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柯大夫在線 > 科室

暨南大學(xué)附屬第一醫(yī)院-呼吸與危重癥醫(yī)學(xué)科

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    呼吸科擁有一支技術(shù)精良的醫(yī)療隊伍,包括教授/主任醫(yī)師3名,副主任醫(yī)師3名,主治醫(yī)師4名,其中具有博士學(xué)位的5人,碩士學(xué)位的6人,我科已經(jīng)培養(yǎng)碩士研究生七十多人。    我科擁有病床48張,其中呼吸重癥監(jiān)護室(RICU)病床6張。設(shè)有支氣管鏡室、肺功能室及呼吸專科門診。擁有多種先進儀器設(shè)備,包括美國先進的有創(chuàng)呼吸機6臺和無創(chuàng)呼吸機10臺,惠普多功能監(jiān)護儀12臺,電子及纖維支氣管鏡2套及全套圖文處理系統(tǒng),德國JAEGER公司高檔肺功能儀等。    長期以來,我科以醫(yī)院的整體設(shè)施為平臺,充分利用醫(yī)院影像中心、細菌室、血氣分析室、病理科等科室的條件,緊密結(jié)合臨床,圍繞支氣管哮喘、慢性阻塞性肺疾?。–OPD)、呼吸衰竭、肺部感染、慢性咳嗽、肺癌、胸膜疾病、肺栓塞、肺間質(zhì)性疾病及睡眠呼吸障礙性疾病的發(fā)病機制與防治等開展了大量的臨床,教學(xué),科研工作,并取得了明顯的成績。    我科在治療急、慢性呼吸衰竭方面積累了豐富的經(jīng)驗。大力開展早期無創(chuàng)通氣、有創(chuàng)無創(chuàng)通氣序貫,結(jié)合藥物和輔助物理治療,使呼吸衰竭的搶救成功率明顯提高。近十年來,大力拓展無創(chuàng)通氣技術(shù)的應(yīng)用范圍,如各種原因所導(dǎo)致的缺氧和呼吸困難、急慢性呼吸衰竭、哮喘持續(xù)狀態(tài)、中重度肺炎、外科術(shù)后合并呼吸困難、阻塞性睡眠呼吸障礙綜合癥、急慢性心功能不全等疾病,使既往需要氣管插管或氣管切開的病人通過無創(chuàng)通氣治療轉(zhuǎn)危為安,大大減少了創(chuàng)傷和醫(yī)療費用,收到了良好效果。    微創(chuàng)技術(shù)(經(jīng)中心靜脈導(dǎo)管)治療自發(fā)性氣胸是我科在本地區(qū)率先倡導(dǎo)使用的一項新技術(shù),與傳統(tǒng)胸腔閉式引流術(shù)相比,大大減少創(chuàng)傷和風(fēng)險,縮短了住院時間,提高了治愈率。此項技術(shù)作為我科的常規(guī)治療手段,已使眾多患者受益。通過胸腔局部化療和胸膜粘連相結(jié)合的方法,提高了晚期惡性胸腔積液患者的生命質(zhì)量。    我科擅長經(jīng)支氣管介入治療和“無痛”支氣管纖維鏡診療技術(shù),開展常規(guī)纖支鏡檢查,取活檢、刷檢,防污染毛刷取標本,經(jīng)支氣管肺活檢,經(jīng)支氣管針吸活檢、支氣管肺泡灌洗,提高了氣道內(nèi)疾病及惡性腫瘤的診斷和分期水平;經(jīng)纖支鏡介入治療氣道狹窄,包括激光、電燒灼、氣道內(nèi)支架植入、球囊擴張、冷凍及藥物注射等,提高了氣道狹窄患者的救治水平;異物摘取,經(jīng)纖支鏡引導(dǎo)氣管插管、胃管插管等拓寬了纖支鏡的應(yīng)用范圍。    肺功能檢查是呼吸系統(tǒng)疾病的必要檢查,對于早期檢出肺、氣道病變,評估疾病的病情嚴重程度及預(yù)后,評定藥物或其它治療方法的療效,鑒別呼吸困難的原因,診斷病變部位、評估肺功能對手術(shù)的耐受力或勞動強度耐受力及對危重病人的監(jiān)護等方面有重要的指導(dǎo)意義。我科在原有肺功能儀的基礎(chǔ)上,新引進了德國JAEGER公司Master Sereen PFT肺功能儀,可以開展常規(guī)(普通)肺功能、肺容量檢查、支氣管舒張試驗、支氣管激發(fā)試驗、彌散功能及殘氣容積檢查。          我科曾主持和參加國家、省、部、市級課題的相關(guān)研究,如支氣管哮喘的基礎(chǔ)與臨床研究涉及國內(nèi)過敏原的理化性狀的研究和哮喘神經(jīng)源性氣道炎癥機制、咳嗽變異型哮喘(慢性咳嗽)、慢性阻塞性肺疾病的基礎(chǔ)和臨床研究等,并在國內(nèi)、外學(xué)術(shù)期刊上發(fā)表論文一百余篇。    經(jīng)過全科醫(yī)護人員的不懈努力,科室不斷發(fā)展壯大,形成了自己的醫(yī)療及科研特色。目前已成為在省內(nèi)呼吸界享有一定聲譽,基礎(chǔ)設(shè)施和人員素質(zhì)以及診療水平居全省先進行列的科室。An introduction to the department of pulmonary medicineThe department of pulmonary medicine is a professional unit which possesses a number of qualified doctors with responsible and experienced echelon, including three professor/chief physician, three associate chief physicians and four attending physicians. In this echelon,five own doctor degree; six own master degree and more than seventy postgraduates have enrolled in our department master programs.We have total 48 patient beds, including 6 beds respiratory intensive care unit in our department. In addition, our department owns many kinds of facilities for diagnosis and treatment such as invasive and non-invasive ventilators, multifunction monitors, fibreoptic bronchoscopes as well as pulmometers.Our hospital has the advanced medical equipments and complete infrastructures.Utilization of the advanced resources within the imaging center, bacteria room, blood gas analysis room and the department of clinical pathology, we have advantages in academics,scientific research on the pathogenesis, prevention and the cure of various respiratory infectious diseases, COPD, allergic diseases, acute and chronic respiratory failure, lung cancer, pleural diseases and other difficult and critically cases.We are experience in the therapy of acute and chronic respiratory failure by carry out the early non-invasive positive pressure ventilation (NIPPV) ,remedy and physical therapeutics. The rate of successful rescue are improved obviously. In the past 10 years, the application scope of the technique of non-invasive mechanical ventilation has developed, such as hypooxia and dyspnoea brought about by any cause, acute and chronic respiratory failure, status asthmatics, medial to severe pneumonia, severe anemia, obstructive Sleep Apnea Syndrome(OSAS) as well as acute and chronic cardiac insufficiency, etc. Not only had the non-invasive mechanical ventilation technique been able to advert a danger that used to require a tracheal intubation or incision of trachea, but also reduced the trauma and medical cost geatly.With our great efforts, the department has the ascendancy over other hospitals in such academic area as minimally invasive technique (transvenous catheter) to cure spontaneous pneumothorax, which is at the leading place in Guangdongprovince. Compared to the traditional therapy, the pleural closed drainage has a serial of good points: the trauma and the risk enormously decreased, length of stay shortened, the healing rate increased. Up to now, this technique has been regarded as a conventional therapy. A great many patients have taken advantage of this excellent technique. Through the combination of local chemotherapy in thoracic cavity and pleural adhesions, the quality of life with malignant pleural effusion patients are enhanced.Meanwhile, our department is also adept at diagnosing and treating various respiratory diseases through transbronchial interventional therapy and aponia technique by the techniquefibreoptic bronchoscopy. The indications involve foreign body of bronchi, hemoptysis of unknown origin, lymphadenectasis, protracted cough and expectoration, bronchial asthma, common disease as well as frequently encountered disease. The technique provides advantage for a great many patients.Pulmonary function tests are necessary in the examination of respiratory diseases, especially for the early detection of lung and airway disease. Moreover, the test can assess the severity and prognosis of the disease, the effectiveness of drug or other treatment, and identify the causes of dyspnea. Also, it can make evaluation on the pulmonary function of a patient before the operation and play an important role in monitoring the critical patient. Based on the original instrument, we also measured the pulmonary function, lung capacity, bronchial dilation, bronchial provocation test ,diffusing capacity and the residual gas volume by using a computerized system, Master Screen PFT,which is fromJaeger,Germany.We have ever hosted and participated many scientific research works. The projects undertaken include The Basic and Clinic Research about Bronchial Asthma, which is referred to the study on the physical-chemical properties of the domestic sensitinogen and the mechanism of the neurogenic airway inflammation of asthma; Cough Variation Asthma (Chronic Cough); chronic obstructive pulmonary disease, and so on. For the past ten years, there have been more than thirty pieces of clinical research articles have been published in the SCI and core periodicals such as THORAX, RESPIOLOGY and《Chinese Journal of Tuberculosis and Respiratory Diseases》.Today, the department of pulmonary medicine has an excellent reputations in the province. Its progress has been possible given the continous hard work physicians who own the superb clinical experience, the strong patience and love. We will ensure that the clinic will be improved continually, we will do our best.

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廣州市天河區(qū)黃埔大道西613號