air waves pressure gauge is also called circulating pressure therapeutic instrument, gradient pressure therapeutic instrument, limb circulation instrument or pressure anti-thrombosis pump. Mainly by sequentially and repeatedly inflating and deflating the multi-cavity airbag, the circulating pressure on limbs and tissues is formed, and the effects of promoting the flow of blood and lymph and improving microcirculation are achieved; It can directly or indirectly treat many diseases related to blood lymphatic circulation.
indications: lymphedema of upper and lower limbs, edema due to lymphatic reflux disorder, stump swelling after amputation (long-term swelling will cause complications), complex regional pain syndrome (such as neuroreflex edema, hemiplegic limb edema after cerebrovascular accident), venous stasis ulcer, prevention of deep venous thrombosis, varicose veins, limb paralysis (cerebral infarction), limb spasm (pain department), limb care of pregnant women, and venous cause. Rheumatoid arthritis, muscle injury caused by exercise, improving intestines, eliminating diseases caused by constipation and blood circulation interruption, relieving numbness of hands and feet caused by stress, staying in bed for a long time, preventing and treating muscle atrophy, intermittent claudication and diabetic foot. Spiral CT breaks through the design of traditional CT, and uses slip ring technology to connect power cables and some signal lines with different metal rings in the fixed frame. The X-ray tube and detector move with sliding brushes and metal ring leads. The tube and detector are not limited by the length of the cable, and rotate continuously and uniformly along the long axis of the human body. The scanning bed advances synchronously and uniformly (the traditional CT scanning bed is stationary during scanning), and the scanning trajectory advances spirally, so that the volume scanning can be completed quickly and uninterruptedly.
The sites examined by spiral ct include brain, neck, chest (lung, mediastinum, chest wall, great vessels and pericardium), abdomen-upper abdomen (liver, gallbladder, pancreas and spleen), posterior abdominal cavity, adrenal gland and kidney. Five senses (eye, ear-temporal bone, larynx, nose, paranasal sinus and temporomandibular joint), esophagus, gastrointestinal tract, pelvic cavity (bladder, uterus, fallopian tube, ovary, rectum, intestine B, spermatic canal and prostate), spine, spinal cord, limbs and soft tissues, as well as CT intervention.
Advantages:
① Volume scanning of the whole organ or a part with one breath will not result in the omission of lesions.
② With the increase of scanning speed per unit time, motion artifacts are reduced, the utilization rate of contrast agent is improved, and the dosage of contrast agent is saved. It is reported that it can save about 5%.
③. It can be reconstructed arbitrarily and retroactively, and there is no restriction on the size of interlayer interval and reconstruction times.
④ Volume scanning improves the quality of multi-directional and three-dimensional reconstructed images. Rehabilitation medicine is a medical discipline to eliminate and alleviate people's functional disorders, make up for and rebuild people's functional deficiencies, and try to improve and improve people's various functions, that is, the prevention, diagnosis, evaluation, treatment, training and treatment of functional disorders. The Department of Rehabilitation Medicine has a specialist clinic and a rehabilitation ward (36 beds), and the rehabilitation treatment hall is nearly 75 square meters, which is the largest functional training hall in the comprehensive hospital in East China. The department is equipped with a full set of rehabilitation treatment equipment, and the advanced level of the equipment is in the forefront of Zhejiang Province. The department adopts the management standards of American international hospitals to manage and build the rehabilitation medicine department, and employs well-known experts in rehabilitation medicine in Zhejiang Province to monitor the quality of rehabilitation treatment. There are 3 senior professional titles, 2 intermediate professional titles and 7 junior professional titles in the department of rehabilitation medicine, and the ratio of rehabilitation doctors to full-time rehabilitation therapists is 1:2, which highlights that rehabilitation medicine is a discipline characterized by functional rehabilitation.
rehabilitation medicine: assessment and detection of rehabilitation
1. Definition: rehabilitation medicine is a medical applied discipline that studies the rehabilitation of disabled people and patients. Its purpose is to make the sick and disabled people recover to the maximum as soon as possible through various means such as physical therapy, exercise therapy, life training, skill training, speech training and psychological counseling, so as to give full play to the functions of the residual parts of the body and achieve the greatest possible ability of self-care, labor and work.
2. The composition of rehabilitation medicine: basic rehabilitation, rehabilitation disability (the core and pillar of the discipline system), clinical rehabilitation assessment and clinical rehabilitation therapy.
3. The research object of rehabilitation medicine: the disabled and the elderly with limited mobility caused by injuries are similar to the electronic gastroscope, which is an instrument with a micro-camera. Laparoscopic surgery is an operation using laparoscopy and its related instruments: a cold light source is used to provide illumination, a laparoscopic lens (3 ~ 1 mm in diameter) is inserted into the abdominal cavity, and the images taken by the laparoscopic lens are transmitted to the post-processing system through optical fibers by using digital camera technology. Then the doctor analyzes and judges the patient's condition through the images of the patient's organs from different angles displayed on the monitor screen, and performs surgery with special laparoscopic instruments.
The development of laparoscopic surgery has alleviated the pain of patients and shortened the recovery period of patients, which is a rapidly developing surgical project in recent years.
Hysteroscopy is an optical instrument used for observation, diagnosis and treatment of uterine cavity. Hysteroscopy can be divided into diagnostic type and surgical type, as well as soft type and hard type. Soft diagnostic hysteroscope is made of advanced optical fiber, which has small diameter and can be bent at will. It is easy to observe and diagnose the whole uterine cavity, and the examination process is fast (about 2~5 minutes), without pain or injury to the uterus. (I) X-ray diagnosis < P > The application of X-rays in medical diagnosis is mainly based on the penetration, differential absorption, light sensitivity and fluorescence of X-rays. Because X-rays are absorbed in different degrees when they pass through the human body, for example, the amount of X-rays absorbed by bones is more than that absorbed by muscles, so the amount of X-rays after passing through the human body is different, which carries the information of the density distribution of various parts of the human body, and the intensity of fluorescence or sensitization caused on the fluorescent screen or photographic film is quite different, so shadows with different densities will be displayed on the fluorescent screen or photographic film (after development and fixation). According to the contrast of shade, combined with clinical manifestations, laboratory results and pathological diagnosis, we can judge whether a certain part of the human body is normal or not. Therefore, X-ray diagnosis technology has become the earliest non-gouging visceral examination technology in the world.
(II) X-ray therapy
The application of X-rays in treatment mainly depends on its biological effect. When X-rays with different energies are applied to irradiate the cell tissues of human lesions, the irradiated cell tissues can be destroyed or inhibited, thus achieving the purpose of treating some diseases, especially tumors.
(3) X-ray protection
At the same time of using X-rays, people have found problems that lead to hair loss, skin burns, visual impairment of staff, leukemia and other radiation injuries. In order to prevent X-rays from harming human bodies, corresponding protective measures must be taken. The above constitute the three links of X-ray application in medicine-diagnosis, treatment and protection.
Large hyperbaric oxygen chambers
There are many indications for hyperbaric oxygen (HBO) treatment, and the diseases with better curative effects are: 1. Various poisonings, such as CO poisoning, carbon dioxide poisoning, hydrogen sulfide poisoning, hydride poisoning, ammonia poisoning, phosgene poisoning, pesticide poisoning, chemical drug poisoning, etc.
2. Drowning, hanging, electric injury, anesthesia accident and other causes of brain hypoxia, brain edema, decompression sickness, etc.
3. Cardiovascular system: coronary heart disease, angina pectoris, myocardial infarction and cardiogenic shock.
4. Digestive system: gastric ulcer, duodenal ulcer and postoperative ulcer.
5. Infection: gas gangrene, tetanus and other anaerobic bacteria infection, viral encephalitis, etc.
6. Air embolism.
7. Cerebral thrombosis, cerebral embolism, brain atrophy, cerebral insufficiency, brain contusion, post-traumatic syndrome, osteomyelitis, paraplegia, peripheral nerve injury and polyneuritis.
8. Skin transplantation, replantation of severed limbs (fingers), vasculitis, intractable ulcer, compartment syndrome of bone fascia, postoperative wound unhealed, arterial embolism, poor bone healing, radiation osteomyelitis and crush injury.
9. Neonatal asphyxia, cerebral palsy before 3 years old, etc.
1. Central choroiditis, retinal artery embolism, sudden deafness, periodontitis and oral ulcer.
11. Dermatological diseases: pityriasis rosea, acne vulgaris, erythema nodosum, scleroderma, neurogenic or diabetic dermatitis, etc.
When combined with other treatments, diseases with satisfactory curative effect sometimes include: multiple sclerosis, radiculitis, muscular dystrophy, vascular headache, cone-basilar artery insufficiency and cervical spondylosis. Asthma and chronic ulcerative colitis in some elderly and children. Diabetic complications (vasculitis, neuritis), aseptic osteonecrosis, intestinal obstruction; High-risk pregnancy, cerebral palsy before the age of 3; Uveitis, retinal vein thrombosis, optic neuritis, optic atrophy, etc.
HBO has a good curative effect on the above diseases, which can be cured radically; Some combined with other methods can have good curative effect; Some only play the role of adjuvant therapy, which can alleviate the disease or prevent the development of the disease. It is not serious to think that HBO can cure all diseases or belittle its role.
electronic gastroscope and endoscope
medical electronic endoscope, referred to as electronic gastroscope for short, mainly consists of three parts: endoscope, video processor and TV monitor. It has no optical fiber image guide beam, and the image guide system is replaced by CCD and cable, unlike optical fiber, which is easy to break, so it is more durable. Electronic gastroscope can obtain high-definition images, and various image processing, three-dimensional imaging, measurement of mucosal blood flow, mucosal local hemoglobin content and local temperature can be carried out by computer. Functional features: Electronic gastroscope and microcomputer-controlled image processing system are integrated, which has the characteristics of high resolution, non-invasive and painless, so that patients can complete gastroscopy very safely without any trauma and pain. Indications: Esophagogastrostomy, duodenal diseases, colon diseases, various types of edible stomach, colon, gastric ulcer, duodenal ulcer, colonic ulcer, gastric ulcer, duodenum, colon swelling, polyp, stomach, duodenum, colon, magnesium bleeding to stop bleeding, polypectomy, colon obstruction correction and relief, etc. Endoscope is a tube equipped with light, which can enter the stomach through the mouth or enter the body through other natural channels. Endoscope can be used to see lesions that X-rays can't show, so it is very useful for doctors. For example, with the help of an endoscopist, an ulcer or tumor in the stomach can be observed, and the best treatment scheme can be worked out accordingly.
First, the examination of gastrointestinal diseases
(1) Esophagus: chronic esophagitis, esophageal varices, feeding tube hole hernia, esophageal leiomyoma, esophageal cancer and cardiac cancer.
(2) stomach and duodenum: chronic gastritis, gastric ulcer, gastric benign tumor, gastric cancer, duodenal ulcer and duodenal tumor.
(3) Small intestine: small intestine tumor, leiomyoma, sarcoma, polyp, lymphoma, inflammation, etc.
(4) large intestine: nonspecific ulcerative colitis, Crohn's disease, chronic colitis, colonic polyps, colorectal cancer, etc.
2. Examination of pancreatic and biliary diseases: pancreatic cancer, cholangitis, cholangiocarcinoma, etc.
Third, laparoscopy: liver diseases, biliary diseases, etc.
4. Examination of respiratory diseases: lung cancer, lung biopsy and brush examination through bronchoscope, selective bronchography, etc.
5. Urinary tract examination: cystitis, bladder junction, bladder tumor, renal tuberculosis, kidney calculi's disease, renal tumor, congenital malformation of ureter, ureteral calculi, ureteral tumor, etc. Anesthesia machine sends anesthetic into patients' alveoli through mechanical circuit, forming partial pressure of anesthetic gas, which will directly inhibit the central nervous system after diffusing into blood, thus producing the effect of general anesthesia. Anesthesia machine belongs to semi-open anesthesia device. It is mainly composed of liquid medicine tank, ether regulating switch, folding bellows, one-way valve for inhalation and exhalation and bellows.
The modern anesthesia machine is developing towards an intelligent and integrated system, with coordinated, flexible and reliable components, compact and reasonable structure, clear and friendly user interface and convenient and quick operation. Electronic control gas delivery system, built-in electronic control anesthesia ventilator, integrated breathing circuit, integrated gas monitoring system, and high and low micro-flow anesthesia methods are the best combination of modern anesthesia machines. Anesthesia system, a new generation, will be extended into the whole medical system. It can network, communicate, define and adjust the anesthesia process and records with hospital equipment, evaluate the anesthesia effect, improve the quality of patient care, and create a good working atmosphere for clinicians. According to the structural principle, modern anesthesia machine can be divided into: gas supply and transportation system, anesthesia gas volatilization tank, breathing circuit, anesthesia ventilator, safety monitoring system and residual gas removal system.
The system includes: oxygen shortage alarm, oxygen shortage/interruption nitrous oxide cutoff device, capacity and concentration monitoring part and fault alarm. The monitoring part mainly includes: inhaled oxygen concentration, exhaled tidal volume, airway pressure, minute ventilation, end-expiratory CO2 concentration and anesthetic gas concentration. The microcomputer is used to process and display all kinds of data, and the alarm device system is attached, especially the functions of breathing, circulation, nerve and muscle monitoring can be realized, which greatly improves the quality of anesthesia in clinical use and the safety of patients, and improves the success rate of surgery.