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公立儿科医院诊疗迈向精准化,新生儿重症救治仍面临挑战
Di Yi Cai Jing· 2025-08-15 03:59
Core Insights - The article highlights the increasing challenges faced by pediatric care, particularly in neonatal intensive care units (NICUs), due to rising rates of preterm births and associated complications [1][2][3] Group 1: Challenges in Neonatal Care - The incidence of critical conditions in newborns has risen due to factors such as advanced maternal age, twin pregnancies, and the use of assisted reproductive technologies [1][2] - The survival rate of preterm infants has improved, but they often face long-term complications, including neurological issues [1][2] - The proportion of extremely low birth weight preterm infants in NICUs has increased, correlating with maternal health issues and advanced reproductive techniques [2] Group 2: Healthcare System Response - Major children's hospitals in Shanghai have invested significantly in neonatal care, establishing new centers to enhance the diagnosis and treatment of severe neonatal conditions [2] - AI technology is being developed to assist in neonatal care, improving the prediction and management of risks associated with preterm infants [3] - The government has recognized the challenges in pediatric care and is increasing support for public hospitals, although the nurse-to-patient ratio in NICUs remains lower than in adult ICUs [3][4] Group 3: Trends in Pediatric Healthcare - Despite increased investment in pediatric care, the overall scale of pediatric departments in public hospitals has contracted, with some regions experiencing a drop in patient numbers by over 50% compared to the peak birth rates following the two-child policy [4] - The ideal future for pediatric care involves improving the tiered medical system and leveraging private hospitals to complement public healthcare resources [4]
宝宝“头睡偏了”?可能没那么简单(医说新语)
Core Viewpoint - Early closure of cranial sutures in infants, known as craniosynostosis, can lead to significant developmental and aesthetic issues, necessitating careful monitoring and potential surgical intervention [2][3][6]. Group 1: Understanding Craniosynostosis - In normal development, cranial sutures remain open to allow for brain growth and protection until around the age of three [2]. - Early closure of these sutures can restrict skull growth, leading to abnormal head shapes and potentially impacting brain development and cognitive function [3][6]. Group 2: Identification and Diagnosis - Symptoms of craniosynostosis include asymmetrical head shapes, which can be identified through visual inspection and physical examination [4]. - Advanced diagnostic methods include infrared head shape analysis and imaging techniques such as CT and MRI to assess cranial structure and brain development [5][6]. Group 3: Surgical Intervention - Surgical options vary based on the age of the child and the type of craniosynostosis, with early intervention generally yielding better outcomes for cognitive recovery [6][8]. - Different surgical techniques are recommended for infants aged 3-5 months, 5-11 months, and older children, tailored to the specific type of cranial suture involved [8].
“长三角儿科专科联盟成员单位”在沪揭牌
Sou Hu Cai Jing· 2025-07-11 14:11
Core Insights - Shanghai Xingchen Children's Hospital and Kaiyi Medical have signed a strategic cooperation agreement to enhance pediatric medical services in the Yangtze River Delta region [1][3] - The collaboration aims to improve resource sharing, technical standard promotion, patient referral across institutions, and quality management in pediatric care [1][3] Company Overview - Shanghai Xingchen Children's Hospital is affiliated with Fudan University and focuses on children's physical and mental health, aiming to build a high-quality pediatric expert network in Shanghai [3][5] - The hospital has established a high-quality development path supported by Fudan Pediatric's comprehensive resources in medical technology, operational management, and talent cultivation [5] Strategic Initiatives - The hospital's "dual center" development strategy includes a "Child Growth Health Management Center" and a "Child and Adolescent Mental Health Promotion Center" to enhance service integration and expansion [5] - The "Day Care" service for mental health has been launched, with specialized wards set to open soon, accelerating the establishment of a "body and mind healing" system [5] Expert Engagement - The event featured expert lectures on the scientific prevention and management of pediatric respiratory diseases, showcasing the hospital's clinical and management expertise [7] - Presentations included practices for building a standardized management model for respiratory diseases and effective diagnosis and treatment strategies for emerging infectious diseases in children [7]
耄耋之年连夜为学生改英文信
Ke Ji Ri Bao· 2025-05-08 01:29
原标题:耄耋之年连夜为学生改英文信 今年4月23日,是诸福棠忌辰31周年。诸福棠是首都医科大学附属北京儿童医院(以下简称"北京儿 童医院")首任院长,也是中国科学院学部委员,被誉为"中国儿科之父"。在这个特殊的日子里,北京 儿童医院教授杨永弘对恩师的缅怀,是从一封信开始的。 在1984年的一次国际会议上,儿科专家、北京儿童医院教授江载芳偶遇美国两院院士、疫苗专家约 翰·罗宾斯,并向其推荐自己的学生杨永弘前往他的实验室进修。约翰·罗宾斯当时就应允了此事。 回国后,江载芳让杨永弘给约翰·罗宾斯写一封英文信,直接向其自荐。彼时,中国儿科医学刚刚 起步,进修机会珍贵,杨永弘能做的就是精心准备这封信。 "诸老自幼体弱,常年受病痛折磨,平时作息力争规律。"时隔多年,杨永弘依然感激不已。 彼时国际长途漫漫,这封信漂洋过海,为一个渴求知识的东方求学者叩响了世界顶级学府的大门。 得益于这段留学经历,杨永弘回国后开展了肺炎链球菌、百日咳鲍特菌、流感嗜血杆菌等多种细菌 引起的儿科疾病研究和儿科抗菌药物的合理应用研究,为我国儿童呼吸道感染、儿科疫苗研制与应用作 出了突出贡献。 后来,诸福棠的学生们、学生的学生们在国外时常与他通信,请 ...