Advanced equipment of Hangzhou Wanshili Rehabilitation Hospital

Air waves pressure instrument is also called circulatory pressure therapeutic instrument, gradient pressure therapeutic instrument, limb circulatory instrument or pressure antithrombotic pump. Mainly through the repeated inflation and deflation of multi-cavity airbags in turn, the circulating pressure on limbs and tissues is formed, so as to promote the flow of blood and lymph and improve microcirculation; It can directly or indirectly treat a variety of diseases related to blood lymphatic circulation.

Indications: lymphedema of upper and lower limbs, lymphatic reflux disorder edema, 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 nursing of pregnant women, chronic diseases caused by veins, and fat. Exercise-induced muscle injury, intestinal improvement, constipation, diseases caused by blood circulation interruption, numbness of hands and feet caused by stress, long-term bed rest, prevention and treatment of muscle atrophy, intermittent claudication and diabetic foot. Spiral CT breaks through the design of traditional CT, adopts slip ring technology, and connects power cables and some signal lines with different metal rings in the fixed frame. X-ray tube and detector move with sliding brush and metal ring wire. The tube and detector are not limited by the length of the cable, and continuously rotate at a constant speed 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 spirals forward, thus completing the volume scanning quickly and continuously.

The parts examined by spiral ct are brain, neck, chest (lung, mediastinum, chest wall, great vessels and pericardium), abdomen-epigastrium (liver, gallbladder, pancreas and spleen), retroperitoneal cavity, adrenal gland and kidney. Five senses (eye, ear temporal bone, throat, nose, sinus, temporomandibular joint), esophagus, gastrointestinal tract, pelvic cavity (bladder, uterus, fallopian tube, ovary, rectum, intestine B, vas deferens, prostate), spine, spinal cord, limbs, soft tissue, and ct intervention.

Advantages:

(1), hold your breath and scan the volume of the whole organ or a certain part, and there will be no 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 50%.

(3) It can be reconstructed at will, with traceability, and there is no limit on the size of interlayer interval and the number of reconstructions.

④ Volume scanning improves the quality of multi-directional and three-dimensional reconstructed images. Rehabilitation medicine is a medical discipline that eliminates and alleviates people's dysfunction, makes up for and reconstructs people's functional defects, and strives to improve and improve people's various functions, that is, prevention, diagnosis, evaluation, treatment, training and treatment of dysfunction. The Department of Rehabilitation Medicine has a specialist clinic and a rehabilitation ward (36 beds), and the rehabilitation treatment hall is nearly 750 square meters, which is the largest functional training hall in the general hospital in East China. The department is equipped with a full set of rehabilitation treatment equipment, and the advanced level of equipment ranks in the forefront of Zhejiang Province. The department adopts the management standard of American international hospital 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. At present, there are 3 senior titles, 2 intermediate titles and 7 junior 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: rehabilitation evaluation and testing

1, definition: rehabilitation medicine is an applied medical discipline that studies the rehabilitation of disabled people and patients. Its purpose is to make the sick and disabled recover as soon as possible through physical therapy, exercise therapy, life training, skill training, speech training, psychological consultation and other means, give full play to the function of the residual parts of the body, achieve the greatest possible self-care, labor and work ability, and lay the foundation for the sick and disabled to return to society.

2. The composition of rehabilitation medicine: basic rehabilitation, rehabilitation disability (the core and pillar of the discipline system), clinical rehabilitation evaluation and clinical rehabilitation treatment.

3. The research object of rehabilitation medicine: The disabled and the elderly who are unable to move due to injury are similar to electronic gastroscope, which is an instrument with a miniature camera. Laparoscopic surgery is performed by laparoscopy and related instruments: a cold light source is used to provide illumination, a laparoscopic lens (3 ~ 10 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 fiber by digital camera technology. Then the doctor analyzes and judges the patient's condition through the images of different angles of the patient's organs displayed on the monitor screen, and performs the operation with special laparoscopic instruments.

The development of laparoscopic surgery has alleviated the pain of patients and shortened the recovery period of patients. It is a rapidly developing surgical project in recent years.

Hysteroscopy is an optical instrument 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, with 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 and damage to the uterus. (1) X-ray diagnosis

The application of X-ray in medical diagnosis is mainly based on its penetrability, differential absorption, photosensitivity and fluorescence. Because X-rays will be absorbed in different degrees when passing 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. It carries the information of the density distribution of various parts of the human body, and the intensity of fluorescence or light sensitivity caused on the fluorescent screen or photographic film is very different, so shadows with different densities will be displayed on the fluorescent screen or photographic film (after development and fixation). According to the contrast between light and dark, combined with clinical manifestations, laboratory examination 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-evisceration inspection technology in the world.

(2) X-ray therapy

The application of X-ray in treatment mainly depends on its biological effect. When X-rays with different energies are used to irradiate the tissue of human lesions, the irradiated tissue 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 patients' hair loss, skin burns, visual impairment of staff, leukemia and other radiation injuries. In order to prevent X-rays from harming human body, 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 chamber group

There are many indications for hyperbaric oxygen therapy, and the diseases with better curative effect are: 1, and various poisonings, such as carbon monoxide 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 accidents and other reasons caused by brain hypoxia, brain edema, decompression sickness, etc.

3. Cardiovascular system: coronary heart disease, angina pectoris, myocardial infarction and cardiogenic shock.

4, digestive system: gastric and duodenal ulcers, postoperative ulcers.

5. Infection: gas gangrene, tetanus and other anaerobic bacterial infections, viral encephalitis, etc.

6. Air embolism.

7. Cerebral thrombosis, cerebral embolism, brain atrophy, cerebral blood supply insufficiency, brain contusion, post-traumatic syndrome, osteomyelitis, paraplegia, peripheral nerve injury and polyneuritis.

8. Skin transplantation, replantation of severed limb (finger), vasculitis, intractable ulcer, compartment syndrome of bone fascia, postoperative wound nonunion, arterial embolism, poor bone union, radiation osteomyelitis and crush injury.

9, neonatal asphyxia, cerebral palsy before the age of 3.

10, central choroiditis, retinal artery embolism, sudden deafness, periodontitis, oral ulcer.

1 1. Skin diseases: pityriasis rosea, acne vulgaris, erythema nodosum, scleroderma, neurogenic or diabetic dermatitis, etc.

Combined with other treatments, diseases that can sometimes achieve satisfactory results include multiple sclerosis, radiculitis, muscular dystrophy, vascular headache, vertebrobasilar insufficiency and cervical spondylosis. Asthma and chronic ulcerative colitis in some elderly people and children. Diabetic complications (vasculitis, neuritis), aseptic osteonecrosis, intestinal obstruction; High-risk pregnancy, cerebral palsy before 3 years old; 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 its development. 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, is mainly composed of 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, which is more durable than optical fiber. Electronic gastroscope can obtain high-definition images, and various image processing, three-dimensional imaging, mucosal blood flow, mucosal local hemoglobin content and local temperature measurement 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 edible stomachs, colon, gastric ulcer, duodenal ulcer, colon ulcer, gastric ulcer, duodenal swelling, polyp, stomach, duodenum, colon, magnesium bleeding hemostasis, polypectomy, correction and relief of colon obstruction, etc. Endoscope is a tube with a lamp, 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 endoscopists, gastric ulcers or tumors can be observed and the best treatment plan 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, cardiac cancer, etc.

(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.

Pancreaticobiliary diseases: pancreatic cancer, cholangitis, cholangiocarcinoma, etc.

Third, laparoscopy: liver diseases, biliary diseases, etc.

Examination of respiratory diseases: lung cancer, transbronchial lung biopsy and brush examination, selective bronchography, etc.

Urinary 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 spreading into blood, thus producing the effect of general anesthesia. Anesthesia machine belongs to semi-open anesthesia device. It mainly consists of a liquid medicine tank, an ether regulating switch, a folding bellows, an inspiratory and expiratory check valve and a bellows.

Modern anesthesia machine is developing into an intelligent and integrated system, with coordinated, flexible and reliable components, compact and reasonable structure, clear and friendly user interface and convenient operation. Electronic control gas transmission system, built-in electronic control anesthesia ventilator, integrated breathing circuit, integrated gas monitoring system and high-low micro-flow anesthesia mode are the best combination of modern anesthesia machines. The new generation anesthesia system will be extended to the whole medical system. It can communicate with hospital equipment, define and adjust anesthesia process and records, evaluate anesthesia effect, improve patient care quality and create a good working atmosphere for clinicians. Modern anesthesia machine can be divided into gas supply and transportation system, anesthetic gas volatilization tank, breathing circuit, anesthetic ventilator, safety monitoring system and residual gas removal system according to structural principles.

The system includes: anoxia alarm, anoxia/interruption nitrous oxide cut-off device, capacity and concentration monitoring part and fault alarm. The monitoring part mainly includes: inhaled oxygen concentration, exhaled tidal volume, airway pressure, ventilation per minute, end-expiratory CO2 concentration and anesthetic gas concentration. Microcomputer is used to process and display all kinds of data, and alarm device system is attached, which can especially realize the functions of breathing, circulation, nerve and muscle monitoring, greatly improving the quality of anesthesia used in clinic and the safety of patients, and improving the success rate of surgery.