Introduction of departments of Shanghai Fifth People's Hospital

Endocrinology was founded in 1980s. At present, there are 22 hospital beds, with more than 30,000 emergency visits per year, and advanced equipment such as ECG monitor, insulin pump, finger blood glucose meter and rapid urinary albumin analyzer. Over the past 30 years, with the joint efforts of old and new experts, endocrinology has gradually developed into one of the largest and most powerful departments in southwest Shanghai. 3 deputy chief physicians; Associate Professor and Master Supervisor1; 3 attending physicians; Four residents. Professor Sha, a famous endocrinologist in China, was hired as a technical consultant to guide the business in an all-round way, which attracted patients from all over the world to see a doctor. In addition to the diagnosis and treatment of diabetes and its complications, endocrinology has accumulated rich clinical experience in the diagnosis and treatment of other endocrine diseases and the rescue of critically ill patients (such as diabetic ketoacidosis, diabetic nonketotic hyperosmolar coma, hyperthyroidism crisis, pituitary crisis, adrenal crisis, mucinous edema, etc.). ), and has unique treatment experience for rare endocrine diseases such as Cushing's disease, hypercortisolism, diabetes insipidus, islet cell tumor and prolactinoma.

In scientific research, endocrinology has its own laboratory. In recent years, * * * has completed 9 scientific research projects including Shanghai Science and Technology Commission, Shanghai Health Bureau, Fudan University Research Fund and Minhang District Science and Technology Commission. He has published more than 50 articles in Chinese Journal of Internal Medicine, chinese journal of endocrinology and metabolism, Chinese Journal of Geriatrics and Journal of Fudan University. Editor-in-chief published monograph 1, and also participated in the writing of clinical experimental diagnostics. The clinical study of adiponectin and carotid IMT5 in first-degree relatives of type 2 diabetes mellitus was first carried out in China, which lasted for 5 years. During the period of 1994, the endocrinology department participated in and completed the sampling survey in Minhang District of Shanghai in the National Diabetes Prevalence Survey. 65438-0996 Endocrinology Department participated in the scientific research project of "Five-year Follow-up Observation of Diabetes among Asian Youth" composed of China, Singapore and other countries. At the end of 2003, a diabetes school was established, and a lecture was held once a month to popularize diabetes-related knowledge for the majority of diabetic patients. Endocrinology also undertakes the internship teaching and theoretical teaching tasks of Fudan University Medical Department, seven-year clinical doctor department, public health department, medical department of Southern Anhui Medical College and adult education department. Endocrinology also actively participated in the diabetes lecture organized by Shanghai Radio Station. The Department of Neurology of Shanghai Fifth People's Hospital affiliated to Fudan University is one of the key specialties of the hospital. At present, there are 34 fixed beds, including 6 in intensive care unit, and the bed utilization rate is >; 100%。 The undergraduate course is equipped with intensive care system, electromyography, electroencephalography, evoked potentials, electronystagmography and other fixed equipment and corresponding medical technicians. The undergraduate course has rich experience in the diagnosis and treatment of cerebrovascular diseases, myelopathy, peripheral neuropathy, epilepsy, extrapyramidal diseases, muscle diseases, various intracranial infections, headache and dizziness, and has won awards from higher authorities for successfully treating critical and difficult cases. In addition to clinical work, undergraduate doctors undertake many scientific research projects in cities, districts and hospitals, among which the success rate of thrombolytic therapy for ultra-early cerebral infarction is high, reaching the advanced level at the municipal level.

Neurology was originally a professional group of internal medicine, treating common and frequently-occurring diseases in neurology. In 2000, it became an independent ward, and after strict screening, talents were introduced from other hospitals as subject leaders. The specialty has been greatly developed, and the medical service, scientific research strength and teaching work have reached a new level, which has been recognized by patients. Now, in addition to patients in Minhang and surrounding areas, many patients in other provinces and cities have been treated.

The college has now formed a reasonable talent echelon, with 2 senior titles, 3 attending physicians, 1 technician in charge, 2 nurses in charge and 3 residents. Nephrology was established in May, 1985. It is the earliest nephrology department in the southwest suburb of Shanghai, and it is a medical specialty of Minhang Health Bureau. It undertakes the medical tasks of nephrology in the southwest suburb of Shanghai, including Minhang District, Fengxian District, Jinshan District, Songjiang District of Zhejiang Province and neighboring counties of Jiangsu Province, and has made great contributions to the health of the people in this area.

At present, nephrology is divided into outpatient department, ward and hemodialysis room, with an annual average of more than 4,500 general outpatient visits, 4,000 specialist outpatient visits and 2,000 specialist outpatient visits. In particular, expert outpatient visits are strong, and famous doctors such as Professor Gu Yong and Professor Xu sit in the classroom, which attracts the majority of kidney friends in Minhang and surrounding areas, thus making our department have a stable source of disease. There are 25 beds in the ward, with more than 500 inpatients every year, and renal puncture 150 cases. There are more than 90 hemodialysis patients, and the annual dialysis frequency is 654.38+0.0000 times.

Standardized diagnosis and treatment of chronic kidney disease is one of our specialties. The ward mainly treats primary glomerulonephritis, nephrotic syndrome, interstitial nephritis, renal tubular diseases, and various secondary glomerular diseases such as lupus nephritis, hypertensive nephropathy, diabetic nephropathy and gouty nephropathy. Urinary tract infection (including acute and chronic pyelonephritis and cystitis), acute and chronic renal failure caused by various reasons, drug and poison poisoning. Our department is the first unit in Minhang District to carry out percutaneous renal biopsy under the guidance of B-ultrasound, and it has become a routine project at present. Using B-ultrasound-guided percutaneous renal biopsy to determine the pathological type of kidney not only greatly improves the level of diagnosis and treatment in our department, but also brings the possibility of individualized treatment for patients and ensures the formation of clinical-pathological-treatment model.

Blood purification treatment is another feature of our department. In the early stage, it was carried out in the southern suburbs of Upper Haixi, with large scale, advanced equipment, many patients, complete purification methods, high technical level and good quality of life for patients. There are 20 dialysis machines in the dialysis room, including Fei Sen Yus 4008B, Braun and CRRT 1. Our business includes hemodialysis, hemofiltration, continuous renal replacement therapy (CRRT) and hemoperfusion. At present, it has a secondary anti-seepage water treatment system, which ensures the quality of life of hemodialysis patients from the source. Dialysis room provides meticulous treatment and care for patients, equipped with color TV, and provides comfortable and warm treatment environment for patients. Up to now, CRRT technology has been involved in thoracic surgery, general surgery, respiratory medicine, neurology, ICU and other disciplines, and has played a very important role in ensuring the rescue of critically ill patients in hospitals. Every year, it passed the monitoring of Shanghai Health Supervision Institute and the quality control of hemodialysis specialty in Shanghai, and gave a good evaluation of our dialysis level and management level. Peritoneal dialysis (CAPD) is a project developed in recent years. At present, there are more than 20 long-term follow-up patients.

Nephrology department pays attention to the construction and training of talent echelon while ensuring the completion of clinical medical tasks. At present, * * * has 26 staff members, 8 doctors and 0/8 nurses, including 3 chief physicians (professors), 2 attending physicians and 3 residents. Among them, there are 2 postdoctoral students, 1 master students. And has the first science and technology star in Minhang District 1 person. Nephrology is the first department in our hospital to train graduate students from Fudan University. There are 1 doctoral supervisor, 2 graduate supervisors and 8 graduate students. At the same time, it undertakes the clinical teaching tasks of Fudan University, Shanghai Medical College, Southern Anhui Medical College and Bengbu Medical College. In 2002, the Department of Gastroenterology was formally established after three grades of internal medicine. With the development of the discipline, a strong medical technical team and a reasonable talent echelon have been established, which has promoted the synchronous development of medical teaching and scientific research.

In 1980s, gastrointestinal diseases were diagnosed and treated by fiberoptic endoscopy in gastroenterology. In the 1990s, a team of digestive professionals gradually formed. They engaged in advanced study and training of endoscopic techniques, actively participated in various digestive academic exchange activities at home and in the city, and applied new knowledge and technology to clinic. The development of gastroscope, enteroscope and duodenoscope has created a new situation for the diagnosis and treatment of digestive system diseases.

The Department of Gastroenterology has successfully rescued many difficult and critical patients of digestive system, such as liver cirrhosis complicated with hemorrhage, hepatic coma, brain edema, multiple organ failure, acute severe pancreatitis, protein-lost enteropathy, electrolyte disorder, acute renal failure, shock, and massive gastrointestinal bleeding for various reasons. The work of reinfusion of ascites has been carried out in the Department of Gastroenterology, and good results have been achieved in the treatment of intractable ascites of various reasons. Gastrointestinal pacemaker has been used to treat gastrointestinal motility disorder caused by various reasons, and the effect is good. Gastroenterology has carried out emergency gastroscopy and treatment in combination with clinical practice, such as sclerotherapy and snare therapy for esophageal varices complicated with bleeding, foreign body removal, endoscopic stent implantation and polypectomy, ERCP examination, papillary muscle incision and stone removal, stent implantation and other difficult diagnosis and treatment, which is at an advanced level in hospitals of the same level in Shanghai.

Department * * * published more than 30 papers, among which the scientific research project "CagA gene strain and HP detection of gastroduodenal ulcer" won the second prize of scientific and technological achievements in Minhang District in 1998. Gastroenterology has also undertaken two projects at the college and district levels. Cardiology is a major internal medicine. 1979 established an independent cardiac intensive care unit (CCU ward with 5 beds), which was divided into three branches in 1999, making the diagnosis and treatment of heart disease professional. Up to now, it has developed into a comprehensive discipline with 9 professional doctors and 30 beds, integrating teaching, scientific research and clinical diagnosis and treatment. In 2003, he was elected as Minhang District College of Cardiovascular Medicine.

Cardiology was established late in the Fifth Hospital, but its position in internal medicine can not be ignored. Director Guo Shouwei in the 1950s, Director Yu Baolian in the 1970s, Director Bu Guoqiang, Director Jin Songyuan and Director Zhang in the 1980s and 1990s all enjoyed a high medical status in the southwest of Shanghai. Professor Pu Shouyue and Professor He Meixian, famous cardiovascular experts, were hired as technical consultants to guide their business in an all-round way, attracting patients from all over the world. Especially since 2002, under the leadership of President and Deputy Director Wu, we have paid close attention to standardized diagnosis and treatment, which has greatly improved the overall professional quality and diagnosis and treatment level of the Department of Cardiology. At the same time, many new technologies and services have been developed, and the number of patients diagnosed and treated has doubled, and the success rate of rescuing critically ill patients has reached over 95%. Now it has become a large-scale, well-equipped and strong technical department in the southwest of Shanghai.

At present, the Department of Cardiology has CCU ward, general ward, cardiac catheterization room, non-invasive function examination room, electrocardiogram room and so on. At present, there are 9 cardiologists, including 3 deputy chief physicians, 3 attending physicians, 3 residents, and 5 master's and in-service master's students. They have advanced equipment such as Siemens digital cardiovascular imaging machine (DSA), computerized multi-channel ECG physiological recorder (BARD) and HP multi-center ECG monitoring system. Treat more than 500 patients, more than 5000 outpatients and more than 200 operations every year. Hematology is a characteristic specialty of Shanghai Fifth People's Hospital affiliated to Fudan University. The ward has 22 beds and an independent blood laboratory. He is good at the diagnosis and treatment of common blood system diseases such as myeloma, lymphoma, myelodysplastic syndrome, leukemia, thrombocytopenic purpura, allergic purpura, hemophilia, thrombophilia, anemia and fever, and has certain characteristics in the diagnosis and treatment of myeloma, myelodysplastic syndrome, leukemia, thromboembolic diseases and hemorrhagic diseases.

All departments pay attention to contact and communication at home and abroad. Internationally, it has carried out international exchanges and cooperation with the Institute of Atomic Radiation Medicine of Hiroshima University in Japan and the Department of Hematology of McGill University in Canada. Shanghai has close communication and cooperation with Huashan Hospital, Ruijin Hospital, Zhongshan Hospital, First Hospital of Medical University and Xinhua Hospital, and has extensive contacts with Wuhan tongji hospital, Union Medical College Hospital, Affiliated Hospital of Henan Medical University and Affiliated Hospital of Guangzhou Medical College.

Liu is currently the director, a professor at Shanghai Medical College of Fudan University, and one of the first batch of "medical college stars" in Shanghai. He went to Hiroshima University in Japan for further study and served as a visiting professor 1 year, with rich clinical experience and strong academic awareness. There are medical technicians 17 in hematology department, including 3 professors (chief physicians), 3 attending physicians, 2 inspectors in charge, 2 nurses in charge, 7 junior staff and 4 graduate students. Facing the characteristics that the elderly population in LaoMinhang District is more than the similar population in other districts and counties of this city, the problem of hospitalization is more prominent. With the attention and concern of all aspects of the hospital, the Geriatrics Department was established in April, 1997. At the same time, based on the rehabilitation beds in 12 ward, the talents and health resources were re-integrated. In 2002, he won the third prize of the project "Comparative Study of Combined Chemotherapy for Stage ⅳ Non-small Cell Lung Cancer" by the District Science and Technology Commission. In 2003, he won the research on vascular endothelial growth factor and pulmonary tuberculosis activity, the clinical research on chronic obstructive pulmonary disease complicated with cerebral infarction, and the related investigation and research on anxiety and quality of life of elderly inpatients. District-level identification and project declaration will be carried out. Over the years, difficult percutaneous liver biopsy, percutaneous lung biopsy and percutaneous pericardiocentesis chemotherapy have been carried out. Through hard work, the academic atmosphere has been enlivened and the technical level has been improved. Since the establishment of the department, we have diagnosed difficult diseases 10 cases, such as hepatopulmonary syndrome, multiple sclerosis and serous effusion. Publish articles 1 1 in magazines above the provincial level. With the application of bi-level ventilator, the remission rate of COPD complicated with respiratory failure has been greatly improved.

Medical staff 17, 2 deputy chief physicians, 2 attending physicians, 5 residents (including 1 master) and 8 nurses. Set up 30 beds and treat 456 patients every year. Four professional outpatient clinics in different disciplines have been carried out successively. There are 1 advanced two-level ventilators and cardiopulmonary monitors. General practice implements computer management in some areas.