《外科急症：问题、诊断和管理》第六版（真PDF）

2020 | ISBN: 0702076317 | English | 667 pages | True PDF (Bookmarked, No Index) | 132 MB

Essential Surgery is well-established as one of the leading textbooks of surgery for medical students, core surgical trainees and those in professions allied to medicine. Covering general surgery, trauma, orthopaedics, vascular surgery, urology, paediatric surgery, cardiothoracic surgery, neurosurgery, maxillofacial surgery and ENT, it also incorporates appropriate levels of basic science throughout. The book is ideal to accompany clinical courses, as well as being a practical manual for readers at more advanced levels requiring a revision aid for exams. Its main aim is to stimulate the reader to a greater enjoyment and understanding of the practice of surgery.

The uniformity of the writing style and the clarity of elucidation will encourage continued reading, while the emphasis on the principles of surgery will enable a real understanding of the subject matter. The book incorporates a problem-solving approach wherever possible, emphasising how diagnoses are made and why particular treatments are used. The pathophysiological basis of surgical diseases is discussed in relation to their management, acting as a bridge between basic medical sciences and clinical problems. The book’s extensive use of original illustrations, colour photographs, radiology images, boxes and tables emphasises important concepts and will promote easy revision of topics. The principles of operative surgery and pre-, peri- and postoperative care are explained together with outlines of common operations, enabling students and trainee surgeons to properly understand procedures and to participate intelligently in the operating department. A major and comprehensive revision of the text has taken full account of the progressive evolution of surgery and includes new scientific and clinical concepts that have advanced medical understanding. Ensuring the book’s contents are aligned to the curriculum of the UK Intercollegiate MRCS examination has resulted in the addition of new topics including an emphasis on peri-operative care optimisation, enhanced recovery programmes, antibiotic use and resistance, updated cancer staging, minimally invasive surgery, and the evolving role of interventional radiology. Additional essential governance and management topics are covered, including patient safety, surgical ethics, communication, consent, clinical audit and principles of research. The broad experience of surgical teaching and training of two new editors and many new contributors, all with sub-specialist expertise, have brought a contemporary perspective on the book’s contents and its presentation. New national and international guidelines for managing common disorders have been incorporated where appropriate, including major haemorrhage management pathways and trauma. There are new dedicated chapters on major trauma management and elective orthopaedics.

《必修外科手术》作为医学学生、外科核心培训人员和医学领域相关专业人员的领先教材之一，广受认可。该书涵盖了普通外科、创伤外科、骨科、血管外科、泌尿外科、儿科外科、心脏胸外科、神经外科、口腔颌面外科及耳鼻喉外科等内容，并在各个层面包含适当的基本科学知识。本书非常适合临床课程使用，同时亦是高级读者用于复习考试的实用手册。其主要目的是激发读者对外科实践产生更大的兴趣和理解。 该书的文笔风格统一且解释清晰，这将鼓励继续阅读。强调手术原则的重要性使读者能够真正理解和掌握相关主题。 书中尽可能采用问题解决的方法论，并着重讨论了诊断是如何做出以及为何要使用特定治疗方式的问题。 病理生理学基础在管理疾病的背景下进行了探讨，作为基本医学科学与临床问题之间的桥梁。 本书广泛使用原创插图、彩色照片、放射学图像、框和表格，强调重要概念并促进主题的轻松复习。 书中阐述了手术操作的基本原理以及术前、围手术期及术后护理。此外还提供了常见手术的概要，使学生和外科培训人员能够正确理解和参与手术室的工作。 书中对内容进行了全面且主要的修订，并充分考虑了外科领域的发展演变，包括新的科学和临床概念以深化医学理解。 确保书籍的内容符合英国跨学院MRCS考试课程要求，因此增加了新的话题，如优化围手术期护理、增强恢复项目、抗生素使用与耐药性、更新癌症分期、微创手术以及介入放射学的新兴作用。 书中还涵盖了一些重要的治理和管理主题，包括患者安全、外科伦理、沟通、知情同意、临床审计和研究原则。 两位新编辑及许多新贡献者带来了当代视角。这些作者具有子专科专业经验。 在适当的情况下纳入了处理常见疾病的国家和国际指导方针，其中包括重大出血管理和创伤的路径图。 新增了专注于重大创伤管理及择期骨科手术的新章节。

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