首都医科大学附属北京中医医院

急诊专家门诊 (共2位医生)

科室简介

北京中医医院急诊科是一个传统医学与现代医学相结合,主要承担医院各种急危重患者首诊医疗的临床科室。设急诊门诊、抢救室、急诊留观、急诊病房、重症监护病房,配备有专用的化验室、放射诊断室、物理诊断室、药房、煎药室,24小时提供内科、外科、妇科等急危重症的中西医结合诊疗服务。现有观察床位18张,重证抢救床位2张,急诊病房床位8张,重症监护室床位6张。配备中央监护系统、呼吸机及除颤器等先进抢救设备,重症抢救室按国际流行方式设立了医疗抢救柱,将氧气、负压吸引器、监护输液泵、除颤器等抢救设备全部安装在医疗抢救柱上,优化了急诊抢救操作的程序,配备了多功能床、最先进的中央监护设备及先进的连续血液动力学监测设备,可以完成对危重患者的呼吸、心电、血液动力学的多功能监护,为患者提供了更加有力的生命支持。同时具有老中青三代年富力强的医疗护理队伍,对临床常见急危重证具有较强的救治能力。由于北京中医医院急诊科具有中医、中西医结合及现代医学多种医疗手段,因而在抢救急危重证病人方面独具特色。现代化的抢救设备与各种急诊必备中成药,使祖国传统医学与现代科学技术有机结合,为各种危急重症患者创造了更多的生命支持与康复机会。

目前急诊科在内科系统常见急危重证,如心脑血管疾病、呼吸系统疾病、重证感染、各种高热、急性中毒等疾病的抢救和治疗中,形成了较为完整的中西医结合诊疗常规,既具有先进的现代医学抢救手段,又能够突出中医特色。同时备有种类齐全的全国急诊必备中成药,使各种急危重证患者能够更快、更好、更充分的治疗。

我院在急诊留观的内科患者当中,率先建立24小时三级查访制度。在正常的工作日中,只要患者留观超过24小时,即可保证有住院医师、主治医师及副主任医师三级医师查访。同时保证急诊医师每24小时内至少4次诊察病人,危重患者随时诊察,从而,使在我院急诊科就诊的留观的患者得到更多的生命保障。针对出院的患者还建立了复诊制度,从急诊病房或急诊留观室出院的患者每周二上午可到急诊分诊台挂号复诊。

急诊科在日常急诊医疗工作的同时,还承担着国家中医药管理局和北京市多项科研课题,2006年成为国家中医药管理局急诊建设基地,与全国23家三级甲等中医医院形成了学术网络。近五年来共在核心期刊上发表论文20余篇,参加编写《北京地区中医常见病证诊疗常规》。承担北京中医药大学、北京联合大学中医药学院等高等医学院校的临床教学任务,是医教研三位一体,具有中西医结合综合服务能力的急诊抢救科室。

Emergency department of Beijing Traditional Chinese Medicine Hospital—Capital university of Medical science

Emergency dpt. Of Beijing Traditional Chinese Medicine Hospital is a Chinese medicine and western medicine integrative medical department. It mainly undertakes the first consultation and treatment of critical illness. Now the emergency dpt. has been contrasted as the clinical research establishment of traditional Chinese emergentology, which is affiliated to the State Administration of Traditional Chinese medicine. Under the led of the brief physicians and the associate brief physicians, the emergency dpt. possesses a skillful and experienced medical team, which consists of young and middle—aged medical personnel. By adopting the methods of traditional Chinese medicine、Chinese and western integrative medicine and various of modern medicine, the dpt. successfully treat many kinds of common critical illness. 15 observation beds, 2 emergency beds, 8 ICU beds, the emergency dpt. is equipped with advanced central monitoring system、ventilators、blood filters、defibrillators and other modern medical equipments. During the rescue process of cardio/cerebrovascular disease、respiratory disease、severe sepsis、any kinds of high fever and acute poisoning, the Emergency dpt. is coming to set up a series of medical specification which adopts modern medical rescue methods, and also insists on highlighting traditional medical characteristics. At the same time the emergency dpt. reserves all kinds of necessary Chinese patent medicine in rescue process . All the medical personnel take their efforts to assure every patient can receive the most timely、effective and sufficient treatment. The emergency dpt. insists on the principle of “serving the people, quality—oriented, and embodying the traditional medical characteristics. Serving sincerely and trying their best to make every patient get the most effective treatment and sincere service”. In order to benefit the patients, the emergency dpt. has simplified the hospitalization flow, performs the rule of “ three--grades physician ward visiting”, treats patients by means of Chinese integrative medicine. All members of the medical care team will be ready to supply the most timely、effective and sufficient treatment, and also offer the satisfied medical service to every patient who is acute and serious ill.

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孕妇睡着了胎儿会动吗
王志新
回答: 孕妇睡着了胎儿一般会动,胎动是胎儿正常的生理活动,与孕妇是否睡眠无关。 胎儿在母体内的活动不受孕妇睡眠状态影响,胎动可能发生在任何时间。胎儿有自己的活动周期,通常与孕妇的作息不完全同步。孕妇进入睡眠状态后,胎儿可能继续活动,部分孕妇会在睡眠中被胎动唤醒。胎动频率和强度因人而异,与胎儿发育阶段、孕妇体位、外界刺激等因素有关。妊娠中晚期胎动更为明显,部分胎儿在夜间活动增多。孕妇平躺时子宫空间相对受限,可能感受到更明显的胎动。胎儿睡眠周期较短,约持续20-40分钟,清醒时活动较为频繁。 极少数情况下孕妇睡眠中胎动减少可能与胎儿缺氧有关。若孕妇发现胎动明显减少或消失,需警惕胎儿宫内窘迫。妊娠晚期胎动规律性较强,突然改变需引起重视。孕妇长期保持同一体位可能影响胎盘供氧,间接导致胎动异常。某些药物或孕妇低血糖状态也可能暂时抑制胎动。胎盘功能减退、脐带绕颈等病理因素会减少胎儿活动。 建议孕妇每天固定时间计数胎动,妊娠28周后每日早中晚各1小时,正常胎动为每小时3-5次。睡眠时采用左侧卧位有助于改善胎盘血流。避免长时间仰卧或右侧卧位,减少子宫对下腔静脉压迫。定期产检监测胎儿发育情况,通过胎心监护评估胎儿状态。如发现12小时内胎动少于10次或较平时减少一半以上,应及时就医检查。保持规律作息和均衡饮食,避免过度劳累或情绪波动影响胎儿活动。 王志新主任医师中日友好医院儿科