危重病篇(Critical Care)
病例一: ST段抬高型心肌梗死伴糖尿病酮癥酸中毒和高鉀血癥(STEMI with DKA and hyperkalemia)(1)
病例二: 嚴(yán)重腦出血(Extensive intracerebral hemorrhage)(7)
病例三: 你見過這么大的氣道異物嗎?(Have you seen this size of foreign body in upper airway?)(9)
病例四: 高血壓危象,肺水腫和心房撲動2:1房室傳導(dǎo)(Hypertensive emergency with acute pulmonary edema and atrial flutter with 2:1 conduction)(11)
病例五: 乳突炎引起的硬腦膜下膿腫(Subdural empyema due to mastoiditis)(16)
心肺腦復(fù)蘇篇(Cardiopulmonary Cerebral Resuscitation)
病例六: 心臟驟停(Cardiac arrest)(18)
病例七: 海洛因中毒致心臟驟停(Cardiac arrest due to heroin overdose)(23)
心血管疾病篇(Cardiovascular Emergencies)
病例八: 早期ST段抬高型心肌梗死患者的動態(tài)ECG(Dynamic ECG evolution from STEMI) (25)
病例九: 導(dǎo)管介入治療中心的ST段抬高型心肌梗死患者的急診處理(STEMI management in a PCI center)(28)
病例十: 非導(dǎo)管介入治療中心的ST段抬高型心肌梗死患者的急診處理(STEMI management in a nonPCI hospital)(31)
病例十一: 胸痛突然惡化(Sudden worsening of chest pain)(34)
病例十二: 典型心絞痛癥狀和病史,但是ECG……(Typical angina and history, but ECG...) (37)
病例十三: 無痛性心肌梗死(Painless myocardial infarction)(39)
病例十四: STEMI,但近期心臟核素負(fù)荷試驗陰性(STEMI with recent negative stress test) (41)
病例十五: 快速心房顫動的急診流程(Emergency management of atrial fibrillation with rapid ventricular response)(43)
病例十六: 預(yù)激性快速心房顫動的處理(Atrial fibrillation with rapid ventricular response in a patient with WPW)(47)
病例十七: 心源性暈厥:AVB伴室性停搏25秒(Cardiac syncope:AVB with asystole for 25 seconds)(50)
病例十八: 不穩(wěn)定三度房室傳導(dǎo)阻滯(Unstable third degree AVB)(52)
病例十九: 嚴(yán)重一度房室傳導(dǎo)阻滯的處理(Management of Severe first degree AVB) (56)
病例二十: 升主動脈動脈瘤(Ascending aortic aneurysm)(58)
病例二十一: 腹主動脈動脈瘤(Abdominal arterial aneurysm, AAA)(60)
病例二十二: 腹主動脈瘤破裂(Abdominal arterial aneurysm rupture)62)
病例二十三: 主動脈夾層動脈瘤(Aortic dissection aneurysm)(64)
病例二十四: 急性壞死性膽囊炎伴AAA(AAA in a patient with acute necrotizing cholelicystitis)(66)
病例二十五: 心包積液(Pericardial effusion)(69)
病例二十六: 呼吸道感染后心包積液(Pericardial effusion following upper respiratory infection)(71)
病例二十七: 急性左下肢動脈栓塞伴肺炎及肺動脈栓塞(Acute arterial ischemia with pneumonia and pulmonary embolism)(75)
病例二十八: 下腔靜脈及雙下肢靜脈血栓形成的新療法(Inferior vein and limb deep vein thrombosis)(79)
病例二十九: 血壓為什么測不出來?(Why is blood pressure not measurable?)(84)
病例三十: 單極植入式心電圖記錄儀(Implantable loop recorder)(87)
[HJ]
呼吸系統(tǒng)疾病篇(Respiratory Emergencies)
病例三十一: 肺栓塞(Pulmonary embolism)(88)
病例三十二: 服華法林的COPD和DVT患者的咳血(Warfarininduced coagulopathy in a patient with COPD and DVT)(91)
病例三十三: 非結(jié)核堪薩斯分枝桿菌感染(Nontuberculous mycobacterium kasassi infection) (94)
病例三十四: 慢性咳嗽咳痰呼吸困難(Respiratory distress with chronic productive cough) (96)
病例三十五: 自發(fā)性氣胸與套管針胸導(dǎo)管(Trocar catheter in a patient with spontaneous pneumothorax)(98)
病例三十六: 自發(fā)性氣胸與Wayne胸導(dǎo)管(Wayne catheter in a patient with spontaneous pneumothorax)(100)
神經(jīng)系統(tǒng)疾病篇(Neurological Emergencies)
病例三十七: t-PA治療腦卒中的典型病例及流程(A typical stroke patient who received t-PA)(103)
病例三十八: 急性缺血性腦卒中(Acute ischemic stroke)(108)
病例三十九: 左踝手術(shù)后左臂運動障礙伴低氧血癥(Unable to move left arm with hypoxia following left ankle operation)(112)
病例四十: 腦囊蟲病導(dǎo)致的腦卒中(Stroke due to neurocysticercosis)(116)
病例四十一: 脊髓造影一天后出現(xiàn)腦水腫(Brain edema following myelogram)(118)
病例四十二: 急性左側(cè)椎動脈狹窄(Acute vertebral artery stenosis)(120)
病例四十三: 頸胸腰脊髓硬膜外感染伴頸髓硬膜外膿腫(C/T/L-epidural infection with cervical epidural abscess)(122)
感染性疾病篇(Infectious Disease Emergencies)
病例四十四: 結(jié)腸癌穿孔,膿氣胸,嚴(yán)重膿毒癥(Pyopneumothorax and severe sepsis from colonic cancer perforation) (127)
病例四十五: 早產(chǎn)兒,腹脹(Abdominal distention in a premature newborn baby)(132)
病例四十六: 急診膀胱超聲與醫(yī)源性泌尿道感染(Emergent ultrasound and iatrogenic UTI) (135)
病例四十七: 氣腫性腎盂腎炎(Emphysematous Pyelonephritis)(137)
病例四十八: 腳上水泡(Foot blister)(138)
病例四十九: 急性骨髓炎(Acute Osteomyelitis)(140)
病例五十: 腭和舌扁桃體炎伴舌咽部梗阻(Palatine and lingual tonsillitis with airway obstruction)(144)
消化系統(tǒng)疾病篇(Gastrointestinal Emergencies)
病例五十一: 胰腺感染性壞死(Infected pancreatic necrosis)(147)
病例五十二: ERCP后胰腺炎(PostERCP pancreatitis)(150)
病例五十三: 兩例小兒食管異物(Different esophageal foreign bodies in 2 children) (152)
病例五十四: 誤食紐扣電池的急診處理(Emergent management of button battery ingestion) (154)
腎臟疾病篇(Nephrology Emergencies)
病例五十五: 輸尿管囊腫伴輸尿管及腎盂積水(Ureterocele with hydrouteronephrosis) (158)
病例五十六: 如何清除膀胱內(nèi)血塊?(How to remove blood clots from urinary bladder?) (160)
病例五十七: 自發(fā)性腎內(nèi)出血伴腎旁血腫(Spontaneous renal hemorrhage with perinephric hematoma)(162)
血液和腫瘤疾病篇(Hematology/Oncology Emergencies)
病例五十八: 特發(fā)性血小板減少性紫癜(Idiopathic thrombocytopenic purpura)(165)
病例五十九: 低分化非小細胞肺癌伴腦轉(zhuǎn)移(Low differentiate non-small cell lung cancer with brain metastasis) (168)
病例六十: 多發(fā)性骨髓瘤(Multiple myoloma)(170)
病例六十一: 菊池?。↘ikuchi disease)(175)
兒科疾病篇(Pediatric Emergencies)
病例六十二: 良性急性兒童型肌炎(Benign acute childhood myositis)(177)
中毒性疾病篇(Toxicology Emergencies)
病例六十三: 阿片成癮及馬里蘭州醫(yī)療信息交換系統(tǒng)(Opiate addition and Chesapeake Regional Information System for Our Patients)(178)
病例六十四: 海蜇蜇傷的現(xiàn)場處理(Jellyfish sting)(180)
病例六十五: 嚴(yán)重酒精中毒的合并癥(Complications due to alcohol intoxication) (182)
病例六十六: 靜脈吸毒者的“棉花熱”(‘Cotton fever’in a patient with IV drug abuse) (185)
婦產(chǎn)科疾病篇(Obstetrics/Gynecology Emergencies)
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其他篇(Miscellaneous)
一、 2013年中美醫(yī)生生活方式比較(Comparison of life styles of American and Chinese physicians in 2013)(267)
二、 美國急診科臨床實踐內(nèi)容規(guī)范(Practice scopes of emergency medicine physicians) (269)
三、 美國院前急診醫(yī)療體系簡介(An introduction of prehospital emergency medical system in USA)(271)
四、 2013年醫(yī)學(xué)理念的顛覆和改變(New changes that may change your practice in 2013) (273)
五、 美國住院醫(yī)師培訓(xùn)簡介(Residency training programs in USA)(275)
六、 解決中國醫(yī)療信任危機的根本方法:將“信任危機”的惡性循環(huán)轉(zhuǎn)換成“標(biāo)準(zhǔn)化醫(yī)療”的良性循環(huán)(The radical resolution of trust crisis in healthcare in China: transferring ‘trust crisis’ into ‘trust healthcare’)(279)