臨床外科學(xué)

出版時間:2002-6  出版社:天津科技翻譯出版公司  作者:Josef E.Fischer  頁數(shù):2223  

前言

The first edition of Mastery of Surgery was published in 1984, and two subsequent editions, with substantial revisions, as well as new groups of authors in each instance, followed. This text has achieved acceptance in the broadest sense by the surgical community, far beyond the expectations of Drs.Nyhus and Baker when the first edition was in its formative stage. This, the fourth edition, reflects the extraordinary progress-indeed, evolution of surgical knowledge and technique in the 17 years that have elapsed since the first edition was published. The most remarkable advance has been the advent and development of minimally invasive surgery, which, in addition to helping to revitalize general surgery, has already radically changed the nature of general and thoracic surgery and promises to continue to expand the scope of operations done with these techniques in the abdomen, chest, and neck well beyond that which has already occurred at this writing.

內(nèi)容概要

本書是一部面向21世紀(jì)的臨床外科學(xué)巨著,內(nèi)容翔實(shí)豐富,觀點(diǎn)新穎,結(jié)構(gòu)嚴(yán)謹(jǐn),論述全面系統(tǒng),突出介紹了現(xiàn)代外科學(xué)新知識、新理論、新技術(shù)及新方法,符合當(dāng)前實(shí)際工作的需要,具有學(xué)術(shù)和應(yīng)用雙重價值。除介紹基礎(chǔ)臨床外科理論外,還針對臨床上遇到的各種情況各予了科學(xué)、權(quán)威的指導(dǎo)。 在過去的20年中,《臨床外科學(xué)》成為了一部重要的參考資料,影響了兩代臨床外科醫(yī)生。本書第四版的問世,足以說明其臨床應(yīng)用的價值,本書無疑為國內(nèi)消化道內(nèi)窺鏡技術(shù)的臨床使用提供了國際上最新的前沿資料。

作者簡介

作者:(美國)貝克 (Robert J.Baker) (美國)費(fèi)希爾 (Josef E.Fischer) Robert J.Baker(貝克),Professor and Vice Chairman, Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois.    Josef E.Fischer(費(fèi)希爾),Mallinckrodt Professor of Surgery, Harvard Medical School; Chief of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

書籍目錄

編著者前言第1卷   第1篇 外科患者的圍手術(shù)期護(hù)理    1 創(chuàng)傷和感染時的代謝反應(yīng)    2 患者的準(zhǔn)備    3 營養(yǎng)評估和靜脈內(nèi)的營養(yǎng)支持    4 腸內(nèi)營養(yǎng)支持    5 心血管監(jiān)測和支持    6 呼吸衰竭和通氣支持      專門的注釋:急性肺損害、機(jī)械通氣和通氣支持的撤除    7 出血性并發(fā)癥及其預(yù)防:血液成分及其在治療中的應(yīng)用    8 圍手術(shù)期抗菌素預(yù)防法    9 多器官功能障礙綜合征:發(fā)病機(jī)制、預(yù)防和處理    10 獲得性免疫缺陷并發(fā)癥的處理  第2篇 基本手術(shù)技能:新的和正涌現(xiàn)的技術(shù)    11 腹壁切開和修復(fù)    12 胃腸道手術(shù)的縫合器閉合技術(shù)    13 術(shù)中和腹腔鏡超聲:用途非常廣泛的外科工具    14 電烙器、氬束凝固、冷凍療法及其他止血與組織分離器械    15 上、下胃腸道內(nèi)鏡檢查和內(nèi)鏡逆行性膽胰管造影術(shù)    16 微創(chuàng)外科:腹腔鏡和胸腔鏡技術(shù)    17 血管內(nèi)外科的新技術(shù)    18 應(yīng)用皮瓣技術(shù)組織重建術(shù)  第3篇 頭和頸    19 腮腺、下頜三角和口底的解剖學(xué)    20 腮腺    21 下頜下腺和舌下腺的手術(shù)    22 舌和唇的外科解剖學(xué)    23 唇重建術(shù)    24 治療口部癌癥的半側(cè)舌切除術(shù)、口底切除術(shù)和下頜骨切除術(shù)    25 頸部解剖學(xué):頸前和頸外側(cè)三角    26 根治性頸清掃術(shù)    27 先天性損害:甲狀腺舌管囊腫和鰓裂異常    28 兒童期的血管損害    29 頸動脈體瘤    30 治療癌癥的喉、咽切除    31 氣管的切除和重建術(shù)    32 一般面部損傷的評估和修復(fù)    33 頸部穿透傷……第2卷索引

章節(jié)摘錄

1Metabolic Response to Trauma and InfectionPer-Olof Hasselgren, David R.Fischer, and Timothy A.PrittsTrauma and infection initiate changes in metabolism that can affect virtually all organs and tissues by altering carbohydrate, lipid, and protein metabolism. The metabolic response to injury and sepsis has traditionally been divided into an ebb and a flow phase followed by a convalescence phase. This metabolic pattern is better defined after injury than during sepsis. The metabolic course during sepsis is more convoluted because the septic insult is usually more insidious in its onset and can vary in its duration and intensity. Individuals with severe sepsis or septic shock display many of the characteristics of the ebb phase, whereas patients with amore chronic, less severe sepsis display the hypermetabolism and catabolism of the flow phase (“hypermetabolic sepsis”).

編輯推薦

《臨床外科學(xué)(全2冊)》可供相關(guān)醫(yī)學(xué)人員閱讀。近年來,隨著科學(xué)技術(shù)的飛速發(fā)展,外科學(xué)臨床與技術(shù)方面的新成就不斷涌現(xiàn),使外科學(xué)內(nèi)容越來越豐富。為了適應(yīng)醫(yī)務(wù)人員提高業(yè)務(wù)素質(zhì)的需要及造福于廣大患者,特此推薦《臨床外科學(xué)(全2冊)》一書。

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