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呼吸與危重癥醫學科

寧夏醫(yi)(yi)(yi)科(ke)(ke)大學(xue)總(zong)醫(yi)(yi)(yi)院(原寧夏醫(yi)(yi)(yi)科(ke)(ke)大學(xue)附屬醫(yi)(yi)(yi)院)呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)內(nei)科(ke)(ke)創(chuang)建(jian)(jian)于(yu)(yu)1978年(nian)(nian)(nian)(nian)(nian)(nian)(nian),根據(ju)中華(hua)醫(yi)(yi)(yi)學(xue)會(hui)呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)病(bing)學(xue)分會(hui)、中國(guo)醫(yi)(yi)(yi)師協會(hui)呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)醫(yi)(yi)(yi)師分會(hui)的(de)相關文(wen)件精神于(yu)(yu)2011年(nian)(nian)(nian)(nian)(nian)(nian)(nian)11月正式(shi)更名(ming)為(wei)“呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)與(yu)危重癥醫(yi)(yi)(yi)學(xue)科(ke)(ke)”。歷經三(san)十余(yu)年(nian)(nian)(nian)(nian)(nian)(nian)(nian)的(de)發展建(jian)(jian)設(she),已成(cheng)(cheng)為(wei)具有一定(ding)(ding)(ding)規模、學(xue)術梯(ti)隊健全、技(ji)(ji)術力量雄厚、發展勢頭強勁的(de)自(zi)(zi)治(zhi)(zhi)區(qu)級重點(dian)(dian)學(xue)科(ke)(ke);是一個集臨床(chuang)(chuang)、科(ke)(ke)研和教學(xue)為(wei)一體的(de)呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)系(xi)統(tong)疾(ji)(ji)病(bing)診治(zhi)(zhi)中心(xin)。1997年(nian)(nian)(nian)(nian)(nian)(nian)(nian)成(cheng)(cheng)為(wei)碩士授權點(dian)(dian);1998年(nian)(nian)(nian)(nian)(nian)(nian)(nian)籌建(jian)(jian)睡眠呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)實(shi)驗室;1998年(nian)(nian)(nian)(nian)(nian)(nian)(nian)成(cheng)(cheng)立呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)重癥監護室;2006年(nian)(nian)(nian)(nian)(nian)(nian)(nian)成(cheng)(cheng)為(wei)“自(zi)(zi)治(zhi)(zhi)區(qu)級重點(dian)(dian)學(xue)科(ke)(ke)”;2007衛(wei)生(sheng)(sheng)(sheng)部(bu)(bu)、共(gong)青(qing)團中央授予“青(qing)年(nian)(nian)(nian)(nian)(nian)(nian)(nian)文(wen)明(ming)號”;2009年(nian)(nian)(nian)(nian)(nian)(nian)(nian)國(guo)家(jia)食品(pin)藥(yao)品(pin)監督管(guan)理局授予“藥(yao)物(wu)臨床(chuang)(chuang)試驗機構(gou)資格認(ren)定(ding)(ding)(ding)書(呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)專業(ye)組)”;2009年(nian)(nian)(nian)(nian)(nian)(nian)(nian)衛(wei)生(sheng)(sheng)(sheng)部(bu)(bu)授予 “國(guo)家(jia)衛(wei)生(sheng)(sheng)(sheng)部(bu)(bu)內(nei)鏡專業(ye)技(ji)(ji)術呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)科(ke)(ke)培(pei)訓基(ji)地(di)”;2009年(nian)(nian)(nian)(nian)(nian)(nian)(nian)醫(yi)(yi)(yi)院肺(fei)(fei)功能室并入呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)內(nei)科(ke)(ke); 2010年(nian)(nian)(nian)(nian)(nian)(nian)(nian)8月我(wo)科(ke)(ke)被(bei)中國(guo)醫(yi)(yi)(yi)院協會(hui)藥(yao)事管(guan)理專業(ye)委(wei)員會(hui)認(ren)定(ding)(ding)(ding)為(wei)國(guo)家(jia)衛(wei)生(sheng)(sheng)(sheng)部(bu)(bu)臨床(chuang)(chuang)藥(yao)師“抗感染(ran)藥(yao)物(wu)專業(ye)”培(pei)訓基(ji)地(di);2011年(nian)(nian)(nian)(nian)(nian)(nian)(nian)衛(wei)生(sheng)(sheng)(sheng)部(bu)(bu)授予我(wo)科(ke)(ke)“衛(wei)生(sheng)(sheng)(sheng)部(bu)(bu)內(nei)鏡與(yu)微(wei)創(chuang)醫(yi)(yi)(yi)學(xue)呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)科(ke)(ke)培(pei)訓基(ji)地(di)”(2012年(nian)(nian)(nian)(nian)(nian)(nian)(nian)通過復審);2011年(nian)(nian)(nian)(nian)(nian)(nian)(nian)7月榮(rong)獲為(wei)“全國(guo)衛(wei)生(sheng)(sheng)(sheng)系(xi)統(tong)最有特(te)色醫(yi)(yi)(yi)院科(ke)(ke)室文(wen)化建(jian)(jian)設(she)獎”;2012年(nian)(nian)(nian)(nian)(nian)(nian)(nian) 5月全國(guo)總(zong)工(gong)會(hui)授予我(wo)科(ke)(ke)”全國(guo)工(gong)人先鋒號”;2012年(nian)(nian)(nian)(nian)(nian)(nian)(nian)7月國(guo)家(jia)衛(wei)生(sheng)(sheng)(sheng)部(bu)(bu)確定(ding)(ding)(ding)我(wo)科(ke)(ke)為(wei)“2012年(nian)(nian)(nian)(nian)(nian)(nian)(nian)度國(guo)家(jia)臨床(chuang)(chuang)重點(dian)(dian)專科(ke)(ke)建(jian)(jian)設(she)項(xiang)目單位”;2014年(nian)(nian)(nian)(nian)(nian)(nian)(nian)4月自(zi)(zi)治(zhi)(zhi)區(qu)黨委(wei)組織部(bu)(bu)、科(ke)(ke)技(ji)(ji)廳、人社廳授予“科(ke)(ke)技(ji)(ji)創(chuang)新團隊(肺(fei)(fei)動脈(mo)高壓相關疾(ji)(ji)病(bing)基(ji)礎與(yu)臨床(chuang)(chuang)治(zhi)(zhi)療(liao)研究)”。我(wo)科(ke)(ke)已連續(xu)多年(nian)(nian)(nian)(nian)(nian)(nian)(nian)被(bei)醫(yi)(yi)(yi)院授予“先進集體”。在(zai)自(zi)(zi)治(zhi)(zhi)區(qu)發生(sheng)(sheng)(sheng)重大呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)道傳(chuan)染(ran)疫情時,如2003年(nian)(nian)(nian)(nian)(nian)(nian)(nian)“傳(chuan)染(ran)性非典型(xing)肺(fei)(fei)炎”、2009年(nian)(nian)(nian)(nian)(nian)(nian)(nian)“甲型(xing)H1N1流(liu)感”按照自(zi)(zi)治(zhi)(zhi)區(qu)統(tong)一部(bu)(bu)署,我(wo)科(ke)(ke)積極參與(yu)了(le)患(huan)者的(de)救治(zhi)(zhi)工(gong)作,是救治(zhi)(zhi)患(huan)者的(de)主要陣地(di),為(wei)呼(hu)(hu)(hu)吸(xi)(xi)(xi)(xi)(xi)系(xi)統(tong)傳(chuan)染(ran)性疾(ji)(ji)病(bing)的(de)防(fang)控(kong)工(gong)作作出了(le)貢(gong)獻(xian)。

呼(hu)(hu)吸(xi)與危重癥(zheng)醫(yi)(yi)學科現有醫(yi)(yi)護人(ren)員(yuan)95人(ren),其中博(bo)士6人(ren),碩士16人(ren)。開放床位101張,設有呼(hu)(hu)吸(xi)與危重癥(zheng)醫(yi)(yi)學科一病(bing)(bing)區(qu)、二病(bing)(bing)區(qu)、重癥(zheng)監護室、肺(fei)功能室、支氣(qi)(qi)管內鏡(jing)中心、睡(shui)(shui)眠呼(hu)(hu)吸(xi)監測及治療室、霧化治療室、戒煙門診、支氣(qi)(qi)管哮喘門診、慢性(xing)(xing)(xing)阻塞性(xing)(xing)(xing)肺(fei)疾(ji)(ji)病(bing)(bing)門診、打呼(hu)(hu)嚕門診。主要治療肺(fei)炎、支氣(qi)(qi)管擴(kuo)張癥(zheng)、肺(fei)結(jie)核、慢性(xing)(xing)(xing)阻塞性(xing)(xing)(xing)肺(fei)疾(ji)(ji)病(bing)(bing)、支氣(qi)(qi)管哮喘、肺(fei)栓塞、肺(fei)心病(bing)(bing)、間質(zhi)性(xing)(xing)(xing)肺(fei)疾(ji)(ji)病(bing)(bing)與結(jie)節病(bing)(bing)、胸(xiong)腔積液、氣(qi)(qi)胸(xiong),肺(fei)癌、睡(shui)(shui)眠呼(hu)(hu)吸(xi)暫停低通氣(qi)(qi)綜(zong)合征、呼(hu)(hu)吸(xi)衰竭、急(ji)性(xing)(xing)(xing)呼(hu)(hu)吸(xi)窘迫(po)綜(zong)合癥(zheng)等疾(ji)(ji)病(bing)(bing)。

呼吸與危重(zhong)癥醫(yi)學科肺(fei)(fei)(fei)功(gong)能(neng)(neng)室開展的項目有:血氣(qi)(qi)分析、肺(fei)(fei)(fei)通氣(qi)(qi)功(gong)能(neng)(neng)、小(xiao)氣(qi)(qi)道功(gong)能(neng)(neng)、殘(can)氣(qi)(qi)功(gong)能(neng)(neng)、彌(mi)散功(gong)能(neng)(neng)、氣(qi)(qi)道阻(zu)力、支氣(qi)(qi)管(guan)激發、舒張試驗(yan)、IOS肺(fei)(fei)(fei)功(gong)能(neng)(neng)、肺(fei)(fei)(fei)震動成像、心-肺(fei)(fei)(fei)運動試驗(yan)檢查。

呼吸(xi)與(yu)危(wei)重癥醫學(xue)科支(zhi)(zhi)(zhi)氣管(guan)(guan)內鏡(jing)中心開(kai)展的業務有:支(zhi)(zhi)(zhi)氣管(guan)(guan)鏡(jing)下刷檢(jian)及(ji)活檢(jian)術、經支(zhi)(zhi)(zhi)氣管(guan)(guan)穿刺針吸(xi)活檢(jian)術、氣道(dao)支(zhi)(zhi)(zhi)氣管(guan)(guan)內支(zhi)(zhi)(zhi)架(jia)植入術、支(zhi)(zhi)(zhi)氣管(guan)(guan)球囊擴張成形(xing)術、氣管(guan)(guan)鏡(jing)引(yin)導經鼻插管(guan)(guan)術、支(zhi)(zhi)(zhi)氣管(guan)(guan)肺(fei)泡(pao)灌洗術、內科胸(xiong)腔鏡(jing)檢(jian)查術、B型(xing)超聲及(ji)CT引(yin)導經皮肺(fei)穿術等(deng)。

睡眠呼(hu)吸(xi)(xi)監測治(zhi)療室開展的業務(wu)有:睡眠呼(hu)吸(xi)(xi)監測及治(zhi)療、便攜式睡眠呼(hu)吸(xi)(xi)治(zhi)療、自動調壓治(zhi)療、動態(tai)血壓監測等。

目前(qian)我們聯(lian)(lian)合(he)普胸外科(ke)、放射科(ke)開(kai)設“胸部(bu)疾病(bing)聯(lian)(lian)合(he)門(men)診(zhen)”其中有戒煙(yan)門(men)診(zhen)、支(zhi)氣(qi)管哮喘(chuan)門(men)診(zhen)、慢(man)性阻(zu)塞性肺疾病(bing)門(men)診(zhen)、打呼嚕(lu)門(men)診(zhen)并開(kai)展呼出氣(qi)一(yi)(yi)氧(yang)化碳(tan)測定(ding)、一(yi)(yi)氧(yang)化氮測定(ding)等。

在(zai)未來的(de)(de)的(de)(de)建設(she)發展中(zhong),我們秉承(cheng)“同呼吸(xi) 共命運”的(de)(de)科(ke)訓(xun),將呼吸(xi)與危(wei)重癥醫學科(ke)建設(she)成(cheng)為(wei)步入全國(guo)先進行列、西部(bu)一流呼吸(xi)疾病的(de)(de)醫療(liao)、科(ke)研和(he)教學中(zhong)心,并拓展、提高(gao)優勢專業的(de)(de)領域和(he)水平,形(xing)成(cheng)“醫療(liao)、考試、培訓(xun)的(de)(de)區域性(xing)中(zhong)心”。