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临床心脏病学图解速成讲授
$49.11
? 全书内容以清晰、简明、全面的方式呈现,除文字与表格之外,逐步的插图、示意图 、漫画、记忆法和小幽默贯穿全书,提供了一个“轻松”(light-hearted)的方法,使得临床心血管病学的学习成为容易、难忘和愉悦的事。
? 本书的内容极具价值,从病史采集到心脏体格检查这些基本临床评估技能,特别是心脏听诊,还包括*和*前沿的“高科技”(high-tech)实验室检查和治疗技术。
? 本书适用于刚进入...
? 本书适用于刚进入临床治疗一线的医学生和住院医生、心脏病学研究员、执业医师以及所有希望获得心脏病学关键知识并努力在一个相对有限的时间内熟悉更多“心脏病学专家的语言”的卫生保健者。
? *出版的第4版,这本亚马逊五星畅销图书是你的心脏病学业内“书”!
本书以整体心血管临床评估的“五指法”为核心,这种有序、系统的临床评估方法包括详细的病史采集、体格检查、心电图、胸部X线片和实验室检查。*部分详细阐释了“五指法”评估心脏病患者的每一个步骤,以及成为技术出色的心脏医师的“成功关键”;第二部分则对*的药物、介入技术和尖端的外科技术作了深入探讨,从而提供了一个全面的现代临床视角;第三部分则是联合应用,即针对不同的心脏疾病种类,提供临床线索和操作指南。本书可帮助新入门的医学生、住院医生、心脏病学研究人员和执业医师提供一种快速而清晰、深入的对临床心脏病学的认识,以及宝贵的临床操作信息和治疗方法的实际应用。全书还配有大量的线条图和幽默漫画,为出色的内容更增添了独特的色彩,使阅读和学习本书成为愉悦、难忘的事。
迈克尔•茨兹讷(Michael A. Chizner)为美国著名心脏病学专家,佛罗里达大学医学院、迈阿密大学米勒医学院、诺瓦东南大学医学院等大学的临床医学教授,布劳沃德健康卓越心脏中心的创立者和首席医务主任。美国内科协会和心血管疾病分会委员,美国心脏病学院委员,美国心脏病协会临床心脏病学委员会委员和美国内科医生学员委员。已撰写和编著了诸多文章和专著,极大地推动了心脏病学的实践和医学教育的发展,被美国新闻与世界报道评为美国的医生之一。
万征 教授、博士生导师,总医院介入心脏病学研究室主任。中华医学会专家会员,天津市心脏学会会长,天津市医学会第五届心血管病分会主委,中华医学会心血管病分会与中国医师协会心血管内科医师分会常委,中国医师协会心血管内科医师分会资深专家工作委员会副主委、胸痛专业委员会常委,中国生物医学工程学会心律学分会副主委,中国医疗保健国际交流促进会胸痛分会副主委,中国老年学和老年医学学会理事会理事,兼心脑血管病专委会副主任,国家卫计委国家心血管病专家委员会委员,国家卫生计生委能力建设和继续教育心血管病学专家委员会委员,中国心血管疾病介入诊疗培训项目专家委员会委员,天津市卫计委心内科质控中心副主任,兼心律失常诊疗质控中心主任,天津市胸痛工作组总顾问,胸痛专家工作组组长。郭继鸿
北京大学人民医院主任医师、教授、博士生导师。北京大学医学部医院管委会内科副主任委员,北京大学医学部学术委员会委员,中国生物医学工程学会心律分会前任主任委员,中国医药生物技术协会心电学技术分会主任委员,中国心脏健康教育联盟主席,国家科技部心律失常专业首席专家。《中华心脏与心律杂志》、《临床心电学杂志》主编,高教部高等医学院校统编教材《诊断学》副主编。享受国务院特殊政府津贴,多次荣获北京市自然科技进步奖、中华医学会奖等。主编、主译70多部专著,在国内外专业杂志发表论文300余篇。
目 录
部分 心脏诊断五指法
第 1 章 心脏病史 ……………………………………………………………………………………………… 3胸痛或不适 ………………………………………………………………………………………………… 3气短(呼吸困难,端坐呼吸,阵发性夜间呼吸困难) ……………………………………………………… 10疲劳和乏力 ………………………………………………………………………………………………… 13咳嗽和咯血 ………………………………………………………………………………………………… 13心悸 ………………………………………………………………………………………………………… 14头晕,近晕厥或晕厥 ………………………………………………………………………………………… 15其他症状 …………………………………………………………………………………………………… 18非心源性疾病和用药史 …………………………………………………………………………………… 19
第 2 章 心脏的体格检查 ……………………………………………………………………………………… 21心脏解剖学和生理学 ……………………………………………………………………………………… 21视诊 ………………………………………………………………………………………………………… 24触诊 ………………………………………………………………………………………………………… 35听诊 ………………………………………………………………………………………………………… 43
第 3 章 心电图 ………………………………………………………………………………………………… 76基本心电图学 ……………………………………………………………………………………………… 76阅读 ECG 的方法 …………………………………………………………………………………………… 77主要的 ECG 异常:诊断线索和临床联系…………………………………………………………………… 88
第 4 章 胸部 X 线检查 ……………………………………………………………………………………… 114心血管轮廓,包括心腔和主动脉 ………………………………………………………………………… 115肺血管 …………………………………………………………………………………………………… 118肺野 ……………………………………………………………………………………………………… 119胸廓异常 ………………………………………………………………………………………………… 119
第 5 章 心脏疾病的实验室诊断 …………………………………………………………………………… 121血液化验 ………………………………………………………………………………………………… 121无创性心脏专项检查 …………………………………………………………………………………… 124专门的介入检查技术 …………………………………………………………………………………… 139总结:无创性和有创性检查的适应证及应用 …………………………………………………………… 145
第二部分 心血管治疗
第 6 章 心血管治疗领域中的一般注意事项 ……………………………………………………………… 151
第 7 章 心血管药物 ………………………………………………………………………………………… 155β受体阻滞剂 ……………………………………………………………………………………………… 155 钙离子通道阻滞剂 ……………………………………………………………………………………… 157硝酸酯 …………………………………………………………………………………………………… 158血管紧张素转换酶抑制剂(ACEI)……………………………………………………………………… 159血管紧张素受体拮抗剂(ARBs)………………………………………………………………………… 160直接肾素抑制剂 ………………………………………………………………………………………… 161正性肌力药物 …………………………………………………………………………………………… 161利尿剂 …………………………………………………………………………………………………… 162
前 言
心脏病学一直是医学领域重要的临床学科之 一。几乎所有的医学生、正在培训的医生或实习医生以及其他医护人员,不管以后是否从事心脏病学,都需要一些心脏病学的基本培训。虽然许多文献都含 Harvey 的心脏评估“五指法”
体格检查 有大量详细的医疗信息,但面对“要学的东西太多而学习的时间太少”时,这些复杂的书籍往往会压垮那些希望“通过树木看到森林”的心脏病学的学生,使他们变得沮丧。本书《临床心脏病学图解速成讲授》就是为了满足这种需求而编写。这本书适用于刚进入医院病房和门诊的三四年级医学生和住院医生、心脏病学研究员、执业医师,以及所有希望获得心脏病学关键知识并努力在一个相对有限的时间内熟悉更多“心脏病专家的语言”的其他卫生保健者。对那些寻求一种快速而深入复习临床心脏病学的心脏病学专家,这本书也
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