Basic Dysrhythmias

出版者:Elsevier Science Health Science div

作者:Huszar MD, Robert J.

页数:544

出版时间:2006-11

价格:412.00元

装帧:Pap

isbn号码:9780323048569

具体描述

The Fourth Edition is now updated to reflect the new 2010 emergency cardiac care guidelines. It continues to build on the qualities that made previous editions of the book so well received by ECG students and practitioners. The book has been redesigned in 4 color and restructured to complement the order in which students learn specific skills: ECG components are presented first, followed by information on how to interpret ECGs to arrive at a diagnosis. More complex material follows basic skills, with advanced sections at the end. Packaged with a FREE Companion CD with 200 practice rhythms, the FREE Heart Rate Ruler and FREE Pocket Guide, this edition comes loaded with extras designed to enhance student learning!

Features and Benefits New! Text is compliant to the latest ECC guidelines. All chapters are updated to comply with the latest ECC guidelines. Ensures the latest, most accurate information available; follows industry standards. New! Revision includes an update of the description, causes, and treatment of the dysrhythmias. Objectives, Key Terms, chapter review questions, and the glossary have been updated as needed to fit the new information. Follows the latest advances in medicine to give providers the most accurate information possible. New! Expansion of the current sections on the description and management of acute myocardial infarction into the broader concept of acute coronary syndromes, including their description, diagnosis, and management. Gives the reader the most thorough, advanced information available. New! 10 case studies with questions have been added to the Arrhythmia Self-assessment Test in Appendix C. Case studies allow students to place the information in context. New! Easier to follow, 4-color design! (the book was previously 2 color) Four color adds interest for the reader and the new format will make it easier to follow the text and distinguish sections from each other, particularly in chapter 10, the treatment chapter. Author Keith Wesleyis is a board certified emergency medicine physician who has been involved in EMS since 1989. Ensures that the text is relevant to prehospital and hospital providers. Original author Dr. Robert Huszar has written in this field for more than 20 years and has laid down an experienced foundation of ECG information which is advanced now by the continuing author, Dr. Keith Wesley. Dr. Wesley continues this book's tradition of excellence. Text is skillfully written, well-thought-out and organized. Concepts are presented in a way that is clear and easy to understand. Reviewed by experts in ECG interpretation and emergency cardiovascular care Reviewers with a wide range of expertise ensure that the material is accurate, current, and universal. Text covers both basic and advanced concepts, incorporating the latest research developments. Material is pertinent to both the beginning and the experienced prehospital care provider. Chapters 1-14 cover ECG basics, 3-lead interpretation and treatment of dysrhythmias, and pacemaker rhythms. Chapters 16-19 cover acute coronary syndromes, thrombus formation, and advanced treatment options. Advanced level treatment material, such as complete thrombus formation, treatment, and management. Text is pertinent to the hospital setting as well as the EMS setting. Arrhythmia Interpretation: Self Assessment appendix now enhanced with 10 case studies with questions! This chapter-length self-assessment exam gives students a tool with which to evaluate their own comprehension of integral concepts, and aids in review and test preparation. The new case studies and questions allow students to see the whole picture when interpreting an ECG rhythm. Self-assessment Answer Keys Allows students to check their own work for self-evaluation. Chapter Outline Gives students a quick overview of each chapter's content. Learning Objectives Boxes are provided beside each objective so students can check off mastered information. May also be used by instructors to emphasize points of particular importance. Key Terms Help students learn key vocabulary and reinforce basic concepts. Illustrations Aid in student comprehension of difficult concepts. Drug Caution boxes Gives students valuable tips and reminders on drug use and administration. Chapter summary Reinforces major concepts in each chapter and ties the information together. Patient Care Algorithms Enables students to see step-by-step management and treatment. Notes sections A section to write lecture notes in ensures that all the information the student needs is in one place for review. Chapter Review Questions Reinforces and tests the student's understanding of key topics. Each chapter has 10-12 questions.

用户评价

要说这本《Basic Dysrhythmias》最让我感到惊喜的地方，那就是它对心电图解读中“人为错误”的深刻剖析。我们都知道，读心电图绝不仅仅是看波形，它还涉及到患者的体位、导联的放置、甚至机器的校准问题。这本书有一个章节专门讨论了“伪装的异常”，这在很多基础教材中是被忽略的。它详细解释了如何区分由导联脱落引起的基线不稳和真正的室速，如何识别电极贴片接触不良导致的“高电压波”和心肌梗死的病理性Q波。举个例子，书中提到了一种非常罕见的“铅垂”伪像，它在动态监护中极易被误判为快速性心律失常。作者不仅仅是描述了这种现象，还附上了当时患者的体位照片，以及导联贴法图示，让读者能直观地感受到，这种“异常”是如何在错误的身体姿态下被“制造”出来的。这种对细节的极致关注，让我对自己的判读准确性有了一个更清醒的认识。它告诉我，最好的心电图解读工具，不仅仅是你的眼睛和大脑，更是你对患者身体的了解程度和对技术流程的熟悉程度。这本书成功地将理论知识转化成了一种严谨的临床思维训练，这对于任何想把心电图读得更精细的人来说，都是无价之宝。

这本书的结构安排，堪称教科书级别的典范，它遵循了我们神经系统学习的规律，由浅入深，层层递进，但又在关键时刻巧妙地设置了回顾和预习的机制，确保知识的巩固。对于我这种常年处于高压工作环境，学习时间极其碎片化的人来说，这种设计至关重要。我经常只能在午休的十分钟里翻上几页，但这本书的每一个章节设计都非常“友好”。比如，关于起搏器心电图的那一章，我以前总是把它当作一个需要死记硬背的难点，因为它涉及到AOO、VOO、DDD等复杂的模式。这本书没有一上来就堆砌这些缩写，而是先用一个简短的叙事性段落描述了“为什么我们需要起搏器”，然后才用一个精美的表格，将不同模式下的“感知（Sensing）”和“发放（Pacing）”的逻辑关系，用类似于编程代码的流程图展示出来。最妙的是，它在讲解完一个复杂的模式后，会立刻插入一个“误区警示”的小方框，指出临床上最容易被混淆的点，比如“DDD模式下如果心室感知阈值过高，可能导致抑制”。这种有针对性的提醒，避免了大量无效的重复记忆，让我能将有限的精力聚焦在那些最容易出错的地方，极大地提升了学习效率和自信心。

对我而言，评估一本专业书籍的价值，最终要看它是否能带来持久的思维改变，而不是临时的知识输入。《Basic Dysrhythmias》在这方面做得非常出色，它并没有止步于描述“正常”和“异常”，而是深入探讨了心电图背后的“不稳定性”和“代偿机制”。比如，在讲述“交替性心搏”时，书中没有仅仅停留在“每隔一个搏动，QRS波群的宽度会发生明显变化”的描述上，而是将其置于一个更宏大的电生理背景下——交替性心搏往往是心肌收缩力衰竭或严重心衰的早期预警信号。作者通过对比同一患者在不同药物干预下的心电图变化，展示了心肌细胞“疲劳”和“恢复”的动态过程。这种将电生理、心肌病理、药物反应整合在一起的叙事方式，极大地拓宽了我的视野。它让我明白，很多时候，心电图上的一个微小变化，背后可能隐藏着一个复杂的循环生理问题。这本书像一位导师，鼓励我不要满足于标签化诊断，而是要去探究那个驱动这些波形变化的最深层原因。读完这本书，我感觉自己对心律失常的理解从一个二维的平面图，升维到了一个立体的、动态的、与患者整体生理状态紧密相连的复杂系统。

这本《Basic Dysrhythmias》的书，坦白说，我本来对它期望不高，毕竟“基础”这两个字听起来就有点老生常谈了。我是一个在临床上摸爬滚打了不少年头的护士，每天面对的都是那些让人心惊肉跳的复杂心律失常，什么室速伴房颤、恶性室性心动过速的交替性心搏，这些才是我的“家常便饭”。所以，当我翻开这本书时，我的第一反应是，这不就是我上学时教科书里那些陈旧的图表和定义吗？但是，随着阅读的深入，我发现我错了，错得有点离谱。这本书的叙述方式，简直就像一位经验丰富的老教授，他不是在向你灌输理论知识，而是在手把手教你如何“看懂”心电图，而不是简单地“识别”它。它对那些看似简单的房颤和房扑的机制解析，深入到了细胞膜离子通道的层面，用非常形象的比喻解释了折返和异常自律性激动。尤其值得称赞的是，书中对不同类型房室传导阻滞的图文结合，清晰到让人有一种豁然开朗的感觉。那些原本在我的脑海中总是模糊不清的“二度I型”和“二度II型”的差异，现在变得像面对面交流一样直观。它不是简单地告诉你“P波和QRS波的关系”，而是展示了在动态心电监护下，这些波形是如何一步步“变坏”的，这种前瞻性的视角，对于临床工作者来说，简直是醍醐灌顶，让我重新审视了那些被我视为理所当然的基础知识点。

我不得不承认，这本书在视觉呈现和案例分析上的用心程度，远超出了我对一本“基础”读物的预期。我记得我看到关于室上速（SVT）的那一章时，正巧手边有一份刚打印出来的动态心电图，上面记录了一个持续性的窄波SVT。我习惯性地对照教材上的经典图形，但总觉得缺少了点什么——那种真实场景下的“噪点”和“基线漂移”。而这本书，它非常巧妙地使用了大量模拟真实监护仪屏幕的截图，而不是那些经过过度“美化”的教科书插图。比如，在讲解室速（VT）时，它不仅展示了宽大扭曲的QRS波群，还特别标注了“P波与QRS波的关系”在不同电轴偏曲下的细微变化，并且用红色的箭头清晰地指出了判断依据——“捕捉性心搏”或“分离性搏动”的瞬间。这种处理方式，极大地弥补了理论学习与实际操作之间的鸿沟。更让我印象深刻的是，作者在每一章的末尾都设置了“临床决策点”的小节，这部分内容几乎完全脱离了书本语言，更像是ICU资深医生之间的口头交流：“如果患者血压稳定，你会先尝试迷走神经刺激吗？如果无效，下一线药物是什么？”这种互动式的引导，让我感觉自己不是在阅读，而是在参与一场紧张的抢救模拟。它教会我的，不仅仅是“是什么”，更是“该怎么办”以及“为什么这样做”。