The discipline of cardiology has initially formed a pattern after years of development. With the support and help of the hospital leaders, we have established coronary heart disease and CCU, cardiac electrophysiology and pacemaker, heart failure and critical care ward, and hypertension specialty clinic, which highlights the characteristics of cardiovascular specialty.
In 2009, our discipline was also recognized by the Ministry of Health as the Ministry of Health cardiovascular interventional diagnosis and treatment technology training base, respectively, for coronary heart disease intervention and arrhythmia intervention training base (coronary heart disease intervention training base under the management of the Department of Radiology and Surgery), which is currently the only unit with all the training bases in Tianjin. Therefore, we put forward the slogan of "one discipline, two bases, four specialties, eight wards of the development direction, to build a good cardiovascular disease discipline".
Department of Respiratory and Critical Care Medicine
Department of Respiratory and Critical Care Medicine has completed the construction of 10 subspecialties, including pulmonary infectious diseases, respiratory critical care, airway endo-intervention, pleural cavity diseases, pulmonary vascular diseases, chronic obstructive pulmonary diseases, pulmonary tumors, sleep respiratory diseases, interstitial lung diseases, allergic diseases, etc., and there are 1-2 disciplinary backbones in each of these subspecialties. Among them, the subspecialties of respiratory critical care, airway intervention and pleural cavity diseases are in the leading position in Tianjin and even in the whole country. 2004, the first Respiratory Intensive Care Unit (RICU) was established in Tianjin, which has more than 30 sets of imported respiratory machines (both invasive and non-invasive), 3 bronchoscopes, 1 rigid bronchoscope, 1 set of argon gas cutter and 1 set of CO2 refrigeration equipment, and 2 sets of parietal hemofiltration machines. We have rich clinical experience in diagnosis and treatment of various respiratory diseases and difficult illnesses, and have a set of fast, systematic, skillful and formal rescue support technology and respiratory management methods, with a very high success rate of resuscitation; we have the ability of rapid response in the face of sudden emergencies. The Department of Respiratory and Critical Care Medicine is in the absolute leading position in Tianjin in fiberoptic bronchoscopy-guided stenting, bedside tracheal or esophageal stenting under mechanical ventilation, pneumothorax airway occlusion, pulmonary artery diastolic test, bronchial artery effusion thromboplasty, argon knife combined with CO2 cryotherapy for benign and malignant tumors under tracheal intubation, as well as painless fiberoptic bronchoscopy under the protection of general anesthesia laryngeal mask. Among them, "Multi-functional pleural cavity puncture biopsy needle, fine catheter drainage device for the diagnosis and treatment of pleural cavity and pericardial effusion" can complete the extraction of fluid, pleural biopsy, and placement of fine catheter drainage by one puncture, which has been granted national patent and approval number and has been popularized to more than ten provinces and regions of hospitals in China; "single tube Single-tube drainage, flushing and drug injection for treatment of acute pyothorax" is simple, safe, less painful for patients and has a high success rate in clinical application, and the drainage device has won the third prize of the Municipal Scientific and Technological Progress and the national utility model patent, and has achieved good results; "Pleural cavity pressure monitoring and guiding pleural cavity closure" performs continuous pressure monitoring of the pleural cavity for patients with pleural effusion, and has achieved good results for patients with pleural effusion, and has been widely promoted in more than ten provincial and district hospitals in China. Continuous monitoring of the pressure in the pleural cavity, the prediction of the pleural cavity fixation adhesion surgery, to avoid the negative pressure in the pleural cavity increases lead to failure of pleural fixation surgery, high success rate, fewer side effects, less damage to the patient, the technology has been popularized by a number of hospitals.
At present, the Department of Respiratory and Critical Care Medicine carries out projects at the advanced level in China, including (1) fiberoptic bronchoscopy, bronchoalveolar lavage; (2) invasive and non-invasive mechanical ventilation supportive therapy; (3) bedside fiberoptic bronchoscopy for diagnosis and treatment of critically ill patients, such as airway management, assisted extubation, replacement of oral and nasal tracheal tubes, bronchial irrigation, and protective brushes. taking pathogenic specimens; (4) percutaneous incision intercostal intubation closed drainage; (5) pleural cavity, pericardial placement of fine catheters for closed drainage; (6) intra-airway interventions: rigid bronchoscopy, ultrasonic endoscopy EBUS, including endo-tumor resection of the airway, benign airway stenosis, such as cryotherapy and balloon dilatation, endo-stenting of the airway, whole lung lavage, removal of foreign bodies from the airway and its cause of hyperplasia granulation removal, painless fiberoptic bronchoscopy under general anesthesia and laryngeal mask protection, balloon occlusion treatment for refractory pneumothorax, argon knife combined with CO2 freezing to resolve airway obstruction, transbronchial lung biopsy, transbronchial lymph node biopsy TBNA, etc.; (7) Spiral CT-guided percutaneous lung puncture biopsy; (8) CT pleurodynamic cavity contrast-guided percutaneous pleural needle biopsy; (9) testing of sleep breathing disease ; (10) right heart catheterization and pulmonary artery diastolic test for pulmonary hypertension; (11) bacterial sepsis thoracic lavage therapy; (12) pleural cavity closure; (13) pleurography; (13) bedside hemofiltration and extracorporeal membrane pulmonary oxygenation (ECMO) techniques; (14) pleural fluid manometry, esophageal manometry, and cystometric manometry; and (15) thoracic gas partial pressure measurements for spontaneous Pneumothorax evaluation and selection of treatment methods, etc. The Department of Thoracic Surgery of Tianjin Chest Hospital was founded in 1951 , which is one of the few hospitals in China that first carried out thoracic surgery. Director Zhang Jizheng, who performed the first total pneumonectomy for lung cancer in China, is the founder of the Department of Thoracic Surgery. 2011, the Department of Thoracic Surgery was awarded as a national key clinical specialty by the Ministry of Health, and in 2012, it was ranked the ninth in the selection of the best specialties in the country sponsored by the Institute of Hospital Management of Fudan University.
The Department of Thoracic Surgery currently has 2 wards (84 beds) and 1 ward (16 beds). There are 47 medical and nursing staff, including 8 senior thoracic surgeons, 1 doctoral supervisor and 2 master's supervisors. It is the training base for postdoctoral, doctoral and master's degree students of Tianjin Medical University. In the past 10 years, the Department of Thoracic Surgery has supervised 1 postdoctoral fellowship, 4 doctoral graduates and 19 master's graduates. She has published 128 academic papers, including 10 papers indexed by SCI. She has presided over 1 national scientific research project and 5 municipal scientific research projects. She has won 1 ministerial-level scientific and technological progress award and 6 local scientific and technological progress awards in Tianjin. The Emergency Department of Tianjin Chest Hospital was founded in 1984 and has a solid foundation. At present, there are 6 beds for consultation, 34 observation beds, including 17 guardianship beds and 17 general observation beds. There are 16 full-time doctors, including 1 chief physician, 2 deputy chief physicians, 8 attending physicians and 5 residents. Among them, there are 2 doctors and 13 masters. There are 27 nurses, including 7 nurses specializing in emergency medicine, all of whom have undergone systematic training. The Emergency Department is currently divided into two parts: Respiratory and Critical Care and Cardiology, which can treat acute myocardial infarction, acute and chronic left heart failure, hypertension, aortic coarctation aneurysm, all types of arrhythmia, valvular disease, respiratory tract infection, branchial dilatation, chronic bronchitis, slow obstruction of the lungs, pulmonary heart disease, lung cancer, pneumothorax, pleural effusion, acute and chronic respiratory failure, and interstitial lung disease, etc. The department is equipped with advanced equipments, including: syringe pumps, injection pumps and other equipment. Advanced equipment configuration, including: syringe pumps, infusion pumps, cardiopulmonary resuscitation machines, monitors, invasive and non-invasive ventilators, bedside rapid detector, 3G Holter network transmission system. We are able to carry out pericardial fine-tube drainage, thoracic fine-tube drainage, closed thoracic drainage, tracheal intubation under fiberscope or laryngoscope and other operations. For patients with acute heart attack, PCI can be performed within 90 minutes. More than 30,000 patients are seen annually.
The Department of Emergency Medicine has a certain degree of scientific research ability, in recent years in China and other core journals published more than ten papers, and completed the municipal science and technology commission and the health bureau of a number of scientific research projects. It was awarded the honor of 2014 hospital-level excellent team and 2014 Tianjin 38 Red Flag Collective. Anesthesiology, Perfusion, Cardiac Research Institute, Pathology, Pulmonary Function, Cardiac Function, Blood Transfusion, Ultrasound, Nuclear Medicine, Radiotherapy, Laboratory, Imaging, Nutrition, Pharmacy.