作 者:鄧小明萬小健孟岩主譯 著
定 價:168
出 版 社:北京大學醫學出版社
出版日期:2021年11月01日
頁 數:480
裝 幀:精裝
ISBN:9787565925078
"本書總結闡述了麻醉實踐中的血液制品管理,旨在提高需要輸血的手術患者預後。內容以通俗易懂的方式呈現,方便隨時查閱並用於臨床實踐。 本書前幾章從輸血歷史的概述開始,介紹了後續章節所需了解的基礎知識。隨後論述了各種輸血相關規則、藥物和技術,包括有助於凝血的新型生物制品以及血液替代品。進一步的討論聚焦於輸血的潛在並發癥,如凝血繫統疾病、病原體傳播和急性肺損傷。本書還闡述了老年患者和藥物濫用患者等特殊人群的輸血治療。 《麻醉實踐中血液制品管理精要》可為麻醉科醫師、危重癥醫師、外科醫師、創傷醫師和實體器官等
●1 輸血和血液管理的歷史 ········································································································· 1 2 現代血庫 ··························································································································11 3 血液成分治療 ··················································································································· 21 4 凝血繫統和血凝塊穩定性 ···································································································· 29 5 纖維蛋白溶解、抗纖維蛋白溶解藥物及圍手術期應用 ································································ 37 6 血液高凝與血栓性疾病 ······································································································· 51 7 血小板異常情況或疾病 ······································································································· 57 8 大量輸血方案 ··················································································································· 69 9 輔助凝血的新生物制劑 ······································································································· 81 10 影響止血的草藥··············································································································· 89 11 出血性疾病的超聲檢查····································································································· 101 12 輸血並發癥···················································································································· 113 13 凝血繫統疾病:血友病、血管性血友病、冷球蛋白血癥和先天性凝血因子合成障礙 ······················ 119 14 血液保護策略和免輸血醫學 ······························································································127 15 當不能選擇輸血時:對耶和華見證會信徒患者的管理 ·····························································133 16 血液替代品與人工氧載體 ·································································································139 17 貧血的術前治療·············································································································· 143 18 自然災難和軍事戰爭中血液制品管理 ··················································································151 19 影響凝血的常用處方藥:綜述 ···························································································165 20 嚴重創傷患者的輸血 ·······································································································189 21 圍手術期凝血床旁檢測 ····································································································199 22 血管內皮功能障礙與炎癥狀態 ···························································································213 23 產科患者血液管理 ··········································································································229 24 兒科患者血液管理 ··········································································································239 25 肝移植患者的血液管理 ····································································································255 26 開放性與保守性輸血策略 ·································································································265 27 遺傳性凝血功能障礙 ·······································································································2751麻醉實踐中血液制品管理精要 28 鐵過載的代謝、病理生理學及臨床治療 ···············································································285 29 輸血治療的陷阱·············································································································· 297 30 創傷性顱腦損傷與輸血 ····································································································309 31 輸血相關免疫調節與圍手術期感染 / 腫瘤復發:輸血相關的生理改變、證據和爭議 ······················· 317 32 血液制品的來源·············································································································· 325 33 心髒外科的血液保護與管理 ······························································································331 34 富血小板血漿:不隻是運動員的福音 ··················································································337 35 燒傷患者的輸血治療 ·······································································································345 36 院前急救輸血················································································································· 349 37 全血又回來了················································································································· 361 38 生理鹽水:對於出血患者並不夠生理 ··················································································367 39 老年患者的血液管理 ·······································································································371 40 藥物濫用和凝血功能障礙 ·································································································379 41 圍手術期輸注異體血液制品對癌癥復發的影響 ······································································387 42 紅細胞增多癥的圍手術期處理 ···························································································393 43 早產兒的血液管理 ··········································································································399 44 凝血與區域麻醉·············································································································· 411 45 鐵過載·························································································································· 421 46 發展中國家的血液制品管理 ······························································································425 47 接受介入性疼痛管理的患者使用抗凝和抗血栓藥物的注意事項和指南 ········································429 48 紅細胞的儲存損傷:生物學與隨機對照試驗的爭論 ································································441彩圖··································································································································· 453
本書旨在總結並改善需要接受血液治療的手術患者預後。內容以通俗易懂的方式呈現,方便即時用於臨床實踐。本書前幾章從輸血歷史的概述開始,介紹了理解後續章節所需的基礎知識。涵蓋各種差別細微的手術操作、藥物和技術,包括有助於凝血的新型生物制品以及血液替代品。進一步的討論聚焦於輸血的潛在並發癥,如凝血繫統疾病、病原體傳播和急性肺損傷。此外本書還闡述了治療特定人群的復雜性,包括老年患者和藥物濫用患者。可為麻醉科醫師、外科醫師、創傷醫師和實體器官移植人員提供寶貴的指南。