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ー研修医から外科医，小児外科医・小児科医まで役立つー

小児外科リファレンス

Contents

執筆者一覧 ................................................................................... ii
まえがき...................................................................................... iv

推薦のことば ............................................................................... v

本書で使用する略語一覧 ............................................................ x
A．総論 ........................................................................................1
身体所見と評価の仕方 ................................................................101．バイタルサインと心肺蘇生..........................................202．気道確保・人工呼吸管理 .............................................503．各種ショックと対応 .....................................................804．輸液療法......................................................................1005．電解質異常・代謝異常 ...............................................1306．中心静脈栄養 ..............................................................1707．経腸栄養......................................................................2408．輸血療法......................................................................2609．鎮静・鎮痛方法 ..........................................................2910．腸管前処置 ..................................................................3411．周術期予防的抗菌薬投与 ...........................................37検査・各種管理 .........................................................................3901．画像検査......................................................................4002．消化管造影検査 ..........................................................4303．気管支鏡検査 ..............................................................4604．消化管内視鏡検査・治療 ...........................................5005．pH モニタリング・インピーダンス ...........................5406．中心静脈カテーテル管理 ...........................................5707．血液浄化療法・腹膜透析 ...........................................6208．気管切開管理 ..............................................................68

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09．胃瘻管理......................................................................7110．ストーマ管理・肛門ケア ...........................................76
11．ドレーン管理 ..............................................................79
12．創傷治癒・ドレッシング材........................................83
13．小児外科における基本的手術手技 ............................85
14．新生児外科疾患の出生前診断 ....................................88

B．症状からの鑑別診断 ...........................................................9301．呼吸障害......................................................................9402．腹痛 .............................................................................9603．嘔吐 ...........................................................................10004．消化管出血

吐血・下血・血便 .....................................10305．血尿・尿閉 ................................................................10606．頸部腫瘤....................................................................10907．腹部腫瘤....................................................................11008．鼠径部腫瘤 ................................................................11209．急性陰囊症 ................................................................11310．排便異常....................................................................115

C．各論....................................................................................12101．頭頸部疾患

耳前瘻・副耳・舌小帯短縮症・正中頸囊胞・側頸瘻・梨状窩瘻............................................................12202．小顎症・喉頭囊胞・喉頭軟化症・反回神経麻痺 ....129
03．声門下腔狭窄症・喉頭気管食道裂 ..........................132
04．気胸・膿胸 ................................................................13805．先天性食道閉鎖症.....................................................144

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06．食道狭窄症・食道アカラシア ..................................14807．囊胞性肺疾患 ............................................................15208．先天性気管狭窄症.....................................................157
09．気管・気管支軟化症 .................................................161
10．先天性心疾患 ............................................................165
11．先天性横隔膜ヘルニア .............................................170
12．胃食道逆流症・食道裂孔ヘルニア ..........................175
13．漏斗胸 .......................................................................179
14．肥厚性幽門狭窄症.....................................................182
15．胃軸捻転....................................................................185
16．先天性十二指腸閉鎖症・小腸閉鎖症・結腸閉鎖症 ................................................................187
17．腸回転異常症・軸捻転 .............................................193
18．腸閉塞 .......................................................................197
19．早産・超低出生体重児の腸閉塞 ..............................200
20．Hirschsprung 病.........................................................206
21．炎症性腸疾患・好酸球性消化管疾患.......................209
22．腸重積 .......................................................................214
23．急性虫垂炎 ................................................................219
24．直腸肛門奇形 ............................................................222
25．小児慢性便秘 ............................................................227
26．肛門疾患....................................................................23227．肝不全・腎不全 ........................................................236
28．胆石症・急性胆囊炎・肝内結石 ..............................240
29．胆道閉鎖症 ................................................................24330．先天性胆道拡張症・合流異常 ..................................247
31．腹壁異常臍帯ヘルニア・腹壁破裂 ................................250

32．臍ヘルニア・尿膜管遺残・臍肉芽・臍腸管遺残 ....254

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33．鼠径ヘルニア・水腫 .................................................259
34．停留精巣・移動性精巣 .............................................262
35．卵巣囊腫・卵巣茎捻転 .............................................264
36．小児悪性固形腫瘍.....................................................267
37．肝移植・小腸移植.....................................................273
38．重症心身障がい児（者）の外科治療 ..........................275
39．敗血症・DIC..............................................................279
40．熱傷 ...........................................................................281
41．外傷 ...........................................................................284
42．異物誤飲・気道異物 .................................................290
43．Oncologic emergencies ............................................294

D．小児外科頻用薬剤・頻用データ ......................................297
01．常用処方・薬剤一覧 .................................................29802．抗菌薬・抗真菌薬・抗ウイルス薬・G-CSF 製剤・

免疫グロブリン製剤一覧..........................................299

03．ICU 汎用薬，緊急薬一覧 ..........................................30104．標準身長，体重，頭囲 .............................................30205．体表面積表 ................................................................306
06．予防接種一覧 ............................................................307
07．気管切開カニューレ一覧 .........................................308
参考文献一覧 ...........................................................................317
索引 ..........................................................................................327