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id="hhxiiwwr2muz" class="breadcrumb hasImg"> <div id="hhxiiwwr2muz" class="tip">您的位置：</div> <a href="/html/web/home/index.html">首頁</a> <span id="hhxiiwwr2muz" class="division">></span> <a href="/html/web/youshixueke/index.html" class="on">優(yōu)勢學(xué)科</a> </div> </div>   <div id="hhxiiwwr2muz" class="mainer"> <div id="hhxiiwwr2muz" class="title" data-wow-delay=".1s"> 省級(jí)重點(diǎn)?？? （兒童外科） </div> <div id="hhxiiwwr2muz" class="timeAndHit" data-wow-delay=".1s"> <span id="hhxiiwwr2muz" class="time"> 2025-02-10 </span> <span id="hhxiiwwr2muz" class="division"></span> <span id="hhxiiwwr2muz" class="hit">瀏覽：<script type="text/javascript" src="/cms/content/1887853429548724225/hit.do"></script></span> </div> <div id="hhxiiwwr2muz" class="content" data-wow-delay=".2s"><p style="text-align: center; line-height: 2;"> </p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">南陽市中心醫(yī)院小兒外科始建于2002年,是河南省臨床重點(diǎn)?？?，河南省醫(yī)學(xué)會(huì)小兒外科學(xué)副主任委員單位，南陽市兒童外科診療中心，小兒外科住院醫(yī)師規(guī)范化培訓(xùn)基地。醫(yī)院黨委及領(lǐng)導(dǎo)班子一直高度重視本市“兒童衛(wèi)健”工作，全力以赴支持小兒外科學(xué)科建設(shè)。在學(xué)科帶頭人趙成鵬副院長的帶領(lǐng)下，經(jīng)過20 余年的發(fā)展，學(xué)科在醫(yī)療服務(wù)能力、醫(yī)療質(zhì)量、人才培養(yǎng)、科研與教學(xué)以及?？苹A(chǔ)條件建設(shè)等方面均取得了長足的發(fā)展和深厚的積淀。科室發(fā)展規(guī)模不斷壯大，分為一個(gè)急診中心、兩個(gè)病區(qū)，五個(gè)亞專業(yè)組。床位120張，輻射范圍南陽市及信陽、駐馬店、平頂山等周邊地市，服務(wù)人口1000多萬。年門診量約2.5萬人次，收治患兒約2800人次/年，手術(shù)約1800臺(tái)次/年，其中微創(chuàng)手術(shù)約1500臺(tái)/年，三四級(jí)手術(shù)約40%。</span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">學(xué)科帶頭人趙成鵬，主任醫(yī)師，南陽市中心醫(yī)院副院長，河南大學(xué)、新鄉(xiāng)醫(yī)學(xué)院碩士研究生導(dǎo)師。河南省醫(yī)學(xué)會(huì)小兒外科學(xué)分會(huì)第六、七屆委員會(huì)副主任委員、河南省醫(yī)學(xué)會(huì)小兒外科學(xué)分會(huì)第一屆腫瘤學(xué)組副組長、南陽市醫(yī)學(xué)會(huì)小兒外科學(xué)分會(huì)第一屆委員會(huì)主任委員、南陽市學(xué)術(shù)技術(shù)帶頭人。近5年承擔(dān)科研項(xiàng)目2項(xiàng)，科技成果3項(xiàng)，發(fā)表論文數(shù)十篇，指導(dǎo)研究生3人。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>兒童急癥、創(chuàng)傷專業(yè)組：</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">作為“兒童急癥創(chuàng)傷”為主要特色的急診急救科室，主要是對(duì)各種原因引起的兒童創(chuàng)傷進(jìn)行急診救治和必要的留觀診療，為進(jìn)一步治療和康復(fù)創(chuàng)造寶貴機(jī)會(huì)。能滿足各種常見急危重癥的救治。 MTD 診療模式，擁有完整急診?？婆嘤?xùn)體系。在充分滿足臨床工作的基礎(chǔ)上，重視學(xué)科發(fā)展。通過對(duì)兒童急癥創(chuàng)傷的基礎(chǔ)與臨床系列研究，針對(duì)急癥創(chuàng)傷的多樣化和復(fù)雜性，為兒童急癥創(chuàng)傷提供更科學(xué)、更高效和個(gè)體化的診治方案，降低致死率和致殘率。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>兒童普外肝膽專業(yè)組：</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">本專業(yè)目前開展包括兒童疝、胃腸肝膽畸形、巨結(jié)腸、膽總管囊腫、胃腸、肝膽、腹膜后腫瘤等，幾乎涵蓋兒童胃腸、肝膽外科診治的主要病種的診斷及治療，規(guī)范化診治是該組的最大特色，開展多學(xué)科綜合治療策略，將規(guī)范化和個(gè)體化治療相結(jié)合，為每一位患者提供最先進(jìn)，最合理，最有效的治療方案。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>兒童泌尿、整形專業(yè)組：</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">有專職醫(yī)師3名，主要集中于兒童腎積水、隱睪、兒童泌尿系統(tǒng)畸形、兒童泌尿系統(tǒng)腫瘤、多指（趾）及體表腫物等兒童外科診治的主要病種的診斷及治療。在充分滿足臨床工作的基礎(chǔ)上，重視學(xué)科發(fā)展。在泌尿系感染、尿失禁治療等方面，科室經(jīng)治了大量患兒，積累了獨(dú)到的寶貴經(jīng)驗(yàn)，取得了滿意效果。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>新生兒外科專業(yè)組：</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">新生兒外科主要診治食管閉鎖、食管裂孔疝、先天性膈疝、腹裂、臍膨出、十二指腸閉鎖、環(huán)狀胰腺、幽門肥厚、先天性腸旋轉(zhuǎn)不良、腸道閉鎖、膽道閉鎖、先天性巨結(jié)腸、先天性肛門直腸畸形肛等。新生兒期疾病發(fā)病緊急，患兒體質(zhì)弱小，為方便患兒就診，專業(yè)每日均有專業(yè)人員門診出診，并與院內(nèi)相關(guān)科室之間有著良好的協(xié)作關(guān)系，可以確保危重患兒及時(shí)得到救治，對(duì)于產(chǎn)前發(fā)現(xiàn)的先天性畸形可以提供咨詢和指導(dǎo)，并開通產(chǎn)后治療的綠色通道，使患兒出生后能夠及時(shí)獲得有效的診治。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>兒童普胸、腫瘤專業(yè)組：</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">兒童普胸、腫瘤組是一支訓(xùn)練有素，經(jīng)驗(yàn)豐富，力量雄厚，醫(yī)術(shù)高超的優(yōu)秀醫(yī)護(hù)隊(duì)伍。涵蓋了（1）先天性肺囊性疾?。合忍煨苑螝獾阑?先天性囊性腺瘤樣畸形)、隔離肺、肺大皰等;（2）胸部腫瘤：縱隔腫瘤(神經(jīng)源性腫瘤、畸胎瘤、淋巴管瘤等)、胸壁腫瘤(原始神經(jīng)外胚層腫瘤、Askin/Ewing瘤等)、肺部腫瘤(胸膜肺母細(xì)胞瘤、炎性肌纖維母細(xì)胞瘤、肺轉(zhuǎn)移瘤等);（3）食管膈肌疾?。菏彻芰芽尊蕖⒑笸鈧?cè)膈疝、胸骨后疝、膈膨升、食管狹窄(氣管軟骨異位、賁門失馳緩癥、食管化學(xué)燒傷等);（4）其他：胸部外傷、膿胸、胸腔積液、氣胸等疾病。在科室負(fù)責(zé)人的主持下，成立了包括腫瘤切除、化療、放療、影像科、病理在內(nèi)的專家組，定期對(duì)難治性腫瘤患者進(jìn)行綜合會(huì)診。開展多學(xué)科綜合治療策略，將規(guī)范化和個(gè)體化治療相結(jié)合，為每一位患者提供最先進(jìn)，最合理，最有效的治療方案。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>南陽市中心醫(yī)院兒童外科的技術(shù)特色：</strong></span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>1.單孔腔鏡技術(shù)：</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">兒童單孔腔鏡技術(shù)是一種在標(biāo)準(zhǔn)腹腔鏡手術(shù)基礎(chǔ)上的革命性進(jìn)步，它利用腔鏡設(shè)備通過單一的微小切口進(jìn)入腹腔或盆腔進(jìn)行手術(shù)操作。這一技術(shù)最初在成人手術(shù)中得到應(yīng)用，但近年來，隨著技術(shù)的不斷成熟和經(jīng)驗(yàn)的積累國際及國內(nèi)頂尖的醫(yī)療專家開始將其應(yīng)用于兒童手中。兒童單孔腔鏡技術(shù)只需在臍部或身體其他隱蔽部位做一個(gè)小切口(通常1-2厘米)，顯著減少了手術(shù)創(chuàng)傷，術(shù)后恢復(fù)快，疼痛輕。滿足了家長和患兒對(duì)美觀性的需求。多項(xiàng)研究表明，兒童單孔腔鏡手術(shù)與傳統(tǒng)腹腔鏡手術(shù)在療效上是一致的，但具有更突出的微創(chuàng)性、安全性和美觀性。術(shù)后患兒恢復(fù)快，預(yù)后良好。隨著醫(yī)療水平的提高和人們對(duì)美的追求，越來越多的家長和患兒希望手術(shù)能夠既安全有效又美觀無痕。兒童單孔腔鏡技術(shù)正好滿足了這一需求，具有廣闊的市場前景。目前，我科已經(jīng)成熟掌握兒童單孔腔鏡技并在臨床上得到了廣泛應(yīng)用。也將成為兒童手術(shù)領(lǐng)域的重要治療手段之景。為更多患兒帶來福音。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>2.快速康復(fù)理念</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">加速康復(fù)外科(Enhanced Recovery After Surgery, ERAS)，也被稱為快通道外科，概念最早由丹麥外科醫(yī)師 Kehlet教授提出，即在循證醫(yī)學(xué)支持下，采取一系列多模式的措施優(yōu)化圍手術(shù)期管理，以達(dá)到阻斷和減輕機(jī)體應(yīng)激反應(yīng)的目的，最終實(shí)現(xiàn)快速康復(fù)、縮短住院時(shí)間、降低并發(fā)癥發(fā)生率，提升患者整體滿意度。ERAS成為了近些年臨床關(guān)注最多的熱門主題之一。在國家層面大力推崇日間手術(shù)的同時(shí)，采取多模式多元化圍手術(shù)期管理方案，包括術(shù)前宣教、術(shù)中麻醉精細(xì)管理、術(shù)后多模式鎮(zhèn)痛、積極預(yù)防相關(guān)并發(fā)癥、盡早的恢復(fù)飲食和運(yùn)動(dòng)等措施，減少術(shù)后并發(fā)癥、減少圍手術(shù)期不良反應(yīng)、促進(jìn)快速康復(fù)及改善患者預(yù)后都有重要意義，同時(shí)還可緩解我國醫(yī)療資源供需不平衡的矛盾。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>3.日間手術(shù)</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">日間手術(shù)概念最早由英格蘭兒科醫(yī)師 Nicoll提出，1995年國際日間手術(shù)協(xié)會(huì)成立（International Association for Ambulatory Surgery, IAAS），其定義日間手術(shù)為病人入院、手術(shù)和出院在一個(gè)工作日內(nèi)（24h）完成的診療模式，不包括門診手術(shù)。我國于2013年加入IAAS，成為第22個(gè)成員。據(jù)IAAS統(tǒng)計(jì)，在英國，日間手術(shù)占擇期手術(shù)比率已達(dá)85%，美國為80%左右，法國也在逐步增長，日間手術(shù)在歐美發(fā)達(dá)國家發(fā)展迅速。我國2015年成立了中國日間手術(shù)合作聯(lián)盟，也開始穩(wěn)步推進(jìn)日間手術(shù)的發(fā)展。中國日間手術(shù)聯(lián)盟定義日間手術(shù)為患者在一個(gè)工作日（24h）內(nèi)完成入院、手術(shù)和出院的一種手術(shù)模式（不包括門診手術(shù)），對(duì)于特殊病例由于病情需要延期住院的患者，住院最長時(shí)間不超48h。日間手術(shù)因其高效率、低成本、高質(zhì)量的住院模式得到國家大力推崇，也逐步受到人們的歡迎。2015年，國家衛(wèi)計(jì)委啟動(dòng)改善醫(yī)療服務(wù)計(jì)劃，明確提出逐步推行日間手術(shù)，日間手術(shù)進(jìn)入快速發(fā)展時(shí)期。</span></p> <p style="line-height: 2;"><span style="font-size: 24px;"><strong>4.無痛診療技術(shù)</strong></span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">無痛診療技術(shù)是一種運(yùn)用麻醉藥物及技術(shù)使患者在接受檢查或治療時(shí)能夠享受到無痛或低痛體驗(yàn)的醫(yī)療手段。其無痛診療技術(shù)是一種通過運(yùn)用麻醉藥物和技術(shù)，核心原理在于利用麻醉藥物抑制患者的疼痛感知，從而極大地提高患者的舒適度和滿意度。無痛診療技術(shù)由專業(yè)的麻醉醫(yī)生操作，根據(jù)患者的具體情況和診療需求，制定個(gè)性化的麻醉方案，確?；颊咴谡麄€(gè)過程中保持舒適和安靜。無痛診療技術(shù)已經(jīng)經(jīng)過多年的發(fā)展，技術(shù)非常成熟，并廣泛應(yīng)用于臨床。無論是無痛胃腸鏡、無痛人流、無痛分娩還是其他無痛檢查和治療，都取得了顯著的效果。無痛診療選用的麻醉藥物通常具有起效快、代謝快、體內(nèi)無蓄積、安全性高的特點(diǎn)。即使反復(fù)多次使用，也不會(huì)對(duì)患者的智力及記憶力產(chǎn)生負(fù)面影響。隨著人們生活水平的提高和醫(yī)療觀念的轉(zhuǎn)變，越來越多的患者希望在接受檢查或治療時(shí)能夠享受到舒適化醫(yī)療服務(wù)。無痛診療技術(shù)正好滿足了這一需求，有助于提高患者的滿意度和就醫(yī)體驗(yàn)。無痛診療技術(shù)具有顯著的先進(jìn)性和廣闊的臨床應(yīng)用前景。隨著醫(yī)學(xué)技術(shù)的不斷進(jìn)步和創(chuàng)新以及人們對(duì)舒適化醫(yī)療服務(wù)需求的不斷增加，無痛診療技術(shù)將在未來得到更加廣泛的應(yīng)用和發(fā)展。</span></p> <p style="text-indent: 2em; line-height: 2;"><span style="font-size: 24px;">科室將緊緊圍繞以“病人為中心”的醫(yī)療服務(wù)理念，把兒童外科學(xué)科建成高素質(zhì)人才培養(yǎng)、高水平科學(xué)研究、高技術(shù)成果轉(zhuǎn)化、高層次決策咨詢的重要基地，推動(dòng)豫西南小兒外科學(xué)術(shù)發(fā)展、提高醫(yī)療服務(wù)能力和醫(yī)療質(zhì)量，為南陽市及周邊地市患兒的健康保駕護(hù)航。</span></p> <p style="line-height: 2;"><strong><span style="font-size: 24px;"> </span><img style="display: block; margin-left: auto; margin-right: auto;" src="/upload/1/cms/content/editor/1738961484235.jpg" alt="" width="572" height="272" /></strong></p> <p style="text-align: center; line-height: 2;"><span style="color: #3598db; font-size: 16px;">科室醫(yī)護(hù)合照</span></p> <p style="text-align: center; line-height: 2;"><span style="font-size: 14px; color: #3598db;"><img src="/upload/1/cms/content/editor/1738961603476.jpg" alt="" width="553" height="311" /></span></p> <p style="text-align: center; line-height: 2;"><span style="font-size: 16px; color: #3598db;">新生兒術(shù)后查房</span></p> <p style="line-height: 2;"><img style="color: #3598db; font-size: 14px; text-align: center; display: 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