哈里森临床神经病学

出版时间：2011-6  出版社：北京大学医学  作者：(美)豪瑟//约瑟芬  页数：765  
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内容概要

　　《哈里森临床神经病学（第2版）》的目的是将其作为一本能提供广泛涵盖神经科重点方向、针对内科医生的基础性读物，并秉承哈里森系列图书一贯的重点关注疾病病理生理和治疗的风格。通过使用新的表格使内容更具表现力，并且增加了神经影像学进展。

作者简介

作者：（美国）豪瑟（Stephen L.Hauser） （美国）约瑟芬（Scott Andrew Josephson）

书籍目录

Contributors
Preface
    SECTION I INTRODUCTION TO NEUROLOGY
1 Approach to the Patient with Neurologic Disease
2 Neuroimaging in Neurologic Disorders
3 Electrodiagnostic Studies of Nervous System Disorders: EEG,
Evoked Potentials, and EMG
4 Lumbar Puncture
    SECTION II CLINICAL MANIFESTATIONS OF NEUROLOGIC DISEASE
5 Pain: Pathophysiology and Management
6 Headache
7 Back and Neck Pain
8 Syncope
9 Dizziness andVertigo
10 Weakness and Paralysis
11 Gait and Balance Disorders
12 Numbness,Tingling, and Sensory Loss
13 Confusion and Delirium
14 Coma
15 Aphasia, Memory Loss, and Other Focal
16 Sleep Disorders
17 Disorders of Vision
18 Disorders of Smell,Taste, and Hearing
    SECTION III DISEASES OF THE CENTRAL NERVOUS SYSTEM
19 Mechanisms of Neurologic Diseases
20 Seizures and Epilepsy
21 Cerebrovascular Diseases
22 Neurologic Critical Care, Including Hypoxic-Ischemic
Encephalopathy and Subarachnoid Hemorrhage
23 Alzheimer's Disease and Other Dementias
24 Parkinson's Disease and Other Extrapyramidal Movement Disorders
25 Hyperkinetic Movement Disorders
26 Ataxic Disorders
27 Amyotrophic Lateral Sclerosis and Other Motor Neuron Diseases
28 Disorders of the Autonomic Nervous System
29 Trigeminal Neuralgia, Bell's Palsy, and Other Cranial Nerve
Disorders
30 Diseases of the Spinal Cord
31 Concussion and Other Head Injuries
32 Primary and Metastatic Tumors of the Nervous System
33 Neurologic Disorders of the Pituitary and Hypothalamus
34 Multiple Sclerosis and Other Demyelinating Diseases
35 Meningitis, Encephalitis, Brain Abscess,and Empyema
36 Chronic and Recurrent Meningitis
37 HIV Neurology
38 Prion Diseases
39 Paraneoplastic Neurologic Syndromes
40 Peripheral Neuropathy
41 Guillain-Barr6 Syndrome and Other Immune-Mediated Neuropathies
42 Myasthenia Gravis and Other Diseases of the Neuromuscular
Junction
43 Muscular Dystrophies and Other Muscle Diseases
44 Polymyositis, Dermatomyositis, and Inclusion Body Myositis
45 Special Issues in Inpatient Neurologic Consultation
46 Atlas of Neuroimaging
    SECTION IV CHRONIC FATIGUE SYNDROME
47 Chronic Fatigue Syndrome
48 Biology of Psychiatric Disorders
49 Mental Disorders
    SECTION VI ALCOHOLISM AND DRUG DEPENDENCY
50 Alcohol and Alcoholism
51 Opioid Drug Abuse and Dependence
52 Cocaine and Other Commonly Abused Drugs
Review and Self-Assessment
Index

章节摘录

版权页：   插图：   CONTRAINDICATIONS Myelography is relatively safe;however,it should be performed with caution in any patient with elevated intracranial pressure,evidence of a spinal block,or a history of allergic reaction to intrathecal contrast media.In patients with a suspected spinal block,MR is the preferred technique.If myelography is necessary,only a small amount of contrast medium should be instilled below the lesion in order to minimize the risk ofneurologic deterioration.Lumbar puncture is to be avoided in patients with bleeding disorders,including patients receiving anticoagulant therapy,as well as in those with infections of the soft tissues. COMPLICATIONS Headache,nausea,and vomiting are the most frequent complications of myelography and are reported to occur in up to 38% of patients.These symptoms result from either neurotoxic effects of the contrast agent,persistent leakage of CSF at the puncture site,or psychological reactions to the procedure.Vasovagal syncope may occur during lumbar puncture;it is accentuated by the upright position used during lumbar myelography.Adequate hydration before and after myelography will reduce theincidence of this complication.Postural headache (post-lumbar puncture headache) is generally due to leakage of CSF from the puncture site,resulting in CSF hypotension.Management of post-lumbar-puncture headache is discussed in Chap.4. If significant headache persists for longer than 48 hours,placement of an epidural blood patch should be considered.Hearing loss is a rare complication ofmyelography.It may result from a direct toxic effect of the contrast medium or from an alteration of the pressure equilibrium between CSF and perilymph in the inner ear.Puncture of the spinal cord is a rare but serious complication of cervical (C1-2) and high lumbar puncture.The risk of cord puncture is greatest in patients with spinal stenosis,Chiari malformations,or conditions that reduce CSF volume.In these settings,a low-dose lumbar injection followed by thin-section CT or MRI is a safer alternative to cervical puncture.Intrathecal contrast reactions are rare,but aseptic meningitis and encephalopathy may occur.

编辑推荐

《哈里森临床神经病学(第2版)(英文)》是将其作为一本能提供广泛涵盖神经科重点方向、针对内科医生的基础性读物，并秉承哈里森系列图书一贯的重点关注疾病病理生理和治疗的风格。通过使用新的表格使内容更具表现力，并且增加了神经影像学进展。

用户评论 (总计32条)

•   哈里森内科学部分都很不错哦~
•   因为是英文原版读起来是有点困难，但是对神经疾病的理解更加深刻。
•   快递速度真快，两三天就到。真本书是学习神经专业外语的一本好书！值得购买！
•   书隔了一天就到了，很快，本书是学习专业英语，品读原汁原味神经内科学的佳作
•   书的印刷质量不错，内容也挺好，值得推荐
•   很不错，就是字儿有点小，全英文的，内容挺全的
•   送货很快.没想到提前一天就送到了.非常满意.昨天晚上下的订单.今天下午3点多钟就收到货了.非常感谢!
•   书的质量不错，读原版英文感觉很好，只是希望卖家以后发货装书时注意下，别把书皮等给折了。
•   非常好，准备好好学习一下
•   好！很实用对于英语较好的人来说
•   质量很好,很经典,满意
•   但是这么好的一本书被当当快递摧残的不堪入目，书脊也破了，封皮还有一条大口子，真是心疼书啊，气愤至极！
•   受益匪浅，另外夸一下微特派快递，善解人意，服务很好，不像某某通，叫人MN
•   原汁原味 深入浅出 爱不释手~~
•   很好 很划算 全英文的 应该会很大的帮助
•   很好，质量不错，满意
•   很开心，在这个下着太阳雨的下午。
•   仔细耐心看，能学到很多
•   第一次购买原版专业书，还不错
•   内容很好，正好可以学习一下英语
•   全英文的，有挑战性，希望以后多多学习。
•   质量不错，是正品。这本书挺值得推荐的。
•   专门买来英文的，可惜没买中文翻译版，下次再来买个对着看看，提高些英文水平。哈里森的书，不用多说。
•   该书送朋友，反映很好！
•   全英文版的，读起来需要些时间，但是内容很好哦。再仔细读过追评咯。。
•   书的内容是没的说，哈里森的地位亦是毋庸置疑，看了一部分，其中脑血管病那部分里面的CT灌注影像原书是彩色的，旁边的注解也提到了蓝色和红色部分，影印版完全无法显示，小小的瑕疵吧，因为影印版只是在眼底的图片上用的是彩印，原版书虽然死贵，但瞅着是好啊。
•   不错，质量可以，就是价钱贵点，学着买正版总要学着割肉吧
•   纸质比较薄，有破损，胶都开裂了，内容还没看
•   挺不错的，就是书有点受损。
•   书很厚，快递很给力，隔天就到了，全英文版，字体灰黑，跟电子版有点不一样啊！希望多接触一些外国医学，等国人翻译就out了！
•   书的质量真的很好，厚。内容还是 可以的e
•   买之前没看目录，拿到手发现时英文的...等有功力了再看吧...