整形外科学

内容概要

　　《整形外科学》覆盖面已扩大到涵盖大部分医学临床专业，包括：急诊医学、家庭医学、神经病学、心脏病学、影像学、儿科学、妇产科学、精神病学、麻醉学、骨科学及外科学等专业。该套丛书是科学性的集中体现，无论在篇章设置、概念引用、文字表达，还是图表运用上都秉承严肃认真的科学态度，进行了合理的安排与控制。已成为美国广大医学生和住院医师获取专业知识的最佳读物，深受广大读者的喜爱，已被打造成为高质量、值得信赖的品牌丛书。　　本套丛书采用中英文对照的形式，在获得丰富医学知识的同时还可以提高专业英语水平，该丛书可供医学生、住院医师、全科医师学习阅读，也可作为专科医生参考用书。

作者简介

赵世光，中共党员，主任医师，教授，博士生导师，博士后指导教师。现任哈尔滨医科大学附属第一医院神经外科主任，哈尔滨医科大学附属第一医院副院长。
中华医学会神经外科分会常委，中国医师协会神经外科分会常委，中国康复医学会创伤康复专业委员会副主任委员，中国抗癌协会中国神经肿瘤学会副主任委员，黑龙江省医学会神经外科专业委员会主任委员，黑龙江省医师协会神经外科专业委员会主任委员，黑龙江省神经外科学学会神经外科分会主任委员，黑龙江省博士学术研究会医学专业委员会副主任委员，国家自然科学基金评审专家，美国神经外科医师协会(AANS)会员，亚太地区神经外科学会会员，日本国际脑肿瘤病理学会会员。
 ((Brain Tumor
Pathology))国际编委，《中国神经肿瘤杂志》副主编，《中华神经外科疾病研究杂志》、《中华神经医学杂志》、《中国临床神经外科杂志》、《中国微侵袭神经外科杂志》、《中国急救医学杂志》、《中华脑血管病杂志》编委，《European
Journal of Cancer》、《中华医学杂志英文版》、《中华神经外科杂志》特约审稿专家。
曾获教育部提名国家科技进步二等奖、黑龙江谷医药卫生科技进步一等奖、黑龙江省高校科学技术二等奖、黑龙江省人民政府科学技术进步二等奖等国家、省部级奖励共18项。
曾承担国家973计划前期研究专项、国家自然科学基金等国家、省部级各类课题20余项。获国家发明专利4项。在国际、国內等核心期刊发表论文100余篇(其中SCI收录18篇)。

书籍目录

第1章　基本技术
第2章　伤口愈合
第3章　移植和皮瓣
第4章　皮肤和软组织
第5章　热损伤和化学灼伤
第6章　颅面手术
第7章　胸部和躯干整形
第8章　手和上肢
第9章　下肢和生殖器
第10章　美容外科
附录A 整形外科的时机
附录B　习题与参考答案
附录C 常用药
名词对照表

章节摘录

　　Most nasal bone fractures can be managed by closed reduction　techniques and splinting. Late deformities such as a dorsal hump，saddle-nose　deformity， and deviation can be managed with　formal thinoplasty （see Chapter 10）.　　Naso-Orbito-Ethmoidal Fractures　　Fractures of the naso-orbito-ethmoidal complex of the central　midface have　a high potential for significant facial deformity　because of displacement of the nose and eyes. Injury leads to lat-　eralization of the frontal processes of the maxilla， which in tum　leads to widening of the intercanthal distance， or telecanthus.Other common stigmata include a wide and shortened nose， epi-staxis， orbital hematomas， and crepitance over the involved area.The frontal processes of the maxilla are mobile on palpation.　　Examination of the lacrimal apparatus， including the naso-lacrimal duct， reveals concomitant injury　　Naso-orbito-ethmoidal complex fractures demand open　　reduction and internal fixation to relieve telecanthus and nasal　deformities. If injured， the lacrimal dua may be repaired with fine　suture and stented with silastic tubing.　　Zygomatic Fraaures　　Because of the prominence of the cheek， the zygoma （cheek　bone） is commonly fractured. The zygoma articulates with the　maxilla medially and irtferiorly， the frontal bone superiorly， the　sphenoid bone laterally， and the temporal bone via its arch. With　the exception of isolated zygomatic arch fractures， all fractures of　the zygoma affect the orbit， and thus diagnosis and treatment　incorporates the orbit. Isolated zygomatic arch fractures are man-　aged nonoperatively or through small incisions （the Gilles　approach）. Displaced fractures of the body of the zygoma with　　resultant orbital and cheek deformity are treated with open　reduction and intemal fixation.　　　Moxillary Fraaures　　Fractures of the maxilla essentially involve the entire midface　region， and are dassified by the Le Fort classification system. Le　Fort fractures can occur unilateraUy， bilaterally， in combination （a　left Le Fort II and right Le Fort rrd， and at multiple levels （a left　Le　Fort I　and rrd . A Le　Fort I fracture is a transverse fracture se-p-　arating the lower， tooth-bearing segment of the maxilla from the　rest of the midface. A Le Fort II fracture is pyramidal in shape，　and separates the tooth-bearing， lower maxillary bone from the　orbits and upper craniofaaal skeleton. A Le Fort III fracture， or　craniofacial dysjunction， separates the upper maxilla from the　skull base. The hallmark of a Le Fort fracture is mobility of the　maxilla on physical examination. Other signs and symptomsinclude orbital hematomas， epistaxis， pain in the midface， facial　elongation， midface retrusion， and tooth occlusal abnormalities　　Nondisplaced Le Fort fractures may be managed nonopera-　tively. Displaced Le Fort fractures often require open reduction　and internal fixation， as well as maxillomandibular fixation.Important concerns include stabilization of tooth occlusion andreduction of facial buttresses.　　Mandible Fractures　　The prominent position of the mandible makes it the second most　commonly fractured faaal bone. Because of its shape， it is commonly　broken in two places. Areas that are weakest， like the subcondylar　area， are the most frequendy fractured. A mandible fracture is sus-pected any time acute malocdusion exists in the trauma setting.　Other signs and symptoms of a mandible fracture include pain，sweUing， trismus （pain on moving the jaw）， inabdity to open or　close the jaw， fractured teeth， discrepancies in the height of den-tition， and intraoral lacerations. Radiographic examination with a　CT scan or Panorex aids in diagnosis. （A Panorex is a specialized　　plain radiograph in which the x-rays rotate around the mandible，essentially transforming it from a curved structure to a flat　　imageJ　Treatment of mandible fractures always begins with restora-tion of ocdusion. It is essential that all stable teeth are reduced to　their premorbid location so that the patient can continue to chew　food.Restoration of proper occlusion usually requires binding the　maxillary and mandibular teeth together with a series of wires，　screws， or arch bars， so-called maxillomandibular fixation（MMF）. Sometimes MMF is aU that is required to adequately　treat a mandibular fracture.　　Many mandibular fractures require open reduction and inter-nal fixation. This can be performed through intraoral lower gin-givobuccal sukus incisions， extraoral incisions， or percutaneous　methods. Titanium plates and screws hold the reduced bony seg-ments in place. Complications of mandibular fracture treatment　indude chin numbness from injury to the inferior alveolar nerve，　malocclusion， nonunion of bony segments， and infection.　　……

编辑推荐

　　为了满足选择性轮转期间对高质量综合性参考书籍的要求，Blueprints出版社现奉上袖珍型参考书。这些书的主要对象是第4年短期选择性轮转的学生，该书具有与其他Blueprints书相同的质量和必需的内容。该书对于想掌握临床领域的基本知识而又不能，进行轮转实习的学生十分重要。对于医师助理、实习护士、骨科学生来说，该书能满足他们掌握临床知识的需要。

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