Critical Care Medicine (2017)

Name: Critical Care Medicine (2017)
ISBN: 9787117243797

中华医学会People's Medical Publishing House · ChinaJan 2025

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Word count: 760K words
Chapters: 144
ISBN: 9787117243797

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Summary

Since 2010, the Critical Care Medicine Branch of the Chinese Medical Association has compiled a yearbook of critical care medicine, one volume per year, with the branch's chair and chair-elect leading the organization of first-class experts nationwide to participate in the writing. Critical Care Medicine 2017, like previous volumes, mainly introduces and reflects the latest advances, hot topics, and frontier issues in critical care medicine at home and abroad over the past year, including content that remains controversial and not yet mature.

Editor's review

As an authoritative work organized and compiled by the Critical Care Medicine Branch of the Chinese Medical Association, Critical Care Medicine 2017 is a concentrated presentation of annual academic advances in the field of critical care medicine. Continuing the series' core positioning, the book systematically reviews the latest research findings, clinical practice guidelines, and expert consensus in critical care medicine at home and abroad from 2016 to 2017. The content covers core critical care topics across the full chain, from severe infection and sepsis, acute respiratory distress syndrome, acute kidney injury, and circulatory support to critical care nutrition, sedation and analgesia, delirium management, and ethical issues. Its value lies not only in summarizing knowledge but also in the editorial board's professional screening and integration of massive information to distill the parts most instructive for clinical practice. The levels of evidence cited in the book are clear, and the recommendations are based on the latest domestic and international guidelines, reflecting a rigorous spirit of evidence-based medicine. For clinicians, it is an efficient reference for knowledge updating that helps readers grasp the pulse of disciplinary development within limited time, avoid outdated concepts, and optimize diagnostic and treatment decisions. Its content is organized to cultivate clinical thinking rather than simply pile up knowledge, helping improve readers' comprehensive ability to manage complex critical cases.

Who it's for

A good fit for

Clinical physicians and researchers in relevant specialties such as critical care medicine, emergency medicine, and anesthesiology
Medical talents undergoing standardized residency training or specialty physician training
Graduate students at medical colleges and universities who wish to gain an in-depth understanding of frontiers in critical care medicine
Hospital administrators and medical quality control personnel, for understanding the latest standards of intensive care

Not a good fit for

General readers without a medical background who seek accessible medical common knowledge
Medical students who need only basic introductory medical knowledge or preparation for general examinations

Reading tips

It is recommended to read in chapter order, first establishing an overall framework of the year's advances and then exploring subspecialty areas of interest in depth
During reading, compare and reflect on difficult cases encountered in one's own clinical practice, linking theoretical knowledge with practical problems
Focus on the summary and outlook sections at the end of each chapter and on discussions of controversial issues, which represent the dynamic frontiers of the discipline

About the publisher

People's Medical Publishing House China · Founded in 1953

Founded in 1953, the People's Medical Publishing House is an important institution in China's medical publishing field, with publishing directions covering medical textbooks, academic monographs, medical journals, and popular science books. Its collection contains 2,503 titles, mainly classified under medicine. Representative works include the Complete Book of Chinese Nutrition Science (2nd Edition, 2 volumes), Guide to Clinical Practice with Medical Records, the Golden Mirror of Medicine (Volume 1), Chinese Medical Imaging: Head and Neck Volume (3rd Edition), and the Essentials of the Golden Cabinet from the Collected Clinical Chinese Medicine Must-Read Series (Collector's Edition), spanning both modern medicine and classical Chinese medical texts. Representative authors include Yang Yuexin, Ge Keyou, Ye Tianshi, Su Li, Wu Qian, Zheng Jinsheng, Wang Zhenchang, and Xian Junfang, covering fields such as nutrition, Chinese medicine, and medical imaging. With a publishing approach that balances textbooks and academic monographs, the press has established the "Renwei" brand.

版权信息
编者（以姓氏笔画为序）
前言
第一部分重症医学建设与管理
简介
1 跨专业合作与ICU安全
2 远程ICU的实施与局限性
3 重症医学科中的医患沟通——如何传递不良预后和进行临床决策
4 ICU床位紧缺与应对方案
5 重症患者转运不良事件分析与对策
6 ICU信息化管理——现状与未来
第二部分血流动力学与重症心脏
简介
（一）血流动力学监测
1 “早期目标导向”与血流动力学治疗的区别
2 如何监测前负荷储备
3 微循环功能障碍分型导向的血流动力学协调性评估
4 Pv-aCO2/Ca-vO2导向的实时氧代谢评估
5 临床常用的外周灌注评估方法
（二）血流动力学治疗
6 感染性休克的白蛋白复苏
7 V-A ECMO对左心功能的影响
8 感染性休克：微循环与细胞性缺氧新进展
9 感染性休克患者外周血单个核细胞线粒体功能
（三）心力衰竭及心源性休克
10 心脏手术后心房颤动患者应控制心率还是心律？
11 重症右心功能改变无处不在
12 左西孟旦在脓毒症患者中的应用
第三部分重症呼吸与呼吸治疗
简介
（一）急性呼吸窘迫综合征
1 ARDS诊疗理念与实践现状：Lung Safe研究的启示
2 病理生理学进步改变ARDS的治疗策略
3 ARDS机械通气策略：关注右心保护
4 ARDS无创通气：头罩或面罩
5 能量负荷评估呼吸机相关肺损伤的综合参数
6 急性高原肺水肿的发病机制与治疗
7 负压性肺水肿
（二）慢性阻塞性肺疾病急性加重与重症哮喘
8 慢性阻塞性肺疾病：激素/β受体激动剂/胆碱能阻滞剂三联疗法
9 外周血嗜酸性粒细胞-慢性阻塞性肺疾病急性加重的生物标志物
10 抗IL-5单克隆抗体治疗重症哮喘
（三）呼吸支持治疗
11 经食管肺超声在呼吸衰竭诊治中的应用
12 保守性氧疗降低ICU病死率
13 困难撤机的WIND分类
14 APRV预防ARDS新认识
15 拔管后高流量氧疗预防再次插管及呼吸衰竭
16 VAP预防集束化方案：并非都有益处
17 CRRT-CO2清除技术在重症患者中的应用
第四部分重症肾脏与血液净化
简介
（一）急性肾损伤
1 AKI流行病学：区域间存在差异
2 生理盐水增加AKI的发生吗？
3 他汀类药物不减少心脏围术期患者AKI的发生
4 警惕多黏菌素诱发AKI
5 多种生物标志物早期诊断肝硬化急性肾损伤
6 抗凝相关性肾病：值得关注
7 AKI患者的远期结局与预测
8 急性肾损伤患者的肾脏是否可以用于移植？
（二）肾脏替代治疗
9 AKI患者RRT时机仍需个体化考量
10 精准肾脏替代治疗—2016 ADQI专家共识概要
第五部分重症感染
简介
（一）脓毒症和多器官功能障碍综合征
1 诠释Sepsis 3.0
2 解读SSC脓毒症和感染性休克指南（2016）
3 qSOFA对脓毒症的预警价值
4 脓毒症免疫功能监测及临床意义
5 脓毒症的免疫抑制与预后
6 脓毒症免疫治疗的现状与未来
7 中性粒细胞在脓毒症中的作用
8 脓毒症临床研究的缺陷
9 脓毒症治疗：个体化与精准化
（二）感染的早期诊断与治疗
10 2016年IDSA/ATS成人HAP和VAP指南更新概要
11 2016年IDSA念珠菌病诊治指南中与成人ICU相关的更新概要
12 ARDS患者下呼吸道微生态与疾病进程
13 重症患者是否需要经验性抗真菌治疗？——EMPIRICUS及CANTREAT研究启示
14 腹腔感染抗生素疗程：STOP-IT研究启示
15 腹腔真菌感染并不少见
（三）感染控制与新兴感染性疾病
16 2015年ESICM ICU鲍曼不动杆菌防控共识
17 mini-BAL及自动显微镜实现VAP快速诊断
18 重症患者导尿管相关性尿路感染的防控策略
19 ICU内耐药菌的防控——西班牙“Zero Resistance” BUNDLE
20 寨卡病毒：临床特点与防控
第六部分重症消化与营养治疗
简介
（一）急性重症胰腺炎
1 肠衰竭的分型与集束化治疗
2 重症急性胰腺炎：渐进式治疗策略的指征和时机
（二）重症营养治疗与代谢
3 重症患者肠道微生态的改变
4 2016 SCCM/ASPEN重症患者营养指南介绍
5 间接测热法在重症患者中的应用
第七部分重症凝血功能障碍
简介
1 血小板活化与脓毒症
2 DVT的抗凝进展
第八部分重症神经
简介
（一）重症神经系统疾病
1 重型颅脑损伤患者是否有必要进行颅内压监测？
2 量化脑电图监测在重症患者中的应用
3 血脑屏障突破技术相关研究及进展
（二）镇静/镇痛与认知障碍
4 eCASH：以患者为中心的舒适化镇痛镇静概念
5 氯胺酮在重症镇静镇痛的新进展
6 ICU“后”康复治疗现状
第九部分心肺脑复苏
简介
1 脑复苏低温治疗：病理生理与临床再评价
2 胺碘酮和利多卡因用于顽固性心室颤动再评价
3 氙气吸入对院外心搏骤停复苏后持续昏迷患者脑白质损伤的作用
第十部分重症创伤
简介
1 美国第4版重型颅脑损伤指南更新概要
2 欧洲第4版创伤后出血与凝血病指南概要
3 重症创伤与免疫
4 再议重型颅脑损伤的低温治疗
5 小儿创伤与静脉血栓的危险因素
第十一部分重症医学相关伦理问题及其他
简介
1 临终维持治疗的撤离：国度间的差异
2 器官捐献供体的脏器维护：重症医学新任务
3 心身耗竭综合征：如此靠近重症医学医务人员
4 美国中毒管理以及对我们的启示
第十二部分重症儿科
简介
1 儿童肺动脉高压——欧洲最新专家共识概要
2 儿童肠外营养：What’s new？
3 经鼻持续气道正压通气与高流量鼻塞式氧疗治疗儿童低氧血症的疗效比较
4 高频振荡通气能否改善儿童急性肺损伤的预后？
5 儿童撤机困难：临床如何应对？
6 RNA标志物在发热患儿细菌及病毒感染中的鉴别作用
7 HPeV3型及4型病毒与儿童重症感染
第十三部分重症护理
简介
1 ICU护士在早期识别脓毒症中的作用
2 谵妄预防集束化管理策略的应用
3 用药错误风险最小化与错误预防：2016欧盟实践新指南解读

FAQ

What is the difference between this book and a Critical Care Medicine textbook?

This book is a compilation of annual academic advances, focusing on new evidence, new guidelines, and new consensus within a specific period, and its content is more cutting-edge and dynamic; a textbook focuses on systematically expounding the discipline's basic theories, fundamental knowledge, and classic techniques, and its system is more complete and stable. The two complement each other.

Is the content of the book outdated?

The book was published in 2017 and systematically summarizes the annual advances up to that time. For a rapidly developing discipline such as critical care medicine, some specific data or individual guidelines may have been updated, but the core clinical thinking framework it expounds, its methods for analyzing major issues, and most diagnostic and treatment principles still have high reference value. Readers should update their knowledge in light of the latest authoritative guidelines.

Is reading this book helpful for physicians who are not in critical care medicine?

It is helpful. Many concepts and techniques of critical care medicine, such as organ function support, infection control, and fluid management, are increasingly permeating various clinical specialties. For physicians in internal medicine, surgery, and other fields who frequently manage critically ill patients, reading this book helps broaden their horizons, understand the overall management approach to critically ill patients, and improve their ability to identify and manage severe complications.

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About the author

中华医学会 Author

The Chinese Medical Association is an academic society in the field of medicine in China. Public information about it is limited, and its writing and publishing focus mainly on clinical medical standards, disciplinary development, and the compilation of academic history. Four of its works are included here, covering critical care medicine, clinical medical terminology, the epidemiology and prevention of chronic respiratory diseases, and the history of its pediatrics branch. These works span reference books, professional monographs, and historical compilations. They show that the association emphasizes the standardization of medical terminology, the standardization of clinical practice, and the systematic organization of disciplinary history. Its writing is rigorous and practical, aimed mainly at clinicians, medical researchers, and medical educators, and offers reference value for promoting exchange and knowledge accumulation in the relevant disciplines.