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  • 呼吸内科

    76人鹈鹕vs >> 学科专家 >> 科室介绍 >> 呼吸内科

    • 科室介绍
    • 专家介绍
    • 预约挂号

      呼吸内科自建院以来经过不断的发展,如今已形成具有相当规模、具备自己风格和模式、适应时代发展要求的学科之一,呼吸疾病的综合诊治能力已处于省内先进水平,同时承担在校中专生、大学生的相关教学任务。呼吸内科拥有一支团结向上、积极进取、全心全意为患者服务的年轻的医疗队伍,全科现有医护人员 30人,医生12人。其中具有高级职称的医生4人,主医师、教授2人,副主医师2人,主治医师4人。周一至周六上午设有专业门诊和专家门诊。

    (二)  专业特色
    慢性阻塞性肺疾?。ò灾苎?、肺气肿等)的诊断和治疗

    支气管哮喘的诊断和治疗
    肺部感染性疾?。òǚ窝?、肺脓肿、支气管扩张及肺结核等)的诊治

    肺栓塞的诊断和溶栓及抗凝治疗

    胸膜疾?。ò?/span> 胸腔积液、气胸等)的诊断和治疗

    肺部肿瘤的诊断和治疗

    肺间质性疾病的诊断和治疗

    急、慢性呼吸衰竭的处理

    (三)  专业设施

    1.
    电子支气管内镜诊疗室

    我科呼吸内镜诊疗室备有先进的支气管电子内镜及高频电刀设备,目前开展以下多项新技术,介绍如下:
    1)诊断方面

    肺部感染病原学的诊断:针对院内难治性肺部感染,开展经支气管镜?;っⅲ?/span>PSB)及?;ば苑闻莨嘞矗?/span>PBAL)技术。

    肺部阴影的诊断:对性质不明的肺部阴影,除积极进行病灶活检技术,还开展对腔外病灶的经支气管透壁针吸活检(TBNA)技术。

    弥漫性肺部疾病的诊断:对肺间质纤维化、结节病、肺泡癌等弥漫性肺部疾病,开展支气管肺泡灌洗(BAL)及经支气管壁透壁肺活检 (TBLB)技术。

    2)治疗方面

    支气管内镜的腔内治疗:对肿瘤、结核、慢性炎症、支气管淀粉样变、支气管软化症等所造成的气管、支气管狭窄等疾病,可以进行电烧治疗、支架植入等治疗。

    内镜下取气管、支气管内异物。

    内镜下肺部灌洗治疗药物疗效欠佳的肺脓肿、支气管扩张并感染等疾病。

    2
    、内科胸腔镜室

    内科胸腔镜主要用于诊断,同时也可以进行部分胸腔内治疗。它的主要适应证为:(1)不明原因的胸腔积液;(2)肺癌或胸膜间皮瘤的分期;(3)对恶性积液或复发性良性积液患者进行滑石粉胸膜固定治疗;(4)对于自发性气胸中的期和期,局部治疗是内科胸腔镜的适应证;(4)其它适应证包括需要在膈肌、纵隔和心包进行活检的病例。

    3、呼吸重症抢救病房

      配备专业的医护人员和各种呼吸机、生命监护设备、多功能病床等先进设备,成功抢救500余例危重症,包括支气管哮喘、肺心病、重症肺炎、败血症、ARDS、大咯血、呼吸衰竭、多器官功能衰竭等,救治成功率高。

    4、CT引导下经皮肺针吸活检术

      对于病变位于肺周围区,纤支镜检查不能达到的病灶,进行CT引导下经皮肺针吸活检术。

    5 肺功能室
    我科的肺功能室装备有先进的肺功能诊断系统,目前已开展了多项检查,使临床肺功能检查达到了较高的水平。介绍如下:
    1.
    肺通气功能与肺活量的检查:包括时间肺活量、每分钟最大通气量、流速容量环及小气道功能检查等。

    2. 开展呼气负压检测呼气流速受限技术,对严重COPD、COPD合并肺大泡等一部分常规技术无法检测的患者进行检测,明确诊断及评估疾病严重程度、治疗效果。是国内少数几家能开展呼气负压检测技术的医院之一。
    3.
    肺弥散功能及残气量的检查。
    4.
    支气管舒张试验:主要用于支气管哮喘等气道高反应性疾病的诊断。
    5.
    支气管激发试验:主要用于支气管舒张试验阴性病人的诊断。
    检查时间:周一至周五,门诊病人不用预约,随来随做。
    (
    四)  特色服务
    1
    .专家门诊 请浏览专家介绍。
    2
    .专业门诊
    慢性阻塞性肺疾?。?/span> COPD)门诊:
    支气管哮喘门诊:
    3
    .院内外呼吸系统疾病会诊。
    4
    .承担急诊呼吸系统危重病的抢救工作。
    5
    .每周二、三、五上午做气管镜(应事先带患者及胸片来本科门诊预约)遇有急诊时随时可做。
    6
    .肺功能检查 周一至周五,随来随做(门诊病人不用预约)。

                      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 respirators、life monitoring equipments、multifunction 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.

    4、characteristic 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.

     

     


    版权所有: 海南省??谑腥嗣褚皆? 琼ICP 备05005322 地址:中国·海南·??谑泻5榈喝嗣翊蟮?3号

    技术支持:海南省??谑行畔⒅行?/p>

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