Release date: 2016-12-23
Ultrasound can see 3~4mm thyroid tumor, just like a doctor wearing HD glasses
As long as there are symptoms inside the body, from the beginning of entering the hospital, ultrasound is inseparable.
For example, in the emergency department, for patients with abdominal pain, the preferred imaging method must be ultrasound. "This time ultrasound examination can help clinicians to quickly diagnose patients with gallbladder problems, ureteral problems, intestinal obstruction problems, or ectopic pregnancy, corpus luteum rupture, abdominal aortic rupture, abdominal aortic dissection..." A top three hospital emergency The doctor of the department said.
The sonographer is checking the patient (photograph)
Prof. Yongqiang, director of the Department of Carotid Artery at Beijing Anzhen Hospital, said that ultrasound examination is non-invasive, real-time, and can be quickly diagnosed with high accuracy. It is of great value in the diagnosis of benign and malignant tumors such as thyroid, breast, liver, kidney, pancreas and ovary, as well as the diagnosis of acute and severe diseases such as arterial dissection, arterial embolism and liver and spleen rupture.
Ultrasound is like the doctor's eyes. But it's more than just an eye, it's more like "glasses" because it allows doctors to see what they haven't seen in the past.
The Department of Ultrasound, Peking University Cancer Hospital is often full of prestigious patients. Many foreign hospitals encounter intractable diseases in the field of cancer, and will develop surgical plans based on the ultrasound report issued by Peking University Cancer Hospital. Professor Yan Kun, the director of the department, told reporters that ultrasound can diagnose many early tumors, such as a 1 cm liver tumor, a few millimeters of thyroid nodules or breast nodules. For a malignant tumor with a high degree of malignancy, early detection can be treated early, and naturally it can save many lives. Other early tumors such as the gallbladder, kidney, and even the digestive tract can also be visualized under an ultrasound probe.
A good ultrasound doctor can check the problems that others can't find.
"Write this science about ultrasound, I am afraid that when my daughter is pregnant and have children, I can't find a sonographer in China. I want to cheer the ultrasound doctor!"
In April 2016, a mother in Shenzhen gave birth to a deformed second child and was crying on the spot. The ultrasound doctor was awkward, but Dr. Guo Mingchuan, from the Department of Obstetrics and Gynecology, Shenzhen Hospital, Chinese Academy of Medical Sciences, said after the incident.
In a late night in February 2008, a young father of the Beijing Children's Hospital, a young father frequently yelled at a doctor, saying: "Thank you for saving the benefactor." The father was a hospital that had just left the plane. His 3-year-old son had not had a drop of urine for many days and was diagnosed as "acute kidney failure." The desperate father regarded Beijing Children's Hospital as the last straw. For children to do ultrasound is the children's B-ultrasound detective Jia Liqun. On the blurred black and white screen, Jia Liqun finally discovered the gravel-like stones piled in the far section of the ureter. He clearly said to the child's father: "The child's kidney is no problem, that is, the ureter has stones, and it has to be expelled quickly. The child's disease can be cured. it is good". The father of the child cried out.
A good ultrasound doctor is like this, check the problems that others can't find, and do the finest preparation for surgery.
Li Jianguo, the former director of the Chinese Academy of Ultrasound Medical Engineering and the former director of the Department of Ultrasound, Peking University People's Hospital, experienced one thing: two weeks ago, a colleague's wife returned to Beijing from Canada, and both hospitals in Canada and Beijing diagnosed her as pancreatitis. . But the peers are not very reassured, because there are symptoms. Professor Li Jianguo made a B-ultrasound for the lady: "At the time, I felt that it was not pancreatitis, but a tumor, and it was inferred that it would be transferred to the liver immediately." After the operation table, the surgeon discovered that the patient was really a cancer metastasis of pancreatic cancer. However, the timing was a little late, and the patient eventually died... "If you have an experienced ultrasound doctor see it earlier, you may be able to get more time for the patient's life," the attending doctor said.
A good ultrasound doctor has at least 10 years of experience
In many hospitals, there is a jingle, taking a medical record is better than taking a scalpel, taking a probe (ultrasound) is better than taking a medical record. However, many people don't understand that excellent ultrasound doctors need to learn imaging knowledge, anatomy, internal medicine, and surgery. But he can't give a valuable diagnosis.
In addition to the need to master the operation of ultrasound instruments, the exploration of ultrasound images, the description of ultrasound terms, the writing of ultrasound reports, they must also master the diagnosis and differential diagnosis of common diseases, frequently-occurring diseases and even difficult diseases in each specialty. It is no exaggeration to say that every ultrasound doctor is a qualified general practitioner. They are doing diagnostic and differential diagnosis every time, for each patient's examination.
Also, the ultrasound film was not produced by itself, but was personally explored and collected by the sonographer. Each patient has at least 10 images stored, and for more complex cases, there are dozens or even hundreds. Moreover, all images require the ultrasound doctor to explore and analyze while analyzing.
This is a real hand and brain work. The final diagnosis of the patient is also the result of the ultrasound doctor's exploration and thinking. Therefore, the general ultrasound doctor does not like to talk, sometimes it is ignored, because he is thinking, it is best not to interrupt.
Most common diseases are not difficult to diagnose for many ultrasound doctors, but many patients are "multiple disease intertwined" and have intractable diseases. This requires the ultrasound doctor to be solid and experienced, and to have his own sense of independence, not limited to the advice of the clinician, can give valuable information. For example, Professor Li Jianguo recalled an old patient of his own. The clinician suggested that he check the hepatobiliary pancreas. However, if Li Jianguo felt that he was not right, he checked the stomach for the old gentleman and finally it was a stomach tumor.
An ultrasound doctor needs to be standardized for 3 years and then 3 years as a doctor. Two to three percent of them will become the "detectors" in the department through individual efforts and careful study. A good ultrasound doctor, no clinical experience of ten years can not come out. There are about 140,000 ultrasound doctors in our country, and we have 10 years of experience and excellent 30,000.
How to find a good ultrasound doctor? Good hospital good specialist
Ultrasound doctors, relatively low wages, and no uniform specifications for ultrasound operations are the reasons for limiting the development of ultrasound in China. Moreover, the excellent ultrasound doctors in our country are mainly concentrated in the large-scale top three hospitals in big cities. The level of ultrasound doctors at the grassroots level is uneven. Many patients are rushed to the higher-level hospitals and then re-diagnosed.
Every doctor in the Department of Ultrasound needs to pass the national licensed doctor exam and register to be officially employed. It is necessary to obtain a large-scale medical equipment qualification certificate before they can engage in color ultrasound inspection. Some of them graduated from medical imaging and nuclear medicine, and some graduated from clinical specialties. In addition to specializing in medical imaging, it is also necessary to study clinical subjects such as internal, external, women, children, and transmission, and the number of internships and graduations can not be less.
"If you go to a large hospital, it is impossible to squeeze a good department, and the matter of seeing a doctor depends on the doctor. So it is recommended that even if you want a good ultrasound examination, you should look for a hospital with a good disease specialist. Consider the quality of the ultrasound department." Director Yan Kun said that it is more realistic to seek medical treatment.
In fact, some surgeons now use their own probes for ultrasound. For example, hepatobiliary surgery, it is common for doctors to take the probe in one hand, because for laparoscopic and open surgery, the ultrasound probe is placed on the surface of the lesion and can be seen. Things that are not seen on the surface and deep.
Therefore, if you want to find a good ultrasound doctor, you should first find a specialist in the hospital!
Source: Health Times
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