西氏内科学（上下卷）

2012-1  

北京大学医学出版社  

（美）戈德曼，（美）谢弗　主编  

1464  

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　 《西氏内科学（第24版）（套装上下卷）》是世界经典医学名著，被誉为“标准内科学参考书”，是世界一流医学院校首选内科学教材，临床医生和医学生必备用书，全新改版，提供最新的内科学知识和循证实践内容，语言规范、地道，是学习专业英语的最佳教材。

作者：（美国）戈德曼（Lee Goldman） （美国）谢弗（Schafer A.I.）

Charles S. Abrams, MD
Frank J. Accurso, MD
Nezam H. Afdhal, MD
Cem Akin, MD, PhD
Allen J. Aksamit, Jr., MD
Qais AI-Awqati, MB ChB
Ban Mishu AIIos, MD
David Altshuler, MD, PhD
Michael J. Aminoff, MD, DSc
Jeffrey L. Anderson, MD, MACP
Karl E. Anderson, MD
Larry J. Anderson, MD
Karen H. Antman, MD
Asok C. Antony, MD
Gerald B. Appel, MD
Frederick R. Appelbaum, MD
William P. Arend, MD
Paul Arguin, MD
James O. Armitage, MD
Cheryl A. Armstrong, MD
M. Amin Arnaout, MD
Robert Arnold, MD
……

版权页： 插图： Symptoms resulting from the primary lung cancer depend on the location and size of the cancer. Such symptoms can be secondary to endobronchial or peripheral growth of the primary tumor. The most common, cough, occurs in approximately 45% of cases, but it is nonspecific and also common in patients who smoke and have COPD. Hemoptysis occurs in more than 30% of patients, but the most common causes of hemoptysis are bronchitis and bronchiectasis. Dyspnea also occurs in 30 to 50% of patients. Wheezing is uncommon as an initial symptom in lung cancer and may signify major airway obstruction, which can cause a postobstructive pneumonia that may not initially be evident on chest radiographs and may be diagnosed only when the pneumonia fails to respond to standard therapy (Chapter 97). Lesions may be avitary and may be associated with an abscess at the time of diagnosis of the lung cancer. Peripheral lung tumors may be asymptomatic but are more frequently associated with symptoms of cough and pain from involvement of the pleura or chest wall. Chest pain, which occurs in more than 25% of patients, may be dull in nature, but chest pain that is severe and persists may be due to chest wall involvement. Intrathoracic Spread Symptoms associated with intrathoracic spread may be related to direct extension of the tumor or metastasis to regional lymph nodes. Dysphagia may occur secondary to esophageal compression. Although tracheoesophageal or bronchoesophageal fistulas are uncommon, coughing associated with swallowing or the development of aspiration pneumonitis (Chapter 97) should point to this possibility. Hoarseness, which is associated with recurrent laryngeal nerve paralysis, occurs in less than 20% of cases; it is more common with left-sided lung tumors because the nerve on this side has a longer intrathoracic course than the right-sided nerve. Phrenic nerve paralysis with hemidiaphragmatic elevation is associated with dyspnea and hiccups. Apical tumors, such as superior sulcus NSCLC (Pancoast's syndrome), may cause Horner's syndrome (Chapter 427), pain secondary to rib destruction,atrophy of hand muscles, and pain in the distribution of the C8, T1, and T2 nerve roots because of tumor invasion of the brachial plexus. Blockage of the superior vena cava (SVC) (Chapter 99) as a result of compression or direct invasion by the tumor itself or by enlarged mediastinal lymph nodes may cause dyspnea. Signs of SVC syndrome include facial swelling, plethora, upper extremity swelling, dilated neck veins, and a prominent venous pattern on the anterior surface of the chest. Lung cancer accounts for most cases of SVC syndrome, with most cancer being SCLC and located on the right side. Other manifestations of intrathoracic spread include pleura] effusion (Chapter 99) causing dyspnea; pericardial effusion (Chapter 77) and cardiac extension of the tumor (Chapter 60) causing heart failure, arrhythmia, or tamponade; and lymphangitic spread through the lungs causing dyspnea and hypoxemia.

《西氏内科学(英文影印版)(第24版)(套装共2册)》是世界经典医学名著，被誉为“标准内科学参考书”，是世界一流医学院校首选内科学教材，临床医生和医学生必备用书，全新改版，提供最新的内科学知识和循证实践内容，语言规范、地道，是学习专业英语的最佳教材。

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西氏内科学（上下卷） PDF格式下载

西醫學習，英語是必須工具，目的是閱讀國際最新的文獻。同理，在教科書選擇上，也得盡量選擇貼近國外最新醫學理念的著作。西氏內科是國際學界公認的內科標準，此書又為英文影印版，可謂是提升英語與醫學視野必備之作。

以为是中文版，可是拆开了才知道是英文的，很好的书，不舍得退了

打六折的时候买的，虽然以后可能有更优惠的活动，但我等不及了，第一次送货只有下册，很单薄的套着塑料袋，幸好没磕损，送货的人催促着签收，说是分开配送的，只好收下，打客服电话，客服态度好，给申请了换货，结果第二天上下两本就送到了，硬纸盒包装，赞一个！

书不错，正版。慢慢读

精品 大爱

强烈推荐，非常好，不错

首先书是黑白版，不是彩印，其次收到时有损坏，哎，总之，有点郁闷!至于内容这个还没看，应该不会很差！

首先这本书内容是无可挑剔的，但是送过来的时候，其中的一本有破损，而且装订也不牢固，这是在当当买书最失望的一次。