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呼吸內科

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  呼吸內科自建院以來經過不斷的發展,如今已形成具有相當規模、具備自己風格和模式、適應時代發展要求的學科之一,呼吸疾病的綜合診治能力已處于省內先進水平,同時承擔在校中專生、大學生的相關教學任務。呼吸內科擁有一支團結向上、積極進取、全心全意為患者服務的年輕的醫療隊伍,全科現有醫護人員 30人,醫生12人。其中具有高級職稱的醫生4人,主醫師、教授2人,副主醫師2人,主治醫師4人。周一至周六上午設有專業門診和專家門診。

(二)  專業特色
慢性阻塞性肺疾病(包括慢性支氣管炎、肺氣腫等)的診斷和治療

支氣管哮喘的診斷和治療
肺部感染性疾病(包括肺炎、肺膿腫、支氣管擴張及肺結核等)的診治

肺栓塞的診斷和溶栓及抗凝治療

胸膜疾病(包括 胸腔積液、氣胸等)的診斷和治療

肺部腫瘤的診斷和治療

肺間質性疾病的診斷和治療

急、慢性呼吸衰竭的處理

(三)  專業設施

1.
電子支氣管內鏡診療室

我科呼吸內鏡診療室備有先進的支氣管電子內鏡及高頻電刀設備,目前開展以下多項新技術,介紹如下:
1)診斷方面

肺部感染病原學的診斷:針對院內難治性肺部感染,開展經支氣管鏡保護毛刷(PSB)及保護性肺泡灌洗(PBAL)技術。

肺部陰影的診斷:對性質不明的肺部陰影,除積極進行病灶活檢技術,還開展對腔外病灶的經支氣管透壁針吸活檢(TBNA)技術。

彌漫性肺部疾病的診斷:對肺間質纖維化、結節病、肺泡癌等彌漫性肺部疾病,開展支氣管肺泡灌洗(BAL)及經支氣管壁透壁肺活檢 (TBLB)技術。

2)治療方面

支氣管內鏡的腔內治療:對腫瘤、結核、慢性炎癥、支氣管淀粉樣變、支氣管軟化癥等所造成的氣管、支氣管狹窄等疾病,可以進行電燒治療、支架植入等治療。

內鏡下取氣管、支氣管內異物。

內鏡下肺部灌洗治療藥物療效欠佳的肺膿腫、支氣管擴張并感染等疾病。

2
、內科胸腔鏡室

內科胸腔鏡主要用于診斷,同時也可以進行部分胸腔內治療。它的主要適應證為:(1)不明原因的胸腔積液;(2)肺癌或胸膜間皮瘤的分期;(3)對惡性積液或復發性良性積液患者進行滑石粉胸膜固定治療;(4)對于自發性氣胸中的期和期,局部治療是內科胸腔鏡的適應證;(4)其它適應證包括需要在膈肌、縱隔和心包進行活檢的病例。

3、呼吸重癥搶救病房

  配備專業的醫護人員和各種呼吸機、生命監護設備、多功能病床等先進設備,成功搶救500余例危重癥,包括支氣管哮喘、肺心病、重癥肺炎、敗血癥、ARDS、大咯血、呼吸衰竭、多器官功能衰竭等,救治成功率高。

4CT引導下經皮肺針吸活檢術

  對于病變位于肺周圍區,纖支鏡檢查不能達到的病灶,進行CT引導下經皮肺針吸活檢術。

5 肺功能室
我科的肺功能室裝備有先進的肺功能診斷系統,目前已開展了多項檢查,使臨床肺功能檢查達到了較高的水平。介紹如下:
1.
肺通氣功能與肺活量的檢查:包括時間肺活量、每分鐘最大通氣量、流速容量環及小氣道功能檢查等。

2. 開展呼氣負壓檢測呼氣流速受限技術,對嚴重COPDCOPD合并肺大泡等一部分常規技術無法檢測的患者進行檢測,明確診斷及評估疾病嚴重程度、治療效果。是國內少數幾家能開展呼氣負壓檢測技術的醫院之一。
3.
肺彌散功能及殘氣量的檢查。
4.
支氣管舒張試驗:主要用于支氣管哮喘等氣道高反應性疾病的診斷。
5.
支氣管激發試驗:主要用于支氣管舒張試驗陰性病人的診斷。
檢查時間:周一至周五,門診病人不用預約,隨來隨做。
(
四)  特色服務
1
.專家門診 請瀏覽專家介紹。
2
.專業門診
慢性阻塞性肺疾病( COPD)門診:
支氣管哮喘門診:
3
.院內外呼吸系統疾病會診。
4
.承擔急診呼吸系統危重病的搶救工作。
5
.每周二、三、五上午做氣管鏡(應事先帶患者及胸片來本科門診預約)遇有急診時隨時可做。
6
.肺功能檢查 周一至周五,隨來隨做(門診病人不用預約)。

                  Respiratory Medicine Department

 With a continuous development since the hosipital established, respiratory medicine department now has formed fairly with his size, style and mode, adapting to the requirements of the development of discipline. Its comprehensive treatment of respiratory diseases is already in advanced ability, and it undertake the relevant teaching task of secondary specialized students and undergrduates. The respiratory medicine department has a united and positive, and the service wholeheartedly for patients and medical teams of young people. It has medical personnel 30 people, the doctor 12 people currently, four doctors has titles of senior professional post. Two of them are chief physicians and professors, the other two are accociate chief physicians. four doctors are attending doctors. There are professional clinic and expert outpatient service on Monday to Saturday moring.

2 Major characteristic

 Diagnosis and treatment of chronic obstructive pulmonary disease (including chronic bronchitis and emphysema)

 Diagnosis and treatment of bronchial asthma

 Diagnosis and treatment of pulmonary infectious disease (including pneumonia, lung abscess, bronchiectasis and pulmonary tuberculosis  etc.)

 Diagnosis, thrombolysis and anticoagulant therapy of pulmonary embolism

 Diagnosis and treatment of pleural diseases (including pleural effusions pneumothorax etc.)

 Diagnosis and treatment of lung cancer

 Diagnosis and treatment of interstitial lung disease

 Therapy of acute or chronic respiratory failure

3 Professional facilities

⑴.Electronic bronchial endaoscopic consulting room

The electronic bronchial endoscopic consulting room in our department is equipped with advanced bronchial video endoscope and high-frequency electrotome equipment, many new technologies was carry on, as follows:

  diagnosis

a、          The etiologic diagnosis of pulmonary infection: bronchoscopy protection brush(PSB) and protective alveolar lavage (PBAL) technologies are developed for refractory nosocomial infection of the lung.

b、          The diagnosis of lung shadow: for an lung shadow, The needle aspiration biopsy through bronchial tube(TBNA) technology is developed as well as actively lesions biopsy technology.

c、          The diagnosis of diffuse lung disease: broncho-alveolar laage (BAL) technology and the bronchial wall lung biopsy through walls(TBLB) technology are developed for diffuse lung diseases such as pulmonary fibrosis, sarcoidosis, alveolar carcinoma and so on.

  treatment

a The bronchial endoscopic treatment of lumen: The diseases such as tumor, tuberculosis, chronic inflammation, bronchial amyloid, bronchial osteomalacia caused trachea and bronchial stenosis, can be treated by electric coagulator treatment, stenting etc.

b The trachea and bronchus foreign bodies can be taken out through endoscopy.

c The diseases such as lung abscess and bronchiectasis combines with infection which the drug efficacy are poor can be treated by lung lavage treats on endoscopy.

⑵.Internal thoracoscope room

It is Mainly used for diagnosis of internal thoracoscope ,also undertaken part intrathoracic treatment. Its major indications are for: the unexplained pleural effusion,lung cancer or pleural mesothelioma staging,talcum power pleural fixed treatment used for malignant or recurrent benign pleural effusion patients. For the period or of spontaneous pneumothorax ,local treatment is the internal vats indication. The other indications include the cases which need to take biopsy in diaphragm, mediastinum and pericardium.

respiratory critical rescue ward

It is equipped with professional medical care personnel and sophisticated equipment such as all kinds of respiratorslife monitoring equipmentsmultifunction ward beds etc. 500 cases of severe diseases are rescued successfully include bronchial asthma, pulmonary heart disease, severe pneumonia, sepsis, ARDS, hemoptysis, respiratory failure, multiple organ failure and so on . The cure rate is high.

⑷.CT guided percutaneous pulmonary needle aspiration biopsy

For lesions, which bronchoscopy check cannot achieve, located surrounding lung areas, CT guided percutaneous pulmonary needle aspiration biopsy can be used.

⑸、Pulmonary function room

The pulmonary function room is equipped with advanced lung function diagnostic system in our department. Currently we has launched many examinations, which make the clinical pulmonary function reached higher level. Introduces are as follows:

①、The pulmonary ventilation function and vital capacity examinationsThese examinations include time vital capacity, maximum minute ventilation, TBFV and small airway function examination.

②、Expiratory negative pressure detecting technology testing expiratory flow of limited has been conducted. For serious COPD, COPD with pulmonary big bubble which conventional technology cannot be detected such patients, expiratory negative pressure detecting technology can carry through for clarifying a diagnosis and evaluating severity of diseases or therapeutic effect. Our hospital becomes one of the hospitals which can conduct expiratory negative pressure detecting technology.

③、Pulmonary dispersion function and residual volume inspection.

④、Bronchial dilation test: It is mainly used for diagnosis of airway high responsiveness diseases such as bronchial asthma and so on.

⑤、 Bronchial provocation test: It is mainly used for the patients whose bronchial dilation test is negative.

Inspection timeMonday to Friday, outpatient can do the test without appointment.

4characteristic service

⑴.Expert’s outpatient clinic: please browse the introduction of the experts to obtain details.

⑵.Specialty outpatient clinic:

   The outpatient clinic of chronic obstructive pulmonary disease

   The outpatient clinic of bronchial asthma

⑶.Our departments undertake the consultation of respiratory system disease inside or outside the hospital.

⑷.Our departments also undertake rescue work of emergency respiratory system critical illness.

   ⑸.Bronchoscope can be used for patients on every tuesday wednesday and Friday.(The patients please take the chest radiograph to make an appointment in our outpatient department in prior.) Bronchoscope can be used for emergency treatment at any time.

  ⑹.From monday to friday, outpatients can do the pulmonary function examination without appointment.