心音与杂音
2003-3
北京科文图书业信息技术有限公司
Erickson PhD RN CCRN, Barbara A.
204
Heart Sounds and Murmurs Across the Lifespan defines the concepts needed to learn or review cardiac auscultation. The combination of audio (available on either CD or audiocassette) and text explains how to identify and interpret normal and common abnormal heart sounds. Some heart sounds are reproduced on a heart sound simulator, allowing for a clear, crisp grasp of specific, individual sounds. Others are recorded from real patients to distinguish between similar heart and lung sounds, and to help the listener select the heart sounds from the auditory milieu. Covers the distinct heart sounds (S1 through S4) first, then graduates the listener to more complex sounds and murmurs. Builds upon the individual heart sounds by including end-of-chapter reinforcement in more than 170 self-learning, "unknown" heart sounds exercises and questions with answers. Also groups extraneous sounds around which normal heart sounds they are likely to be heard, i.e., "sounds around S1". This approach allows practitioners to build confidence in their ability to discern and identify sounds by being able to place them within the cardiac cycle. Presents clear and concise content that proceeds from simple to complex in order to aid both the new learner and the experienced practitioner.Content written by a well-respected author in the field to ensure that information is current and clinically accurate.Includes end-of-chapter questions and self-learning exercises of "unknown" heart sounds (with answers) to reinforce content and improve confidence about what has been learned.Includes learning objectives at the beginning of each chapter to help identify key concepts.Includes clinical correlation sections to help readers apply information to specific patient syndromes and clinical situations.Presents clearly reproduced heart and extracardiac sounds with no extraneous sounds, allowing the reader to build confidence in the basic sounds before progressing to more complex variations.Includes prosthetic valve sounds and sounds heard after heart surgery to hone practitioner's skills about real-life applications of auscultation techniques. Pediatric heart sounds and murmurs in four completely new chapters, including pediatric heart sounds, pediatric systolic and diastolic murmurs, and the variety of conditions peculiar to pediatric patients. Chapters 2-10 now include implications for pediatric and geriatric patients in addition to the standard information applicable to all patients.New case studies in the systolic and diastolic murmurs chapters, expanding the clinical correlations.A new When to Refer chapter helps practitioners distinguish between innocent and pathologic murmurs, and determine the appropriate course of action for various murmurs.
Chapter 1 IntroductionChapter 2 The First Heart Sound(S1)Chapter 3 The Second Heart Sound(S2)Chapter 4 The Fourth Heart Sound(S4)Chapter 5 The Third Heart Sound(S2)Chapter 6 Murmurs-General InformationChapter 7 Systolic MurmursChapter 8 Diastolic MurmursChapter 9 Sounds Around S1Chapter 10 Sounds Around S2Chapter 11 Friction Rubs:Pericardial and PleuralChapter 12 Prosthetic Valve SoundsChapter 13 Sounds After Heart Surgery and Other SoundsChapter 14 Common Adult AbnormalitiesChapter 15 Geriatric Heart SoundsChapter 16 Introduction to Pediatrec AuscultationChapter 17 Pediatric Systolic MurmursChapter 18 Pediatric Diastolic MurmursChapter 19 Pediatric Murmurs with Both Systolic and Diastolic ComponentsChapter 20 When to ReferAppendix:Transcript for Audio ProgramBibliographyGlossary
