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来源: 吐鲁番市人民医院/TLFS-RMYY
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烟酸缺乏症又称糙皮病,是因烟酸类维生素缺乏,临床以皮炎、舌炎、肠炎、精神异常及周围神经炎为特征的疾病。

治疗前后对比

入院情况

 4月10日,吐鲁番市人民医院内分泌风湿免疫科收治了一名

从急诊科平车转入的型糖尿病并烟酸缺乏症的女性患者。该患者以“发现糖尿病4月余,乏力、厌食,伴四肢红斑,破溃一月”为主诉入院,入院时四肢无力、意识不清,查体可见患者四肢皮肤对称性变黑色素沉着,伴出现红斑、皮肤硬结、多处可见线性皮肤破裂。

治疗进行时

烟酸缺乏症在临床中较为少见,且患者入院时合并有严重的高钠,高氯血症,病情危重,内分泌风湿免疫科医护人员对此患者极为重视。居来提·木特力甫主任综合分析患者病情后,制定了合适的诊治方案,并根据每天查房及时调整治疗方案,并组织进行了疑难病例讨论。患者管床医师司马义·玉拉音及时将病情及治疗方案告知患者家属,耐心解答各种疑问。护理人员热心地对患者家属进行相关知识宣传,叮嘱患者在饮食、生活上需注意的事项。医护人员细心的沟通、优质的服务让患者家属对其病情有了充分了解,树立起了乐观治疗的信心,经过科室医护团队精心治疗和细致护理,患者治疗情况良好。

医护协作

 对于这种罕见的病历,吐鲁番市人民医院医疗专家们曾多次对该病例在治疗、护理方面进行深入的讨论......

      与以往的会诊不同的是体现了多学科、医护的整体联动。查房及讨论过程中,气氛活跃。各学科专家对存在的医疗、护理问题均给予了详细的分析,同时,对患者治疗的过程中存在的潜在并发症给出的专科性的意见,在更好的对策实施后让患者受益。

后记:

在纽约东北部的撒拉纳克湖畔的特鲁多医生的墓志铭,中文翻译简洁而富有哲理:有时是治愈;常常是帮助;总是去安慰。未来的日子,相信吐鲁番市人民医院医护团队会将优质医疗服务工作做的更加出色!

内分泌风湿免疫科


内分泌风湿免疫科是吐鲁番市人民医院重点科室之一。科室现编制床位50张,现有主任医师2人,主治医师1人,住院医师5人。科内技术骨干曾先后到北京同仁医院、中南大学湘雅医院、自治区人民医院、新疆医科大学第一附属医院等疆内外各大知名医院进修学习。

科室配备有美国美敦力712型胰岛素泵,雷兰动态葡萄糖监测系统、糖尿病下肢血管及神经(糖尿病足)检测仪,心电监护仪,血糖仪等先进设备。


内分泌疾病诊治范围:

糖尿病,高血压病(继发性),血脂异常和脂蛋白异常血症,肥胖症,高尿酸血症及痛风,甲状腺肿,甲状腺功能亢进症,甲状腺功能减退症,甲状腺炎,甲状腺结节,妊娠期甲状腺疾病,原发性甲状旁腺功能亢进症,甲状旁腺功能减退症,垂体瘤,巨人症和肢端肥大症,腺垂体功能减退症,生长激素缺乏性侏儒症,尿崩症,抗利尿激素分泌失调综合征,库欣综合征,原发性醛固酮增多症,原发性慢性肾上腺皮质功能减退症,多发性内分泌腺瘤病等。

      风湿疾病诊治范围:

风湿热,类风湿关节炎,骨关节炎,骨质疏松症,系统性红斑狼疮,脊柱关节炎,干燥综合征,原发性血管炎,特发性炎症性疾病,系统性硬化病,雷诺病,纤维肌痛综合征等。

1
学科带头人

吐鲁番市人民医院(原地区中心医院)是吐鲁番市唯一的一所三级甲等综合医院,是吐鲁番市120医疗紧急救援中心和湖南省医疗人才“组团式”援疆对口支援医院。医院现地址:吐鲁番市新能源示范区库木塔格西路与博格达北路交叉口东北侧(医院大门自交叉路口东行100米)。206路公交车市医院站,208路公交车阳光园二区站下车东行150米。

撰文:阿依加玛丽·克热木

修稿、编辑:花慧娟


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