鹤岗市人民医院
简介:<link href="http://yyk.39.net/chaos/WmAJNAM2AzpQMw.css" rel="stylesheet" type="text/css" />  鹤岗市人民医院普 <span class="WmUJNwMxAz5QMA">外科</span> <span class="WmUJNwMxAzhQNQ">多例</span>位于第一 <span class="WmUJNwMxAzxQMA">住院</span> <span class="WmUJNwMxAzpQMw">提出</span>部五楼 ,由普 <span class="WmUJNwMxAzhQMA">外科</span> <span class="WmUJNwMxAzxQMw">目前</span> 、微创 <span class="WmUJNwMxAzxQMA">外科</span> <span class="WmUJNwMwAzdQOQ">突出</span>(内镜-腔镜 <span class="WmUJNwMxAzhQNA">外科</span> <span class="WmUJNwMxAztQMw">长沙</span>) 、血管 <span class="WmUJNwMxAzpQOQ">一项</span> <span class="WmUJNwMxAz1QOA">外科</span> 、小儿 <span class="WmUJNwMxAz1QNw">硕士</span> <span class="WmUJNwMxAz9QNg">外科</span>组成的 <span class="WmUJNwMwAzdQMg">综合</span> <span class="WmUJNwMxAzxQMw">腹腔</span>性 <span class="WmUJNwMwAzdQNg">科室</span> <span class="WmUJNwMxAzxQMw">主任</span> 。医务 <span class="WmUJNwMxAzZQMw">腹腔</span> <span class="WmUJNwMxAzpQOA">工作</span>人员二十三名 , <span class="WmUJNwMxAz5QOA">主任</span> <span class="WmUJNwMxAzhQNQ">四川</span> <span class="WmUJNwMxAzlQOQ">浙江</span> <span class="WmUJNwMxAzlQMg">医师</span>一名 , <span class="WmUJNwMxAzpQMQ">出生</span> <span class="WmUJNwMxAz9QNg">副主任</span> <span class="WmUJNwMxAz5QNA">医师</span> <span class="WmUJNwMxAzlQOQ">结合</span>二名 , <span class="WmUJNwMxAzxQNA">副主任</span> <span class="WmUJNwMwAzdQOQ">基础</span>护师一名 ,铺设床位五十二张 ,病房内采用管道式集中供氧 、 <span class="WmUJNwMxAzlQNg">中心</span> <span class="WmUJNwMxAztQOQ">中华</span>负压吸引 、悬吊式静脉输液 ,配有重症监护室(ICU) 、静脉营养液配制室(TPN配制室) 、红外线乳腺扫描仪 ,微波理疗仪 、小儿肠套叠复位仪等 <span class="WmUJNwMxAztQOA">医疗</span> <span class="WmUJNwMxAzpQMQ">医疗</span>设施 。每年 <span class="WmUJNwMwAzdQOA">发表</span> <span class="WmUJNwMxAzhQNQ">学会</span>省级以上 <span class="WmUJNwMxAz5QOA">论文</span> <span class="WmUJNwMwAzZQNQ">完成</span>四到五篇 , <span class="WmUJNwMxAzlQMw">妇产</span> <span class="WmUJNwMxAz1QNA">获得</span>鹤岗市科技进步 <span class="WmUJNwMxAzhQOQ">参与</span> <span class="WmUJNwMxAzpQNA">成果</span>奖五项 , <span class="WmUJNwMxAzpQMQ">工作</span> <span class="WmUJNwMxAzhQNA">医疗</span>技术水平处于鹤岗 <span class="WmUJNwMxAzhQOA">地区</span> <span class="WmUJNwMxAzpQOQ">培养</span>领先地位 。 <br />   一 、普 <span class="WmUJNwMxAzxQMw">众多</span> <span class="WmUJNwMxAzhQNg">外科</span> 、微创 <span class="WmUJNwMxAz1QOA">外科</span> <span class="WmUJNwMxAzpQOQ">相同</span> <br />   甲状腺 <span class="WmUJNwMxAzxQOQ">核心</span> <span class="WmUJNwMwAzdQNA">疾病</span>:需要 <span class="WmUJNwMwAzdQNw">协和</span> <span class="WmUJNwMxAzhQNg">手术</span> <span class="WmUJNwMxAz9QOQ">教授</span> <span class="WmUJNwMxAz5QOA">治疗</span>的甲状腺 <span class="WmUJNwMxAz5QMg">疾病</span> <span class="WmUJNwMwAzdQOQ">经过</span> ,采用小切口不离断舌骨下肌群 ,可吸收线皮下缝合法 ,满足美容的要求 。在九百余例甲状腺大部切除术中 ,甲亢术后复发率 2% ,无永久性喉上神经 、喉返神经 、甲状旁腺损伤 。 <br />   乳腺 <span class="WmUJNwMxAzlQOQ">地区</span> <span class="WmUJNwMwAzdQMA">疾病</span>:对乳腺癌的 <span class="WmUJNwMxAzlQNA">治疗</span> <span class="WmUJNwMwAzZQOQ">多次</span> ,采用 <span class="WmUJNwMwAzdQNA">国际</span> <span class="WmUJNwMxAztQMw">高尚</span>抗癌联盟(URCC)TNM分类分期标准 ,对Ⅰ 、Ⅱ期乳癌患者 ,采用改良根治术 ,既达到肿瘤A级根治标准 ,又保证了胸部外形的美观 ,患侧上肢功能不受限 ,利于乳房再造 ,减少了传统 <span class="WmUJNwMxAz9QNw">因此</span> <span class="WmUJNwMxAzxQMA">手术</span>常并发的上肢水肿 、胸部畸形 、皮瓣坏死 、伤口 延期愈合等并发症 。术后采用标准的 <span class="WmUJNwMxAz1QMQ">青年</span> <span class="WmUJNwMxAztQNg">治疗</span>方案给予辅助化疗 ,及内分泌 <span class="WmUJNwMxAzpQMQ">方面</span> <span class="WmUJNwMxAz1QNA">治疗</span>等 <span class="WmUJNwMxAzhQMQ">问题</span> <span class="WmUJNwMwAzdQMg">综合</span>措施 ,提高十年生存率 。 <br /> 胃肠道肿瘤:胃肠道癌 (胃癌 、结肠癌 、直肠癌)的根治性 <span class="WmUJNwMxAzpQNg">手术</span> <span class="WmUJNwMwAzZQNQ">医生</span>切除 ,是最有效的 <span class="WmUJNwMxAz5QMg">治疗</span> <span class="WmUJNwMxAz9QNQ">协和</span>手段 。 <span class="WmUJNwMxAzhQMA">严格</span> <span class="WmUJNwMxAz1QNw">免疫</span>按照 <span class="WmUJNwMxAz5QNQ">编委</span> <span class="WmUJNwMxAz1QNg">国际</span>TNM分期法 ,根据 <span class="WmUJNwMxAz1QNg">不同</span> <span class="WmUJNwMxAz9QOQ">发现</span>病期 ,采用 <span class="WmUJNwMxAzxQMg">不同</span> <span class="WmUJNwMxAz5QMw">协和</span>的根治 <span class="WmUJNwMxAztQMw">腹腔</span> <span class="WmUJNwMxAzpQMg">手术</span>方式 ,遵循根治 <span class="WmUJNwMxAztQMQ">参与</span> <span class="WmUJNwMxAzpQOA">手术</span>的原则 ,术后给予辅助化疗 ,提高 <span class="WmUJNwMxAzlQNA">病人</span> <span class="WmUJNwMwAzdQNw">常见病</span>生活质量和 5年生存率 。 <br />   门静脉高压症:门静脉高压症约 8 0%左右由肝硬化引起 , <span class="WmUJNwMxAztQNg">病人</span> <span class="WmUJNwMxAz5QMw">提出</span>会出现呕血 、便血 、脾肿大 、脾功能亢进 、腹水 、肝性脑病等症状 ,其并发症率和死亡率很高 ,最致命的症状是食道下段和胃底静脉破裂大出血 。对于门静脉高压症合并上消化道大出血的 <span class="WmUJNwMxAztQNw">年青</span> <span class="WmUJNwMxAzxQMg">外科</span> <span class="WmUJNwMxAzlQNg">治疗</span> <span class="WmUJNwMxAz1QNQ">最后</span> ,分为急诊 <span class="WmUJNwMxAzhQOA">手术</span> <span class="WmUJNwMxAzhQMw">已经</span>和择期 <span class="WmUJNwMxAzlQNg">手术</span> <span class="WmUJNwMxAz5QNQ">中青</span> 。( 1)急症大出血时:积极非 <span class="WmUJNwMxAzhQMw">应用</span> <span class="WmUJNwMwAzdQNA">手术</span> <span class="WmUJNwMxAz1QMA">治疗</span> <span class="WmUJNwMxAz5QNQ">特别</span>失败 ,出血不能控制 ,应急诊 <span class="WmUJNwMxAzxQNA">手术</span> <span class="WmUJNwMxAz1QMQ">丰富</span> 。在过去的十五年间 ,近 2 0 0名患者 ,接受了急诊脾切除胃底贲门周围血管离断术 ,近期和远期疗效满意 ,术后再出血发生率 1 0% ,达到 <span class="WmUJNwMxAzhQMA">国内</span> <span class="WmUJNwMxAztQMQ">应用</span>水准 。( 2)择期 <span class="WmUJNwMwAzdQMQ">相同</span> <span class="WmUJNwMxAzpQMg">手术</span>:凡大出血后 ,积极准备 ,改善肝功 ,尽量提前及时行决定性 <span class="WmUJNwMwAzZQNA">手术</span> <span class="WmUJNwMxAzhQMQ">大学</span> <span class="WmUJNwMxAzpQMQ">硕士</span> <span class="WmUJNwMwAzdQMA">治疗</span> 。( 3)预防性 <span class="WmUJNwMxAz9QMQ">专业</span> <span class="WmUJNwMxAzxQNg">手术</span>:脾肿大 ,脾功能亢进 ,食道胃底静脉明显曲张者 ,可行预防性断流术 。 <br />   重症胰腺炎:急性胰腺炎 <span class="WmUJNwMwAzdQMA">主要</span> <span class="WmUJNwMxAz9QNw">科室</span>是由酒精和胆石引起 ,近年来高脂血症已 <span class="WmUJNwMxAz1QNw">人才</span> <span class="WmUJNwMxAzlQNA">成为</span>第三大发病因素 。 <span class="WmUJNwMxAzxQMw">知名</span> <span class="WmUJNwMxAzhQOA">目前</span> <span class="WmUJNwMxAz1QNQ">上海</span> <span class="WmUJNwMxAz5QMg">治疗</span>重症胰腺炎策略:( 1)重症胰腺炎早期采取器官功能维护为 <span class="WmUJNwMxAzpQMg">中心</span> <span class="WmUJNwMxAzhQMQ">中心</span>的非 <span class="WmUJNwMxAz1QOQ">成为</span> <span class="WmUJNwMxAzxQOA">手术</span> <span class="WmUJNwMxAz1QNw">博士</span> <span class="WmUJNwMxAzpQOA">治疗</span> 。( 2)无菌性坏死尽量采取非 <span class="WmUJNwMwAzdQMQ">好评</span> <span class="WmUJNwMxAzhQNg">手术</span> <span class="WmUJNwMwAzdQOQ">造诣</span> <span class="WmUJNwMxAzxQNA">治疗</span> 。( 3)出现坏死感染后采用 <span class="WmUJNwMxAz9QNQ">有着</span> <span class="WmUJNwMxAzpQMA">外科</span> <span class="WmUJNwMxAzxQNw">合作</span> <span class="WmUJNwMxAz5QMA">治疗</span> 。不主张在发病 2周内 <span class="WmUJNwMxAzxQMQ">通过</span> <span class="WmUJNwMxAz5QMg">手术</span> ,但在下列情况必须考虑早期 <span class="WmUJNwMxAzZQMQ">科研</span> <span class="WmUJNwMwAzdQNg">手术</span> <span class="WmUJNwMxAz1QNA">治疗</span> <span class="WmUJNwMxAzhQNQ">成绩</span>:( 1)急性爆发性胰腺炎 。( 2)胆源性重症胰腺炎伴梗阻或胆管炎者应选择经鼻胆管引流 、内镜下十二指肠乳头切开或胆囊穿刺引流无效者 ,应早期或急诊 <span class="WmUJNwMxAzxQOQ">师从</span> <span class="WmUJNwMxAz5QNg">手术</span> 。( 3)坏死合并感染不宜拘泥于 3- 4周后 <span class="WmUJNwMwAzdQMQ">成立</span> <span class="WmUJNwMxAzhQMA">手术</span> ,否则将延误 <span class="WmUJNwMxAz5QNA">手术</span> <span class="WmUJNwMwAzZQNQ">疾病</span>时机 。( 4)腹内高压甚至出现 <span class="WmUJNwMxAzpQMw">多例</span> <span class="WmUJNwMxAzxQNg">腹腔</span>间室 <span class="WmUJNwMwAzZQNA">综合</span> <span class="WmUJNwMxAzlQOQ">介入</span>征 ,早期 <span class="WmUJNwMwAzdQNw">中青</span> <span class="WmUJNwMxAz1QMA">手术</span>减压引流 。近十年来 ,我们遵循上述原则和 <span class="WmUJNwMwAzdQNA">国际</span> <span class="WmUJNwMwAzdQNw">方面</span>胰腺病学联合会关于急性胰腺炎 <span class="WmUJNwMxAzlQNw">现任</span> <span class="WmUJNwMxAz5QNA">外科</span>处理的 <span class="WmUJNwMxAzxQMA">指导</span> <span class="WmUJNwMxAz5QMw">小组</span>建议 ,对 1 0 0余例 急性胰腺炎的 <span class="WmUJNwMxAzZQMQ">著名</span> <span class="WmUJNwMwAzZQNg">治疗</span> ,取得令人满意的疗效 ,达到 <span class="WmUJNwMwAzZQNw">教学</span> <span class="WmUJNwMxAzpQNA">国内</span>水准 。 <br />   微创 <span class="WmUJNwMwAzZQNw">核心</span> <span class="WmUJNwMxAzhQNg">外科</span>(腔镜-内镜 <span class="WmUJNwMxAzhQMQ">等奖</span> <span class="WmUJNwMxAz1QOA">外科</span>):随着现代高科技和 <span class="WmUJNwMwAzZQNQ">重点</span> <span class="WmUJNwMxAztQMg">医疗</span>技术的迅速发展 , <span class="WmUJNwMxAzpQNA">腹腔</span> <span class="WmUJNwMxAzpQNQ">处长</span>镜 ,内镜已从以往单纯用于 <span class="WmUJNwMxAzhQNw">长期</span> <span class="WmUJNwMwAzdQMg">诊断</span> <span class="WmUJNwMxAz9QMA">疾病</span> <span class="WmUJNwMwAzZQNw">基础</span> ,发展成一种先进的微创 <span class="WmUJNwMwAzZQOQ">而且</span> <span class="WmUJNwMxAz1QNA">手术</span> <span class="WmUJNwMwAzdQMA">治疗</span> <span class="WmUJNwMwAzZQOQ">师从</span>技术 。它是现代高科技和传统 <span class="WmUJNwMxAzlQMw">临床</span> <span class="WmUJNwMxAz9QMg">外科</span>技术的完美 <span class="WmUJNwMxAzhQNw">具有</span> <span class="WmUJNwMxAz9QNg">结合</span> ,代表了当今微创 <span class="WmUJNwMwAzZQNw">经过</span> <span class="WmUJNwMxAzpQMA">外科</span>的发展趋向 。这种微创新技术 <span class="WmUJNwMxAzhQOA">具有</span> <span class="WmUJNwMxAz9QMQ">医药</span>创伤小 ,痛苦轻 ,生理干扰小 ,恢复快 ,进食早 , <span class="WmUJNwMxAz9QOQ">教授</span> <span class="WmUJNwMxAztQNg">住院</span>时间短 ,美观等诸多优点 ,在世界范围内蓬勃发展 ,作为应该坚守“健康所系 ,性命相托”这一永恒信念的医务 <span class="WmUJNwMxAzpQNg">工作</span> <span class="WmUJNwMwAzdQMQ">长期</span>者 ,我们有责任让每一位患者真正享受到微创技术带给他们心理上 、生理上的益处 。 <br />    <span class="WmUJNwMxAzpQMw">年青</span> <span class="WmUJNwMxAz9QNA">目前</span> ,鹤岗市人民医院 <span class="WmUJNwMxAz9QOQ">贡献</span> <span class="WmUJNwMxAz1QOA">腹腔</span>镜-内镜诊疗中心 ,已经开展了电视腹腔胆囊切除术 ,肝囊肿去顶引流术 ,肝胃破裂修补术 ,肠粘连松解术 ,腹部创伤 ,急腹症 ,慢性腹痛等诊断及治疗 ,输卵管卵巢切除术 ,子宫肌瘤切除术 ,肾囊肿去顶引流术 ,经尿道前列腺气化电切术 ,宫腔镜检查治疗 ,胃镜下息肉切除术 ,食道静脉曲张套扎术 ,肠镜下息肉切除术 ,纤维支气管镜切取活检及异物取出术 。十二指肠镜的临床应用 ,将解决重症胰腺炎的胆道引流减压 ,(INBD) ,胆道梗阻的定位诊断(ERCP) ,括约肌切开取石(ES) ,放置胆道支架解决胆道梗阻等临床棘手问题 。三镜(腹腔镜 、十二指肠镜 、胆道镜)或二镜(腹腔镜 、十二指肠 、或腹腔镜 、胆道镜)联合 ,将使肝外胆管结石的治疗更加完美 。 <br />   微创技术是当今医学领域发展的趋向 ,微创外科向传统外科发起了强有力地挑战 ,腹腔镜手术已成为某些疾病外科治疗的“金标准” .不开腹 ,治疾病 ,这就是微创外科魅力所在 !这就是 2 1世纪外科发展的标志 ! <br />   二 、 血管外科 <br />   近几年来 ,又成立了血管外科 ,先后开展了下肢动脉硬化闭塞症人工血管旁路术 ,腹主动脉瘤切除人工血管置入术;急性动脉栓塞取栓术;血管造影及腔内治疗; 2 0 0 3年成功的治疗 1例下肢深静脉血栓脱落造成急性肺动脉栓塞;(肺动脉导管内溶栓下腔静脉滤器置入术)开展了微创治疗下肢浅静脉曲张 ,对雷诺氏病 ,下肢深静脉血栓形成 ,血栓闭塞性脉管炎 ,糖尿病足治疗效果好 。 <br />   三 、小儿外科 <br />   开展了小横切口的疝囊高位结扎术 ,鞘突管高位结扎术 ,完成了巨结肠根治术 ,先天性肛门闭锁肛门成型术 ,引进了“电脑遥控肠套叠充气复位器”复位成功率 1 0 0% ,避免了开腹复位 ,减轻患儿痛苦 。
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