1. Application of bronchoscopy in etiological diagnosis and treatment of severe pulmonary infection.
Some patients with severe pulmonary infection and ventilator-associated pneumonia in ICU, including patients with pulmonary infection with low immune function, have poor empirical anti-infection treatment effect, low positive rate of sputum culture and poor specificity, so it is difficult to achieve "accurate" and "timely" anti-infection treatment. However, the bacterial culture of secretions, protective brush samples and alveolar lavage fluid absorbed by bronchoscope aseptic operation has high sensitivity and specificity, which has a strong guiding role in clinical application of anti-infective drugs. In particular, alveolar lavage fluid is sent to NGS, which makes the diagnosis more accurate. At present, our department has carried out many cases of alveolar lavage, Klebsiella pneumoniae, Yersinia pneumoniae, Staphylococcus aureus pneumonia and drug-resistant Acinetobacter baumannii infection, so that severe pneumonia can be treated more accurately in our department.
Second, the application of bronchoscope in airway management and atelectasis treatment
The elderly, the infirm, patients with various complications (especially stroke patients) and patients with chronic obstructive pulmonary disease have more airway secretions after lung infection, and at the same time, they can't excrete phlegm on their own, even lose their function, resulting in poor sputum drainage, and in severe cases, they block the airway, causing atelectasis and even respiratory failure. However, the effect of back pounding, expectoration and humidification of airway is not obvious. Bronchoscope can enter the patient's lower respiratory tract. Portable bronchoscope can generally reach the opening of segmental bronchus to suck sputum, remove sputum thrombus and sputum scab, and even give local saline or drug lavage treatment. Combined with back-pounding and expectoration, the purpose of lung recruitment can be achieved. Since the establishment of the department, we have treated a lot of airway obstruction caused by sputum, and blood oxygen can not be maintained. We can suck sputum through bronchoscope and lavage the alveoli to make the air unobstructed.
At the same time, bronchoscopy also plays an irreplaceable role in lung tumors. Recently, painless bronchoscopy was carried out in our department, which made the diagnosis of lung cancer more accurate.
Brief introduction of internal three subjects
The internal three departments are now equipped with 2 invasive and non-invasive integrated ventilators, 2 large-flow and non-invasive respiratory therapeutic devices, 6 ECG monitors, 2 infusion pumps, 2 10 micropumps, 2 bedside blood filtration devices, 1 defibrillator 1 electrocardiograph, 2 nutrition pumps, 1 medical computer thermostat, and so on. It can be used to treat severe craniocerebral injury, cerebral hemorrhage, various heart diseases complicated with heart failure, severe pneumonia, respiratory failure, acute respiratory distress, upper gastrointestinal bleeding complicated with hemorrhagic shock, multiple organ failure, acute drug poisoning, sepsis, septic shock, acute renal failure, liver failure, severe electrolyte acid-base balance disorder, diabetic ketoacidosis, severe pancreatitis and other critical patients.
Contributed by: three internal subjects
Policy of benefiting the people in Fengnan District Hospital of Traditional Chinese Medicine
The deductible standard of Fengnan Chinese Medicine Hospital is one level lower than that of hospitals at the same level.
First, the employee medical insurance reimbursement policy: the deductible line is 200 yuan, and the reimbursement rate is 90%;
Second, the employee medical insurance retiree policy: the deductible line is 200 yuan, and the reimbursement rate is 93%;
3. Reimbursement policy of basic medical insurance for urban and rural residents: the deductible line is 200 yuan, and the reimbursement ratio is 75%;
Four, increase support for Chinese medicine, Chinese herbal medicine reimbursement rate increased by 5 percentage points.