《急診醫學》是2016年清華大學出版社出版的圖書。
基本介紹
- 中文名：急診醫學
- 作者：約翰·A.馬克思（John A.Marx）
- 出版時間：2016年12月1日
- 出版社：清華大學出版社
- ISBN：9787302449836
內容簡介,圖書目錄,
內容簡介
該套教材近 50種，主要供臨床醫學留學生、七年制或八年制醫學生、醫學本科生英語或雙語教學使用。部分教材由我國長期從事醫學留學生教育的教授、學者編寫，其餘大部分教材由清華大學出版社從多家國外出版社引進，改編出版，以適應我國臨床醫學專業留學生課堂教學和臨床實習所需。
圖書目錄
SECTION 1
Selected Diagnosic and Therapeutic Techniques of Emergency Medicine Dignostic Techniques
Chapter 1 Emergency Ultrasound ………………… 2
PERSPECTIVE ……………………………………… 2
APPLIED ULTRASOUND PHYSICS AND INSTRUMENTATION………………………… 2
EQUIPMENT AND SAFETY ……………………… 3
INTEGRATION INTO EMERGENCY MEDICINE PRACTICE ………………………………………… 11
Chapter 2
Monitoring the Emergency Patient … 12
PERSPECTIVE …………………………………… 12
NONINVASIVE BLOOD PRESSURE MEASUREMENT …………………………… 12
PULSE OXIMETRY ……………………………… 13
END-TIDAL CARBON DIOXIDE MONITORING ……………………………… 13
CEREBRAL FUNCTION MONITORING ……… 16
MONITOR ALARMS AND LIMITS …………… 16
Therapeutic Techniques Chapter 3 Airway …………………………………… 17
PERSPECTIVE …………………………………… 17
PATHOPHYSIOLOGY …………………………… 17
CLINICAL FEATURES …………………………… 17
MANAGEMENT ………………………………… 21
THERAPEUTIC MODALITIES ………………… 23
PRINCIPLES OF MECHANICAL VENTILATION … 28
MANAGEMENT ………………………………… 31
Chapter 5
Adult Resuscitation …………………… 36
PERSPECTIVE …………………………………… 36
PRINCIPLES OF DISEASE ……………………… 36
CLINICAL FEATURES AND MANAGEMENT … 37
Chapter 6
Brain Resuscitation …………………… 43
PERSPECTIVE …………………………………… 43
PATHOPHYSIOLOGY …………………………… 43
MANAGEMENT ………………………………… 43
CLINICAL OUTCOMES ………………………… 48
Chapter 7
Implantable Cardiac Devices………… 49
PERSPECTIVE …………………………………… 49
INDICATIONS FOR PERMANENT PACEMAKERS AND ANTIARRHYTHMIA DEVICES ……… 49
IMPLANTABLE CARDIOVERTER DEFIBRILLATORS …………………………… 57
Chapter 8
Blood and Blood Components ……… 62
PERSPECTIVE …………………………………… 62
PATHOPHYSIOLOGIC PRINCIPLES ………… 62
MANAGEMENT ………………………………… 64
OUTCOMES ……………………………………… 65
SECTION 2 Medical Emergencies Cardiac Emergencies
Chapter 9
Chest Pain ……………………………… 68
PERSPECTIVE …………………………………… 68
DIAGNOSTIC TABLE …………………………… 74
MANAGEMENT AND DISPOSITION ………… 76
Chapter 10
Acute Coronary Syndrome ………… 80
PERSPECTIVE …………………………………… 80
EPIDEMIOLOGY ………………………………… 80
SPECTRUM OF DISEASE………………………… 80
PATHOPHYSIOLOGY …………………………… 81
CLINICAL FEATURES …………………………… 81
DIAGNOSTIC INVESTIGATIONS ……………… 82
EMERGENCY DEPARTMENT BASED CHEST PAIN CENTERS……………………………… 96
MANAGEMENT OF ACUTE CORONARY SYNDROME…………………………………… 97
Chapter 11
Aortic Dissection ……………………… 102
PERSPECTIVE …………………………………… 102
PRINCIPLES OF DISEASE ……………………… 102
CLINICAL FEATURES …………………………… 104
DIAGNOSTIC STRATEGIES …………………… 105
DIFFERENTIAL CONSIDERATIONS ………… 107
MANAGEMENT ………………………………… 107
DISPOSITION……………………………………… 109
Chapter 12
Pericardial and Myocardial Disease … 110
PERICARDIAL DISEASE (PERICARDITIS) ……… 110
PERSPECTIVE …………………………………… 110
ETIOLOGY ………………………………………… 110
EPIDEMIOLOGY ………………………………… 110
PRINCIPLES OF DISEASE ……………………… 111
PATHOPHYSIOLOGY …………………………… 111
IDIOPATHIC PERICARDITIS …………………… 111
UREMIC PERICARDIAL DISEASE …………… 112
POST-MYOCARDIAL INFARCTION PERICARDITIS ………………………………… 113
POSTINJURY PERICARDITIS …………………… 113
NEOPLASTIC PERICARDIAL DISEASE ……… 114
PERICARDIAL DISEASE RELATED TO CONNECTIVE TISSUE DISORDERS …………… 114
MISCELLANEOUS INFECTIOUS CAUSES OF PERICARDITIS ………………………………… 114
PERICARDIAL EFFUSION ……………………… 115
CARDIAC TAMPONADE ……………………… 115
PURULENT PERICARDITIS …………………… 116
CONSTRICTIVE PERICARDITIS ……………… 117
MYOCARDIAL DISEASES (MYOCARDITIS) …… 117
PERSPECTIVE …………………………………… 117
PRINCIPLES OF DISEASE AND PATHOPHYSI- OLOGY ………………………………………… 118
CLINICAL FEATURES …………………………… 118
DIAGNOSTIC STRATEGIES …………………… 118
DIFFERENTIAL DIAGNOSIS …………………… 119
MANAGEMENT ………………………………… 119
DISPOSITION……………………………………… 119
CARDIOMYOPATHIES AND SPECIFIC HEART MUSCLE DISEASE ……………………………… 119
DILATED CARDIOMYOPATHY ……………… 120
HYPERTROPHIC CARDIOMYOPATHY ……… 121
RESTRICTIVE CARDIOMYOPATHY ………… 122
PERIPARTUM CARDIOMYOPATHY ………… 123
SPECIFIC HEART MUSCLE DISEASES………… 123
Chapter 13 Hypertension…………………………… 125
PERSPECTIVE …………………………………… 125
PRINCIPLES OF DISEASE ……………………… 125
CLINICAL FEATURES …………………………… 127
DIAGNOSTIC STRATEGIES …………………… 128
CONSIDERATION OF DIFFERENTIAL DIAGNOSES…………………………………… 129
MANAGEMENT ………………………………… 129
DISPOSITION……………………………………… 129
Chapter 14 Dysrhythmias ………………………… 130
CARDIAC CELLULAR ELECTROPHYSI- OLOGY ……………………………………… 130
ANATOMY AND CONDUCTION……………… 131
MECHANISMS OF DYSRHYTHMIA FORMATION ……………………………… 132
APPROACH TO DYSRHYTHMIA RECOGNITION AND MANAGEMENT ……………………… 133
SPECIFIC DYSRHYTHMIAS …………………… 135
Chapter 15 Heart Failure ………………………… 148
EPIDEMIOLOGY ………………………………… 148
CELLULAR MECHANISMS …………………… 149
CARDIAC PHYSIOLOGY ……………………… 150
PRIMARY DISEASE PROCESSES RESULTING IN HEART FAILURE ……………………………… 151
COMPENSATORY MECHANISMS IN HEART FAILURE ……………………………………… 152
CLASSIFICATION OF HEART FAILURE ……… 153
CLINICAL EVALUATION OF PATIENTS WITH EPIDEMIOLOGY AND ETIOLOGY …………… 118
SUSPECTED HEART FAILURE……………… 154
TREATMENT OF ACUTE HEART FAILURE … 156
SUMMARY ………………………………………… 161
Pulmonary Emergencies Chapter 16 Dyspnea ………………………………… 162
PERSPECTIVE …………………………………… 162
DIAGNOSTIC APPROACH……………………… 163
DIFFERENTIAL DIAGNOSIS …………………… 168
Chapter 17 Hemoptysis …………………………… 172
PERSPECTIVE …………………………………… 172
DIAGNOSTIC APPROACH……………………… 173
DIAGNOSTIC ALGORITHM …………………… 174
DISPOSITION……………………………………… 175
Chapter 18 Asthma ………………………………… 176
PERSPECTIVE …………………………………… 176
EPIDEMIOLOGY ………………………………… 176
PRINCIPLES OF DISEASE ……………………… 177
CLINICAL FEATURES …………………………… 179
DIAGNOSTIC STRATEGIES …………………… 180
DIFFERENTIAL CONSIDERATIONS (Box 18-2) …………………………………182
MANAGEMENT OF ACUTE EXACERBATIONS… 182
DISPOSITION……………………………………… 188
Chapter 19
Pneumonia……………………………… 190
PERSPECTIVE …………………………………… 190
PRINCIPLES OF DISEASE ……………………… 190
CLINICAL FEATURES …………………………… 192
DIAGNOSTIC STRATEGIES …………………… 194
DIFFERENTIAL DIAGNOSIS CONSIDERATIONS ………………………… 197
MANAGEMENT ………………………………… 197
DISPOSITION……………………………………… 200
ACUTE RESPIRATORY DISTRESS SYNDROME …………………………………201
Chapter 20
Pulmonary Embolism and Deep Vein Thrombosis …………………………… 203
PERSPECTIVE …………………………………… 203
DEEP VEIN THROMBOSIS ……………………… 203
PULMONARY EMBOLISM ……………………… 205
Chapter 21
Nontraumatic Pleural Problems …… 213
SPONTANEOUS PNEUMOTHORAX ………… 213
PLEURAL INFLAMMATION AND EFFUSION …………………………………… 218
Gastrointestinal Emergencies
Chapter 22 Acute
Pancreatitis …………………… 224
BACKGROUND…………………………………… 224
PERSPECTIVE …………………………………… 225
PRINCIPLES OF DISEASE ……………………… 225
CLINICAL FEATURES …………………………… 227
DIAGNOSTIC STRATEGIES …………………… 229
PROGNOSIS ……………………………………… 231
RADIOGRAPHIC STUDIES……………………… 232
DIFFERENTIAL CONSIDERATIONS ………… 232
MANAGEMENT ………………………………… 233
DISPOSITION……………………………………… 234
Chapter 23
Gastrointestinal Bleeding …………… 235
PERSPECTIVE …………………………………… 235
DIAGNOSTIC APPROACH……………………… 235
DIAGNOSTIC ALGORITHM …………………… 238
EMPIRICAL MANAGEMENT ………………… 238
DEFINITIVE MANAGEMENT ………………… 240
DISPOSITION……………………………………… 241
Renal Emergency
Chapter 24
Acute Kidney Injury ………………… 242
PRINCIPLES OF DISEASE ……………………… 242
CLINICAL FEATURES …………………………… 245
DIAGNOSTIC STRATEGY ……………………… 245
MANAGEMENT ………………………………… 246
DISPOSITION……………………………………… 246
Hematologic Emergency
Chapter 25
Disorders of Hemostasis …………… 248
PERSPECTIVE …………………………………… 248
PATHOPHYSIOLOGY …………………………… 248
CLINICAL FEATURES …………………………… 250
DIFFERENTIAL DIAGNOSIS AND MANAGEMENT ……………………………… 252
DISPOSITION……………………………………… 258
Metabolic Emergencies
Chapter 26
Diabetic Emergency ………………… 259
DIABETES MELLITUS …………………………… 259
HYPOGLYCEMIA ………………………………… 260
DIABETIC KETOACIDOSIS……………………… 261
HYPERGLYCEMIC HYPEROSMOLAR STATE … 265
CONTROL OF DIABETES ……………………… 266
Chapter 27
Electrolyte Disorders ………………… 268
PERSPECTIVE …………………………………… 268
HYPERKALEMIA ………………………………… 268
HYPOKALEMIA ………………………………… 271
HYPERNATREMIA ……………………………… 273
HYPONATREMIA………………………………… 274
HYPERCALCEMIA ……………………………… 278
HYPOCALCEMIA ………………………………… 279
HYPERMAGNESEMIA…………………………… 281
HYPOMAGNESEMIA …………………………… 282
HYPERPHOSPHATEMIA ……………………… 283
HYPOPHOSPHATEMIA ………………………… 284
Chapter 28
Acid-Base Disorders ………………… 286
PERSPECTIVE …………………………………… 286
PRINCIPLES OF DISEASE ……………………… 286
DIAGNOSTIC STRATEGIES …………………… 287
RESPIRATORY ACIDOSIS ……………………… 288
RESPIRATORY ALKALOSIS …………………… 289
METABOLIC ACIDOSIS ………………………… 290
METABOLIC ALKALOSIS ……………………… 292
MIXED DISORDERS ……………………………… 293
Neurologic Emergencies
Chapter 29
Acute Meningitis ……………………… 294
DEFINITION ……………………………………… 294
PRINCIPLES OF DISEASE ……………………… 294
CLINICAL FEATURES …………………………… 296
DIAGNOSTIC STRATEGIES …………………… 297
DIFFERENTIAL CONSIDERATIONS ………… 301
MANAGEMENT ………………………………… 301
DISPOSITION……………………………………… 303
Chapter 30
Headache ……………………………… 304
PERSPECTIVE …………………………………… 304
DIAGNOSTIC APPROACH……………………… 304
DIFFERENTIAL
CONSIDERATIONS ………… 308
SPECIAL MANAGEMENT ……………………… 309
PRIMARY HEADACHE DISORDERS ………… 309
SECONDARY HEADACHE DISORDERS……… 314
OTHER HEADACHE DISORDERS AND FACIAL PAIN …………………………………………… 319
Chapter 31 Syncope ………………………………… 320
PERSPECTIVE …………………………………… 320
DIAGNOSTIC APPROACH……………………… 320
DIAGNOSTIC ALGORITHM …………………… 324
EMPIRICAL MANAGEMENT ………………… 326
Chapter 32
Depressed Consciousness and Coma…… 328
PERSPECTIVE …………………………………… 328
CLINICAL EVALUATION ……………………… 329
EMPIRICAL MANAGEMENT ………………… 335
Chapter 33 Seizure ………………………………… 336
PERSPECTIVE …………………………………… 336
DIAGNOSTIC APPROACH……………………… 337
MANAGEMENT ………………………………… 342
DISPOSITION……………………………………… 342
Chapter 34 Stroke …………………………………… 343
PERSPECTIVE …………………………………… 343
PRINCIPLES OF DISEASE ……………………… 345
CLINICAL FEATURES …………………………… 346
DIFFERENTIAL CONSIDERATIONS ………… 350
DIAGNOSTIC STRATEGIES …………………… 351
STROKE MANAGEMENT ……………………… 352
DISPOSITION……………………………………… 356
SECTION 3 Surgical Emergencies
Chapter 35
Acute abdominal pain ……………… 358
PERSPECTIVE …………………………………… 358
DIAGNOSTIC APPROACH……………………… 363
DIFFERENTIAL DIAGNOSIS …………………… 368
EMPIRICAL MANAGEMENT ………………… 368
DISPOSITION……………………………………… 369
Chapter 36
Abdominal Aortic Aneurysm ……… 371
PERSPECTIVE …………………………………… 371
PRINCIPLES OF DISEASE ……………………… 372
CLINICAL FEATURES …………………………… 372
DIAGNOSTIC STRATEGIES …………………… 375
DIFFERENTIAL CONSIDERATIONS ………… 377
MANAGEMENT ………………………………… 377
LATE COMPLICATIONS OF REPAIR ………… 380
DISPOSITION……………………………………… 380
Chapter 37
Acute Disorders of the Small Intestine … 381
SMALL BOWEL OBSTRUCTION ……………… 381
ACUTE MESENTERIC ISCHEMIA……………… 385
Chapter 38
Wound Management Principles …… 389
PERSPECTIVE …………………………………… 389
PRINCIPLES OF DISEASE ……………………… 389
CLINICAL FEATURES AND DIAGNOSTIC STRATEGIES …………………………………… 391
MANAGEMENT ………………………………… 393
DISPOSITION……………………………………… 407
SUMMARY ………………………………………… 408
Chapter 39
Multiple Trauma ……………………… 410
INTRODUCTION ………………………………… 410
PRINCIPLES OF DISEASE ……………………… 410
MANAGEMENT ………………………………… 410
DISPOSITION……………………………………… 415
Chapter 40 Injury
Prevention and Control …… 416
PERSPECTIVE …………………………………… 416
PRINCIPLES OF THE DISEASE OF INJURY … 416
METHODS OF PREVENTION ………………… 418
INJURY CONTROL IN MEDICAL PRACTICE … 419
SECTION 4 Enviroment Emergencies
Chapter 41 Heat Illness …………………………… 422
PERSPECTIVE …………………………………… 422
PRINCIPLES OF DISEASE ……………………… 422
PATHOPHYSIOLOGY …………………………… 423
MINOR HEAT ILLNESS ………………………… 424
HEAT EXHAUSTION …………………………… 425
HEATSTROKE …………………………………… 426
Chapter 42
High-Altitude Medicine……………… 429
EPIDEMIOLOGY ………………………………… 429
DEFINITIONS …………………………………… 429
ENVIRONMENTAL CONSIDERATIONS …… 430
ACCLIMATIZATION …………………………… 430
PATHOPHYSIOLOGY …………………………… 431
ACUTE MOUNTAIN SICKNESS ……………… 433
HIGH-ALTITUDE PULMONARY EDEMA …… 434
HIGH-ALTITUDE CEREBRAL EDEMA ……… 436
HIGH-ALTITUDE RETINAL HEMORRHAGE … 436
ALTITUDE AND UNDERLYING MEDICAL CONDITIONS ………………………………… 437
Chapter 43
Drowning ……………………………… 440
PERSPECTIVE …………………………………… 440
PRINCIPLES OF DISEASE ……………………… 440
CLINICAL FEATURES …………………………… 441
DIFFERENTIAL CONSIDERATIONS ………… 442
DIAGNOSTIC STUDIES ………………………… 442
MANAGEMENT ………………………………… 442
DISPOSITION……………………………………… 443
Chapter 44
Electrical and Lightning Injuries … 444
PERSPECTIVE …………………………………… 444
PRINCIPLES OF DISEASE ……………………… 444
CLINICAL FEATURES …………………………… 448
COMPLICATIONS ……………………………… 450
DIFFERENTIAL CONSIDERATIONS ………… 450
MANAGEMENT ………………………………… 451
DISPOSITION……………………………………… 452
SECTION 5 Toxicology Emergencies
Chapter 45
General Approach to the Poisoned Patient…………………………………… 454
PERSPECTIVE …………………………………… 454
INITIAL APPROACH TO THE POISONED PATIENT ……………………………………… 454
TOXIC SYNDROMES AND ANTIDOTES……… 455
TOXICOLOGY LABORATORY ………………… 459
DECONTAMINATION ………………………… 459
DISPOSITION AND CONSULTATION ……… 460
Chapter 46 Opioids ………………………………… 461
PERSPECTIVE …………………………………… 461
PRINCIPLES OF DISEASE ……………………… 461
CLINICAL FEATURES …………………………… 462
DIAGNOSTIC STRATEGIES …………………… 463
DIFFERENTIAL CONSIDERATIONS ………… 464
MANAGEMENT ………………………………… 464
DISPOSITION……………………………………… 465
Chapter 47
Organophosphorus-poison ………… 466
PERSPECTIVE …………………………………… 466
PRINCIPLES OF DISEASE ……………………… 466
CLINICAL FEATURES …………………………… 467
DIAGNOSTIC STRATEGIES …………………… 468
DIFFERENTIAL DIAGNOSIS …………………… 468
MANAGEMENT ………………………………… 468
DISPOSITION……………………………………… 469
Chapter 48
Sedative Hypnotics Poisoning ……… 470
BARBITURATES ………………………………… 470
BENZODIAZEPINES …………………………… 472
Chapter 49 Toxic Alcohols ………………………… 476
METHANOL ……………………………………… 476
ETHYLENE GLYCOL …………………………… 479
ISOPROPYL ALCOHOL ………………………… 484
SECTION 6 Toxinlogy Emergency
Chapter 50
Venomous Snake Bite ……………… 488
PERSPECTIVE …………………………………… 488
PRINCIPLES OF DISEASE ……………………… 490
CLINICAL FEATURES …………………………… 491
MANAGEMENT ………………………………… 491
DISPOSITION……………………………………… 496
SECTION 7 Other Emergencies
Chapter 51
Shock Syndrome ……………………… 498
PERSPECTIVE …………………………………… 498
CLINICAL FEATURES ………………………… 500
MANAGEMENT ………………………………… 502
Chapter 52 Sepsis Syndromes …………………… 505
PERSPECTIVE …………………………………… 505
PRINCIPLES OF DISEASE ……………………… 506
CLINICAL FEATURES …………………………… 508
DIAGNOSTIC STRATEGIES …………………… 509
DIFFERENTIAL CONSIDERATIONS ………… 510
MANAGEMENT ………………………………… 510
SECTION 8 Pharmacotherapy of selected emergencies
Chapter 53
Antihypertensive medications ……… 516
PERSPECTIVE …………………………………… 516
ACUTE BLOOD PRESSURE CONTROL ……… 517
CHRONIC
ANTIHYPERTENSIVE THERAPY … 521
Chapter 54
Antiarrhythmic Agents ……………… 525
CLASSIFICATION OF ANTIDYSRHYTHMIC DRUGS ………………………………………… 525
Chapter 55 Drug Therapy in Pregnancy………… 529
PERSPECTIVE …………………………………… 529
PRINCIPLES OF DISEASE ……………………… 530
DRUG THERAPY DURING PREGNANCY …… 531
REFERENCES ………………………………………………………………………………………………………………… 553
