【鲁渝协作】远程医疗云对话，零距离提供最优诊疗方案
<section class="" data-tools="135编辑器" data-id="131184" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 10px auto; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 7px 4px 4px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; background-color: rgb(238, 252, 252);"><section style="margin: 0px; padding: 10px 15px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; background-color: rgb(255, 255, 255);"><section data-autoskip="1" class="" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; line-height: 1.75em; letter-spacing: 1.5px; font-size: 14px; color: rgb(51, 51, 51); background-color: transparent; box-sizing: border-box !important; overflow-wrap: break-word !important;"><p style="margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 17px; font-family: Helvetica Neue, Helvetica, Hiragino Sans GB, Apple Color Emoji, Emoji Symbols Font, Segoe UI Symbol, Arial, sans-serif;">近日，城口县人民医院内二科在山东省支医专家刘丽主治医师的联系下，与远在1300公里以外的对口帮扶医院临沂市中心医院免费为患者完成了一场精准的多学科专家远程会诊。</span></p></section></section></section></section></section><p><br/></p><section class="" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><section class="" data-tools="135编辑器" data-id="131085" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 10px auto; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; background-color: rgb(255, 248, 245);"><section data-width="100%" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 657px;"></section></section><section style="margin: -5px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; justify-content: flex-end;"><section class="" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 50px;"></section></section></section></section></section><p><br/></p><p style="text-align:justify;margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 2em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; text-indent: 37px; caret-color: red; font-family: Helvetica Neue, Helvetica, Hiragino Sans GB, Apple Color Emoji, Emoji Symbols Font, Segoe UI Symbol, Arial, sans-serif;">在远程会诊的过程中，患者蒋某，男，74岁，农民。因“反复咳嗽、咳痰40年，喘累10+年，上腹部疼痛1周”入院。入院后予以控制感染、解痉平喘、止咳化痰、强心利尿、抑酸护胃、促进胃肠蠕动等治疗后患者喘累症状减轻，但腹部症状缓解不明显。完善支气管镜检查，NGS回示：结核分支杆菌，序列数183，卡他莫拉菌 72。结合患者的影像暂不除外合并间质性肺结核的可能，鉴于患者腹部症状明显，结核药物相关副作用，家属暂拒绝抗结核治疗。</span></p><p><br/></p><section class="" data-tools="135编辑器" data-id="131085" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; white-space: normal; background-color: rgb(255, 255, 255); box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 10px auto; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 10px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; background-color: rgb(255, 248, 245);"><section data-width="100%" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 657px;"></section></section><section style="margin: -5px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; justify-content: flex-end;"><section class="" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; width: 50px;"></section></section></section></section><p><br/></p><p style="text-align:justify;margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 37px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: Helvetica Neue, Helvetica, Hiragino Sans GB, Apple Color Emoji, Emoji Symbols Font, Segoe UI Symbol, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;">支医专家刘丽主治医师遂调整抗菌药物治疗方案，并亲自给予行胸腔闭式引流置管术。鉴于患者心肺功能差，BNP持续升高，仍有腹痛、腹胀明显，多发淋巴结肿大（纵膈、肺门、腹腔、腹膜后）、多浆膜腔积液（胸腔、心包、腹腔、胆囊窝）。遂通过远程会诊中心，将患者病历与相关检查报告提前上传至临沂市中心医院远程会诊系统，为患者组织远程多学科（呼吸、心血管、消化、影像）专家会诊。通过远程视频和语音方式，专家团队在详细了解患者病情及相关辅助检查结果后，对该患者的病情做了深入分析和系统指导，为患者制定了一个最优的治疗方案。通过远程医疗云对话，对口帮扶零距离，使患者在县级医院享受市级三甲医院知名专家指导，切实减轻患者外出就医负担。</span></p><p style="text-align:justify;margin-top: 0px; margin-bottom: 0px; padding: 0px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgba(0, 0, 0, 0.9); font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; white-space: normal; background-color: rgb(255, 255, 255); text-indent: 37px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-family: Helvetica Neue, Helvetica, Hiragino Sans GB, Apple Color Emoji, Emoji Symbols Font, Segoe UI Symbol, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;">健康所系，性命相托；温暖守护，点亮希望，是我们不变的初心和坚守的使命；未来的路我们一起努力前行，为人民群众生命健康保驾护航。</span></p><p><br/></p><p><span style="font-size: 12px;">来源：乡村振兴在行动</span><br/></p><link rel="stylesheet" href="//bbs.cktcw.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_TL3" id="wcn_editor_css"/>
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