描述
开 本: 16开纸 张: 铜版纸包 装: 精装是否套装: 否国际标准书号ISBN: 9787518949984
世界权威产科学指南——现在的更新版更加注重母胎医学。
这本产科学著作定义了一代代妇产科医师遵循的原理，现在比更以往更加及时且不可或缺。由享誉全国的德克萨斯州大学西南医学中心作者所撰写，《威廉姆斯产科学》维持了它标志性的宽广涵盖范围以及临床适用性，并提供了本领域*视角。
这本里程碑式的作品以关于生殖系统解剖及生理学的讨论起始，与早产、妊娠相关感染、流产、高血压等产科疑难症相关临床章节相吻合。本*第25版体现了一个世纪的临床理论的结晶，并由超过1000张全彩插图辅助，并给予母胎医学这一高速发展的分支更多关注。
本书是几代妇产科医生的产科教科书,本版书比以往任何时候都更有划时代的意义。作者是美国德州西南医学中心专家，威廉姆斯产科学全面覆盖床边临床内容,具有极强的适用性，同时提供了该领域的*观点。
开篇具有里程碑意义的文章从生殖解剖学和生理学的基本讨论开始。结合临床章节涵盖产科并发症，如早产、妊娠相关感染、出血、高血压等。这是一个世纪的临床思维的高潮，新的第二十五版超过1000个全彩色插图，更加强调了快速增长的母胎医学的次级专业。
Preface
Acknowledgments
SECTION 1：OVERVIEW
1. Overview of Obstetrics
SECTION 2：MATERNAL ANATOMY AND PHYSIOLOGY
2. Maternal Anatomy
3. Congenital Genitourinary Abnormalities
4. Maternal Physiology
SECTION 3：PLACENTATION, EMBRYOGENESIS, AND FETAL DEVELOPMENT
5. Implantation and Placental Development
6. Placental Abnormalities
7. Embryogenesis and Fetal Development
SECTION 4：PRECONCEPTIONAL AND PRENATAL CARE
8. Preconceptional Care
9. Prenatal Care
SECTION 5：THE FETAL PATIENT
10. Fetal Imaging
11. Amnionic Fluid
12. Teratology, Teratogens, and Fetotoxic Agents
13. Genetics
14. Prenatal Diagnosis
15. Fetal Disorders
16. Fetal Therapy
17. Fetal Assessment
SECTION 6：EARLY PREGNANCY COMPLICATIONS
18. Abortion
19. Ectopic Pregnancy
20. Gestational Trophoblastic Disease
SECTION 7：LABOR
21. Physiology of Labor
22. Normal Labor
23. Abnormal Labor
24. Intrapartum Assessment
25. Obstetrical Analgesia and Anesthesia
26. Induction and Augmentation of Labor
SECTION 8：DELIVERY
27. Vaginal Delivery
28. Breech Delivery
29. Operative Vaginal Delivery
30. Cesarean Delivery and Peripartum Hysterectomy
31. Prior Cesarean Delivery
SECTION 9：THE NEWBORN
32. The Newborn
33. Diseases and Injuries of the Term Newborn
34. The Preterm Newborn
35. Stillbirth
SECTION 10：THE PUERPERIUM
36. The Puerperium
37. Puerperal Complications
38. Contraception
39. Sterilization
SECTION 11：OBSTETRICAL COMPLICATIONS
40. Hypertensive Disorders
41. Obstetrical Hemorrhage
42. Preterm Birth
43. Postterm Pregnancy
44. Fetal-Growth Disorders
45. Multifetal Pregnancy
SECTION 12：MEDICAL AND SURGICAL COMPLICATIONS
46. General Considerations and Maternal Evaluation
47. Critical Care and Trauma
48. Obesity
49. Cardiovascular Disorders
50. Chronic Hypertension
51. Pulmonary Disorders
52. Thromboembolic Disorders
53. Renal and Urinary Tract Disorders
54. Gastrointestinal Disorders
55. Hepatic, Biliary, and Pancreatic Disorders
56. Hematological Disorders
57. Diabetes Mellitus
58. Endocrine Disorders
59. Connective Tissue Disorders
60. Neurological Disorders
61. Psychiatric Disorders
62. Dermatological Disorders
63. Neoplastic Disorders
64. Infectious Diseases
65. Sexually Transmitted Infections
APPENDIX
Serum and Blood Constituents
Maternal Echocardiographic Measurements
Fetal Sonographic Measurements
Index
We celebrate this 25th edition of Williams Obstetrics with great appreciation for the insight and expertise that the early editors brought to this textbook. To pay tribute to the first author, J.Whitridge Williams, we begin each chapter with a passage from his 1st edition that complements the topic. During this selection process, we were inspired by the strides that modern obstetrics has made since that edition in 1903. Similarly, we were humbled by some of the classic challenges that still persist. Preterm labor, preeclampsia, and infections are some examples. That said, many of these advances were derived from rigorous, evidence-based research. And, we acknowledge and support the power of this academic ideal to further our specialty in the decades to come. For this 25th edition, we continue to present the detailed staples of basic obstetrics such as maternal anatomy and physiology, preconceptional and prenatal care, labor, delivery, and the puerperium. These accompany detailed discussions of obstetrical complications exemplified by preterm labor, hemorrhage, hypertension, and many more. To emphasize the “M” in Maternal–Fetal Medicine, we continue to iterate the many medical and surgical disorders that can complicate pregnancy. And, our second patient—the fetus—has accrued especial attention with an entire section devoted to diagnosis and treatment of fetal disorders. For all of these, we once again emphasize the science-based underpinnings of clinical obstetrics with special emphasis on biochemical and physiological principles. As was the hallmark of previous editions, these dovetail with descriptions of evidence-based practices. Expert clinical pearls add depth to these discussions and are written for busy practitioners— those “in the trenches.” To accomplish these goals, the text has been updated with more than 3000 new literature citations through 2017. Many of the nearly 900 figures are new, and these graphs, sonograms, magnetic resonance images, photographs, photomicrographs, and data graphs are almost all in vivid color. Much of the original artwork was rendered by our own medical illustrators. Also, as before, we continue to incorporate contemporaneous guidelines from professional and academic organizations such as the American College of Obstetricians and Gynecologists, the Society for Maternal–Fetal Medicine, the National Institutes of Health and the National Institute for Child Health and Human Development, the Centers for Disease Control and Prevention, and other authoritative sources. Many of these data are distilled into nearly 100 tables, in which information has been arranged in an easy read-and-use format. In addition, several diagnostic and management algorithms are available to quickly guide practitioners. Although we strive to cite numerous sources and provide multiple evidence-based options for such management schemes, we also include our own clinical experiences drawn from the large obstetrical service at Parkland Hospital. We are convinced that these are disciplined examples of evidence-based obstetrics but quickly acknowledge that they do not constitute the sole method of management.
F. Gary Cunningham
Kenneth J. Leveno
Steven L. Bloom
Jodi S. Dashe
Barbara L. Hoffman
Brian M. Casey
Catherine Y. Spong
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