麻州總醫(yī)院兒科手冊(cè)

內(nèi)容概要

《麻州總醫(yī)院小兒科手冊(cè)》是提供兒科住院醫(yī)師一本攜帶方便、快速查閱及即時(shí)參考的手冊(cè)。它是由一群優(yōu)秀的住院、主治醫(yī)師與相關(guān)學(xué)科之指導(dǎo)老師所精心編撰而成。內(nèi)容由所蒐集的文獻(xiàn)及研究之相關(guān)資訊，以條例方式做重點(diǎn)整理，並提供最新之實(shí)證作法及診療指引。在各主題之章節(jié)提供引用文獻(xiàn)之出處，有興趣的讀者可以針對(duì)有疑慮的文章，將其訊息輸入於www.pubmed.gov的搜尋欄中做搜尋，即可獲得所需之核心知識(shí)，相信本書是兒科醫(yī)師及相關(guān)醫(yī)療人員必備的隨身手冊(cè)。
【序言】
每個(gè)醫(yī)生在訓(xùn)練過程中都必須面臨接二連三的挑戰(zhàn)。在提供臨床照護(hù)的同時(shí)，最要緊的是須增加其知識(shí)基礎(chǔ)來增進(jìn)更好的臨床照護(hù)。因此，“在工作中學(xué)習(xí)”十分需要有隨時(shí)可得之最新、準(zhǔn)確、以證據(jù)為基礎(chǔ)的醫(yī)學(xué)訊息來支持其經(jīng)驗(yàn)學(xué)習(xí)。
這本手冊(cè)是“學(xué)員教導(dǎo)學(xué)員”的最佳範(fàn)例。它是由一群優(yōu)秀的住院醫(yī)師、研究醫(yī)師與其指導(dǎo)老師，根據(jù)相關(guān)的學(xué)科一起精心編寫而成。它同時(shí)也將住院醫(yī)師和研究醫(yī)師特別需要注意的醫(yī)療狀況，根據(jù)住院、門診、或器官系統(tǒng)作有條理的安排。它代表了一個(gè)不斷進(jìn)步的資源，且反應(yīng)了許多實(shí)證醫(yī)學(xué)架構(gòu)出的兒科標(biāo)準(zhǔn)醫(yī)療照護(hù)。Prasad醫(yī)師和其受訓(xùn)的研究醫(yī)師為科學(xué)作了一個(gè)不平凡的工作，將兒科醫(yī)學(xué)編撰成一本非常珍貴的兒科實(shí)用手冊(cè)。這本手冊(cè)將會(huì)永遠(yuǎn)放在我的上衣口袋裡，而且我會(huì)時(shí)常拿出來翻閱。
RONALD E. KLEINMAN, MD
麻州總醫(yī)院兒童醫(yī)院首席醫(yī)師
兒科部主席
兒童腸胃和營(yíng)養(yǎng)部門首席
麻州總醫(yī)院
Charles Wilder兒科教授
哈佛醫(yī)學(xué)院

書籍目錄

【目錄】
協(xié)同作者群 　iii
序言 　vi
編者的話 　vii
譯者序 　viii
縮寫 　xv
初級(jí)照護(hù)與青少年醫(yī)學(xué) (PRIMARY CARE AND ADOLESCENT MEDICINE)
Michele S. Duke, Anna Wheeler Rosenquist, Bradley Monash, Paritosh Prasad, and Shannon E. Scott-Vernaglia
母乳哺餵 (Breast-feeding) 1-1
牛奶蛋白過敏 (Cow's milk protein allergy) 1-1
胃食道逆流 (Reflux) 1-1
嬰兒猝死癥 (Sudden infant death syndrome) 1-1
頭骨畸形 (Skull deformities) 1-2
新生兒高膽紅素血癥 (Neonatal hyperbilirubinemia) 1-3
嬰兒腸絞痛 (Colic) 1-5
正常的生長(zhǎng) (Normal growth) 1-6
生長(zhǎng)遲緩，長(zhǎng)不大 (Failure to thrive) 1-6
體重過重與肥胖 (Overweight and obesity) 1-7
發(fā)展里程碑 (Developmental milestones) 1-8
自閉癥系列障礙 (Autism spectrum disorder, ASD) 1-10
預(yù)防接種 (Immunizations) 1-11
鉛濃度篩檢和毒性 (Lead screening and toxicity) 1-12
子宮頸抹片 (Pap smears) 1-13
避孕法 (Contraception) 1-14
飲食性疾患 (Eating disorders) 1-14
與青少年建立關(guān)係並建立他們的優(yōu)勢(shì) (Engaging adolescents and building on their strengths) 1-15
急診 (EMERGENCY DEPARTMENT)
Emily F Gregory, Efren Gutierrez, Paritosh Prasad, and Linda T.Wang
常見兒科急癥之快速的評(píng)估與處理 (Rapid evaluation and management of common pediatric emergencies) 2-1
喘鳴 (Stridor) 2-5
過敏性反應(yīng) (Anaphylaxis) 2-6
明顯威脅生命的事件 (Apparent life-threatening event, ALTE) 2-7
嬰兒與兒童不明原因的發(fā)燒 (Fever without an identified source in infants and children) 2-8
闌尾炎 (Appendicitis) 2-11
腸套疊 (Intussusception) 2-11
燒傷 (Burns) 2-12
一氧化碳吸入 (Carbon monoxide inhalation) 2-14
創(chuàng)傷概述 (Trauma overview) 2-14
頭部外傷 (Head trauma) 2-15
異物吸入和吞入 (Foreign bodies aspiration and ingestion) 2-17
哭泣的嬰兒 (The crying infant) 2-17
骨科性急癥 (Emergent orthopedic issues) 2-18
毒物學(xué) (Toxicology) 2-19
過敏反應(yīng)和免疫學(xué) (ALLERGY AND IMMUNOLOGY)
Lori Zimmerman, Shira H. Brown, Laura De Girolami, Milo Vassallo, and Elizabeth C.TePas
食物過敏 (Food allergy) 3-1
異位性皮膚炎 (Atopic dermatitis) 3-2
藥物過敏 (Drug allergy) 3-3
蕁麻疹和血管性水腫 (Urticaria and angioedema) 3-3
免疫缺損 (Immune deficiencies) 3-6
Ｂ細(xì)胞缺乏癥 (體液性) (B-cell deficiency; humoral) 3-6
Ｔ細(xì)胞缺乏癥 (細(xì)胞性免疫) (T-cell deficiencies; cellular immunity) 3-7
複合型免疫缺乏癥 (Combined immune deficiencies) 3-8
補(bǔ)體缺乏癥 (Complement deficiencies) 3-9
吞噬細(xì)胞疾病 (Phagocytic disorders) 3-10
心臟學(xué) (CARDIOLOGY)
Deepak Palakshappa, Paritosh Prasad, and Ana Maria Rosales
心電圖判讀 (EKG interpretation) 4-1
心雜音 (Heart murmurs) 4-2
暈厥 (Syncope) 4-3
胸痛 (Chest pain) 4-4
發(fā)紺的兒童 (Cyanotic child) 4-5
先天性心臟病 (Congenital heart disease) 4-7
原發(fā)性高血壓 (Essential hypertension) 4-9
兒童心律不整 (Pediatric dysrhythmias) 4-10
心包膜炎和心包膜積水 (Pericarditis and pericardial effusion) 4-12
心肌病 (Cardiomyopathies, CM) 4-13
鬱血性心衰竭 (Congestive heart failure) 4-15
內(nèi)分泌學(xué) (ENDOCRINOLOGY)
Alison Schwartz, Shana McCormack, Elvira Isganaitis, and Lynne L. Levitsky
糖尿病 (Diabetes mellitus) 5-1
第１型糖尿病 (Diabetes mellitus type 1) 5-1
第２型糖尿病 (Diabetes mellitus type 2) 5-3
糖尿病酮酸中毒 (Diabetic ketoacidosis) 5-4
低血糖 (Hypoglycemia) 5-5
甲狀腺功能檢查 (Thyroid function tests) 5-6
甲狀腺功亢進(jìn) (Hyperthyroidism) 5-6
甲狀腺功能低下 (Hypothyroidism) 5-7
腎上腺功能不全 (Adrenal insufficiency, AI) 5-8
腦下垂體功能低下 (Hypopituitarism) 5-9
性器不明 (Ambiguous genitalia) 5-10
性早熟 (Precocious puberty) 5-10
青春期延遲 (Delayed puberty) 5-11
身材矮小 (Short stature) 5-12
無月經(jīng)癥 (Amenorrhea) 5-13
多囊性卵巢癥候群 (Polycystic ovarian syndrome, PCOS) 5-14
輸液與電解質(zhì) (FLUIDS AND ELECTROLYTES)
Paritosh Prasad and Avram Z. Traum
體液與輸液 (Body and parenteral fluids) 6-1
脫水與水分再補(bǔ)充 (Dehydration and rehydration) 6-1
低血鈉 (Hyponatremia) 6-3
高血鈉 (hypernatremia) 6-5
低血鉀 (Hypokalemia) 6-7
高血鉀 (Hyperkalemia) 6-9
低血鈣 (Hypocalcemia) 6-10
高血鈣 (Hypercalcemia) 6-12
低血鎂/高血鎂 (Hypomagnesemia/Hypermagnesemia) 6-14
低血磷/高血磷 (Hypophosphatemia/hyperphosphatemia) 6-15
酸鹼性疾病 (Acid base disorders) 6-16
代謝性酸中毒 (Metabolic acidosis) 6-17
代謝性鹼中毒 (Metabolic alkalosis) 6-19
呼吸性酸中毒和鹼中毒 (Respiratory acidosis and alkalosis) 6-20
腸胃病學(xué) (GASTROENTEROLOGY)
Paritosh Prasad, Bradley Monash, Jess Kaplan, Garrett C. Zella, and Jeffrey A Biller
急性腹痛 (Acute abdominal pain) 7-1
消化性潰瘍 (Peptic ulcer disease) 7-1
嘔吐 (Vomiting) 7-2
胃食道逆流疾病 (Gastroesophageal reflux disease, GERD) 7-4
幽門狹窄 (Pyloric stenosis) 7-5
腸胃道出血 (Gastrointestinal bleeding) 7-5
急性腹瀉 (Acute diarrhea) 7-7
慢性腹瀉 (Chronic diarrhea) 7-9
麩質(zhì)腸病變 (腹腔性疾病) (Celiac disease) 7-10
發(fā)炎性腸道疾病 (Inflammatory bowel disease, IBD) 7-11
黃疸 (Jaundice) 7-14
肝功能異常 (Abnormal liver function tests) 7-14
肝炎 (Hepatitis) 7-15
膽道疾病 (Biliary tract disease) 7-18
急性胰臟炎 (Acute pancreatitis) 7-19
慢性胰臟炎 (Chronic pancreatitis) 7-20
血液學(xué) (HEMATOLOGY)
Nirali Shah and Eric F. Grabowski
貧血 (Anemia) 8-1
血紅素病變 (Hemoglobinopathies) 8-2
血小板疾病 (Platelet disorders) 8-3
凝血功能 (Coagulation) 8-5
骨髓衰竭 (Bone marrow failure) 8-8
腫瘤學(xué) (ONCOLOGY)
Patrick T. McGann, Kevin R . Schwartz, and Howard J. Weinstein
兒童的淋巴結(jié)病變 (Lymphadenopathy in the pediatric patient) 9-1
兒童腫瘤急癥 (Pediatric oncologic emergencies) 9-3
兒童的中性球低下癥 (Neutropenia in the pediatric patient) 9-4
急性淋巴性白血病 (Acute lymphoblastic leukemia) 9-5
急性骨髓性白血病 (Acute myelogenous leukemia) 9-6
何杰金氏淋巴瘤 (Hodgkin lymphoma) 9-6
非何杰金氏淋巴瘤 (Non-Hodgkin lymphoma) 9-7
輸血 (Transfusions) 9-8
兒童腦瘤 (Pediatric brain tumors) 9-10
神經(jīng)母細(xì)胞瘤 (Neuroblastoma) 9-12
骨肉瘤 (Osteosarcoma) 9-13
感染性疾病 (INFECTIOUS DISEASE)
Phuoc V. Le, Colin McCreight, Anne Griffin, Paritosh Prasad, and Chadi El Saleeby
不明熱 (Fever of unknown origin) 10-1
感染性腦膜炎 (Infectious meningitis) 10-1
眼眶周圍 (隔膜前) 及眼窩蜂窩性組織炎 [Periorbital (preseptal) and orbital cellulitis] 10-3
急性中耳炎 (Acute otitis media) 10-4
淋巴腺炎 (Lymphadenitis) 10-5
萊姆病 (Lyme disease) 10-6
泌尿道感染／腎盂腎炎 (UTI/pyelonephritis) 10-7
蜂窩性組織炎 (Cellulitis) 10-8
化膿性關(guān)節(jié)炎和骨髓炎 (Septic arthritis and osteomyelitis) 10-9
性傳染病 (Sexually transmitted infections) 10-11
骨盆腔發(fā)炎 (Pelvic inflammatory disease) 10-15
結(jié)核病 (Tuberculosis) 10-16
人類免疫缺乏病毒 (HIV) 10-17
兒童肺炎 (Pediatric pneumonia) 10-19
遺傳與代謝 (GENETICS & METABOLISM)
Alyssa R. Letourneau, Marsha F. Browning, and Vivian E. Shih
先天性代謝異常 (Inborn errors of metabolism) 11-1
代謝急癥 (Emergencies) 11-1
代謝性酸中毒與酮癥 (Metabolic acidosis and ketosis) 11-2
低血糖 (Hypoglycemia) 11-2
高血氨癥 (Hyperammonemia) 11-3
新生兒篩檢異常 (Abnormal newborn screen) 11-3
半乳糖血癥 (Galactosemia) 11-3
苯酮尿癥／苯丙氨酸血癥 (Phenylketonuria/Phenylalaninemia) 11-4
已知的先天性代謝異常之處理 (Management of known inborn errors of metabolism) 11-4
懷疑代謝疾病兒童死後的檢查 (Post mortem labs) 11-6
三染色體13 (Trisomy 13) 11-6
三染色體18 (Trisomy 18) 11-6
三染色體21 (Trisomy 21) 11-6
透納氏癥 (Turner syndrome) 11-7
Ｘ染色體脆折癥 (Fragile X) 11-8
柯林菲特氏癥 (Klinefelter) 11-8
VACTERL聯(lián)合畸形 (VACTERL) 11-9
溶小體儲(chǔ)積癥 (Lysosomal storage diseases) 11-9
粒腺體缺陷 (Mitochondrial defects) 11-11
Ehlers-Danlos癥候群 (Ehlers-Danlos syndrome) 11-11
馬凡氏癥 (Marfan disease) 11-12
神經(jīng)學(xué) (NEUROLOGY)
Casey Olm-Shipman, M. Zelime Ward, and Verne S . Caviness
單純性熱痙攣 (Simple febrile seizure) 12-1
兒童之第一次非發(fā)燒性抽搐 (First nonfebrile seizure in children) 12-1
癲癇 (Epilepsy) 12-2
癲癇重積狀態(tài) (Status Epilepticus, SE) 12-4
運(yùn)動(dòng)障礙／動(dòng)作障礙疾病 (Dyskinesia/Movement disorders) 12-5
步態(tài)異常／運(yùn)動(dòng)失調(diào) (Abnormal gait/Ataxia) 12-5
無力／周邊神經(jīng)病變 (Weakness/Peripheral neuropathies) 12-6
脫髓鞘疾病 (Demyelinating diseases) 12-9
腦性麻痺 (Cerebral palsy) 12-11
頭痛 (Headache, HA) 12-12
神經(jīng)皮膚癥候群 (Neurocutaneous syndromes) 12-14
肺部 (PULMONARY)
Peter P. Moschovis, Lael M . Yonker, Elizabeth C. Parsons, Benjamin A . Nelson, Efraim Sadot, Christina V. Scirica, Kenan Haver, and Natan Noviski
肺功能檢查 (Pulmonary function tests) 13-1
常見的呼吸道問題 (Common respiratory complaints) 13-3
喉頭軟化癥 (Laryngomalacia) 13-3
哮吼 (Croup) 13-4
阻塞性睡眠呼吸暫停癥候群 (Obstructive sleep apnea syndrome) 13-5
氣管軟化癥 (Tracheomalacia) 13-6
氣喘 (Asthma) 13-6
細(xì)支氣管炎 (Bronchiolitis) 13-8
囊性纖維病 (Cystic fibrosis) 13-9
咳血 (Hemoptysis) 13-10
肋膜積液 (Pleural effusions) 13-11
氣胸 (Pneumothorax) 13-12
腎臟 (RENAL)
Shana McCormack, Paritosh Prasad, and Avram Z. Traum
尿液分析 (Urinalysis) 14-1
急性腎衰竭 (Acute renal failure) 14-1
慢性腎衰竭 (Chronic renal failure) 14-3
次發(fā)性高血壓 (Secondary hypertension) 14-4
血尿、腎炎癥候群 (Hematuria, nephritic syndromes) 14-4
泌尿道結(jié)石 (Urinary tract calculi) 14-5
腎病癥候群 (Nephrotic syndrome) 14-6
腎小管酸中毒 (Renal tubular acidosis) 14-6
膀胱輸尿管逆流 (Vesicoureteral reflux) 14-7
風(fēng)濕病學(xué) (RHEUMATOLOGY)
Anne Griffin, Deepak Palakshappa, Catherine Aftandilian, Kavita B. Vyas, Smitha Chillambhi, and Holly Rothermel
幼年型不明原因性關(guān)節(jié)炎 (Juvenile idiopathic arthritis, JIA) 15-1
反應(yīng)性關(guān)節(jié)炎 (Reactive arthritis) 15-2
全身性紅斑性狼瘡 (Systemic lupus erythematosus) 15-3
血管炎 (Vasculitides) 15-5
皮肌炎／多發(fā)性肌炎 (Dermatomyositis/Polymyositis) 15-9
新生兒加護(hù)病房 (NICU)
Naureen Memon, Miranda Bik-Yin Ip, Phuoc V. Le, and Joseph H. Chou
產(chǎn)房的處理 (Delivery room management) 16-1
新生兒加護(hù)病房的基本處理 (Basic NICU management) 16-3
肺部／呼吸 (Pulmonary/Respiratory) 16-6
心血管 (Cardiovascular) 16-8
腸胃病學(xué) (Gastroenterology) 16-9
感染性疾病 (Infectious disease) 16-12
血液學(xué) (Hematology) 16-16
神經(jīng)學(xué) (Neurology) 16-17
兒童加護(hù)病房 (PICU)
Elizabeth C. Parsons, Peter P. Moschovis, and Elliot Melendez
加護(hù)病房的一般照顧 (General ICU care) 17-1
危重癥患者的預(yù)防措施 (Prophylaxis in critical illness) 17-1
疼痛控制和鎮(zhèn)靜 (Pain control and sedation) 17-2
呼吸衰竭 (Respiratory failure) 17-2
呼吸器 (Mechanical ventilation) 17-3
兒童葉克膜／體外維生系統(tǒng) (Pediatric ECMO/ECLS) 17-4
呼吸器相關(guān)的肺炎 (Ventilator-associated pneumonia, VAP) 17-5
急性呼吸窘迫癥候群 (Acute respiratory distress syndrome, ARDS) 17-5
敗血性休克 (Septic shock) 17-6
強(qiáng)心劑與升壓劑 (Inotropes, chronotropes, and vasopressors) 17-8
腦壓上升 (Increased intracranial pressure) 17-9
加護(hù)病房常見流程 (Procedures) 17-10
快速順序插管 (Rapid sequence intubation) 17-10

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