临床实践中的睡眠药
由M.H.编辑西尔伯(L.E.)Krahn和T.I.摩根塔勒
由泰勒&弗朗西斯(Taylor&Francis)出版,伦敦/纽约
页面:392。价格:£65.00,\#8364; 94.00。ISBN 1-84214-190-2
这是一本简短的教科书,涵盖了著名的科学家和临床医生为临床医生而不是科学家撰写的广泛的睡眠医学领域。睡眠医学的所有相关方面都在四个结构良好的部分中讨论:睡眠药物的基础知识,昏昏欲睡的患者,无法睡眠的患者以及睡眠过度运动的患者。
对睡眠生理学的详细描述,然后对睡眠障碍的分类进行了简短的介绍,尤其强调了美国睡眠医学学院睡眠障碍的国际睡眠分类。接下来是用于门诊和住院评估和治疗的普遍使用的调查方法。随后的每个章节都致力于特定的疾病,并描述了病理生理学,症状,诊断和鉴别诊断,最后是对具有清晰布置的数字和表格的案例研究的良好描述。
诊断和治疗程序描述d reflect the American provenance of the authors. For example, split-night investigations (initiation of a nocturnal examination as a diagnostic procedure and changeover to ventilation treatment after 3–4 h) are uncommon in Europe, but virtually standard practice in the USA. However, against this background the definition of hypopnoea is not strictly oriented to the standard of the American Academy of Sleep Medicine. The chapter on narcolepsy could be better structured, for example a separate consideration of rapid eye movement (REM)-associated and non-REM-associated symptoms is missing. The pathophysiology, clinical presentation and treatment of this disease could have been considerably simplified and rendered more readily understandable by making a clear distinction. Furthermore, it would appear that the patients with ventilatory insufficiency treated by the authors suffered mainly from amyotrophic lateral sclerosis. Unfortunately, the problems of ventilation associated with the bulbar variant of amyotrophic lateral sclerosis are only briefly mentioned. Patients with diseases of the thoracic wall, such as scoliosis and post-tuberculosis syndromes (a large group in Europe) receive little attention, but it is these patients in particular who benefit appreciably from noninvasive ventilation. The index is short and could have been more comprehensive.
尽管有一些关键评论,这本书的书写非常好,易于遵循,并充分涵盖了广泛的睡眠医学跨学科领域。
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