Department of Hepatology
Beijing Ditan Hospital is a third-level infectious disease specialist hospital. Since hepatitis patients account for about 90% of patients with infectious diseases, Beijing Ditan Hospital has been The hospital has accumulated rich experience in the diagnosis and treatment of liver diseases and has trained many well-known experts. Its level of diagnosis and treatment of liver diseases ranks among the best in the country. Scope of treatment: Acute hepatitis includes various infectious viral hepatitis types A, B, C, D, and E, liver damage caused by hepatotropic viruses such as Epstein-Barr virus and cytomegalovirus, and liver damage caused by alcohol and drugs; Chronic hepatitis includes chronic hepatitis B, chronic hepatitis C, chronic CMV infection, fatty liver and autoimmune hepatitis; rescue for severe hepatitis includes: acute and chronic liver failure caused by viruses, drugs, pregnancy, etc.; upper gastrointestinal bleeding A treatment system that combines internal medicine, surgery, and minimally invasive surgery has been formed in the treatment of liver cirrhosis complications such as liver cirrhosis and ascites; it has established its own diagnosis and treatment standards in the treatment of liver cirrhosis complications such as abdominal infection, hepatic encephalopathy, and hepatorenal syndrome; in order to To allow patients with early, intermediate and late stages of liver cancer to receive the most appropriate treatment, we have established a clinical diagnosis and treatment path that combines internal medicine, surgery, and minimally invasive surgery; we have also accumulated rich experience in the diagnosis and treatment of various difficult hepatobiliary diseases such as undiagnosed jaundice. .
Great achievements have been made in the diagnosis, classification and treatment of various types of hepatitis. It was first proposed in China that the combined use of thymosin and other immunomodulatory therapies on the basis of comprehensive treatment for chronic hepatitis B and severe hepatitis has achieved good results in improving liver function, reducing infection rates, and increasing survival rates. It is still used today and has been widely adopted in China. , becoming one of the three major treatments for hepatitis. It was the first in China to study the use of interleukin-2 to make its own LAK cells and infuse them to treat hepatitis B, and achieved certain results. Domestic interferon α1 was first used to treat hepatitis C in China. It was found that the antiviral effect was good in the acute phase and the cure rate was high. The idea of ??early treatment was put forward. It was the first in China to test for hepatitis G on liver disease patients with negative etiology, and collaborated with five institutes of the Academy of Military Medical Sciences to study the hepatitis G gene series, which has been included in the U.S. gene bank. He has conducted in-depth research on the clinical characteristics of various types of hepatitis and superinfection. He can guide clinical treatment and scientific research based on quantitative detection of hepatitis B virus (HBVDNA) and hepatitis C (HCV) genotyping, and has undertaken the National Seventh Five-Year Plan. , 8th Five-Year Plan, and 9th Five-Year Plan Hepatitis Research Project. A large amount of clinical experience has been summarized in the treatment of hepatitis B and C with interferon and the treatment of hepatitis B with new nucleoside drugs such as lamivudine. Our hospital is a nationally designated research base for new drugs for liver diseases. It participates in the research and verification of various new drugs for the treatment of hepatitis B and hepatitis C at home and abroad. Some new drugs for the treatment of liver diseases, such as long-acting interferon, lamivudine, adefovir, and entecavir and tabivudine were verified in our hospital. Our hospital has the latest information on the treatment of hepatitis B and hepatitis C, understands the latest treatment methods, and has rich experience in antiviral treatment.
On the one hand, the Department of Hepatitis Medicine is involved in the diagnosis and treatment of severe hepatitis and its complications, the diagnosis and treatment of liver fibrosis and portal hypertension, the diagnosis and treatment of difficult cases, hepatitis combined with diabetes, and the treatment of liver diseases with integrated traditional Chinese and Western medicine. All have reached the domestic leading level; on the other hand, in order to better control hepatitis B and provide a series of lifelong services for hepatitis B patients, we have expanded the original concept of "disease treatment" into a new concept of "disease management". A hepatitis B outpatient clinic for hepatitis B virus carriers has been established, and a database has been established for lifelong regular monitoring, consultation, management and appropriate treatment of chronically infected patients with hepatitis B virus. In order to further improve the level of diagnosis and treatment, several hepatitis wards are ensuring On the premise of obtaining first-class treatment for liver diseases, each department has also established its own characteristics according to the needs of patients. The first department of hepatitis is characterized by endoscopy, the second department of hepatitis is characterized by fatty liver, and the third department of hepatitis is characterized by acute and chronic liver disease. It features minimally invasive treatment of functional failure and tumors, the four departments of hepatitis feature the management of hepatitis B virus carriers, the comprehensive department features diabetes, and the department of integrated traditional Chinese and Western medicine features the treatment of integrated traditional Chinese and Western medicine. The ICU ward of the hospital has a central The monitoring system and bed unit video surveillance system provide comprehensive real-time monitoring and rescue of critically ill patients with severe hepatitis, liver disease complications and liver transplantation. The hospital dialysis room provides dialysis treatment for kidney disease patients with hepatitis.
The Department of Obstetrics and Gynecology is responsible for gynecology, obstetric delivery, family planning and obstetrics and gynecology surgeries for patients with hepatitis, especially in the prevention of mother-to-child transmission of neonatal hepatitis B. It has rich experience and skillful skills.
The First Department of Infectious Diseases
The First Department of Infectious Diseases of Beijing Ditan Hospital was originally the third ward of Beijing Ditan Hospital and mainly treated various infectious diseases. In 2004, Ditan Hospital established an infection center, and the three wards were changed to the first department of the infection center, referred to as the first department of infection. The Department of Infectious Diseases has 40 beds and 30 medical staff, including 2 chief physicians, 2 deputy chief physicians, and 2 attending physicians. The Department of Infectious Diseases treats various respiratory infectious diseases, digestive tract infectious diseases, nervous system infectious diseases and various natural foci of infectious diseases. In the diagnosis and differential diagnosis of various infectious diseases, especially fever, diarrhea and We have accumulated rich experience in undiagnosed rashes, undiagnosed jaundice and central nervous system infections; we have extensive experience in the rescue and treatment of severe infectious diseases, such as fulminant meningococcal meningitis, Japanese encephalitis, severe epidemic hemorrhagic fever, falciparum malaria, SARS and other infectious diseases. He has rich experience and high level of nursing.
We continue to absorb advanced experience at home and abroad, actively develop new technologies and treatments, and continuously improve our ability to solve clinical problems and improve our medical level. The people infected with infectious diseases are mainly migrant workers, farmers, students and other vulnerable groups with poor economic conditions. The Department of Infectious Diseases insists on being patient-centered and puts social benefits first, and has won praise and recognition from all walks of life.
While the Department of Infectious Diseases is responsible for the treatment of acute infectious diseases in Beijing, it is also responsible for the teaching and internship of infectious diseases at Peking University Medical School, the training of infectious disease specialists across the country, and the training of young doctors in this hospital. Clinical teaching tasks for infectious diseases and training tasks for major infectious diseases in Beijing. The department has a bronchoscopy diagnosis center and ranks among the top in the country in the diagnosis and treatment of respiratory infectious diseases.
As the main hospital for the treatment of acute infectious diseases in Beijing, the Department of Infectious Diseases has participated in the formulation of major infectious disease plans by the Ministry of Health and Beijing for many times, and is responsible for the national and Beijing infectious disease epidemic prevention and control. disposal. It has successfully completed the containment tasks of sudden infectious diseases in Beijing many times.
Over the years, the department has also undertaken a number of national and Beijing projects and completed a number of scientific research tasks. Currently, there are 5 unfinished national and Beijing projects. He has published more than 70 academic papers, edited 3 academic monographs, 5 popular science books, and 4 infectious disease textbooks. Won one second prize of the Chinese Medical Achievement Award, one first prize and one third prize of the Beijing Municipal Science and Technology Achievements Award, and one second prize of the Beijing Municipal Health Bureau’s Scientific and Technological Achievements Award.
Integrated Traditional Chinese and Western Medicine Department
Department development history: The Department of Integrated Traditional Chinese and Western Medicine at Beijing Ditan Hospital has been officially established for more than 30 years. In response to the national government’s call for integrated traditional Chinese and Western medicine to treat infectious diseases, Integrated traditional Chinese and Western medicine has been used in the treatment of various infectious diseases such as Japanese encephalitis, measles, pneumonia, and hepatitis. It has not only trained and created a large number of infectious disease specialists, but also accumulated rich experience in the treatment of infectious diseases using integrated traditional Chinese and Western medicine. experience. Cui Zhenyu, an infectious disease expert in our hospital and a member of the State Council's Infectious Disease Expert Group, has collaborated with veteran Chinese medicine practitioners such as Yue Meizhong and Pu Fuzhou to study and treat epidemic Japanese encephalitis in Beijing, Shijiazhuang and other places, and has gained successful experience; Ma Zhiyi, a veteran Chinese medicine practitioner in our hospital, is in charge He has left valuable experience in pediatric respiratory infections and measles pneumonia; Professor Xu Daozhen has been serving as a consultant to the National Professional Committee on Traditional Chinese Medicine for Liver Disease, and was a member of the Beijing Professional Committee on Integrated Traditional Chinese and Western Medicine for Liver Disease. Su Sheng et al. have studied the correlation between cAMP, cGMP and yin and yang of traditional Chinese medicine; Shi Jingyu has carried out successful clinical research on the anti-liver fibrosis of traditional Chinese medicine; Bai Yuliang has done in-depth research on the relationship between traditional Chinese medicine syndrome differentiation and liver tissue pathological manifestations; Wang Rongbing et al. A series of studies were conducted on the relationship between microcirculatory disorders and qi stagnation and blood stasis in liver disease with hypergammaglobulinemia, as well as on the treatment of promoting blood circulation and removing blood stasis. When SARS struck Beijing in 2003, all medical staff in the Department of Integrated Traditional Chinese and Western Medicine devoted themselves to the fight against SARS and made outstanding contributions. After more than 30 years of training, the Department of Integrated Traditional Chinese and Western Medicine has become an increasingly mature and energetic infectious disease medical team, integrating medical care, teaching, and scientific research, and is always ready to meet the challenges of the new century. New Milestone in Discipline Construction: In 2003, because Beijing Ditan Hospital played an important role in fighting emergencies of major infectious diseases, the Beijing Municipal Administration of Traditional Chinese Medicine organized an expert group to conduct demonstrations and approved Ditan Hospital to become the Beijing Municipal Administration of Traditional Chinese Medicine’s focus on integrated traditional Chinese and Western medicine for infectious diseases. Discipline construction unit. Since then, the work of integrating traditional Chinese and Western medicine in Ditan Hospital has made great progress. The overall goal of the construction of key disciplines of integrated traditional Chinese and Western medicine for infectious diseases is to improve the clinical efficacy of traditional Chinese medicine in the treatment of infectious diseases as the core, promote the academic development of infectious diseases, and integrate the expertise of infectious disease experts of traditional Chinese and Western medicine inside and outside the hospital, and work with collaborative units to Cultivate and build a clinical scientific research team for integrated traditional Chinese and Western medicine for infectious diseases, and form a Beijing integrated traditional Chinese and Western medicine infectious disease treatment, teaching, scientific research platform and treatment center.
Current status of the discipline: With the strong support of superior departments, the discipline of Integrated Traditional Chinese and Western Medicine has continued to grow and develop, and has formed a good talent echelon, with three chief physicians, three deputy chief physicians, and two attending physicians. , 4 residents, including 2 with doctorate degrees and 6 with master's degrees. He has extensively carried out clinical and scientific research work on the treatment of liver disease and AIDS using integrated traditional Chinese and Western medicine, and participated in the formulation of the TCM prevention and treatment plan for avian influenza by the Ministry of Health. A variety of unique treatment options for liver disease and its complications have been initially formed. The department undertakes 4 Beijing municipal-level projects. Participated in 1 national “Tenth Five-Year Plan” research project and 1 national “973” project. On average, more than 10 papers are published every year. *** participated in the preparation of more than ten medical books. Health knowledge about liver disease has been popularized in many important media such as CCTV, Beijing People's Broadcasting and Television Station, Health News, and China Traditional Chinese Medicine News.
Medical work:
The Department of Integrated Traditional Chinese and Western Medicine is divided into outpatient clinics and wards. It mainly treats liver diseases, followed by respiratory diseases and AIDS. Except for hepatitis, SARS, and AIDS, all other diseases are treated in a consultation manner. There are currently 53 liver disease beds, with a utilization rate of 70%-100%, and more than 600 patients are admitted annually. There are Chinese medicine and integrated Chinese and Western medicine outpatient clinics every day. The liver disease ward treats viral hepatitis, cirrhosis, liver cancer, autoimmune liver disease, drug-induced hepatitis, fatty liver disease, etc. of various causes. It features the combination of traditional Chinese and Western medicine and syndrome differentiation treatment. The medical staff have won praise and trust from the majority of patients with their "exquisite medical technology, enthusiastic service attitude, and rigorous work style".
Scientific research work:
On the basis of good clinical work, the Department of Integrated Traditional Chinese and Western Medicine vigorously carries out scientific research work to promote clinical practice through scientific research. There are 8 national, provincial and municipal scientific research projects under research, 2 self-designed projects, several new drug trials in progress, and sufficient scientific research funds. Main research directions:
1. Integrated traditional Chinese and Western medicine to treat various types of viral hepatitis, integrated traditional Chinese and Western medicine to treat severe liver disease, integrated traditional Chinese and Western medicine to block precancerous lesions, immunological characteristics of chronic hepatitis and traditional Chinese medicine entry point for treatment. Traditional Chinese medicine treats autoimmune liver disease, metabolic syndrome liver disease, post-transplant liver disease, drug-induced liver disease, etc.
2. Evaluation of the efficacy of traditional Chinese medicine in the treatment of AIDS, research on treatment mechanisms, research on entry points and solutions for the treatment of AIDS with traditional Chinese medicine, observation of how traditional Chinese medicine improves the quality of life of AIDS patients, etc.
3. Formulation of TCM contingency plans for major infectious diseases
Teaching work:
The undergraduate department has been responsible for the teaching of students from the Department of Medical Care and the Department of Preventive Medicine at Peking University School of Medicine for many years. Apprenticeships and internships. One person won the Excellence Award in the young teacher lecture competition organized by Peking University Medical School. In 2006, it officially became the preventive medicine teaching base of Beijing University of Chinese Medicine. It is responsible for the teaching and internship of infectious diseases for undergraduate students of Beijing University of Chinese Medicine. It has been responsible for the teaching of infectious diseases at the School of Traditional Chinese Medicine of Capital Medical University for many years. It accepts dozens of infectious disease doctors from all over the country all year round. Accepts rotational studies for doctoral students and graduate students from other colleges. He has participated in supervising 6 master students and 3 doctoral students. Actively participate in continuing education work, compile relevant teaching materials for the Continuing Education Committee of the Beijing Municipal Health Bureau and the Continuing Education Committee of the Beijing Municipal Bureau of Traditional Chinese Medicine, and participate in or host infectious disease study classes at all levels. In November 2006, the national-level continuing education project "Training Class on Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Infectious Diseases" was successfully held. The department has 2 master's degree supervisors.
Dermatology and Venereology Clinic
The Dermatology and Venereology Department of Beijing Ditan Hospital specializes in the diagnosis and treatment of sexually transmitted diseases and AIDS. It also diagnoses and treats various skin diseases, especially infectious-related skin diseases. At present, it has become the largest medical institution for the treatment of sexually transmitted diseases in Beijing. It has opened STD and reproductive tract infection-related disease diagnosis and treatment clinics, AIDS specialist clinics, dermatology clinics and STD/AIDS psychological consultation clinics, and is equipped with a STD laboratory. Among them, the AIDS major is a key discipline in Beijing and a national AIDS drug verification base. It leads the country in diagnosis and treatment of STDs and AIDS, and is also responsible for training domestic AIDS specialists. This major employs Professor Mrose, an expert on sexually transmitted diseases from the US Centers for Disease Control, as a technical consultant, and has long-term academic exchanges with the famous St. Mary's Hospital and the Chelsea and Westminster Hospital STD and AIDS Center in the UK. It has STD and AIDS experts such as Xu Keyi, Lun Wenhui, Yang Min and Liu Yanchun, and medical staff with rich experience in treating STD, AIDS and skin diseases such as Wu Yan, Yan Huiwen and Song Yingxue diagnose and treat patients in the general outpatient clinic. The outpatient clinic also has an AIDS and STD psychological counseling clinic, employing professional psychological counselors to serve patients with psychological problems and provide psychological treatment.
The STD clinic specializes in treating syphilis, gonorrhea, non-gonococcal urethritis (cervicitis), genital herpes, genital warts, genital candidiasis, vaginal trichomoniasis, bacterial vaginosis, pubic lice, Various sexually transmitted diseases such as scabies and reproductive tract infections. Treatment to interrupt mother-to-child transmission of syphilis and premarital examination. Responsible for the consultation work related to STDs and AIDS in major general hospitals and specialist hospitals in Beijing as well as entry-exit quarantine institutions. The outpatient clinic is equipped with laser, microwave, freezing and other physical therapy equipment for the treatment of skin and venereal diseases. It also has specialized prescriptions and laboratories for skin and venereal diseases. Over the years, it has developed a set of treatment experience in the diagnosis and treatment of some refractory sexually transmitted diseases, such as repeated The treatment of outbreaks of genital warts, especially genital warts in the anus and urethra, neurosyphilis, congenital syphilis, and recurrent non-gonococcal urethritis has relatively good therapeutic effects. While ensuring the quality of medical care, we strictly abide by the standardized treatment guidelines for sexually transmitted diseases and charge reasonable fees, which is recognized by patients in our hospital. Health examinations for sexually transmitted diseases and other reproductive tract infections are also available.
In addition to treating sexually transmitted diseases, it can also treat various common skin diseases, skin diseases susceptible to chronic infectious diseases, such as chronic hepatitis, AIDS-related skin manifestations, etc. In particular, we are constantly accumulating experience and focusing on the examination and treatment of infection-related causes of undiagnosed skin diseases.
STD and AIDS clinics can also use integrated traditional Chinese and Western medicine treatment methods to provide targeted treatment for different stages of HIV infection and AIDS. At the same time, counseling and testing on STDs and HIV are provided to people who have engaged in high-risk behaviors. Ditan Hospital will provide patients with the highest quality services with first-class technology, elegant environment, and serious and responsible spirit. In order to facilitate patients' medical treatment, outpatient clinics are open every day to provide patients with "one-stop" high-quality services including clinical diagnosis, laboratory examinations, drugs and advanced equipment treatment. Doctors and nurses pay attention to protecting the privacy of patients and can test anonymously; AIDS patients in Beijing can be treated with domestic anti-AIDS drugs free of charge; people from other places who come to Beijing for treatment can have their test results mailed; after patients from other places have been diagnosed and treated by doctors and their conditions have stabilized, they can Treatments can be ordered by mail over the phone.
The hospital is equipped with advanced equipment such as rapid diagnosis, immunoenzyme labeling, immunofluorescence, PCR, quantitative PCR, flow cytometer, viral load meter, laser, and microwave for testing skin, sexually transmitted diseases, and AIDS. Equipment to perform all tests related to HIV diagnosis and treatment.
Beijing Liver Transplant Rehabilitation Center
With the maturity of liver transplantation technology and the development of immunosuppressants, the clinical treatment and research of liver transplantation are based on appropriate liver transplantation indications and surgical timing. , and good donor selection, the focus is on the long-term prevention and treatment of complications, and how to improve long-term survival rate and quality of life. Therefore, there is an urgent need for professional maintenance after liver transplantation, and the Beijing Liver Transplant Rehabilitation Center came into being. . Beijing Liver Transplant Rehabilitation Center is approved by the Beijing Municipal Health Bureau and is the first professional medical institution in Beijing dedicated to serving liver transplant recipients across the country and maintaining their post-operative quality of life. We also provide pre- and post-operative consultation and postoperative rehabilitation guidance, early detection and diagnosis and treatment of complications after liver transplantation, and closely observe the recurrence of the primary disease after surgery, especially the prevention and treatment of hepatitis virus reinfection in liver transplant patients. , prevention and treatment of recurrence of liver cancer, prevention and treatment of liver transplant rejection and treatment of biliary complications, etc.; monitor the blood concentration of patients’ postoperative drugs and adjust the dosage of anti-rejection drugs, adjust anti-viral drugs and protect the liver after transplantation Treatment, postoperative rehabilitation nutrition and life guidance, etc.
Our hospital has opened a liver transplantation medical ward-liver disease comorbidity treatment center to treat patients with various complications after liver transplantation. Implement individualized immunosuppression programs and individualized treatment programs to prevent and treat hepatitis recurrence, and use medical treatment, auxiliary interventional treatment, surgical treatment and other means to prevent the recurrence of the primary disease of the transplanted liver, especially the recurrence of viral hepatitis and liver malignant tumors; Prevent and treat early complications after transplantation, especially acute and chronic rejection, biliary complications, drug poisoning, etc., improve and restore the function of the transplanted liver, thereby improving the patient's quality of life and survival time.