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Brief introduction to the departments of Tianshui 407 Hospital

(1) Internal medicine is a clinical department that mainly diagnoses and treats digestive system diseases, endocrine diseases, kidney diseases and tumors. Medical staff 17, including deputy chief physician 1 person, 2 attending physicians, 5 residents, nurses in charge 1 person, 2 nurses and 6 nurses. It has advanced medical equipment such as hemodialysis machine, lithotriptor, prostate therapeutic instrument and ultrasonic scalpel.

1. He has rich experience in the diagnosis and treatment of urolithiasis. He treated more than 1000 patients with a lithotriptor, and the lithotripsy rate was 98%. For stones smaller than 5 mm, the gravel rate is also 98%. The comprehensive treatment scheme has been applied to patients with chronic kidney disease and uremia and achieved good results. Hemodialysis machine is used for hemofiltration and dialysis, so as to escort the advanced patients.

2. According to international standards, the treatment of endocrine system diseases can control the condition, relieve symptoms and delay complications, and the treatment level is in the forefront in Tianshui City.

3. The treatment of benign and malignant tumors adopts conventional treatment scheme and bioengineering treatment, and has achieved good results, especially the advanced high-energy ultrasonic focusing knife treatment system, which is used for non-surgical treatment of hysteromyoma and prostatic hyperplasia and non-surgical treatment of advanced malignant tumors, thus prolonging the life of patients, alleviating their pain and improving their quality of life.

The department has won the "Tianshui Science and Technology Progress Award" 1 item.

(2) Internal medicine is a characteristic department that mainly treats cardiovascular and cerebrovascular diseases and respiratory diseases. Medical staff 18, including 2 deputy chief physicians, 3 attending physicians, and nursing staff 10, including 5 senior nurses. The department has advanced medical equipment such as cardiac monitoring defibrillation pacemaker, lung function detector, fully automatic ventilator made in Germany, high-frequency ventilator, multi-parameter ECG monitor, Medtronic 53 18 temporary pacemaker and so on.

1, focusing on the treatment of cardiovascular diseases: comprehensive evaluation, rational treatment and standardized management of coronary heart disease, rheumatic heart disease, hypertension, hypertensive heart disease, cardiomyopathy, myocarditis, arrhythmia and heart failure; Recently, permanent (single chamber or double chamber) and temporary pacemaker implantation have been carried out, which brings good news to patients with bradyarrhythmia (sick sinus syndrome, atrioventricular block) and escorts all kinds of bradycardia, critical and surgical patients.

2. He is also good at the diagnosis and treatment of various respiratory diseases, such as acute and chronic bronchitis, obstructive emphysema and other chronic obstructive pulmonary diseases (COPD) and comprehensive treatment of lung cancer; For controlling the attack of bronchial asthma and the first aid of hemoptysis, the curative effect on various pleural effusion is also remarkable; Lung function detector: it is suitable for checking the lung function of various people, especially patients with chronic obstructive pulmonary disease. The application of ventilator provides effective relief and support for patients with respiratory failure caused by various reasons.

3. He has rich clinical experience in the diagnosis and treatment of anemia, thrombocytopenic purpura, leukemia, lymphoma, myeloma and other diseases, especially in the chemotherapy of leukemia and lymphoma. At the same time, intravenous thrombolysis technology in our department can effectively treat cerebral infarction and cerebral embolism. It has unique treatment methods for headache and dizziness of various reasons, and has a high level of treatment for pesticide poisoning, drug poisoning and gas poisoning, which has saved many patients' precious lives.

All medical staff in the department adhere to the concept of all for the patient, all for the convenience of the patient, all for the service of the patient, work hard for the patient's early recovery, and do their best for the broad prospects of the hospital. (1) The first department of surgery is mainly composed of general surgery, thoracic surgery, minimally invasive surgery and urology. There are 22 medical staff, doctors 10, including chief physician 1 0, 3 deputy chief physicians, 3 attending physicians, 3 residents and 2 nurses10. Medical equipment: German-made Wolf laparoscopy, transurethral electrovaporization of prostate, anorectal endoscope, multi-parameter ECG monitor, computer multifunctional hemorrhoid therapeutic instrument, urethrocystoscope, ventilator, defibrillator, etc.

1. General surgery: common operations on stomach, intestine, liver, gallbladder, pancreas and spleen, small-incision cholecystectomy (leading technology in the city) and hemihepatectomy, radical operation of common bile duct cyst, radical operation of rectal cancer, portal azygos devascularization of liver cirrhosis, splenorenal shunt, total gastrectomy, radical operation of gastric cancer, one-stage pancreatoduodenectomy and other operations.

2. Minimally invasive surgery: cholecystolithiasis, choledocholithiasis, liver cyst, liver abscess, tension-free hernia repair, gastric perforation repair, intestinal obstruction, appendicitis and other general surgical diseases; And urological diseases such as renal cyst, varicocele, prostatic hyperplasia and bladder tumor.

3. Thoracic surgery: subtotal thyroidectomy, radical thyroidectomy, radical mastectomy, lobectomy, pneumonectomy, esophageal and mediastinal surgery.

4. Urology: radical nephrectomy, ureterolithotomy, bladder tumor resection, prostatectomy, urethral disruption and anastomosis, hypospadias deformity correction, varicocele surgery, etc.

The department has established long-term and stable business cooperation and guidance relations with Xijing Hospital of the Fourth Military Medical University and the Second Affiliated Hospital of Lanzhou University. We also cooperated with Shanghai Second Military Medical University in laparoscopic gastric band hole ligation to lose weight. The department was rated as "Top Ten Teams of Professional Ethics" in Gansu Province.

(2) The second department of surgery is a department that mainly treats bone trauma. Clinical experienced medical staff 19, including chief physician 1 person, 2 attending physicians, 5 residents, 3 nurses in charge 1 person and 7 nurses. The department is equipped with an operating microscope; Imported c-arm; Various orthopedic special instruments, limb joint function exercisers.

This department mainly carries out the treatment of all kinds of limb fractures and joint injuries. Microsurgery includes replantation of severed limbs (fingers), finger reconstruction, repair of vascular and nerve injuries, tissue flap transplantation of soft tissue defects of limbs, etc. Spinal surgery carries out operations such as spinal fracture and dislocation with paraplegia, spinal tuberculosis focus removal, lumbar disc removal, lumbar spondylolisthesis reduction, decompression of lumbar spinal stenosis and cervical spondylosis. At the same time, orthopedic surgery was performed for children with clubfoot, congenital dislocation of hip joint and congenital finger deformities. Artificial joint replacement, osteomyelitis and other operations. In particular, the treatment of limb trauma and spinal injury has reached the advanced level in China. The department was rated as "advanced department of medical ethics construction" in Tianshui health system.

(3) Surgery (neurosurgery) is one of the largest neurosurgery departments in Tianshui, which mainly treats brain trauma, cerebral hemorrhage, intracranial tumors and space-occupying lesions in spinal canal. At present, there are three experienced medical staff 1 person, including deputy chief physician 1 person, five residents, nurses in charge 1 person, and six nurses. The department is equipped with advanced diagnosis and treatment instruments such as ventilator, ECG monitor, electronic cooling blanket and intracranial pressure detector. On this basis, relying on the hospital's advanced magnetic resonance scanner, high-resolution CT machine and hyperbaric oxygen chamber, the diagnosis and treatment level of brain and spinal cord diseases has been improved to the greatest extent.

The department always aims at high-quality and high-level diagnosis and treatment, and constantly improves the medical level. Rescue of severe craniocerebral injury, hematoma removal of craniocerebral injury, minimally invasive hematoma removal of hypertensive cerebral hemorrhage, meningioma, glioma, pituitary adenoma, cerebellar tumor resection, brain defect repair and plastic surgery, congenital malformation of central nervous system (brain, craniocervical region, spinal cord and other parts), infectious diseases, hydrocephalus, etc. have been carried out successively, and all of them have achieved surgical treatment. In recent years, microsurgery has been widely used in neurosurgery, and it is also used for consultation, diagnosis and treatment of chronic psychosis, schizophrenia and epilepsy, as well as preparation for later surgery. It is a department that mainly diagnoses and treats gynecological diseases. Medical staff 19, including deputy chief physician 1 person, 4 attending physicians, 4 residents, 4 nurses in charge 1 person, and 6 nurses. The main equipments are: computer fetal monitor, neonatal infrared radiation meter, multi-parameter ECG monitor, microwave therapeutic instrument, colposcopy, etc. The department mainly carries out gynecological tumors, endometriosis, infertility, gynecological endocrinology, gynecological urology, family planning, high-risk pregnancy and general obstetrics.

Gynecology: hysteromyoma, ovarian cyst, functional uterine bleeding, ectopic pregnancy, vestibular gland cyst, rectovaginal fistula, vulva and vaginitis, cervicitis, pelvic inflammatory disease, infertility, early treatment of various gynecological malignant tumors, postoperative chemotherapy, etc. Surgery such as myomectomy, total hysterectomy, modified total hysterectomy, extended hysterectomy, ovarian tumor resection, vaginal repair, ectopic pregnancy salpingostomy, painless abortion, hysterosalpingography and cervical TCT thin-layer liquid-based cell smear examination were also carried out.

2. Obstetrics: education during pregnancy, diagnosis and treatment of pregnancy complications and pregnancy-induced hypertension syndrome, placenta previa, postpartum hemorrhage, normal delivery, painless delivery, induction of labor in various months, fetal head attraction, forceps operation and new cesarean section. Nursing includes neonatal bathing, neonatal touching and accompanying childbirth.

3. Features: laparoscopic total hysterectomy, ovarian cyst resection, ectopic pregnancy operation and vaginal hysterectomy, improved total hysterectomy, new cesarean section, microwave treatment of pelvic inflammatory disease, cervicitis, painless abortion, treatment of infertility (among which hysterosalpingography CR film has high definition, which provides a good basis for diagnosis) and accompanying labor.

The department has a medical team with high professional level, exquisite technology, down-to-earth style and first-class service attitude, which provides sincere care for every patient. Neonatal department is one of the key departments in the hospital. There are 6 doctors, including 3 deputy chief physicians, 1 attending physician/kloc-0 and 2 doctors. Ward layout is reasonable, divided into neonatal ward, neonatal intensive care unit, isolation room, milk preparation room, bath room, treatment room, equipped with air temperature control system, 24-hour professional escort. The main equipment of the department is a special ventilator for newborns; Baby incubator; Bedside multifunctional physiological monitor; Pulse oxygen saturation monitor; Percutaneous bilirubin monitor; Noninvasive blood pressure monitor; Miniature blood glucose meter; Infusion pump; Micro-injection pump; Far infrared rescue platform; Blue light therapeutic instrument; Blue carpet; Baby hyperbaric oxygen chamber, etc.

The department has carried out constant frequency mechanical ventilation, pulmonary surfactant therapy, synchronous peripheral arterial and venous exchange, total parenteral nutrition, continuous gastric tube feeding for premature and critical newborns, intestinal microecological therapy, touching therapy, critical newborn transport, bedside arterial blood gas, micro blood glucose monitoring, multiple physiological functions (pulse breathing blood pressure) monitoring, skin oxygen saturation, carbon dioxide partial pressure monitoring and skin bilirubin determination.

Neonatal department has accumulated rich experience in advanced life support technology for very low birth weight infants and critically ill newborns, formed a set of distinctive programs in the treatment and management of neonatal hypoxic-ischemic brain damage, and gradually established a follow-up system. In Tianshui, the department took the lead in using hyperbaric oxygen chamber to treat neonatal asphyxia, hypoxic-ischemic encephalopathy and other diseases, and measured the neurobehavior of newborns, and carried out early intervention treatment for perinatal high-risk infants, which achieved good results. After years of hard work, the diagnosis and treatment of various diseases of newborns have reached the advanced level in the province.

The goal of medical work in neonatology has changed from reducing neonatal mortality to minimizing disability rate and improving children's survival rate and quality of life on the basis of reducing mortality. Children have poor resistance and are prone to illness, especially after infectious diseases. In this case, the best way is to use passive immunization to limit the development and spread of the disease, and at the same time take effective control measures for treatment. In recent years, due to the abuse of antibiotics, there have also been many diseases with dysbacteriosis. The effective method to treat the above diseases is to use large dose of fresh plasma infusion.

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