Introduction to the Department of Tiantan Hospital

Beijing Tiantan Hospital has a long history of neurosurgery, with a course of more than half a century. Neurosurgery has trained a number of famous experts and scholars at home and abroad, such as Academician Wang Zhongcheng, Zhao, Luo, professors and chief physicians. The department has gradually expanded from the initial three clinical professional groups to 13 with 400 beds. There are 23 doctors/kloc-0 in the neurosurgery center, of which 59% have senior professional titles and 64% have doctor or master degrees. At present, there are 6 doctoral tutors, 9 master tutors 1 person, postdoctoral mobile stations1person, 4 trained postdoctoral students1person, 37 doctoral students and 65438 master students1person. Nurses 146, with college degree or above accounting for 60%. Eight rising stars of science and technology in Beijing are conducting research on key topics. Adequate human resources, superb technical level and profound departmental culture have laid a solid foundation for the rapid development of neurosurgery.

As a national key discipline. The neurosurgery department of Tiantan Hospital performs more than 7,000 high, precise and sharp operations every year, which relieves the pain of a large number of patients and saves and prolongs their lives. Surgical treatment of brain stem space occupying lesions, spinal cord tumor's disease, cerebrovascular disease, skull base tumor, thalamus glioma, etc. Take the lead in the world. Surgical treatment of intracranial tumors, intracranial tumors, spinal cord tumor's disease, spinal diseases and pituitary tumors in children is leading in China and close to the international advanced level. On the basis of extensive microsurgery, we took the lead in establishing an international leading minimally invasive neurosurgery technology platform. Navigation surgery, endoscope-assisted surgery, stereotactic and deep microelectrode stimulation therapy, and surgical treatment of epilepsy are leading in China and close to the international advanced level. The mortality rate of brain tumor surgery was1.04%; The mortality rate of brain stem surgery was1.2%; The mortality of aneurysm is below 65438 0%. The dermatology department of Beijing Tiantan Hospital affiliated to Capital Medical University has a team with excellent medical skills and correct medical ethics, a spacious and comfortable medical environment, and a variety of treatment and examination methods. There are 8 general practitioners, chief physicians 1 person, 2 deputy chief physicians, attending physicians 1 person, residents 1 person, 2 nurses and technicians 1 person. Responsible for daily outpatient service, consultation inside and outside the hospital, teaching of the Fifth Clinical College of Capital Medical University and stomatology, and participating in clinical scientific research and health education.

This department has unique treatment methods for common skin diseases such as herpes zoster, acne, itching, neurodermatitis, psoriasis, eczema, vitiligo and onychomycosis. Relying on the powerful advantages of the Department of Neurology of Tiantan Hospital, there are many examination and treatment measures for dermatosis and herpes zoster neuralgia caused by abnormal skin nerve sensation. The Department of Neurology of Beijing Tiantan Hospital is one of the largest and most comprehensive departments in China and a national key discipline. During the Tenth Five-Year Plan and Eleventh Five-Year Plan, with the support of hospital leaders and the leadership of academic leader Professor Wang Yongjun, with the strong advantages of neurosurgery, neuroradiology and neurointervention in our hospital, we reorganized medical resources and strengthened the comprehensive, coordinated and sustainable development of medical treatment, scientific research, teaching and prevention and control, and became one of the neurology centers in Beijing and even the whole country. The neurology department of Tiantan Hospital has 230 beds, more than 800 daily outpatient (emergency) consultations and 5 wards. 1 Neurointensive care unit (NICU). Responsible for the diagnosis and treatment of a large number of common nervous system diseases in Beijing and the consultation, diagnosis and treatment of difficult and serious diseases in China.

During the Tenth Five-Year Plan period, the Department of Neurology paid attention to the construction of talent echelon, and gradually cultivated a group of high-level talents and business backbones with overseas experience, high academic qualifications and clinical research, which injected vitality and stamina into the discipline. In cerebrovascular diseases, nerve infection and immunity, peripheral nerve and muscle diseases, epilepsy, dyskinesia and other major nervous system diseases, it has formed a domestic first-class team. Neurology has not only excellent academic leaders, but also a well-structured talent echelon. General medical scientific research technicians 192, including 36 doctors and 2 masters 12. Professor (or full-time professional and technical position) 1 1 person, associate professor (or full-time professional and technical position) 29 people; The team of discipline talents is younger, mainly young and middle-aged. In this team, everyone has their own research direction while paying attention to the clinic, forming an obvious academic feature of combining clinical and scientific research.

Neurology is a doctoral and master's program in the Department of Neurology of Capital Medical University. In 2003, postdoctoral mobile stations were added. It is the national training base for attending physicians in neurology, the training base for resident physicians in neurology of Beijing Municipal Health Bureau, and the pilot unit for specialist training. Perennial undergraduate education in the Department of Medicine (including seven-year program), Department of Stomatology of Union Medical College (eight-year program) and Tsinghua University Medical College. It has trained and transported a large number of talents for the country and has become an important training base for neurology talents in China. Over the years, * * * has trained 7 postdoctoral students, 28 doctoral students, 89 master students, more than 80 residents and more than 800 senior doctors. 32 continuing education classes were held, with about 20,000 trainees. They are active in different medical posts all over the country and become the backbone of neurology in China. Undertake more than 20 national and ministerial scientific research projects. There are more than 30 municipal projects, and the total funds for scientific research projects reach more than 50 million yuan. He has published nearly 500 papers and more than 20 monographs (chief editor or deputy chief editor).

Neurology Department of Tiantan Hospital is the experimental base of national drug clinical trial institutions. * * * More than 60 people have obtained GCP qualification certification at home and abroad, and undertaken more than 30 international clinical trials 10 and domestic clinical trials.

200 1, funded by Beijing science and technology commission, the first international standardized stroke unit in China was established. The related publications "BNC Guidelines for the Treatment of Cerebrovascular Diseases" and "Stroke Unit" have been published one after another, which has aroused widespread concern at home and abroad. Many national projects have been included in the stroke unit plan, and have received more than 100 visits and studies from hospitals at all levels across the country, affecting the whole country. In the same year, Tiantan Hospital, based on neurology, integrated neuroimaging, neurointervention, vascular ultrasound, emergency department and other multidisciplinary resources, and took the lead in establishing an endovascular treatment center for cerebrovascular diseases in China. Over the past three years, stent angioplasty and its related research have attracted much attention and reached the international synchronous or leading level. In 2004, with the support of the Tenth Five-Year Plan of the Ministry of Science and Technology, a multidisciplinary and systematic green channel for acute cerebrovascular disease rescue was established on the platform of Beijing Cerebrovascular Disease Rescue and Treatment Center, which achieved good social impact and scientific research results. Other characteristic diagnosis and treatment centers include Beijing Epilepsy Center, Beijing Cerebrovascular Rehabilitation Center, Neuroscience Consultation Center of China Academy of Medical Sciences, and Beijing Neurodegenerative Disease Diagnosis and Treatment Center. At the same time 12 professional groups such as cerebrovascular disease, nervous system infection and immunity, peripheral neuropathy and myopathy, epilepsy, neuropsychiatry, nerve rehabilitation, head and face pain, Parkinson's disease and dyskinesia, cognitive impairment, hereditary metabolic disease, neurological intensive care, sleep disorder, etc. And on the basis of various professional groups, vigorously carry out the relevant basic laboratory work of scientific research. Cerebrovascular disease laboratory, neuroimmunology laboratory, clinical neuromuscular pathology laboratory, nerve rehabilitation laboratory, neuropsychology laboratory, clinical electrophysiology laboratory and other laboratories have begun to take shape, laying a framework and mechanism for the normalization and scientific development of departments. After years of discipline construction, the Department of Neurology of Beijing Tiantan Hospital has become a leading discipline in China and has a certain influence in the world. 1, personnel structure

Beijing Tiantan Hospital has 6 inspectors 1 person, including chief physician and professor 1 person, 6 deputy chief technicians, associate professor1person, 23 attending physicians and technicians, and 30 residents and technicians.

2. Business scope

Based on the tenet of "serving patients and clinical services", the Laboratory Department of Beijing Tiantan Hospital provides more than 300 testing services for patients and health checkups, mainly including:

1) Clinical examination: blood routine, urine routine, stool routine, cerebrospinal fluid routine, hydrothorax and ascites routine, etc.

2) Blood: coagulogram, DIC screening, thromboelastogram analysis, platelet function test, etc.

3) biochemistry: liver function, renal function, blood lipid, myocardial enzyme, serum protein electrophoresis, etc.

4) Infection immunity: detection of pathogen markers such as hepatitis A, hepatitis B, hepatitis C, syphilis, AIDS and cysticercosis;

5) Endocrine hormones: detection of pituitary hormones, thyroid hormones and gonadal hormones;

6) Special proteins: tumor marker detection, special protein detection, autoantibody detection, prenatal screening (Down syndrome), etc.

7) Microbes: bacterial culture and drug sensitivity test of blood, urine, stool, secretion and cerebrospinal fluid;

8) Special examination: lymphocyte subsets detection, HLA-B27 detection, cerebrospinal fluid protein electrophoresis, allergen screening, etc.

9) Detection of exfoliated cells: Liquid-based cytology (LCT) and amniotic fluid analysis of exfoliated cells in cervix.

10) molecular diagnosis: HBV DNA, HCV RNA detection, human papillomavirus -DNA typing, in situ hybridization (FISH), cytochrome P450 resistance gene detection, etc.

3. Department characteristics

The Laboratory Department of Beijing Tiantan Hospital is a comprehensive experimental diagnosis center integrating clinical examination, health investigation, health consultation, early warning of high-risk groups, preventive medicine, scientific research and development and teaching. It is a continuously developing clinical laboratory with the goal of "individualized diagnosis". It is the first batch of laboratories in China and the first laboratory in Beijing to pass the ISO 15 189 laboratory quality management system certification.

Since the ISO 17025 quality system was put into trial operation in 2002 and changed to ISO 15 189 quality system in 2004, the laboratory has established a quality system in line with international standards through the accreditation process of quality system, and the test results of accredited laboratory projects have been obtained by 1 17 international organization. At the same time, the laboratory also actively participated in the detection of glycosylated hemoglobin and autoantibodies and the international comparison of some biochemical projects, all of which were qualified. In 2006, the laboratory became the "Sino-US AIDS Prevention and Control Cooperation Project" Beijing AIDS Monitoring Sentinel and the Avian Influenza Network Laboratory of Beijing Center for Disease Control and Prevention, undertaking the initial screening of HIV, avian influenza and new influenza viruses.

The laboratory has a large-scale modular automatic biochemical analyzer, five types of blood cell analyzer that can analyze stem cells, urine sediment analyzer, automatic hemagglutination detection system, flow cytometry, automatic immunoassay system and automatic enzyme labeling system. At the same time, the laboratory has introduced advanced molecular biological detection equipment, such as high performance liquid chromatography, gel imaging system, gene chip instrument, suspension microarray detector, real-time fluorescence quantitative online nucleic acid amplification instrument, protein chip detector, chip spotter, cell culture system and so on. Combined with LIS system, a complete clinical detection platform, clinical protein evaluation platform, molecular diagnosis platform and cell analysis platform are formed, which provide complete facilities and detection items for individualized diagnosis and individualized medical treatment. Therefore, while providing patients with high-quality and multi-project testing services, the laboratory has also built a translational medicine system: metabonomics platform, gene testing platform, cell culture and testing platform, in-situ hybridization platform, chip research platform and sample bank platform, which provides a stage for clinical research. In addition, it has undertaken a number of scientific research projects inside and outside the hospital, including the national 973 and 863 projects, and has the emergency ability to deal with serious biological disasters. When SARS, avian influenza and influenza A were raging, our department was duty-bound to undertake the first-line detection task, which was rewarded and encouraged by the Municipal Health Bureau, the Municipal Party Committee and the State Council. During the SARS period, Premier Wen wrote an inscription for our report, which gave us great encouragement.

Beijing Tiantan Hospital is the teaching hospital of Capital Medical University. The experimental diagnosis center has teaching and research sections of "Experimental Diagnostics" and "Clinical Immunology", which undertake the teaching tasks of experimental diagnostics and clinical immunology for five-year and seven-year students majoring in clinical medicine and stomatology in Capital Medical University. At the same time, as the office of the Department of Clinical Inspection and Diagnosis of Capital Medical University, the laboratory undertakes a number of national, Beijing and school-level continuing education projects every year, including academic forums and online lectures. The number of participants in the continuing education project undertaken by the laboratory is nearly ten thousand.

The Laboratory Department of Beijing Tiantan Hospital is the office of the Department of Clinical Laboratory Diagnosis of Capital Medical University, and it is the training center for doctoral and master students in clinical laboratory diagnosis of Capital Medical University. Up to now, more than one doctor 10 has been trained, and hundreds of articles have been published in core journals at home and abroad, including many articles included in SCI; Editor-in-chief of more than ten books such as Clinical protein Electrophoresis, Experimental Diagnostics and Clinical Immunology.

With the joint efforts of all the staff, the laboratory of Beijing Tiantan Hospital has made continuous achievements in medicine, teaching, research and prevention, established a good image among its peers, opened its popularity and established its brand, and became a well-known clinical medical laboratory in China. Beijing Tiantan Hospital affiliated to Capital Medical University is a well-known comprehensive hospital focusing on neuroscience in China. Anesthesiology Department was established in 1982, with Professor Wang Enzhen and Professor Wang Baoguo as the directors successively. At present, Professor Han Ruquan is the director and Professor Li Shuqin is the deputy director. After several generations' unremitting efforts, the department of anesthesiology has gradually formed a distinctive departmental feature, mainly neurosurgical anesthesia, and clinical, scientific research and teaching complement each other, occupying an important position in the field of neurosurgical anesthesia at home and abroad.

The Anesthesiology Department of Beijing Tiantan Hospital is responsible for anesthesia in operating room, outpatient surgery, radiation interventional surgery, intensive care and pain diagnosis and treatment. At present, there are 34 fully functional operating rooms, including 24 central operating rooms, 3 interventional treatment rooms, 2 outpatient operating rooms, gastrointestinal endoscopy room 1 room, and 4 neurosurgery operating rooms outside the hospital. In addition, there are post-anesthesia recovery room (PACU) and anesthesia pain clinic. In 2008, the number of operations reached 14755 cases, including 7700 cases of neurosurgical anesthesia, 500 cases of neurointerventional anesthesia 1500 cases and 3500 cases of pain diagnosis and treatment.

According to the characteristics of this specialty, the Anesthesiology Department of Beijing Tiantan Hospital has made a series of progress and achievements in neurosurgery, neuroimaging, neurointerventional therapy, neuroelectrophysiology and so on. It is the first in the field of anesthesiology in China to apply intraoperative wake-up technique to tumor resection in brain functional areas, and nearly 300 cases have been completed. At the same time, nearly 7,000 cases of intraoperative neuroelectrophysiological monitoring anesthesia management and nearly 10,000 cases of neurointerventional anesthesia were successfully implemented, which achieved good social benefits. In addition, the Department of Anesthesiology has also carried out postoperative analgesia, painless induced abortion, painless gastrointestinal endoscopy, radio frequency treatment of chronic pain and other projects to provide patients with a full range of professional services, some of which are at the international leading level.

There are 62 staff members in the Department of Anesthesiology, including 3 chief physicians, 3 deputy chief physicians 10, 22 attending physicians, 2 senior residents1person and 6 anesthesia assistants. There are 12 doctors and 23 masters in the comprehensive department. The whole department is young and highly educated, and it is a vigorous, positive and innovative medical team.

Scientific research is the lifeblood of the continuous development and sustainable development of the department. Since its establishment, the Department has published more than 330 articles and many books in professional journals at home and abroad. Anesthesiology has made great progress in the field of scientific research, including 1 National Key Basic Research and Development Plan (973 Project), 1 National Natural Science Foundation, 1 Scientific Research Start-up Fund for Returned Students from the Ministry of Education, 1 Beijing Science and Technology Rising Star Project, 1 China Postdoctoral Fund Project, and Outstanding Talents Project of the Organization Department of Beijing Municipal Committee. In the past 2008, I attended 5 international academic conferences (ASA selected 6 articles) and 29 national conferences, and exchanged 265,438+0 papers. He published 27 papers and 3 SCI papers in professional core journals, and also organized the compilation of monograph 1 department and 4 works.

The Department of Anesthesiology attaches great importance to academic exchanges at home and abroad, and held the first national neurosurgical anesthesia conference on 199 1. Since 200 1, the national continuing education project-neurosurgical anesthesia and brain protection class (seminar) has been held for six times, aiming at introducing the development trends, new concepts and new technologies of neurosurgical anesthesia and related disciplines at home and abroad to domestic anesthesiologists, improving the technical level of neurosurgical anesthesia in various regions and promoting the development of neurosurgical anesthesia in China. In 2008, the first Asian conference on neurosurgery anesthesia and critical care attracted more than 500 anesthesiologists from China, the United States, Japan, South Korea, India, Indonesia, Singapore and other countries, and three professors from the Department of Anesthesiology of Stanford University School of Medicine were invited to attend and give lectures. Through a series of academic exchange activities, we have gradually established a distinctive Tiantan brand in the field of neurosurgery anesthesia.

In 2002, the Anesthesiology Department of Beijing Tiantan Hospital became one of the first standardized training bases for specialists in Beijing. Based on the basic training framework of clinical anesthesia, intensive care and pain research, a complete training system for specialists has been established with the help of strong teachers and rich clinical resources.

In postgraduate training, there are postdoctoral mobile stations, 1 doctoral program, 4 postgraduate tutors, 2 postdoctoral students, 13 doctoral students and 43 graduate students, which continuously inject fresh blood into the high, precise and cutting-edge development of this discipline.

All the staff of anesthesia department of Beijing Tiantan Hospital will adhere to the principle of "strengthening characteristics and developing in a balanced way; The basic principle of "setting up a department in clinic and promoting the department through scientific research" is that clinic, scientific research and teaching go hand in hand, pioneering and innovative, and making positive progress to fully promote the development of neurosurgery anesthesia in China. Since the founding of Academician Wang Zhongcheng, especially under the leadership of Dean Dai Jianping, the Neuroimaging Center of Tiantan Hospital affiliated to Capital Medical University has gradually built a modern department with advanced equipment, medical characteristics and academic achievements. 1998 was approved as a doctoral degree authorized discipline and postdoctoral mobile station, which is the largest center specializing in neuroimaging research and diagnosis and treatment in China.

Advanced diagnosis and treatment equipment: the neuroimaging center has 4 magnetic resonance imaging systems, 3 CT machines, 3 DSA equipment, 1 ECT machine and 1 Doppler color Doppler ultrasound instrument; Imaging equipment and related post-processing software have always been in a leading position in China, basically keeping pace with foreign countries. In addition, the neuroimaging center also has the most advanced digital PACS system in China, which significantly improves the quality of image preservation and better serves the clinic.

Strong technical force: there are 5 professors, chief physicians, 3 deputy chief physicians, 2 doctoral supervisors and 3 master supervisors. There are 4 doctors and 5 masters in the neuroimaging center. Most students have professional knowledge. Dean and Professor Gao, academic leaders, have made great achievements in neuroimaging research, and are known as "divine eyes". Their diagnosis results are called "preoperative pathological diagnosis" in clinic.

The medical characteristics are obvious: the neuroimaging center takes the lead in introducing the domestic advanced management system, adopts the "cross" mode in administrative management, and vertically manages the technology and nurses according to equipment groups; Doctors adopt the system of horizontal grouping and regular rotation. This management model has greatly promoted the discipline construction and gradually created our own medical characteristics. The leading position of neurosurgery in Beijing Tiantan Hospital has laid a solid foundation for the development of neuroimaging. At the same time, the rapid development of neuroimaging also strongly supports the development of clinical, scientific research and teaching work of neurosurgery. Includes the following aspects:

The research project of acupuncture and moxibustion functional magnetic resonance imaging led by Dean Dai Jianping is at the international leading level.

It is in an international leading position in the research of preventive diagnosis and early diagnosis of nervous system diseases, especially cerebrovascular diseases. ① The brain CT perfusion software developed by Professor Gao is being popularized and applied in China, and its image quality and parameter standard are obviously superior to the software processing system of foreign CT scanners and the products developed by relevant domestic medical software companies; ② Professor Gao advanced the diagnosis of cerebral infarction to pre-cerebral infarction, and his research results were earlier than those of similar studies abroad. Through CT perfusion scanning, a large number of patients with pre-cerebral infarction were found in the early stage, so that these patients were treated in time, saving a lot of medical expenses and reducing the burden on society and families, which was unanimously recognized by neurologists and neurologists in Tiantan Hospital. ③CT perfusion scanning has been classified as routine scanning, which has become the main basis for pre-diagnosis and post-treatment efficacy evaluation of neurointerventional therapy; ④ Professor Gao attaches importance to the prevention and diagnosis of cerebral infarction. The department is developing and studying the measurement of cerebral blood flow velocity and blood flow state and the imaging of cerebral vascular elasticity. Phantom imaging has been completed and is in the leading position in the world. It is expected that this study will advance the diagnosis of cerebrovascular diseases by several years.

In the diagnosis and differential diagnosis of brain tumors, it has established a leading position in Beijing and even the whole country: ① it has advanced imaging equipment and means to diagnose and complete neurological imaging and a high-quality technical team; ② The correct rate of diagnosis is obviously higher than that of similar hospitals. As long as the patient cooperates, the diagnosis can be made. ③ More and more patients come to see a doctor from all over the country; ④ Cooperate with GE and Simens to develop the most advanced diagnosis and treatment methods and technologies, and locate preoperative functional areas and select surgical approaches for patients with brain tumors through magnetic resonance imaging.

Molecular imaging research is also at the first-class level in China: ① labeling and cell imaging of magnetic contrast agents and neural stem cells can be successfully completed; ② Observe the migration and distribution of neural stem cells in animal brain tissue with clinical magnetic resonance apparatus.

There are many achievements in science and education: the scientific research projects undertaken by the first person in charge of this discipline include: the eighth five-year plan national key project 1, the ninth five-year plan national key project 1, the tenth five-year plan national key project 1, the National Natural Science Foundation of China 1, 2 general projects and 6 Beijing Natural Science Foundation. Registered national achievements 1 item, third prize of Chinese medical science and technology 1 item, third prize of scientific and technological progress of Ministry of Health 1 item, third prize of Beijing scientific and technological progress1item, five first prizes of Beijing Municipal Health Bureau and second prizes of Beijing Municipal Health Bureau. There are 302 papers published in this discipline, including Chinese serial journals 165, English Chinese medical journals 5, foreign journals 5 (including AJNR, Radiology, international journal of neuroradiology) and others 127. Undergraduate doctors and graduate students have participated in many foreign academic conferences, and the department sends young doctors abroad to exchange and study every year. Editor-in-chief published 9 books and participated in 18 books. Our department has also hosted many large-scale academic conferences, including 1 international radiology conference, Asia-Pacific international interventional radiology conference, 13 international neuroradiology conference, etc. National academic conferences include the 8th National Radiology Congress of Chinese Medical Association, 10, 12, the 65438th National Radiology (English) Congress for Young and Middle-aged People, the 65438th National Radiology Congress of Chinese Radiology Society +0, 2 and 3, and the 65438th National Radiology Congress +0, 2. At the same time, national classes have been held many times, and more than 500 senior doctors have been trained all over the country.

Looking forward to the 2 1 century, all medical technicians in the Neuroimaging Center of Tiantan Hospital affiliated to Capital Medical University will work together with Qi Xin, and under the leadership of Dean Dai Jianping, forge ahead and innovate constantly, so as to make the discipline construction reach a new level and strive to achieve the following three transformation goals and become an excellent discipline with a certain international reputation.

The key to discipline construction is to realize three changes, namely, from morphological research based on anatomy to functional research based on pathophysiology; From the knowledge structure of anatomy, clinical medicine, physics and electronics to the knowledge structure of pathophysiology, biochemistry and computer application; From personnel structure with doctors and technicians as the main body to personnel structure with doctors and biomedical engineers as the main body.

Discipline construction goal: to build the neuroimaging center into a discipline with stable academic research direction, such as functional/molecular imaging, medical image post-processing /CAD, neurointerventional radiology, evidence-based medical imaging, etc., with the focus and characteristics on the study of cerebrovascular diseases, brain tumors and central nervous system interventional radiology; Build it into a base for scientific research and training high-level practical talents in the above-mentioned related fields.

The disciplines of neuroimaging center are:

"Naturally, its benefits are not good; The way to benefit is to keep pace with the times. "