实用疼痛学

Brand: 人民卫生出版社    Sold By: EM China
实用疼痛学
实用疼痛学
实用疼痛学
实用疼痛学

实用疼痛学

Brand: 人民卫生出版社    Sold By: EM China
$58.15 In Stock
Item can be returned in its original condition for a full refund or replacement within 30 days of receipt.
Ships from China, Arrives in 7-14 business days
Delivery:
28
October2024
-
06
November2024
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实用疼痛学

实用疼痛学

$58.15

编辑推荐 内容简介
Product Details

编辑推荐

 
内容简介

  诚如著名疼痛医学家R.Melzack等所指:疼痛是医学和生物学中*富有挑战性的课题之一:什么是疼痛?且缺少明确的客观检查指标去认识和评估它的发生、存在和转归等诸多问题,就属其中原因之所在。医学界已认识到疼痛是五大生命体征之一,倘入主观上感受到疼痛之时,就是人的患病之始,此时的疼痛若作为相关疾病的症状,就是“急性疼痛”,它会在原发病及时合理治疗后,病愈痛消。另一种“慢性疼痛”,则非“症”而是“病”的本身,它的发生与存在严重的干扰了人的生活质量,给家人、给社会所造成的负面影响虽举目可见,却难获共识:医疗机构里没有检测和实录“疼痛”这一生命体征的认知和要求,在体温表內除记录体温外还仅有脉搏、血压和呼吸被记录;至于对陵性疼痛的认识以及它应在哪科诊疗?采用什么方法予以合理诊治等诸多问题,长期困扰着医学界,千呼万唤亟待整合医学资源,共同攻克临床上慢性疼痛这一顽症。为此,疼痛学的医教研各项工作亟需各界的给力!

目  录
篇总论
章通通学概述
第二章疼痛解刨学
第三章疼痛生理学
第四章疼痛的神经解剖及病理机制
第五章慢性疼痛的神经生物学机制
第六章疼痛药理学
第七章疼痛系力学
第八章疼痛的测量与评估
第九章疼痛的影像学检查
第十章脊椎造影术
第十一章神经电生理检查
第十二章神经阻滞术
第十三章选择性脊神经根阻滞术
在线试读
  (二)寰枕关节
  寰枕关节是两个关节的联合关节,由寰椎侧块上面的关节面和枕骨髁构成,它是单纯的滑液性关节,有一松弛的关节囊,呈椭圆形。此关节有两个互相垂直的运动轴,在横轴上可以使头作约45。的屈伸运动;在矢状轴上,可以使头作内收和外展运动,但范围很小,也能作旋转运动。这个关节借寰枕前、后膜加强稳定,这两个膜正好将寰椎和枕骨问的裂隙封闭。寰枕前膜宽而致密,张于寰椎前弓上缘和枕骨底大孔前缘之间,在正中线为一自枕骨底部至寰椎前弓前面的结节的圆形韧带所加强,和前纵韧带的上端愈合,寰枕后膜张于寰椎后弓上缘和枕骨大孔后缘之间。椎动脉即由此韧带穿过人颅内,而第1颈神经由此穿出,有时寰枕后膜远侧部分可以钙化,在椎动脉及颈神经的后方形成一个骨弓。黄韧带由寰椎后弓的内面至枢椎椎板的上面,可以防止头和寰椎在枢椎上向前移动,对脊髓也起保护作用。稳定寰枢关节周围的韧带,也张于枢椎和枕骨问,甚为坚强,可以防止寰椎和枕骨的移位。
  (三)颈椎椎间关节
  由上位颈椎的下关节突与下位颈椎的上关节突构成,关节面较平,向上约呈45。倾斜,但c间倾斜度常有变化。关节面覆盖一层透明软骨,关节囊附着于关节软骨的边缘,较为松弛,外伤时容易引起半脱位。椎问关节构成椎问孔的后壁,其前方与椎动脉相邻近。下部颈椎的椎问关节所承受的压力较上部者大,引起增生的几率也较高。
  (四)颈椎的韧带
  1.前纵韧带起自枕骨的咽结节,向下经寰椎前弓及各椎体的前面。前纵韧带坚固地附着于椎体,但疏松附于椎问盘,它仅为一层纤维带,较后纵韧带为弱。
  2.后纵韧带位于椎管的前壁,起自枢椎,向上移行为覆膜。后纵韧带较强,分为两层:浅层为覆膜的延续,深层呈齿状,坚固地附着于椎体及椎问盘,可以防止其内容物向后突出。钩椎关节的关节囊韧带即起自后纵韧带深层及椎体,斜向外下方附着于钩突。颈椎问盘经多次反复慢性损伤,可使椎管前静脉丛出血,以后钙化形成后纵韧带骨化,日本人发病率较高,约占颈椎疾患的1.7%。用cT检查,后纵韧带骨化的厚度可达椎管矢径的17%~80%,宽度可达椎管横径的28%~67%。可无症状,常为无意发现,但如椎管矢径缩小至400A,即可引起症状,如手麻臂痛及痉挛性步态,严重者可引起脊髓半横切征或脊髓中央综合征。
  有严重脊髓症状者,其横切面狭窄率多小于300A下部颈椎椎管较窄,又是颈髓膨大区,如该部后纵韧带骨化厚度超过椎管矢径30%以上时,多会出现脊髓症状。

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

 
内容简介

  诚如著名疼痛医学家R.Melzack等所指:疼痛是医学和生物学中*富有挑战性的课题之一:什么是疼痛?且缺少明确的客观检查指标去认识和评估它的发生、存在和转归等诸多问题,就属其中原因之所在。医学界已认识到疼痛是五大生命体征之一,倘入主观上感受到疼痛之时,就是人的患病之始,此时的疼痛若作为相关疾病的症状,就是“急性疼痛”,它会在原发病及时合理治疗后,病愈痛消。另一种“慢性疼痛”,则非“症”而是“病”的本身,它的发生与存在严重的干扰了人的生活质量,给家人、给社会所造成的负面影响虽举目可见,却难获共识:医疗机构里没有检测和实录“疼痛”这一生命体征的认知和要求,在体温表內除记录体温外还仅有脉搏、血压和呼吸被记录;至于对陵性疼痛的认识以及它应在哪科诊疗?采用什么方法予以合理诊治等诸多问题,长期困扰着医学界,千呼万唤亟待整合医学资源,共同攻克临床上慢性疼痛这一顽症。为此,疼痛学的医教研各项工作亟需各界的给力!

目  录
篇总论
章通通学概述
第二章疼痛解刨学
第三章疼痛生理学
第四章疼痛的神经解剖及病理机制
第五章慢性疼痛的神经生物学机制
第六章疼痛药理学
第七章疼痛系力学
第八章疼痛的测量与评估
第九章疼痛的影像学检查
第十章脊椎造影术
第十一章神经电生理检查
第十二章神经阻滞术
第十三章选择性脊神经根阻滞术
在线试读
  (二)寰枕关节
  寰枕关节是两个关节的联合关节,由寰椎侧块上面的关节面和枕骨髁构成,它是单纯的滑液性关节,有一松弛的关节囊,呈椭圆形。此关节有两个互相垂直的运动轴,在横轴上可以使头作约45。的屈伸运动;在矢状轴上,可以使头作内收和外展运动,但范围很小,也能作旋转运动。这个关节借寰枕前、后膜加强稳定,这两个膜正好将寰椎和枕骨问的裂隙封闭。寰枕前膜宽而致密,张于寰椎前弓上缘和枕骨底大孔前缘之间,在正中线为一自枕骨底部至寰椎前弓前面的结节的圆形韧带所加强,和前纵韧带的上端愈合,寰枕后膜张于寰椎后弓上缘和枕骨大孔后缘之间。椎动脉即由此韧带穿过人颅内,而第1颈神经由此穿出,有时寰枕后膜远侧部分可以钙化,在椎动脉及颈神经的后方形成一个骨弓。黄韧带由寰椎后弓的内面至枢椎椎板的上面,可以防止头和寰椎在枢椎上向前移动,对脊髓也起保护作用。稳定寰枢关节周围的韧带,也张于枢椎和枕骨问,甚为坚强,可以防止寰椎和枕骨的移位。
  (三)颈椎椎间关节
  由上位颈椎的下关节突与下位颈椎的上关节突构成,关节面较平,向上约呈45。倾斜,但c间倾斜度常有变化。关节面覆盖一层透明软骨,关节囊附着于关节软骨的边缘,较为松弛,外伤时容易引起半脱位。椎问关节构成椎问孔的后壁,其前方与椎动脉相邻近。下部颈椎的椎问关节所承受的压力较上部者大,引起增生的几率也较高。
  (四)颈椎的韧带
  1.前纵韧带起自枕骨的咽结节,向下经寰椎前弓及各椎体的前面。前纵韧带坚固地附着于椎体,但疏松附于椎问盘,它仅为一层纤维带,较后纵韧带为弱。
  2.后纵韧带位于椎管的前壁,起自枢椎,向上移行为覆膜。后纵韧带较强,分为两层:浅层为覆膜的延续,深层呈齿状,坚固地附着于椎体及椎问盘,可以防止其内容物向后突出。钩椎关节的关节囊韧带即起自后纵韧带深层及椎体,斜向外下方附着于钩突。颈椎问盘经多次反复慢性损伤,可使椎管前静脉丛出血,以后钙化形成后纵韧带骨化,日本人发病率较高,约占颈椎疾患的1.7%。用cT检查,后纵韧带骨化的厚度可达椎管矢径的17%~80%,宽度可达椎管横径的28%~67%。可无症状,常为无意发现,但如椎管矢径缩小至400A,即可引起症状,如手麻臂痛及痉挛性步态,严重者可引起脊髓半横切征或脊髓中央综合征。
  有严重脊髓症状者,其横切面狭窄率多小于300A下部颈椎椎管较窄,又是颈髓膨大区,如该部后纵韧带骨化厚度超过椎管矢径30%以上时,多会出现脊髓症状。

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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