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Nodus and strategy of medical administration existing in the radiology department of the hospital for infectious diseases
[Abstract] Radiology Department is a clinical department with rapid development and occupying a very important position in the medical field, it possesses various items of modernized equipments including CR; DR; CT; PACS systems etc. (occupying generally 40-60% of the fixed assets of the hospital) as well as merging both modernized installations and high-technologies into an organic whole. A radiology department in a hospital is required to possess several specific characters composed of: requirements to a high consciousness in offering protection to its working staff; rapid renewal in knowledge; adequate and complete grasp and mastering of new technologies as well as high qualities of the fundamental equipments. Therefore, special attention should be paid to a double awareness of protecting against X ray radiation and the infectious diseases as well as elevation of the professional qualities of the medical staff reinforced by enlarging amount of investment for the installations in order to raise qualities of clinical examinations and diagnoses to their uppermost extent to satisfy demands of the patients suffering from infectious diseases; meanwhile digitalization and establishment of network systematization should be emphasized as well in order to safeguard normal operation of all the installations.
[Keywords] Administration of the Radiology department; Modernized equipments; Infectious disease; Consciousness of protection
自从1895年伦琴发现X线至今100多年的时间里，医院放射科己经有巨大的发展,从单一的X线机发展到今天拥有CT、MRI、DSA、PET、PET/CT、SPECT、超声技术等多种综合技术为一体的现代化的影像科室[1]。放射科的职能也由原先的临床影像诊断，发展到现在的融诊断与介入治疗为一体的临床科室。可以肯定地说，影像科的医务工作者在充分利用现代化的影像设备为广大患者进行检查和诊断的同时，还利用现代化设备开辟了一个崭新的医学领域----介入治疗[2]，这是一个全新的临床科室，在20多年的发展里程中取得了辉煌的成绩，在当今医学领域发挥了巨大作用。然而传染病医院的放射科除经历着上述变革和发展之外，还有着其发展过程中的特殊性和难点等问题，愿在此与同道们探讨。
一、 传染病医院放射科的特殊性
与现代化的综合医院放射科一样，放射科的共同特点是，高档设备较多，例如X光机、CR、DR，CT、DSA、MRI、PET/CT等等。这些设备少则几十万，多则几千万，一般占医院固定资产的40-60%。医院及患者均寄希望高档设备能发挥人们所期望的关键作用，为早期明确诊断提供依据。此外放射科的另一共同特点是医务工作者承担着使用现代化设备对病人进行检查和诊断的同时，还承担着临床治疗工作。介入治疗已成为许多疾病的一种重要的有些甚至是唯一的治疗方法。例如肺结核大咯血，内科治疗往往效果不满意；外科手术治疗又因肺结核是传染病，出血部位不明确等原因，给手术造成了相当难度；通过介入治疗，找到出血的支气管动脉，进行栓塞治疗，可达到立即止血的目的，效果非常满意。还有如晚期肝癌，手术切除困难，肝癌对放射治疗和化疗又不敏感，通过介入治疗，将肿痛血管栓塞，造成肿瘤缺血坏死，达到治疗的目的。由此可见，现代化的放射科不仅能为临床医生提供重要的诊断信息，更主要的是它已经成为与内科、外科等一样的临床治疗科室。
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