,展现了诊治过程中柳暗花明、峰回路转的曲折经历,也体现了严谨的临床分析推理和先进的诊疗技术手段。

作者简介

马雄,医学博士,博士生导师,主任医师,国家杰出青年科学基金获得者,上海交通大学特聘教授,入选国家百千万人才工程。擅长慢性肝胆疾病特别是自身免疫性肝病、脂肪性肝病等疑难肝病的诊治。现任上海交通大学医学院附属仁济医院消化内科副主任、上海市消化疾病研究所副所长,兼任国际自身免疫性肝炎工作小组(IAIHG)委员、全球PBC研究小组成员、中华医学会肝病学分会委员、中华医学会消化分会肝胆协作组成员、上海市肝病学会委员。国内外杂志上已发表论文60余篇,SCI收录50余篇。共同主编专著《自身免疫性肝病基础与临床》、《难治性消化系疾病》、《消化病特色诊疗技术》等。现为Journal of Hepatology、Journal of Autoimmunity、ournal of Digestive Disease、中华肝脏病杂志、国际消化病学杂志、胃肠病学、肝脏和上海交通大学医学院学报等杂志编委。作为负责人承担国家自然基金面上项目4项,上海市“浦江人才计划”一项,领衔上海市J委《非病毒性肝病免疫学研究创新团队》,入选上海市优秀学科带头人计划。2013年获得国家杰出青年科学基金资助,2014年入选上海市领军人才计划。

 

目  录
章 感染性疾病
1.高热、胸痛7个月余,肝内终现端倪3
2.不明原因发热伴腹痛:巴尔通体肝脓肿11
3.疑似肝内胆管癌的肝梅毒树胶样肿16
第二章 自身免疫性疾病
4.“似瘤非瘤”的硬化性胆管炎25
5.不明原因肝硬化:AIH还是NASH 35
6.自身免疫性肝炎合并新型冠状病毒感染 44
7.不明原因肝衰竭:自身免疫性肝炎还是肝豆状核变性 52
8.肝移植术后新发自身免疫性肝炎57
9.发热伴淋巴结肿大、肝酶异常64
第三章 遗传代谢性疾病
10.青少年重度脂肪肝、肌无力:多种酰基辅酶A脱氢酶缺乏症75
11.NOTCH2基因突变相关的Alagille综合征84
前  言
上海疑难肝病俱乐部(CCLD)的成立为疑难肝病的诊疗提供了宝贵的资源和平台。经过多年的积淀,在众多杏林翘楚的不懈努力下,这个俱乐部汇聚了临床、病理、影像、介入等不同学科的专家学者,使得俱乐部生机盎然、蓬勃发展。
定期举办的疑难病例讨论会是CCLD的一个亮点。不同领域的专家凭借科学的眼光和丰富的经验,分析和探讨着每一个疑难病例。这些讨论不仅仅关注个体疾病的诊断和治疗,更是深入探讨了疾病的机制、病因、诊治难点等深层问题。在多学科的综合诊治下,很多疑难罕见病例都得到了明确的诊断和治疗方案。
《上海疑难肝病俱乐部病例精选与临床思维》一书是CCLD的又一力作。这本书积累了大量实用而有益的病例分析,涵盖了较为常见但难以处理的肝病,以及发病率极低、临床对之认识不足的罕见病例。这些病例的梳理展现了笔者扎实的理论基础和缜密的临床思维。例如,对不明原因肝硬化病例,作者们讨论了肝组织活检与免疫学标志物联合应用在鉴别自身免疫性肝炎与脂肪性肝炎中的价值;对慢加急性肝衰竭病例,讨论了血液净化治疗方案的优化与调整;对不明原因的发热病例,讨论了病原微生物宏基因组分析的价值;对儿童和青少年肝损伤病例,讨论了基因检测的应用与结果判读等问题。而专家们的精彩点评不仅丰富了诊断与治疗的思路,也扩展了疾病的内涵,起到为读者指点迷津、开阔读者思路的作用。
在线试读

Shipping Overview: 

Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom, Germany and Japan to the United States charges 14.99. 

Order Processing: Please allow 1-2 business days for order processing and preparation before shipment. 

Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days. 

International Shipping: Currently, we only ship within the USA. 

Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.

Shipping Delays: 

Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.

Shipping Options:

  • Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.

  • Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.

  • Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.

  • Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.

Delivery Details:

  • Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.

  • Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.

  • Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.

Shipping Confirmation:

You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.

Order Modifications:

If you need to cancel or modify your order, please contact our customer support immediately.

Issues with Delivery:

If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.

Customer Support:

Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.

Return & Refund Policy Overview

Please review our return and refund policies below to ensure a smooth transaction process.

Return Policy

  • Duration: You have 30 days from receiving your item to initiate a return.

  • Condition: Items must be unworn, unwashed, with original tags and packaging intact.

  • Shipping Costs: Customers are responsible for return shipping costs.

  • Packaging: Ensure returned items are well-packaged to avoid damage during transit.

  • Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.

  • Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.

How to Return

  • Method: Returns must be sent back by mail to the address provided in the return instructions.

Return Label

  • Defective Products: Return labels are provided for defective items.

  • Non-Defective Returns: Customers are responsible for obtaining their return shipping label.

Product Conditions for Return

  • Eligible Products: Returns are only accepted for items in new condition.

Nonreturnable Items

Certain items are not eligible for return:

  • Electronic devices after 30 days (e.g., computers, laptops, Kindles)

  • Gift cards, prepaid game cards

  • Perishable goods, live insects, some jewelry, some health and personal care items

  • Customized or personalized products

  • Items with special shipping restrictions

Refund Policy

  • Window: Eligible products may be returned within 30 days of delivery for a refund.

  • Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.

  • Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.

Claims

Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.

Exchange Policy

For the quickest service, return your original item and place a new order for the desired product once your return is accepted.

Return Address

EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366

Customer Support

Available 24/7 for any questions or assistance needed:

  • Phone: +1 636-312-5925

  • Email: cs@everymarket.com

 

编辑推荐

本书不仅详细展现了案例的诊治经过,而且凝练出关键的临床问题,补充了罕见病的背景知识,提供了的循证医学证据,并由相关领域的专家结合国内外文献进行深入点评,方便读者进一步学习。病例中展现的缜密逻辑和专家们的经验智慧,对青年医师提升临床思维和拓展视野具有重要的价值。

 
内容简介

本书收集了2019—2021年海疑难肝病俱乐部菁英论坛的29个精彩案例,由海疑难肝病俱乐部专家委员会评议,并按照感染、自身免疫、遗传代谢、肿瘤、血管等病因进行分类。书中收录了许多临床非常罕见的疾病,如肝移植后新发IgG4相关自身免疫性肝炎、多种酰基辅酶A脱氢酶缺乏症、巴尔通体肝脓肿、肝脏黑色素瘤、肝淀粉样变性、肝豆状核变性相关肝衰竭、POEMS综合征等。通过编者细致的病史整理,展现了诊治过程中柳暗花明、峰回路转的曲折经历,也体现了严谨的临床分析推理和先进的诊疗技术手段。

作者简介

马雄,医学博士,博士生导师,主任医师,国家杰出青年科学基金获得者,上海交通大学特聘教授,入选国家百千万人才工程。擅长慢性肝胆疾病特别是自身免疫性肝病、脂肪性肝病等疑难肝病的诊治。现任上海交通大学医学院附属仁济医院消化内科副主任、上海市消化疾病研究所副所长,兼任国际自身免疫性肝炎工作小组(IAIHG)委员、全球PBC研究小组成员、中华医学会肝病学分会委员、中华医学会消化分会肝胆协作组成员、上海市肝病学会委员。国内外杂志上已发表论文60余篇,SCI收录50余篇。共同主编专著《自身免疫性肝病基础与临床》、《难治性消化系疾病》、《消化病特色诊疗技术》等。现为Journal of Hepatology、Journal of Autoimmunity、ournal of Digestive Disease、中华肝脏病杂志、国际消化病学杂志、胃肠病学、肝脏和上海交通大学医学院学报等杂志编委。作为负责人承担国家自然基金面上项目4项,上海市“浦江人才计划”一项,领衔上海市J委《非病毒性肝病免疫学研究创新团队》,入选上海市优秀学科带头人计划。2013年获得国家杰出青年科学基金资助,2014年入选上海市领军人才计划。

 

目  录
章 感染性疾病
1.高热、胸痛7个月余,肝内终现端倪3
2.不明原因发热伴腹痛:巴尔通体肝脓肿11
3.疑似肝内胆管癌的肝梅毒树胶样肿16
第二章 自身免疫性疾病
4.“似瘤非瘤”的硬化性胆管炎25
5.不明原因肝硬化:AIH还是NASH 35
6.自身免疫性肝炎合并新型冠状病毒感染 44
7.不明原因肝衰竭:自身免疫性肝炎还是肝豆状核变性 52
8.肝移植术后新发自身免疫性肝炎57
9.发热伴淋巴结肿大、肝酶异常64
第三章 遗传代谢性疾病
10.青少年重度脂肪肝、肌无力:多种酰基辅酶A脱氢酶缺乏症75
11.NOTCH2基因突变相关的Alagille综合征84
前  言
上海疑难肝病俱乐部(CCLD)的成立为疑难肝病的诊疗提供了宝贵的资源和平台。经过多年的积淀,在众多杏林翘楚的不懈努力下,这个俱乐部汇聚了临床、病理、影像、介入等不同学科的专家学者,使得俱乐部生机盎然、蓬勃发展。
定期举办的疑难病例讨论会是CCLD的一个亮点。不同领域的专家凭借科学的眼光和丰富的经验,分析和探讨着每一个疑难病例。这些讨论不仅仅关注个体疾病的诊断和治疗,更是深入探讨了疾病的机制、病因、诊治难点等深层问题。在多学科的综合诊治下,很多疑难罕见病例都得到了明确的诊断和治疗方案。
《上海疑难肝病俱乐部病例精选与临床思维》一书是CCLD的又一力作。这本书积累了大量实用而有益的病例分析,涵盖了较为常见但难以处理的肝病,以及发病率极低、临床对之认识不足的罕见病例。这些病例的梳理展现了笔者扎实的理论基础和缜密的临床思维。例如,对不明原因肝硬化病例,作者们讨论了肝组织活检与免疫学标志物联合应用在鉴别自身免疫性肝炎与脂肪性肝炎中的价值;对慢加急性肝衰竭病例,讨论了血液净化治疗方案的优化与调整;对不明原因的发热病例,讨论了病原微生物宏基因组分析的价值;对儿童和青少年肝损伤病例,讨论了基因检测的应用与结果判读等问题。而专家们的精彩点评不仅丰富了诊断与治疗的思路,也扩展了疾病的内涵,起到为读者指点迷津、开阔读者思路的作用。
在线试读

Shipping Overview: 

Shipping: Standard Domestic Shipping within the United States charges USD 4.99. Standard International Shipping from United Kingdom, Germany and Japan to the United States charges 14.99. 

Order Processing: Please allow 1-2 business days for order processing and preparation before shipment. 

Domestic Shipping: Orders within the U.S. are shipped via USPS or FedEx, depending on the origin of the product. The average transit time is 3-7 business days. 

International Shipping: Currently, we only ship within the USA. 

Tracking Information: Every order is trackable. You will receive a tracking number once your order has been shipped. Products may be shipped from various global fulfillment centers.

Shipping Delays: 

Please note that shipping times may vary due to factors beyond our control, such as weather conditions, natural disasters, or peak holiday periods. While we strive to ensure timely delivery, the exact arrival time cannot be guaranteed and is managed by the shipping carrier.

Shipping Options:

  • Standard Delivery: Most orders are shipped within 3-7 business days. Larger items may utilize LTL shipping for safe handling.

  • Handling Time: We handle shipments on business days (Monday - Friday), with a preparation time of 1-2 days.

  • Additional Charges: Some items require additional shipping charges due to their size, weight, or special handling. These charges are specified on the product pages and are not eligible for shipping discounts.

  • Exclusions: Gift cards, packaging, taxes, and prior purchases do not count toward the minimum purchase requirement for free shipping. This offer is valid only for shipments to U.S. addresses, including Puerto Rico.

Delivery Details:

  • Estimates: Standard shipping within the US typically takes 3-7 business days. These are estimates and not guarantees.

  • Shipping Restrictions: We ship to all 50 states, Washington, DC, U.S. territories, and APO/FPO/DPO addresses. Shipping options vary based on the delivery address.

  • Remote Areas: Shipments to remote areas may incur additional charges or require pickup from a nearby shipping partner’s location.

Shipping Confirmation:

You will receive a shipping confirmation email with a tracking number as soon as your order is dispatched. If you do not receive this email immediately, please be assured that your items will arrive within the estimated delivery window provided at checkout.

Order Modifications:

If you need to cancel or modify your order, please contact our customer support immediately.

Issues with Delivery:

If your order shows as delivered but you have not received it, please contact the shipping carrier directly to resolve the issue. For persistent problems, contact our customer service at cs@everymarket.com.

Customer Support:

Our team is available 24/7 to assist you with any questions or concerns regarding your order. We are committed to ensuring a smooth shopping experience.

Return & Refund Policy Overview

Please review our return and refund policies below to ensure a smooth transaction process.

Return Policy

  • Duration: You have 30 days from receiving your item to initiate a return.

  • Condition: Items must be unworn, unwashed, with original tags and packaging intact.

  • Shipping Costs: Customers are responsible for return shipping costs.

  • Packaging: Ensure returned items are well-packaged to avoid damage during transit.

  • Tracking: Use a trackable and insured shipping method as we are not liable for items lost or damaged on return.

  • Initiating a Return: Contact us at cs@everymarket.com to start your return. We will provide a return shipping label and instructions upon approval. Returns without prior approval will not be accepted.

How to Return

  • Method: Returns must be sent back by mail to the address provided in the return instructions.

Return Label

  • Defective Products: Return labels are provided for defective items.

  • Non-Defective Returns: Customers are responsible for obtaining their return shipping label.

Product Conditions for Return

  • Eligible Products: Returns are only accepted for items in new condition.

Nonreturnable Items

Certain items are not eligible for return:

  • Electronic devices after 30 days (e.g., computers, laptops, Kindles)

  • Gift cards, prepaid game cards

  • Perishable goods, live insects, some jewelry, some health and personal care items

  • Customized or personalized products

  • Items with special shipping restrictions

Refund Policy

  • Window: Eligible products may be returned within 30 days of delivery for a refund.

  • Refund Method: Refunds are processed to the original payment method or as store credit for items purchased with gift cards.

  • Processing Time: Refunds are processed within 3-5 business days after we receive the return; please allow additional time for shipping and bank processing.

Claims

Inspect your order upon arrival and report any defects, damages, or incorrect items immediately to allow us to address the issue. For claims, contact our support team with details of the issue.

Exchange Policy

For the quickest service, return your original item and place a new order for the desired product once your return is accepted.

Return Address

EveryMarket Customer Service 2101 E Terra Ln, O'Fallon, MO 63366

Customer Support

Available 24/7 for any questions or assistance needed:

  • Phone: +1 636-312-5925

  • Email: cs@everymarket.com

 

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