Air wave pressure instrument is also known as circulatory pressure therapeutic instrument, gradient pressure therapeutic instrument, limb circulation instrument or pressure anti-embolism pump. Mainly through the multi-chamber airbag sequential repeated inflation and deflation, the formation of the limbs and tissues of the circulatory pressure, and to promote the flow of blood and lymph and improve the role of microcirculation; can be directly or indirectly treated with blood and lymphatic circulation related to a number of diseases.
Indications: upper and lower extremity lymphedema, lymphatic reflux disordered edema, post amputation stump swelling (prolonged swelling can cause complications), complex regional pain syndromes (e.g., neurological reflex edema, hemiplegic limb edema after cerebral vascular accidents), venous stagnant ulcers, prevention of deep venous thrombosis, varicose veins, paralysis of a limb (cerebral infarction), spasm of a limb (pain division), pregnant women's limb care, chronic diseases caused by veins, lipolysis, rheumatoid arthritis, muscle injuries caused by exercise, improving intestines, eliminating constipation, diseases caused by interruption of blood circulation, relieving numbness of hands and feet caused by stress, long term bed rest, preventing and treating muscle atrophy, intermittent claudication, diabetic foot. Spiral CT breaks through the traditional CT design, using the sliding ring technology, the power supply cable and some signal cables are connected with different metal rings in the fixed frame motion of the X-ray tube and detector sliding brushes and metal ring guide. Ball tube and detector is not limited by the length of the cable, along the long axis of the human body continuous uniform rotation, the scanning bed synchronized uniform progression (traditional CT scanning bed in the scanning of stationary), the scanning trajectory is a spiral forward, can be quickly and uninterruptedly complete the volumetric scanning.
Spiral ct examination of parts including the cranial brain, neck, chest (lungs, mediastinum, chest wall and large blood vessels, pericardium), abdomen an upper abdomen (liver, gallbladder, pancreas, spleen), posterior abdominal cavity, adrenal glands and kidneys. The five senses (eye, ear-temporal bone, laryngopharynx, nose and sinuses and temporomandibular joints), esophagus, gastrointestinal tract, pelvis (bladder, uterus, fallopian tubes, ovaries, rectum, ethmoid, spermatic pathway, and prostate), spine, spinal cord, limbs, and soft tissues, and interventional medicine with CT.
Advantages:
①, volumetric scanning of an entire organ or a part of an organ at one time under breath-holding, which does not result in the omission of lesions.
②, the increase in scanning speed per unit of time, reducing motion artifacts, so that the utilization of the contrast agent to improve, saving contrast dosage, some people report that it can save about 50%.
3, can be arbitrary, retrospective reconstruction, no layer interval size constraints and reconstruction of the number of limitations.
④, volumetric scanning, which improves the quality of multidirectional and three-dimensional reconstruction images. Rehabilitation medicine is a medical discipline that seeks to eliminate and alleviate human dysfunction, compensate for and reconstruct human functional deficiencies, and seeks to improve and enhance all aspects of human functioning, that is, the prevention, diagnosis, evaluation, treatment, training, and management of dysfunction. The Department of Rehabilitation Medicine has set up a specialized outpatient clinic and a rehabilitation medicine ward (36 beds), with a rehabilitation treatment hall of nearly 750 square meters, which is the largest functional training hall in the area of rehabilitation treatment in a general hospital in East China. The department is equipped with a full set of rehabilitation therapy equipment, the advanced degree of equipment is in the forefront of Zhejiang Province, the department adopts the U.S. internationalized hospital management standards for rehabilitation medicine discipline management and construction, and employs the well-known experts in rehabilitation medicine in Zhejiang Province to carry out the whole process of monitoring the quality of rehabilitation treatment. The department has 3 senior title personnel in rehabilitation medicine, 2 intermediate title personnel, 7 junior title personnel, rehabilitation physician and full-time rehabilitation therapist ratio of 1:2, highlighting the rehabilitation medicine is a functional rehabilitation as the characteristics of the discipline.
Rehabilitation Medicine: Rehabilitation Assessment and Testing
1, Definition: Rehabilitation Medicine is a study of disabled people and patients with rehabilitation of medical applications, the purpose of which is to make the sick and disabled as soon as possible to maximize the recovery of the body's residual part of the function of the body to get the most full play, to achieve the maximum possible life of the disabled, and to achieve the maximum possible life of the disabled. The maximum possible self-care, labor and work ability can be achieved, laying the foundation for the sick and disabled to return to society.
2, the composition of rehabilitation medicine: basic rehabilitation, rehabilitation disability (the core of the discipline system, the pillar), clinical rehabilitation evaluation and clinical rehabilitation therapy.
3, the object of rehabilitation medicine research: injury and disease caused by dysfunction and ability to limit the sick and disabled and the elderly in the activities of the functional limitations similar to the electronic gastroscope, is a micro-camera instruments, laparoscopic surgery is the use of laparoscopy and its related instruments for surgery: the use of cold light source to provide illumination, the laparoscopic lens (diameter of 3 ~ 10mm) inserted into the abdominal cavity, the use of digital video camera, and the use of digital camera, the use of digital camera. The laparoscopic lens (3-10mm in diameter) is inserted into the abdominal cavity, and the images captured by the laparoscopic lens are transmitted to the back-end signal processing system through optical fiber by using digital camera technology and are displayed in real time on a special monitor. The doctor then analyzes the patient's condition through the images of the patient's organs from different angles shown on the monitor screen and performs the surgery with special laparoscopic instruments.
Laparoscopic surgery is a rapidly growing surgical procedure that reduces the pain of surgery and shortens the patient's recovery period.
Hysteroscopy is an optical instrument used for observation, diagnosis and treatment of the uterine cavity. Hysteroscopes can be divided into diagnostic and surgical types, and there are soft and hard types. Soft diagnostic hysteroscopes are made of advanced fiber optics, with a small diameter tube that can be bent at will, making it easy to observe and diagnose the entire uterine cavity, and the examination process is quick (about 2~5 minutes), painless, and does not injure the uterus. (A) X-ray diagnosis
X-ray applied to medical diagnosis, mainly based on the X-ray penetration, differential absorption, photosensitivity and fluorescence. As X-rays through the human body, by different degrees of absorption, such as the amount of X-rays absorbed by the bone than the amount absorbed by the muscle, then the amount of X-rays through the human body is not the same, so that it carries the density distribution of the human body parts of the information in the fluorescence screen or photographic film caused by fluorescence or photographic effect of the strength of the role of a greater difference, and therefore in the fluorescent screen or photographic film (after developing, fixing ) will show a different density of shadows. According to the contrast of shadow intensity, combined with clinical manifestations, laboratory results and pathological diagnosis, you can determine whether a part of the human body is normal. As a result, X-ray diagnostic technology became the world's first application of non-planarized internal organs examination technology.
(2) X-ray therapy
X-ray therapy, mainly based on its biological effects, the application of different energy X-ray on the human body foci part of the cellular tissue irradiation, can be irradiated by the cellular tissue is destroyed or inhibited, so as to achieve the treatment of certain diseases, especially the purpose of the treatment of tumors.
(C) X-ray protection
In the use of X-rays at the same time, people have found to lead to patients with hair loss, skin burns, staff visual impairment, leukemia and other radiation damage, in order to prevent X-rays on the human body, must take appropriate protective measures. The above constitutes the X-ray application in the medical aspects of the three links - diagnosis, treatment and protection.
Large hyperbaric oxygen chamber group
Hyperbaric oxygen (HBO) treatment of the indications are more, the efficacy of the disease is better: 1, a variety of poisoning, such as CO poisoning, carbon dioxide poisoning, hydrogen sulfide poisoning, hydride poisoning, ammonia poisoning, phosgene poisoning, pesticide poisoning, chemical drug poisoning.
2, drowning, self-hanging, electric shock injury, anesthesia accident and other causes of cerebral hypoxia, cerebral edema, decompression sickness.
3, cardiovascular system: coronary heart disease, angina pectoris, myocardial infarction, cardiogenic shock.
4, digestive system: gastric, duodenal ulcer, postoperative ulcer.
5, infection: gas gangrene, tetanus and other anaerobic infections, viral encephalitis.
6, air embolism.
7, cerebral thrombosis, cerebral embolism, cerebral atrophy, cerebral blood supply insufficiency, cerebral contusion, post-traumatic brain syndrome, osteomyelitis, paraplegia, peripheral nerve injury, polyneuritis.
8, skin grafting, amputation (finger) replantation, vasculitis, intractable ulcers, osteofascial septal zone syndrome, postoperative wound non-healing, arterial embolism, poor bone healing, radiological osteomyelitis, crush injuries.
9, neonatal asphyxia, cerebral palsy before the age of 3 years.
10, central retinal choroiditis, retinal artery embolism, sudden deafness, periodontitis, oral ulcers.
11, dermatologic diseases: pityriasis rosea, unusual azole sores, erythema nodosum, scleroderma, neurogenic or diabetic dermatitis and so on.
Combined with other treatments can sometimes appear more satisfactory results of the disease are: multiple sclerosis, radiculitis, myotonic dystrophy, vascular headache, cone - based arterial blood supply insufficiency, cervical spondylosis. Some elderly and pediatric asthma, chronic ulcerative colitis. Diabetic complications (vasculitis, neuritis), aseptic osteonecrosis, intestinal obstruction; high-risk pregnancy, cerebral palsy before the age of 3 years; uveitis, retinal vein thrombosis, optic neuritis, optic atrophy.
HBO is effective in curing some of the above diseases; some of them can be combined with other methods to have a very good effect; some of them only play an auxiliary therapeutic role in alleviating the condition or preventing the development of the disease. The kind of thinking that HBO can cure all diseases or devalue the role of HBO are not serious.
Electronic gastroscopy and endoscopy
Medical electronic endoscopy, referred to as electronic gastroscopy, consists of three main parts: endoscope, video processor and TV monitor. It has no fiber-optic guide beam, and the guide system is replaced by a CCD and a cable, which is not like the fiber-optic guide that is easy to break, and thus more durable. Electronic gastroscope can obtain high-definition images, through the computer can carry out a variety of image processing, three-dimensional imaging, determination of mucosal blood flow, mucosal local hemoglobin content and local temperature. Functional characteristics: electronic gastroscope and microcomputer-controlled image processing system in one, with high resolution, non-invasive, painless and other characteristics, so that the patient in the absence of any trauma and pain conditions, very safe to complete the gastroscopy. Indications: esophagogastric, duodenal diseases, colonic diseases, various types of food class gastric, colon, gastric ulcer, duodenal ulcer, colon ulcer magnesium gastric, duodenal, colon swellings, polyps, gastric, duodenal, colon, magnesium hemorrhagic haemostasis treatment polypectomy, colon school obstruction relief surgery. An endoscope is a tube equipped with a light that enters the stomach through the mouth or enters the body through other natural orifices. Endoscopes are very useful to doctors because they can see lesions that cannot be visualized by X-rays. For example, with the help of an endoscope a doctor can look at ulcers or tumors in the stomach and work out the best treatment plan accordingly.
I. Examination of gastrointestinal diseases
(1) Esophagus: chronic esophagitis, esophageal varices, esophageal foramen hernia, esophageal smooth muscle tumors, esophageal cancer, and cardia cancer.
(2) Stomach and duodenum: chronic gastritis, gastric ulcer, benign gastric tumor, gastric cancer duodenal ulcer, duodenal tumor.
(3) Small intestine: small intestinal tumors, smooth muscle tumors, sarcomas, polyps, lymphomas, inflammation, etc..
(4) Large intestine: nonspecific ulcerative colitis, Crohn's disease, chronic colitis, colon polyps, colorectal cancer, etc.
Two, the examination of pancreatic and biliary tract diseases: pancreatic cancer, cholangitis, cholangiocarcinoma and so on.
Third, laparoscopy: liver diseases, biliary system diseases, etc.
Fourth, the examination of respiratory tract diseases: lung cancer, transbronchoscopic lung biopsy and brush test, selective bronchography and so on.
Fifth, the urinary tract examination: cystitis, bladder union, bladder tumors, renal tuberculosis, kidney stones, renal tumors, ureteral congenital anomalies, ureteral stones, ureteral tumors and so on. The anesthesia machine is used to deliver anesthetics into the patient's alveoli through a mechanical circuit, creating a partial pressure of anesthetic gas, which, after diffusing into the bloodstream, exerts a direct inhibitory effect on the central nervous system, thus producing the effect of general anesthesia. Anesthesia machine belongs to semi-open anesthesia device. It is mainly composed of a drug tank, ether adjustment switch, folding air box and inhalation and exhalation one-way valve and bellows.
Modern anesthesia machine is moving towards intelligent, integrated system development, the combination of components coordinated, flexible, reliable, compact, reasonable structure, the use of a clear and friendly interface, easy and fast operation. Electronically controlled gas delivery system, built-in electronically controlled anesthesia ventilator, integrated breathing circuit, integrated gas monitoring system, high and low micro-flow anesthesia is the best combination of modern anesthesia machine. The new generation of anesthesia workstations will be extended to integrate into the whole medical system, which can be systematically networked, communicated, defined, and adjusted to the anesthesia process and records with the hospital equipment, to evaluate the anesthesia effect, to improve the quality of patient care, and to create a good working atmosphere for clinicians. The modern anesthesia machine can be divided into: gas supply delivery system, anesthesia gas volatile tank, breathing circuit, anesthesia ventilator, safety monitoring system and residual gas removal system according to the structural principle.
The system includes: insufficient oxygen supply alarm, insufficient oxygen supply/interruption of laughing gas cut-off device, capacity and concentration monitoring part and fault alarm. The monitoring part mainly includes: inhaled oxygen concentration, exhaled tidal volume, airway pressure, minute ventilation volume, end-expiratory CO2 concentration, and anesthetic gas concentration. With microcomputer processing and display of various data, and alarm device system, especially respiratory, circulatory, neurological, muscle monitoring functions can be realized, greatly improving the quality of clinical use of anesthesia and the safety of patients, and improve the success rate of surgery.