Practical Medical Chinese: Clinical Surgery

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Practical Medical Chinese: Clinical is a series of clinical medical Chinese textbooks especially compiled for senior international students who come to China to study in medically related majors. The material covers 2 years of teaching and it is suggested that it is organised around Grade Four and Five. It is divided into four volumes: Surgery, Internal Medicine, Gynecology and Pediatrics, and Others. Each volume complements the others. When students study clinical medicine, the medical activities they encounter are highly interactive, because they involve working with doctors and nurses as well as meetings with patients. Hence, each volume of Clinical chooses some typical medical cases as examples, and simulates different medical scenes where the clinical terms can be used so as to enable students to learn about the whole process of inquiry, physical examination and diagnosis, and then concludes briefly after each case in order to satisfy students' practical needs. This book is about Surgery
Table of Contents
第一课 普通外科(一)
第二课 普通外科(二)
第三课 泌尿外科
第四课 神经外科(一)
第五课 神经外科(二)
第六课 胸外科
第七课 心脏外科
第八课 骨科(一)
第九课 骨科(二)
第十课 烧伤科
附录一 录音文本
附录二 练习答案
Sample Pages Preview
Appendicitis can be either acute or chronic. Acute appendicitis is a common surgical disease and the most common cause of acute abdomen. Most of the time chronic appendicitis evolves from acute appendicitis. Acute appendicitis is usually caused by obstruction of the lumen. Strenuous exercises after meals are a common cause of acute appendicitis.
Acute appendicitis can be classified into the following 4 groups according to its clinopathological features:
1. acute simple appendicitis
2. acute purulent appendicitis
3. acute gangrenous perforated appendicitis
3. periappendiceal abscess
Major clinical manifestations:
1. migrating pain in right lower quadrant
2. gastrointestinal symptoms, such as nausea, vomiting, and so on
3. systematic symptoms, such as fatigue, fever, and so on
Common signs:
1. tenderness in the fight lower quadrant over McBurneys point
2. peritoneal irritations, such as tenderness, rebound pain and muscle tonus
3. masses in fight lower quadrant
4. others, such as Rovsings sign
Laboratory investigations show that the white blood cell count and neutrophil ratios of a blood routine test usually increase. Routine urine tests, serum amylase, and ultrasonolograpy can be used to make differential diagnoses.
Non-surgical treatment is recommended for simple appendicitis. Surgery is often recommended for confirmed acute appendicitis.
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