肺高压治疗学

Brand: 上海科学技术出版社    Sold By: EM China

肺高压治疗学

$42.69 In Stock
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肺高压治疗学

肺高压治疗学

$42.69

内容简介  在心血管疾病中,肺高压的治疗是为困难的领域之一。周达新、管丽华、葛均波主编的这本《肺高压治疗学》从基础到临床,详述肺高压相关基础研究、治疗策略、药物及技术发展与临床应用研究,是为临床医师尤其是心血管专科医师、呼吸专科医师及相关研究人员撰写的高级参考书。
  本书共14章,涵盖肺高压的遗传学研究、分类、诊断与评估、药物及非药物治疗方法,以及各类肺高压的治疗等,体现了该领域的*研究成果和临床治疗发展状况,其中对各种*发展的临...
Product Details

内容简介
  在心血管疾病中,肺高压的治疗是为困难的领域之一。周达新、管丽华、葛均波主编的这本《肺高压治疗学》从基础到临床,详述肺高压相关基础研究、治疗策略、药物及技术发展与临床应用研究,是为临床医师尤其是心血管专科医师、呼吸专科医师及相关研究人员撰写的高级参考书。
  本书共14章,涵盖肺高压的遗传学研究、分类、诊断与评估、药物及非药物治疗方法,以及各类肺高压的治疗等,体现了该领域的*研究成果和临床治疗发展状况,其中对各种*发展的临床治疗措施的评析对临床医师的治疗决策尤其有帮助。
  本书编者均为肺高压研究领域的专家,内容反映了该领域的前沿研究成果,具有很高的参考价值。
 
目  录
章 概述
第二章 肺动脉高压的遗传学研究及进展
第三章 肺高压的分类
第四章 肺高压的诊断和评估
第五章 肺动脉高压的传统治疗
第六章 肺动脉高压的靶向药物治疗
 节 传统扩血管药
 第二节 新型肺血管扩张药
第七章 肺动脉高压药物治疗的不良反应
第八章 房间隔造口术
第九章 肺动脉高压的外科治疗——肺移植
第十章 先天性心脏病相关性肺动脉高压的治疗
 节 概述
 第二节 介入手术时机的选择
在线试读
  2.体格检查PAH的体征多与右心功能不全有关,常见有发绀;颈静脉充盈或怒张;下肢水肿;右心室充盈压升高,可出现颈静脉巨大“a”波;右心室肥厚可导致胸骨左缘膨隆,剑突下出现抬举性搏动;肺动脉瓣区第二心音(P2)亢进;由于肺动脉瓣开放突然受阻出现的收缩早期喷射性喀喇音;肺动脉瓣关闭不全的高调舒张早期杂音;血液反流通过三尖瓣引起的收缩期杂音;第三心音(S3)出现代表右心室舒张充盈压增高及右心功能不全,约38%的患者可闻及右心室第四心音(S4)奔马律等。发绀是PAH的晚期表现,通常是因为伴随循环血管收缩的心排血量明显减低,肺一通气灌注比例失调。扩张的肺动脉压迫可引起喉返神经麻痹,较少见(Ortner综合征)。
  颈静脉检查还可以帮助判断右心房压力:患者采取45°半卧位,量取颈静脉搏动点到胸骨柄之间的垂直距离(单位为cm),加上5cm(代表右心房到胸骨柄的距离),数值即为估测的右心房压力值(单位为cmH2O)。右心房压力是判断患者预后的重要指标。
  有些与PAH相关疾病的特殊体征往往可提示诊断:①如果上下肢均存在杵状指(趾)往往提示存在艾森门格综合征的可能性大;差异性发绀往往是诊断动脉导管未闭合并艾森门格综合征的重要线索。②反复自发性鼻出血、特异性体表皮肤毛细血管扩张往往提示遗传性出血性毛细血管扩张症。③反复出现皮疹、面部红斑、黏膜溃疡、小关节肿胀畸形、雷诺症、脱发等提示结缔组织病。④吸气相湿哕音提示肺间质疾病。⑤如果患者出现蜘蛛痣、肝掌、睾丸萎缩提示肝脏疾病。
  3.危险因素
  (1)既往史:先天性心脏病、结缔组织病、HIV感染史、减肥药物治疗史、肝病及贫血等都是提示PAH病因分类的重要线索,需要采集患者所有的既往史,这些可帮助明确诊断分类,也可帮助发现新的危险因素。
  (2)个人史:需要注意患者有无危险因素接触史,如印刷厂、制鞋厂和加油站工人接触油类物品、HIV感染、同性恋、吸毒及染发剂等特殊接触史。
  (3)婚育史:需要注意女性患者有无习惯性流产史,男性患者的母亲、姐妹等亲属有无习惯性流产等病史。

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

 

内容简介
  在心血管疾病中,肺高压的治疗是为困难的领域之一。周达新、管丽华、葛均波主编的这本《肺高压治疗学》从基础到临床,详述肺高压相关基础研究、治疗策略、药物及技术发展与临床应用研究,是为临床医师尤其是心血管专科医师、呼吸专科医师及相关研究人员撰写的高级参考书。
  本书共14章,涵盖肺高压的遗传学研究、分类、诊断与评估、药物及非药物治疗方法,以及各类肺高压的治疗等,体现了该领域的*研究成果和临床治疗发展状况,其中对各种*发展的临床治疗措施的评析对临床医师的治疗决策尤其有帮助。
  本书编者均为肺高压研究领域的专家,内容反映了该领域的前沿研究成果,具有很高的参考价值。
 
目  录
章 概述
第二章 肺动脉高压的遗传学研究及进展
第三章 肺高压的分类
第四章 肺高压的诊断和评估
第五章 肺动脉高压的传统治疗
第六章 肺动脉高压的靶向药物治疗
 节 传统扩血管药
 第二节 新型肺血管扩张药
第七章 肺动脉高压药物治疗的不良反应
第八章 房间隔造口术
第九章 肺动脉高压的外科治疗——肺移植
第十章 先天性心脏病相关性肺动脉高压的治疗
 节 概述
 第二节 介入手术时机的选择
在线试读
  2.体格检查PAH的体征多与右心功能不全有关,常见有发绀;颈静脉充盈或怒张;下肢水肿;右心室充盈压升高,可出现颈静脉巨大“a”波;右心室肥厚可导致胸骨左缘膨隆,剑突下出现抬举性搏动;肺动脉瓣区第二心音(P2)亢进;由于肺动脉瓣开放突然受阻出现的收缩早期喷射性喀喇音;肺动脉瓣关闭不全的高调舒张早期杂音;血液反流通过三尖瓣引起的收缩期杂音;第三心音(S3)出现代表右心室舒张充盈压增高及右心功能不全,约38%的患者可闻及右心室第四心音(S4)奔马律等。发绀是PAH的晚期表现,通常是因为伴随循环血管收缩的心排血量明显减低,肺一通气灌注比例失调。扩张的肺动脉压迫可引起喉返神经麻痹,较少见(Ortner综合征)。
  颈静脉检查还可以帮助判断右心房压力:患者采取45°半卧位,量取颈静脉搏动点到胸骨柄之间的垂直距离(单位为cm),加上5cm(代表右心房到胸骨柄的距离),数值即为估测的右心房压力值(单位为cmH2O)。右心房压力是判断患者预后的重要指标。
  有些与PAH相关疾病的特殊体征往往可提示诊断:①如果上下肢均存在杵状指(趾)往往提示存在艾森门格综合征的可能性大;差异性发绀往往是诊断动脉导管未闭合并艾森门格综合征的重要线索。②反复自发性鼻出血、特异性体表皮肤毛细血管扩张往往提示遗传性出血性毛细血管扩张症。③反复出现皮疹、面部红斑、黏膜溃疡、小关节肿胀畸形、雷诺症、脱发等提示结缔组织病。④吸气相湿哕音提示肺间质疾病。⑤如果患者出现蜘蛛痣、肝掌、睾丸萎缩提示肝脏疾病。
  3.危险因素
  (1)既往史:先天性心脏病、结缔组织病、HIV感染史、减肥药物治疗史、肝病及贫血等都是提示PAH病因分类的重要线索,需要采集患者所有的既往史,这些可帮助明确诊断分类,也可帮助发现新的危险因素。
  (2)个人史:需要注意患者有无危险因素接触史,如印刷厂、制鞋厂和加油站工人接触油类物品、HIV感染、同性恋、吸毒及染发剂等特殊接触史。
  (3)婚育史:需要注意女性患者有无习惯性流产史,男性患者的母亲、姐妹等亲属有无习惯性流产等病史。

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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