In 2009, our hospital was named as the training base of cardiovascular interventional diagnosis and treatment technology by the Ministry of Health. It is the training base of interventional therapy of coronary heart disease and arrhythmia (the training base of interventional therapy of congenital heart disease belongs to radiology and surgical management), and it is the only unit in Tianjin with all training bases at present. Therefore, we put forward the slogan of "the development direction of one discipline, two bases, four specialties and eight wards, and build a good cardiovascular disease discipline"
Department of Respiratory and Critical Care Medicine
The Department of Respiratory and Critical Care Medicine has completed the sub-specialty construction of 10, including pulmonary infectious diseases, respiratory critical diseases, airway intervention, pleural cavity diseases, pulmonary vascular diseases, chronic obstructive pulmonary diseases, lung tumors, sleep respiratory diseases, interstitial lung diseases and allergic diseases. Each sub-specialty has 1-2 discipline backbones. Among them, sub-specialties such as respiratory critical illness, airway intervention and pleural diseases are in a leading position in Tianjin and even the whole country. The first respiratory intensive care unit (RICU) in Tianjin was established in 2004. Now it has more than 30 imported ventilators (invasive and noninvasive), 3 bronchoscopes, 1 rigid bronchoscope 1 set, 1 argon knife 1 set, 2 CO2 refrigeration equipment 1 set and 2 bedside blood filters. He has rich clinical experience in the diagnosis and treatment of various respiratory diseases and difficult diseases, and has a set of fast, systematic, skilled and formal rescue support technologies and respiratory management methods, with a high success rate; Have the ability to respond quickly to emergencies. The Department of Respiratory and Critical Care Medicine is in an absolute leading position in Tianjin under the guidance of fiberoptic bronchoscopy, including bedside tracheal or esophageal stent implantation under mechanical ventilation, pneumothorax airway occlusion, pulmonary artery relaxation test, bronchial artery thrombosis occlusion, argon knife combined with CO2 cryotherapy under tracheal intubation for benign and malignant tumors, and painless fiberoptic bronchoscopy under the protection of laryngeal mask under general anesthesia. Among them, "multifunctional pleural puncture biopsy needle and fine catheter drainage device are used for the diagnosis and treatment of pleural effusion and pericardial effusion", which can complete aspiration, pleural biopsy and fine catheter drainage at one time, and has obtained national patents and approval numbers, and has been extended to hospitals in more than ten provinces and regions across the country; "Single-tube drainage, irrigation and drug injection" has the advantages of simple operation, safety, less pain for patients and high success rate in clinical application. The drainage device won the third prize of municipal scientific and technological progress and the national utility model patent, and achieved good results. "Pleural cavity pressure monitoring guided pleurodesis" continuously monitors the pleural cavity pressure of patients with pleural effusion and predicts pleurodesis, which avoids the failure of pleurodesis caused by the increase of negative pressure in pleural cavity, with high success rate, few side effects and little damage to patients. This technology has been widely used in many hospitals.
At present, the projects carried out by the Department of Respiratory and Critical Care Medicine are at the advanced level in China, including (1) fiberoptic bronchoscopy and bronchoalveolar lavage; (2) invasive and noninvasive mechanical ventilation support therapy; (3) bedside fiberoptic bronchoscopy is used for the diagnosis and treatment of critically ill patients, such as airway management, auxiliary extubation, intubation replacement through nose and mouth, bronchial irrigation, and protective brushing to take pathogenic specimens; (4) Percutaneous intercostal intubation and closed drainage; (5) placing a thin catheter in the chest cavity and pericardium for closed drainage; (6) Interventional therapy of airway: rigid bronchoscope, ultrasonic endoscope EBUS and cryotherapy include tumor resection in airway, benign airway stenosis, balloon dilatation, stent implantation in airway, whole lung lavage, granulation caused by clearing airway foreign bodies and hyperplasia, painless fiberoptic bronchoscopy under the protection of laryngeal mask under general anesthesia, balloon blocking therapy for refractory pneumothorax, argon knife combined with CO2 freezing to solve airway obstruction, transbronchial lung biopsy and transbronchial lymph nodes. (7) Percutaneous lung biopsy guided by spiral CT; (8) Percutaneous pleural biopsy guided by 8)CT pleurography; (9) Detection of sleep respiratory diseases; (10) right cardiac catheterization and pulmonary artery relaxation test for pulmonary hypertension; (1 1) Thoracic irrigation for bacterial empyema; (12) Pleural cavity closed; (13) pleurography; (13) bedside hemofiltration and extracorporeal membrane oxygenation (extracorporeal membrane oxygenation); (14) Determination of pleural effusion pressure, esophageal pressure and bladder pressure; (15) Evaluation of spontaneous pneumothorax by determination of thoracic gas partial pressure and selection of treatment methods. The Department of Thoracic Surgery of Tianjin Chest Hospital was founded in 195 1 year, and it is one of the earliest hospitals in China to carry out thoracic surgery. Director Zhang, pneumonectomy for lung cancer in China 1, is the founder of thoracic surgery in our hospital. 20 1 1 Thoracic Surgery was rated as the national key clinical specialty by the Ministry of Health. In 20/0/2, Kloc ranked ninth in the national best specialist selection sponsored by School of Hospital Management, Fudan University.
At present, there are 2 wards (84 beds) in thoracic surgery, 1 intensive care unit (16 beds). At present, there are 47 medical staff, including 8 thoracic surgeons with senior titles, 2 doctoral supervisors 1 person and 2 master supervisors. It is the training base for postdoctoral, doctoral and master students of Tianjin Medical University. /kloc-since 0/0, there have been 4 doctoral students and 9 master students 10 in thoracic surgery. Published 128 academic papers, of which 10 was included in SCI. Presided over national scientific research projects 1 and 5 municipal scientific research projects. Won the ministerial-level scientific and technological progress award 1 item and 6 local scientific and technological progress awards in Tianjin. The emergency department of Tianjin Chest Hospital was established in 1984 with a solid foundation. At present, there are 6 consultation beds and 34 observation beds, including 17 monitoring beds and 17 general observation beds. Full-time physicians 16, including chief physician 1 person, 2 deputy chief physicians, 8 attending physicians and 5 residents. Among them, 2 doctors and 3 masters/kloc-0. There are 27 nurses, including 7 emergency nurses, and the medical staff have been systematically trained. At present, the emergency department is divided into respiratory and critical care department and cardiology department, which can treat acute myocardial infarction, acute and chronic left heart failure, hypertension, aortic dissection aneurysm, various arrhythmia, valvular disease, respiratory infection, bronchiectasis, chronic bronchitis, chronic obstructive pulmonary disease, cor pulmonale, lung cancer, pneumothorax, pleural effusion, acute and chronic respiratory failure, pulmonary interstitial diseases and so on. Advanced equipment configuration, including: injection pump, infusion pump, cardiopulmonary resuscitation machine, monitor, invasive and noninvasive ventilator, bedside rapid detector, 3G Holter network transmission system, etc. Can perform pericardial thin tube drainage, thoracic thin tube drainage, closed thoracic drainage, fiberoptic bronchoscopy or laryngoscope tracheal intubation and other operations. For patients with acute myocardial infarction, PCI can be performed within 90 minutes. More than 30,000 person-times are treated annually.
The emergency department has certain scientific research ability. In recent years, he has published more than ten papers in China and other core journals, and completed many scientific research projects of the Municipal Science and Technology Commission and the Health Bureau. Won the honor of excellent team at the college level in 20 14 and Tianjin March 8th Red Flag Collective in 20 14. Anesthesiology, perfusion, heart research institute, pathology, lung function, heart function, blood transfusion, ultrasound, nuclear medicine, radiotherapy, laboratory, imaging, nutrition, pharmacy.