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  呼吸外科自建院以来颠末不时的成长,现在已构成具备相称范围、具备本身气概和形式、顺应时期成长请求的学科之一,呼吸疾病的综合诊治才能已处于省内进步前辈水平,同时承当在校中专生、大先生的相干讲授使命。呼吸外科具备一支连合向上、主动朝上进步、经心全意为患者办事的年青的医疗步队,全科现有医护职员 30人,大夫12人。此中具备高等职称的大夫4人,主医师、传授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)  专业特点
慢性梗阻性肺疾病(包含慢性支气管炎、肺气肿等)的诊断和医治

支气管哮喘的诊断和医治
肺部沾染性疾病(包含肺炎、肺脓肿、支气管扩大及肺结核等)的诊治

肺栓塞的诊断和溶栓及抗凝医治

肋膜疾病(包含 胸腔积液、气胸等)的诊断和医治

肺部肿瘤的诊断和医治

肺间质性疾病的诊断和医治

急、慢性呼吸衰竭的处置

(三)  专业举措措施

1.
电子支气管内镜诊疗室

我科呼吸内镜诊疗室备有进步前辈的支气管电子内镜及高频电刀设备,今朝展开以下多项新技术,先容以下:
1)诊断方面

肺部沾抱病原学的诊断: 针对院内难治性肺部沾染,展开经支气管镜掩护毛刷(PSB)及掩护性肺泡灌洗(PBAL)技术。

肺部暗影的诊断: 对性子不明的肺部暗影,除主动停止病灶活检技术,还展开对腔外病灶的经支气管透壁针吸活检(TBNA)技术。

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

2)医治方面

支气管内镜的腔内医治: 对肿瘤、结核、慢性炎症、支气管淀粉样变、支气管软化症等所形成的气管、支气管狭小等疾病,能够停止电烧医治、支架植入等医治。

内镜下取气管、支气管内异物。

内镜下肺部灌洗医治药物疗效欠佳的肺脓肿、支气管扩大并沾染等疾病。

2
、外科胸腔镜室

外科胸腔镜首要用于诊断,同时也能够停止局部胸腔内医治。它的首要顺应证为: (1)不明缘由的胸腔积液;(2)肺癌或肋膜间皮瘤的分期;(3)对恶性积液或复发性良性积液患者停止滑石粉肋膜牢固医治;(4)对自觉性气胸中的期和期,局部医治是外科胸腔镜的顺应证;(4)别的顺应证包含须要在膈肌、纵隔和心包停止活检的病例。

3、呼吸重症急救病房

  设备专业的医护职员和各种呼吸机、性命监护设备、多功效病床等进步前辈设备,胜利急救500余例危重症,包含支气管哮喘、肺芥蒂、重症肺炎、败血症、ARDS、大咯血、呼吸衰竭、多器官功效衰竭等,救治胜利率高。

4CT指导下经皮肺针吸活检术

  对病变位于肺四周区,纤支镜查抄不能到达的病灶,停止CT指导下经皮肺针吸活检术。

5 肺功效室
我科的肺功效室设备有进步前辈的肺功效诊断体系,今朝已展开了多项查抄,使临床肺功效查抄到达了较高的水平。先容以下:
1.
肺通气功效与肺活量的查抄: 包含时候肺活量、每分钟最大通宇量、流速容量环及吝啬道功效查抄等。

2. 展开呼气负压检测呼气流速受限技术,对严峻COPDCOPD归并肺大泡等一局部惯例技术没法检测的患者停止检测,明白诊断及评价疾病严峻水平、医治结果。是国际多数几家能展开呼气负压检测技术的医院之一。
3.
肺弥散功效及残宇量的查抄。
4.
支气管舒张尝试: 首要用于支气管哮喘等气道高反映性疾病的诊断。
5.
支气管激起尝试: 首要用于支气管舒张尝试阳性病人的诊断。
查抄时候: 周一至周五,门诊病人不必预定,随来随做。
(
四)  特点办事
1
.专家门诊 请阅读专家先容。
2
.专业门诊
慢性梗阻性肺疾病( COPD)门诊:
支气管哮喘门诊:
3
.院表里呼吸体系疾病会诊。
4
.承当急诊呼吸体系危沉痾的急救使命。
5
.每周二、三、五上午做气管镜(应事前带患者及胸片来本科门诊预定)遇有急诊时随时可做。
6
.肺功效查抄 周一至周五,随来随做(门诊病人不必预定)。

                  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 examinations: These 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 time: Monday 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.