Yu Jianbo: Innovate the new concept

"Patients like such critical illnesses are often found. Our task is to grab them from the" Death '. "Before interviewing with the" Medical Daily ", Tianjin Traditional Chinese and Western Medicine Hospital/Nankai Hospital Anesthesia and Iversion Medicine Division Director Professor Yu Jianbo had just completed a awakened patient rescue. Through the efforts of him and the team, the patient's life signs gradually stabilized.

"Of course, we also have no power to do ..." After counting countless times with "death", Yu Jianbo was used to life and death, but as a doctor who saved the wounded, he could not be numb, and he would still succeed for a success. The rescue and excitement will feel sad and regrettable when the patients with lack of skills leave.

In order to rescue more patients as possible, Yu Jianbo runs the last line of defense of life guarding with dedication, professionalism, and calmness, and in the protection of Chinese and Western medicine in patients with critical condition, acupuncture intervention during perioperation, and painlessness in operating rooms. The development of technology has achieved outstanding results.

Although the identity changes, the love of the anesthesi

In 2006, Yu Jianbo came to Tianjin Traditional Chinese and Western Medicine Integrated Hospital/Nankai Hospital (hereinafter referred to as "Nankai Hospital") through talent introduction. The transformation and led the team to gradually develop the original single clinical anesthesia into the Tianjin Medical University and Tianjin key construction disciplines integrating clinical, scientific research and teaching, and Tianjin Clinical Medical Research Center.

In February 2020, in order to integrate medical resources and support the support of anesthesia disciplines to become bigger and stronger, and better serve patients with critical illness, the leadership team of the Party Committee of Nankai Hospital decided to classify the unified management of intensive medical subjects by the Department of Critical Medicine The anesthesia discipline has a clinical anesthesia, severe medicine, and pain diagnosis and treatment, which has become one of the few domestic anesthesia disciplines in China. As the Yu Jianbo of the academic leader, it provoked the burden.

Yu Jianbo's team group photo

Although his identity and responsibility have changed, Yu Jianbo is still full of love for this career.

Anesthesiologist is a group that is not familiar with most people. There is a title of "invisible guardian under the lamp" in the industry. Why choose the anesthesia major?

"Then I have to start from 30 years ago ..."

Speaking of understanding of anesthesia, Yu Jianbo's thoughts were suddenly pulled back to 1989. He said: "That year I was admitted to the Puyang Medical College of Tongji Medical University (now Hubei Medical College), and was catching up with the college to build the second batch of anesthesia majors in China. At the mobilization meeting of the school, Professor Fu Nan'an introduced the anesthesia major. This emerging discipline. "

Yu Jianbo recalled that at the mobilization meeting, he knew for the first time that the anesthesiology department was one of the most important platform departments in the hospital. The anesthesiologist played a vital role in ensuring the safety and medical quality of patients in the perioperative period.

"In the future, the younger generation of the anesthesia career needs to be explored to bring more possibilities for human health." The remarks of Professor Fu Nan'an at the mobilization meeting made the Yu Jianbo full of longing for anesthesia at the time. In the scene, Yu Jianbo still couldn't bear the excitement in his heart: "At that time, I would like to make some achievements in the field of anesthesia in the future to benefit human beings!"

With excellent results, Yu Jianbo stood out from more than 50 applicants and officially stepped into the threshold of the anesthesia field.

Teacher Yuliang is a good friend

After graduating from undergraduate, Yu Jianbo entered the Wuhan Union Hospital for internship. Here he met Professor Yao Shanglong, a mentor that influenced his life.

Following the study of Professor Yao Shanglong, Yu Jianbo deeply realized that if you want to be a doctor who can not only cure the disease, but also benefit more people with his knowledge and ideals, he must have studied and built in this field, so he must be built, so he must be a deed, so he can do it, so he Decide to continue his studies: study and study!

Of course, Yu Jianbo learned not only to have superb medical skills, but also a compassionate heart. This kind of thought was more prominent after Yu Jianbo became an academic leader, and it influenced the team subtly to affect the team. Members.

"It is said that the best doctor -patient relationship is to become friends with patients, and Director Yu can become good friends with most patients." Team members introduced that whether in the treatment plan or in daily life, Yu Jianbo will give the patients to meticure With concern, when the patient is embarrassed, he will try to help and enlighten them. The flowers on the desk and the flag on the wall are the best proof.

During the doctoral period, by the inspiration and influence of Professor Yao Shanglong in "Research on Lungs Causes caused by mechanical ventilation", Yu Jianbo had a strong interest in lung damage of purulent poison: endogenous protection systems played in the process of purulent disease lung damage. Important role, and endogenous protection system disorder is a key mechanism for pus toxicity to cause lung damage to the disease. Can mobilize the body's endogenous protection system can reduce the lung damage caused by purulent disease? "

Thinking about it this way, Yu Jianbo began a research related to lung damage in purulent disease, and this became an important research achievement in his academic career later.

Disease the mortality rate of patients with severe pancreatitis and purulent patients with lung damage to patients with lung injury to 13.93%

The mortality rate of patients with severe acute pancreatitis concretion is 20%to 30%. The critical illness often occurs in an instant, and the rescue time of the disease is short. In the busy treatment, a young patient impressed Yu Jianbo.

"When he was sent, he had four organs of the lung, kidney, intestinal system, and cardiovascular system. The mortality rate was as high as 60%." Recalling the scene at the time, Yu Jianbo was still thrilling. After taking a few days of staying up late after a few days of staying, the patient, Mr. Liu, dinner and drinking with friends. Suddenly, abdominal pain, nausea, vomiting, and abdominal pain gradually appeared. When the companion was sent to Nankai Hospital for treatment, he was diagnosed with severe acute pancreatitis, and and and also. A serious life risk has appeared.

Through the efforts of Yu Jianbo and the team, the patient broke away from the danger of life and evacuated the ventilator 7 days later.

The patient is only 36 years old, and the child is 10 years old. If an accident occurs, the future of this family can be imagined ... Yu Jianbo runs between clinical, scientific research and teaching every day. His ultimate goal is only one. It is "save a patient and save a family."

Therefore, every time he treats, Yu Jianbo will go all out: "Every time he treats it, he feels like a" fight ".

Yu Jianbo at work

It is understood that less than 3 years after taking over the Department of Severe Medicine, Yu Jianbo and the team only accepted more than 500 patients with severe pancreatitis with lung injury.

"The incidence of acute pancreatitis is generally second only to acute appendicitis." Yu Jianbo said that acute pancreatitis often occurs after a full meal or alcoholism. Patient's upper or left upper abdomen occurs severe pain. Essence Acute pancreatitis can also cause multi -organ failure, purulent leather, hypertension, and pancreatic encephalopathy.

"Patients with acute pancreatitis who were sent to intensive medical treatment are often very serious. They have merged complications of various tissue and organs such as respiratory, kidney, etc., and even need to cut trachea, ventilator auxiliary respiratory, and blood purification." Yu Jianbo said.

Veridotic lung injury is an important cause of death caused by patients with severe pancreatitis. After years of exploration, the severe medical team led by Yu Jianbo is based on Academician Wu Xianzhong's Chinese and Western Medicine theory. The new theory and comprehensive diagnosis and treatment strategies of the endogenous protection system of lung injury have reduced the mortality rate of patients to 13.93%, lower than the international 30%to 50%level. The results have been recognized by the industry and have achieved a number of honors.

Doing bigger and strengthening perimias medicine

From a clinical point of view, anesthesia is transitioning to the perioperative medicine. From preoperative preparation to patient management, from postoperative pain treatment, to rehabilitation treatment and psychotherapy, there are anesthesia.

Although the use of anesthesia has brought more possibilities for modern medicine and laid a solid foundation for the development of surgery, the sedative, analgesic, and muscle drugs that the anesthesia must be used will inevitably bring side effects to patients. Yu Jianbo said that acupoint stimulation before the operation, during the operation, and after surgery can help patients to eliminate discomfort and pain and reduce complications.

Acupoint stimulation has a sedative and anti -anxiety effect before surgery. It has analgesia, protecting the function of the organs, and the blood liquidity effect during the regulation. Reduce the effect of postoperative pain.

With the efforts of Yu Jianbo and the team, the combination of high-quality resources and clinical anesthesia of intensive medical medicines was fully integrated, highlighting the characteristics of traditional Chinese and western medicine in Nankai Hospital, and formed an integrated management of the perinatal period of dangerous patients during surgery-postoperative-postoperative critical patients. The postoperative rehabilitation of patients with critical illness has been accelerated, and the safety of patients with critical illness patients has increased.

With technology, how to let more clinicians understand and master the patients to benefit patients into the issue of Yu Jianbo every day.

But soon, he had the answer.

"Create an academic exchange platform to promote good ideas and technologies." With the support of the Tianjin Medical Association and related leaders, Yu Jianbo has created the "Tianjin Traditional Chinese Medicine Integen Society Anesthesia and Analing Commission", "Chinese Chinese Medicine Combined with the Society's Anesthesia Specialty Committee (one of the main founders) "and" Tianjin Traditional Chinese Medicine Institute Society of Critical Medicine ".

"We will carry out an annual meeting of academic exchanges every year and invite well -known domestic experts and scholars to share experiences." Yu Jianbo believes that practical operational ability is the most important, so we also conducted free "perioperative acupoint stimulus" training courses.

Since 2014, Yu Jianbo has recruited chief physicians to study at the hospital every year. "40 people a year, for 8 consecutive years, we have trained more than 300 people. They will teach other doctors to return to their jobs. I think this is also continuously promoting! In the future, more patients will be because of this Benefit. "Yu Jianbo said proudly.

After 16 years of hard work, the Department of Anesthesiology and intensive medical medicines of Nankai Hospital has developed into a anesthesiology and severe medical doctoral point, the drug clinical trial institution of the State Drug Administration Severe backbone physician training bases and Tianjin Traditional Chinese and Western Medicine Integrated Critical Medical Quality Control Center are the cradle of medical dreams of students.

"In the future, we will focus on the combination of traditional Chinese and western medicine perimianship medicine and severe organs of critical organs. The combination of traditional Chinese and western medicine is focused on the treatment of traditional Chinese and western medicine.

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