Critical care medicine (Critical Care Medicine) is a clinical science in twentieth Century 60 time end gradually will play, its purpose is to life-threatening acute severe occurred in patients with single or multiple organ failure, as soon as possible to continue the functional organ support therapy, and etiological treatment actively, so as to win time and conditions, the final control of primary disease. Stroke (stroKe) is a common disease and frequently occurring disease in nervous system, its incidence is (100 ~ 300) / 100000, the prevalence rate was (500 ~ 700) / 100000, case fatality rate (50 ~ 100), 100000. Stroke is the third cause of human disease death, the disease accounted for about all the dead number disease deaths of 10%; 50% of the survivors to 70% patients left with paralysis, aphasia and other severely disabled, bring heavy burden to society and family. Acute severe cerebral stroke (acute critical care stroke) refers to the sudden vascular lesions in acute brain endanger patient life, including ischemic stroke (ischemic Moke) and hemorrhagic stroke (hernorrhaglc stroke). Acute severe cerebral stroke, which can be a single cerebral vascular disease, including homologous cerebral viscera syndrome, namely brain heart, lung, brain gut brain, brain kidney syndrome. This book focuses on the progress and clinical pathological, imaging critically ill stroke. Especially in the heart, lung, brain cerebral brain a gastrointestinal, brain kidney syndrome, stroke endocrine complications, the balance of water metabolism and loss of withered, electrolyte balance and acid-base balance disorders, and disorders, fluid therapy, the theory of multiple organ failure, organ function monitoring and clinical acute ischemic cerebral infarction, clinical care of hypertensive cerebral hemorrhage of hypertension, direction control and management of the clinical diagnosis and treatment were described in detail, is scientific, innovative, systematic, complete and practical. The editor is limited, wrong, wrong can hardly be avoided, please wide readership to give criticism.
"Critically ill stroke" focuses on the progress and clinical pathology, imaging critically ill stroke, especially in brain heart, brain and lung, brain, gastrointestinal, brain renal syndrome, stroke endocrine complications, the balance of water metabolism disorders, electrolyte balance and acid-base balance disorders, and dissonance theory, fluid therapy, multiple organ failure, organ function monitoring and clinical acute ischemic cerebral infarction, clinical care of hypertensive cerebral hemorrhage, hypertension control and management of the clinical diagnosis and treatment were described in detail.
The first stroke basics chapter vascular system section of vascular origin and classification of second section of vessel wall structure and function of the second chapter of cerebral vascular and stroke classification first cerebral vascular structure and function second day stroke classification second stroke symptoms and examination chapter symptom and syndrome first headache second day third day fourth day coma dizziness syncope fifth day sixth day seventh day epileptic nystagmus visual field defects eighth abnormal pupil section ninth pupil and critical illness tenth eye movement disorder eleventh cerebral hemorrhage eye syndrome and bleeding twelfth day thirteenth day fourteenth day paralysis dysphagia sensory disability in fifteenth day paralysis sixteenth dystonia the seventeenth section abnormal gait ataxia eighteenth day nineteenth day twentieth day abnormal involuntary movements reflected twenty-first cortical symptoms twenty-second intelligent obstacle and amnestic syndrome twenty-third day twenty-fourth day twenty-fifth day's sleep disorders of depression twenty-sixth brainstem vascular syndrome in twenty-seventh sections of brain edema twenty-eighth CSF circulatory disorder -- brain water The twenty-ninth section of the first aid section thirtieth hernia hernia of brain death thirty-first day locked in syndrome of heart, lung, brain thirty-second quarter recovery in section thirty-third vital sign localization and clinical section thirty-fourth brainstem reflex localization and clinical -- in prognosis of comatose patients and predictive value of thirty-fifth day stroke and sleep disordered breathing in the second chapter of clinical and blood brain cerebrospinal fluid the first section of cerebrospinal fluid barrier in basic and clinical blood brain barrier third chapter second section of nervous system diseases diagnosis principle first diagnosis second qualitative diagnosis of third stroke clinical chapter 1 in cerebral vascular anatomy section cerebral arterial system in section second of chapter second of cerebral venous system of cerebral blood circulation section of cerebral blood circulation features second sections cerebral vascular disease of blood rheology in the third chapter of cerebrovascular disease pathophysiology section of brain circulation physiology and metabolism during ischemia second day third festival the pathophysiology of cerebral ischemia and infarction fourth obstruction of blood flow in the formation of fifth ischemic brain damage in the pathogenesis of stroke epidemiology fourth chapter first stroke the incidence and Prevention Countermeasures The second day stroke risk factors of cerebral vascular disease in third section the basic cause of the fifth chapter of stroke clinical basic section of cerebral artery stroke clinical basis second day stroke history collection of third day prodrome fourth stroke clinical symptoms in fifth acute stroke and acute and severe sixth chapter outline stroke diagnosis first stroke diagnostic criteria and requirements of section second stroke diagnosis of ischemic stroke in the first section of seventh chapter of transient ischemic attack in second day of cerebral infarction third lacunar infarction cerebral watershed infarction fourth section, fifth section of cerebral embolism sixth massive cerebral infarction in seventh day of hemorrhagic cerebral infarction in eighth chapter hemorrhagic stroke section second cerebral hemorrhage the third day festival lobar hemorrhage subarachnoid hemorrhage intraventricular hemorrhage fourth section of secondary intraventricular hemorrhage in ninth chapter, brainstem, cerebellar thalamic stroke and mixed stroke section of cerebellar stroke second thalamic stroke third brainstem stroke fourth mixed stroke fifth cerebral hemorrhage and cerebral infarction cerebral pathologic and clinical progress of tenth chapters venous stroke section of superior sagittal sinus thrombosis in second day Cavernous sinus thrombosis in eleventh chapter hypertension control and management of the first section hypertension overview section second hypertension -- new progress in diagnosis and treatment of the principle and scheme third day fourth Festival arteriosclerosis of hypertension and stroke in fifth acute stroke blood pressure change section sixth cerebrovascular disease pathological section seventh in acute period of cerebral apoplexy cerebral blood pressure control section eighth the twelfth chapter hypertension stroke pressure points of acute and dangerous section of hypertensive emergencies second hypertensive encephalopathy fourth stroke complications Chapter 1 in cerebral viscera syndrome first brain heart syndrome in second sections of brain and lung syndrome third brain gastrointestinal syndrome in fourth cerebral renal syndrome - Section fifth of multiple organ failure the second chapter stroke endocrine complications and water, electrolyte, acid-base balance disorder first stroke endocrine complications of diabetes diagnosis standard second section water metabolism and balance the third section of 1 electrolyte balance and imbalance of hypocalcemia of 2 hypomagnesemia fourth acid-base balance and imbalance of fifth day stroke electrolyte disorder sixth fever seventh day liquid therapy of clinical common injection fifth stroke. The first chapter, nursing and clinical stroke monitoring and clinical section system organ function monitoring and clinical section second acute ischemic cerebral infarction clinical monitoring section third of hypertensive cerebral hemorrhage clinical monitoring the second chapter first quarter second basic nursing psychological nursing skin care third day oral care section fourth eye care section fifth nutrition nursing the third chapter specialist the first section airway nursing care second tracheotomy nursing third urethral nursing fourth limb nursing appendix a stroke measurement table appendix two stroke commonly used drugs based on the reference appendix three neurological test project reference appendix four Chinese average normal blood pressure values (mmHg)
Illustration: in the first chapter, the vascular system of vascular system is part of a loop, is an important subsystem in the circulatory system, blood vessels and blood flow by together and inseparable. Fluid is transported blood belongs to the system, it is the carrier of oxygen, carbon dioxide, nutrients and metabolites. Blood can only flow in blood vessels, and blood vessels become blood; blood flow is the real vessel. To complete the delivery of blood vascular system, ensure the basic functions of the organs of the blood supply to the vascular wall, all must have integrity and consistency (no defects, no leakage, no rupture), all the vessel lumen patency (must have not narrow, closed), all muscular arteries and arterioles must have a high degree of vasomotor sex, all large elastic artery must have good compliance; in addition, to carry out the exchange of substances, but also has the permeability of capillary barrier. General non life hard tube such as water or oil pipe has the integrity, consistency and patency, rubber hose has the compliance and elastic. But only the biological vessel with height adjustable contractility. In the muscular arteries, arterioles, coordination maintain contractility, patency and strong integrity of the unification of the three is changing its physiological and pathological (hypertension arteriosclerosis and atherosclerosis) basic reason. Vessel is not only a kind of pipeline transportation of blood pipe wall of the interface, blood and extravascular tissues, the blood vessels in the circulation may also play a role in homeostasis and vascular diseases. The vessel itself is an organ of complex complete, has dual functions of feeling and effect, can take the initiative to produce a variety of local factors, adjusting the organizational function and metabolism, growth and pathological changes of regulating self organization.
"Critically ill stroke" by Anhui science and Technology Publishing house.
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