创造最佳诊疗环境 实现一流技术设备——银川市第一人民医院呼吸内科

呼吸内科是银川市第一人民医院的重点科室之一，现有医护人员32人，其中主任医师1名，副主任医师6名，主治医师6名，主管护师1名，是宁夏地区呼吸系统疾病主要的科研，教学基地，区内规模最大，极具影响力的诊治呼吸系统疾病的专业科室。     

应重视肺功能检查在呼吸系统疾病诊治中的地位

目的：了解肺功能检查在呼吸系统疾病诊治中的应用情况．方法：收集整理我院呼吸内科2003年收治的呼吸系统疾病患者1073例的临床资料，统计他们接受肺功能测定的情况并与全国的情况进行对比．结果：呼吸系统疾病患者进行肺功能测定的检查率仅为23．48％，而确诊为慢性阻塞性肺疾病（COPD）患者的检查率也仅为23．7％，明显低于三级医院的肺功能检查率；与国内部分省市诊断COPD过程应用肺功能情况相比也处于较低水平．结论：广大呼吸内科医生应重视肺功能检查在临床的应用，使诊断水平和疗效的判断建立在更为可靠的科学基础上；应作为常规的体检项目。以便较早防治呼吸系统疾病．     

名医推介

治疗呼吸科疾病高元勋现为郑州大学第二附属医院呼吸内科教授、主任医师、硕士生导师。他擅长呼吸系统疾病与结核病的诊断和治疗,尤其在气管炎、肺心病、哮喘、肺癌等疾病的诊治方面有丰富的临床经验。     

重视临床肺功能检查

目的 了解肺功能检查在呼吸系统疾病诊治中的应用情况.方法 收集整理我院呼吸内科2005年收治的呼吸系统疾病患者113例的临床资料,统计他们接受肺功能测定的比例并与全国的情况进行对比.结果 呼吸系统疾病患者进行肺功能测定的检查率仅为25.66%,而确诊为慢性阻塞性肺疾病(COPD)患者的检查率也仅为26.9%.明显低于国内部分省市诊断COPD的肺功能检查率.结论 广大呼吸内科医生应重视肺功能检查在临床的应用.使诊断和疗效的判断建立在更为可靠的科学基础上.     

呼吸系统疾病疗法进展

呼吸系统疾病疗法进展附属医院呼吸内科田伟关键词疗法，呼吸系统，进展有关呼吸系统疾病疗法，在６０年代到７０年代即有了惊人的进展，８０年代到９０年代更有了新的突破。特别是高压氧、纤维支气管镜、空气负离子吸入在临床治疗上的广泛应用，取得了显著的疗效。下面就...     

肺功能检测在小儿呼吸系统疾病诊治中的应用

目的调查肺功能检查在小儿呼吸系统诊治中的应用情况.方法收集整理2010年2月至2011年2月诊治的小儿呼吸系统疾病患儿1 260例及呼吸内科成人呼吸系统疾病患者1 360例的临床资料,统计他们接受肺功能测定的情况并将两者进行比较.结果呼吸系统疾病患儿进行肺功能测定的有143例,其中凝似哮喘患儿有64例,确珍哮喘有17人,成人有673例测定过肺功能、其中凝似哮喘365例,确诊哮喘者103例、小儿呼吸系统疾病肺功能检查测率为11.3%,哮喘病确珍率26.5%,成人呼吸系统疾病肺功能检测率为49.5%,哮喘确诊率28.2%,小儿肺功能检测率明显低于成人肺功能检测率.结论肺功能是呼吸系统疾病诊断中的重要组成部份,可客观地反映哮喘患者气道的炎症病理变化及改变程度.     

呼吸内科学双语教学的体会与思考

呼吸内科系统疾病是我国的常见病多发病,并且具有很高的病死率。据统计呼吸系统疾病(肺癌除外)在城市的死亡病因中占第4位,在农村则占第1位,呼吸系统疾病(包括并发症)已是我国总人口死亡的最常见病因之一,并且其发病率及病死率在世界范围内呈逐渐上升趋势。呼吸系统疾病严重威胁人类健康。因此加强国际交流,及时掌握当今呼吸内科     

呼吸内科护理工作的安全隐患及对策探讨

目前我国呼吸系统疾病发病率越来越高,呼吸内科护理工作的重要性也逐步提高,提高呼吸内科护理工作效果以及避免呼吸内科护理工作中,各种安全事故和风险的发生对于呼吸系统疾病患者的康复具有重要意义。文章首先对目前我国呼吸内科护理工作中存在的主要安全隐患进行了比较准确的分析,然后就如何解决目前呼吸内科护理工作中的安全隐患,提出了几点行之有效的对策。     

呼吸内科护理工作的安全隐患及对策探讨

目前我国呼吸系统疾病发病率越来越高,呼吸内科护理工作的重要性也逐步提高,提高呼吸内科护理工作效果以及避免呼吸内科护理工作中,各种安全事故和风险的发生对于呼吸系统疾病患者的康复具有重要意义。文章首先对目前我国呼吸内科护理工作中存在的主要安全隐患进行了比较准确的分析,然后就如何解决目前呼吸内科护理工作中的安全隐患,提出了几点行之有效的对策。     

关于呼吸内科疾病护理的研究

目前呼吸系统疾病的患病人数有增无减,住院人数相应增加。呼吸内科护理是治疗呼吸系统疾病不可或缺的一部分,与病人的恢复状况息息相关。为了尽量避免呼吸内科护理中存在的风险并找到规避风险的对策,笔者总结多年呼吸内科护理经验,并运用于临床,发现合理的内科护理有助于增进护患关系和谐,促进患者病情恢复。     

兼并策略至关重要

此案例为我们提出一系列值得思考的问题,中国医疗资源分布欠合理.一家大医院与一家小医院如何整合,并做到扬长避短,这在医疗界却仍有许多难以回避的麻烦,或者说事实证明成少败多.     

Dementia in india--a critical appraisal

Dementia is a clinical syndrome characterised by acquired loss of cognitive and emotional abilities that interfere with activities of daily living. It is a disease of the older adults. The overall prevalence of dementia in developed countries has been reported to be between 5% and 10% after 60 or 65 years and older. India is the second largest populous country. The prevalence doubles with every five-year increase in age. Looking at some studies, it appears that the prevalence of dementia in India is lower as compared to developed countries and even from other developing countries. The probable reasons for lower prevalence in India are enumerated as: False negatives, low life expectancy, shorter survival and duration of disease, low age-specific incidence. Risk factors include greater age, female sex, less education, positive family history, Down's syndrome, stroke and its risk factors, head trauma with loss of conscionsness and thyroid diseases. Protective factors include higher education, APOE2 gene, intake of antioxidant substances, use of anti-inflammatory drugs, oestrogen supplements in women and also cigarette smoking (controversial). Alzheimer's disease has been found to be commonest cause of dementia. Patients of dementia require proper evaluation and management requires a multidisciplinary approach. The government and the social organisations should come forward and only a concerted effort of all people in every sphere of life will enable to tackle the new menace of this country.     

Stress and hypertension--a critical review

Recurrent psychosomatic stress has been popularly thought to cause permanent hypertension by repeated reactive blood pressure elevations. These are considered by some to be caused by various mechanisms, including an increased sympathetic outflow and a decreased parasympathetic inhibition, or possibly an inborn functional abnormality in the walls of the resistance vessels, which becomes a structural abnormality as a result of the elevated pressure. Recent work, however, has questioned some of these concepts. Many of the assumptions in the past concerning the ill-effects of elevated blood pressure have been based on clinic or office readings. With the more widespread use of ambulatory monitoring, first developed in the 1960s, information has accumulated which has helped to clarify the predictive value of such office readings. Ambulatory monitoring has also given much information about the relationship between daily activities, blood pressure reactivity and the mean daily blood pressure level. It appears that only the mean daily level is related to cardiovascular morbidity and mortality. Variations in blood pressure in response to bodily and mental activity are not so related. Nor has it been shown that variability is a precursor of fixed hypertension. The role of laboratory stressors is discussed to see whether they are predictive of future hypertension and whether they reflect real life situations. Clinical studies of the relationship between stress and hypertension and, in particular, specific causes of stress such as anxiety and hostility are considered. It is concluded that there is no satisfactory evidence that psychosocial stress leads to the elevation of the mean daily blood pressure with its pathogenic connotations.     

Ethical principles in critical care

Luce applies five principles of medical ethics -- beneficence, nonmaleficence, autonomy, disclosure, and social justice -- to issues that often arise in critical care medicine. These issues include medical decision making, informed consent, resuscitation, brain death and organ donation, withholding or withdrawing life support, and allocation of medical resources. Acknowledging that the nature of the intensive care environment makes applying ethical principles difficult, Luce urges physicians to carry out their obligations to serve the interests of their patients.