파워내과 핸드북-2판 (8권 세트)

『파워내과 세트(HANDBOOK)-2nd Edition(전 8권 세트)』은 항상 휴대하면서 쉽게 참고할 수 있도록 제작된 핸드북입니다. 파워내
과와 대부분의 내용을 공유하여 효율적인 연계 학습이 가능합니다. 그리고 의사국가고시등의 시험에 충분히 대비할 수 있는 충실
한 내용과 교과서로는 부족한 최신 지견 및 국내 현실을 반영했습니다.





최근 의학계는 많은 변화를 앞두고 있습니다. 병원에서는 곧 인턴 제도가 폐지되고, 의과대학에서는 성과중심교육이 화두입니
다. 기대에 못 미친 의학전문대학원 제도 또한 사라져가고 있습니다. 항상 오락가락하며 근본적인 문제는 건드리지 못하는 우리
나라 전체 교육제도와는 달리 그래도 의학교육은 올바른 방향으로 꾸준히 개선되어가고 있는 것으로 보입니다. 하지만, 중고등학
교 때 입시위주의 공부만 해오다보니 막상 대학에서는 자율적이고 창조적인 학습태도를 보이지 못하는 경우가 많습니다. 의대생
으로서의 철학적인 고민은 찾아보기 힘들고, 대학에 와서도 시험만이 유일한 가치가 되어버립니다. 많은 대학들에서 의료인문학
을 강조하고 있지만, 학교에서 제공하는 강의의 틀이 아니라 본인 스스로가 자신의 인생, 사회, 국가, 민족, 세계, 역사 등에 대
해 깊이 탐구하여 폭넓은 소양을 갖추어야 할 것입니다.

단순히 지위가 높거나 돈을 잘 번다고 사회지도층이라고 할 수는 없습니다. 오히려 우리나라는 도덕과 인품이 결여된 사람들이
그런 위치에서 악행을 일삼았기 때문에 사회 전체가 병들어 왔습니다. 진취적이어야 할 젊은이들이 기성세대보다 더 보수적인 모
습을 보인다면 그 사회는 이미 심각하게 병든 사회입니다. 그렇게 이끌어온 기성세대의 잘못이 크지만, 앞으로 사회를 이끌어나
갈 가치와 경험을 배우기 시작하는 대학생 때만이라도 자신보다는 남을 먼저 생각하고, 실리보다는 명분을 추구하고, 재미보다
는 의미를 찾는 시간이 되었으면 합니다.

‘파워내과-핸드북’ 두 번째 판을 작업하면서 제한된 지면에 가능한 많은 내용을 담으려고 노력했습니다. 하지만, 휴대성이 중
요한 핸드북이기에 학생 수준의 시험에서 중요하지 않다고 생각되는 부분들은 생략할 수밖에 없었습니다. 따라서 가볍게 휴대하
면서 찾아보기 적당한 임상실습 같은 때에나 핸드북을 이용하는 것이 바람직하겠죠. 스스로 고민하며 찾아 본 지식이 오래 기억
에 남듯이 가능하면 많은 시간은 교과서나 논문과 함께하고, 매뉴얼 등의 학습서는 정리하는 용도로 활용하는 것이 바람직한 학
습 방법으로 생각됩니다.

끝으로 이번 개정판이 나오기까지 애써주신, 항상 이익보다는 독자들에게 필요한 좋은 책을 출간하기 위해 노력하시는 군자출판
사의 장주연 사장님과 ‘파워내과-핸드북’의 편집에 애써주신 양은희님, 김지은님을 비롯한 직원 여러분들 모두에게 깊은 감사
를 드립니다.

2013년 4월 5일

신규성

도서목차

1권 [소화기내과]

Part I 위장관 질환

1. 서론 ························································
·························································· 4

2. 설사 및 변비 ····················································
················································ 16

3. 위장관 출혈 ····················································
················································· 26

4. 식도 질환 ·····················································
··················································· 32

5. 소화성궤양 및 위염 ·················································
········································ 50

6. 식도 및 위 종양 ··················································
············································ 70

7. 염증창자병/염증성장질환 (IBD) ···········································
···························· 84

8. 소장 및 대장 질환 ·················································
········································ 100

9. 소장 및 대장 종양 ·················································
········································· 116

10. 흡수장애 ·····················································
··················································· 128

11. 복막 질환 ·····················································
·················································· 138

Part II 간ㆍ담ㆍ췌 질환

1. 서론 ························································
······················································· 144

2. 빌리루빈 대사 및 황달 ···············································
···································· 158

3. 급성 간염 ·····················································
·················································· 168

4. 만성 간염 ·····················································
·················································· 186

5. 대사성 간질환 ···················································
············································ 202

6. 간경변증 ······················································
·················································· 212

7. 간 종양 ······················································
··················································· 230

8. 간 농양 ······················································
··················································· 240

9. 담낭 및 담관 질환 ·················································
········································ 244

10. 급성 췌장염/이자염 ················································
······································· 266

11. 만성 췌장염/이자염 ················································
······································· 278

12. 췌장암 ······················································
····················································· 286

13. 소화기 내분비종양 ·················································
········································ 292





2권 [순환기내과]

1. 서론 ························································
·························································· 2

2. 심전도와 부정맥 ··················································
············································ 34

3. 심부전 ·······················································
······················································ 76

4. 고혈압 ·······················································
······················································ 98

5. 동맥경화증 ·····················································
················································ 114

6. 허혈성 심장질환 (Ischemic heart disease, IHD) ···································
······· 120

7. 급성 심근경색 (AMI) ················································
······································ 140

8. 심근 질환 ·····················································
·················································· 162

9. 심장막 질환 (Pericardial diseases) ·········································
····················· 172

10. 심장 판막 질환 ··················································
············································ 180

11. 심장 종양 ·····················································
·················································· 198

12. 선천성 심장병 (Congenital Heart Disease, CHD) ···································
····· 200

13. 대동맥 및 혈관 질환 ················································
····································· 206

14. 류마티스 열 (Rheumatic fever) ···········································
························· 220

15. 감염성 심내막염 (Infective endocarditis, IE) ···································
············· 224





3권 [호흡기내과]

1. 서론 ························································
·························································· 2

2. 폐기능검사 ·····················································
·················································· 18

3. 세기관지염 ·····················································
················································· 32

4. 폐렴 ························································
························································ 34

5. 폐농양 ·······················································
······················································ 50

6. 결핵 ························································
························································ 54

7. 기관지확장증 ····················································
··············································· 76

8. 만성 폐쇄성 폐질환 ·················································
········································ 82

9. 기관지 천식 ····················································
················································· 98

10. 간질성 폐질환 ···················································
············································· 120

11. 직업성 폐질환 ···················································
············································· 142

12. 폐 혈전색전증 ···················································
············································· 146

13. 폐 고혈압 ·····················································
·················································· 158

14. 환기 장애 ·····················································
·················································· 166

15. 호흡 부전 ·····················································
·················································· 172

16. 기계적 환기법 ···················································
············································· 182

17. 폐암 ·······················································
························································ 192

18. 흉막 및 종격동 질환 ················································
······································ 212





4권 [혈액종양내과]

1. 서론 및 빈혈 ····················································
················································· 2

2. 용혈성 빈혈 ····················································
················································· 28

3 골수부전·······················································
··················································· 44

4. 골수증식종양 (MPN) ·················································
······································· 54

5. 골수형성이상증후군 (Myelodysplastic syndrome [MDS]) ······························· 72

6. 백혈병 ·······················································
······················································ 78

7. 림프종 ·······················································
······················································ 98

8. 형질세포 종양 ···················································
·············································· 112

9. 지혈 및 응고 장애 ·················································
········································ 124

10. 비장 ·······················································
························································ 158

11. 수혈의학 ·····················································
··················································· 162

12. 조혈모세포이식 ··················································
············································· 172

13. 종양학 서론 ····················································
··············································· 180

14. 종양의 치료원칙 ··················································
·········································· 190

15. 부종양 증후군 ···················································
············································· 212

16. 종양학에서의 응급상황 ···············································
···································· 218

17. 원발병소불명암 (Carcinoma of unknown primary, CUP) ····························· 224





5권 [신장내과]

1. 서론 ························································
·························································· 2

2. 수분 및 전해질 장애 ················································
········································ 22

3. 산염기 장애 ····················································
················································· 48

4. 급성 신손상 (Acute kidney injury, AKI) ·······································
················· 62

5. 만성 신질환 (Chronic kidney disease, CKD) ·····································
··········· 76

6. 신대체 요법 ····················································
················································· 92

7. 사구체질환/토리병 ·················································
········································· 110

8. 전신질환과 관련된 사구체질환 (Secondary Glomerunephropathies) ············ 128

9. 세뇨관간질성 신질환 (Tubulointerstitial renal diseases) ······························
138

10. 유전성/세뇨관 신질환 ···············································
····································· 144

11. 신혈관 질환 ····················································
··············································· 156

12. 요로 결석 ·····················································
·················································· 162

13. 요로 감염(Urinary tract infection) ········································
························· 170

14. 폐쇄요로병증(Obstructive uropathy) ········································
····················· 180

15. 신장 및 요로 종양 ·················································
········································ 184

16. 전립선 질환 ····················································
··············································· 188





6권 [내분비내과]

1. 서론 ························································
·························································· 2

2. 뇌하수체 전엽 질환 ·················································
·········································· 6

3. 뇌하수체 후엽 질환 ·················································
········································ 22

4. 갑상선 질환 ····················································
················································· 32

5. 부갑상선 질환 ···················································
·············································· 68

6. 대사성 골질환 ···················································
·············································· 80

7. 크롬친화세포종/갈색세포종 (Pheochromocytoma) ····································
······ 92

8. 부신피질 질환 ···················································
·············································· 98

9. 성분화 장애 ····················································
················································ 116

10. 당뇨병 (DM) ····················································
··············································· 128

11. 저혈당 (hypoglycemia) ···············································
·································· 170

12. 고지혈증 (Hyperlipidemia) ·············································
································ 178

13. 비만 (Obesity) ··················································
············································· 196





7권 [감염내과]

Part I 총론

1. 서론 ························································
·························································· 4

2. 항균제 ·······················································
······················································· 12

3. 면역저하자의 감염 ·················································
·········································· 34

4. 원내 감염 ·····················································
··················································· 40

5. 패혈증 ·······················································
······················································ 46

6. 중추신경계 감염 ··················································
············································ 52

7. 기타 감염 질환 ···················································
············································· 60

8. 예방접종 ······················································
···················································· 64

Part II 그람양성세균 감염

1. Staphylococcus ···················································
··········································· 72

2. Streptococcus 및 Enterococcus ···········································
························ 80

3. Pneumococcus (폐렴구균/폐렴알균) ··········································
···················· 86

4. Clostridia ·····················································
··················································· 90

5. Listeria ······················································
···················································· 100

6. Corynebacteria ···················································
·········································· 102

7. Bacillus ······················································
··················································· 104

Part III 그람음성세균 감염

1. 장내세균 감염 ···················································
············································· 108

2. Salmonellosis ···················································
············································· 112

3. Shigellosis ····················································
················································· 118

4. Yersinia ······················································
··················································· 122

5. Vibrio ·······················································
····················································· 124

6. Pseudomonas (녹농균) ················································
································· 130

7. Haemophilus ····················································
············································· 134

8. Legionella ·····················································
················································ 138

9. Campylobacter ···················································
·········································· 142

10. 백일해(Pertussis) ·················································
·········································· 144

11. Brucellosis ····················································
················································ 146

12. 그람음성구균 감염 ·················································
········································ 148

13. 혐기성세균 감염 ··················································
··········································· 156

Part IV 기타 미생물 감염

1. Mycoplasma ·····················································
············································· 162

2. Chlamydia ·····················································
················································ 166

3. Rickettsia ·····················································
················································· 172

4. Leptospirosis ···················································
············································· 178

5. 매독 ························································
······················································· 182

6. 진균 감염 ·····················································
················································· 188

7. 말라리아 ······················································
·················································· 204

8. 기타 기생충 질환 ··················································
········································· 210

9. 프리온 질환 ····················································
··············································· 214

Part V 바이러스 감염

1. Herpesviruses ···················································
··········································· 218

2. 호흡기 바이러스 감염 ················································
···································· 228

3. 바이러스성 위장염 ·················································
········································ 234

4. 신증후군 출혈열 (유행성 출혈열) ··········································
······················· 236

5. 일본 뇌염 ·····················································
················································· 240

6. 광견병(공수병) ···················································
············································ 242

7. 후천성 면역결핍증 (AIDS) ··············································
······························· 246





8권 [류마티스내과]

1. 서론 ························································
·························································· 2

2. 류마티스 관절염 ··················································
············································· 12

3. 골관절염 ······················································
···················································· 24

4. 척추관절병 ·····················································
················································· 30

5. 통풍 (Gout) ····················································
················································· 40

6. 전신성 홍반성 루푸스 (SLE) ·············································
······························· 46

7. 전신성 경화증 (Systemic Sclerosis, SSc) ······································
················ 56

8. 염증성 근육병증 ··················································
············································ 64

9. 혈관염 (Vasculitis) ················································
·········································· 70

10. 쇼그렌 증후군 ···················································
·············································· 80

11. 감염성 관절염 ···················································
·············································· 84

12. 기타 ·······················································
························································· 88

[알레르기내과]

1. 서론 ························································
························································ 94

2. 알레르기 비염 (Allergic rhinitis) ·········································
·························· 102

3. 두드러기 및 혈관부종 ················································
···································· 108

4. 약물 알레르기 ···················································
············································· 114

5. 음식 알레르기 ···················································
············································· 122

6. 곤충 알레르기 ···················································
············································· 126

7. 아나필락시스 ····················································
·············································· 128

8. 기타 알레르기 질환 ·················································
······································· 132

[독성학, 기타]

1. 독성학 ·······················································
····················································· 136

2. 기타 ························································
······················································· 154