Medical science of test " The Four Modernizations " Leap

Medical science of test " The Four Modernizations " Leap
Medical science of test " The Four Modernizations " Leap
Science and technology empty to develop in the intersection of Beijing and one the intersection of the first, second and third and the intersection of hospital and the intersection of endocrine and gate of consulting room 30 year, 78 -year-old aunt Pei sit once at the long chair that is waiting all over looking through watching the notebook in the hand, have recorded her blood glucose change for over 20 years closely and numerously above. Aunt Pei says: "After being ill, examining blood glucose, urine candy will get to the hospital each time to find glycosuria in 1984. I have the intersection of blood glucose and appearance now, take, check the intersection of bleeding and the intersection of candy and result by oneself 5 second only. Tell the doctor the blood glucose index that oneself monitors when go to the hospital, the doctor can adjust the consumption which lower the candy medicine for me soon, assess blood glucose and control the situation. " In fact, examine development of discipline, not only to miniaturize, simplify, take, develop by the bed experimental technique, reflect automation, on standardize, the humanization, molecule more - - Staff reporter Wang Dan "Glass test tube scrubed, used repeatedly, lancet sterilized, used repeatedly, natural light source microscope, sheet glass, marker pen, alarm clock, measuring pipette in bundles, handwritten operation card, refrigerator, hatching and breeding the case, centrifuge "In Capital University of Medical Sciences in subsidiary Beijing Chaoyang hospital examines head of the department Wang QingTao's memory, the clinical laboratory 30 years ago spends " Simple and crude " Can't be more appropriate that two words are come to describe. From accompanied by strong acid, alkali and alcohol burner work pattern to full-automatic laboratory" Come on stage with glittering appearance " ,From " hide from " Test doctor whose dim face behind examining the window gets to the station by patient's bed, from " laboratory " Get to " blood screening test lab " And then reach " laboratory of clinical medicine " Name change in quality,develop into already with internal medicine, field disciplines keys medical standing side by side at surgery the our country one test medical science. Automize: Time is a little step history and a great step 1982, it was an ordinary docimaster of a institute of Peking University that the jade of clump was grand, the small visual field under the microscope is nearly his whole world. "What we most often make was blood routine at that time, used the naked eye to count blood cell, blood platelet and leucocyte under the mirror in counting the board, then write on the laboratory test report with the pen. Because all steps are the pure hand labour, the blood routine of testing a patient takes 20 minutes at least. " The clump jade of the director of the incumbent inspection center of PLA general hospital is grand, remember the job passage 30 years ago still sighed with deep feeling very much: "The full-automatic instrument only needs to quote the result that more than 10 items of blood are like analysis in one minute now; It took 4 days or a longer time the blood in the eighties of last century at least for, but only takes several hours most quickly now; The tuberculosis fungus is trained, can publish the result until the past one or two months, utilize the fluorogenic antibody to check now, can finish in several minutes. These were totally unexpected in the past. " The improvement of the test speed just examines one of the external manifestation of discipline development, the back is accumulation, fast development of automatic technology of the laboratory and strong support of a large amount of professional personnel training of scientific knowledge in these decades. The jade of clump is grand to tell reporters, at the beginning of the eighties of last century, can only carry on blood, urine, the three regular detection in the general laboratory, can only carry on more than 20 test such as blood glucose, albumen quantification in the large-scale hospital. Now, the checking the project of the hospital at city level has several hundred kinds at least. Laboratory information system (LIS) that most hospitals employ nowadays Already with the information system of the hospital (HIS) Connecting, the clinic patient can print one's own survey report by oneself, doctors can read and meet the test result which examines the patient in the consulting room. Standardization: In order that " a form is open " Offer will it be one afternoon in Xia Ri 1984 such as assurance, in the intersection of Peking University and one courtyard, one surgeon hold, report form come, look for clump jade grand by one the intersection of thrombinogen and time. "Thrombinogen measures the result for 18 seconds. " The jade of clump is grand to ponder and report the data on the form repeatedly, it is hands by mistake or other reasons? "The result has lengthened 8 seconds more than the normal value. This means massive haemorrhage takes place most probably in the operation, the clinical manifestation of the patient whom and the doctor described has discrepancy greatly. " The jade of clump is grand to have one's mind filled with the doubt, determine to check once again. And the result this time is totally normal. Where is the question lain in? Cong YuLong gathers the source to begin to be traced from the sample. This sample was adopted at 5 o'clock in the morning, but put on forgetting in nurse's platform by the night nurse originally, did not send off until afternoon. On the occasion of summer at that time, such great error appeared in the result. In order to further prove one's own conjecture, the jade of clump is grand to smoke one's own blood, put in different temperature environments and continued solving separately, found with the extension of time and rising of temperature finally, the thrombinogen time value is longer and longer. Then, the jade of clump is grand to set up the rule clinically: Every sample which do the time of thrombinogen, must send to the laboratory (under room temperature condition) within two or three hours after the sample is gathered . Hereafter, clump jade grand to study the conclusion around 13 the intersection of blood coagulation and factor and whom relation that temperature change draw, important theoretical foundation of quality control before becoming lab analysis. The standardization that medical science examines is to pass countless one " Thrombinogen incident " Set up. The same survey report can be in every large hospital that a lot of patients use now " Pass through " . In 2006, Beijing realized some test results at home earlier common with mutually recognizingly, more than 100 two, tertiaries hospitals have already realized on 30 multi-type projects altogether on the city " A form is open " . This was even all unimaginable more than 10 years ago 30 years ago. Seem nowadays " Naturally" "one Shan open " It is medical science that examines the witnessing the most greatly of standardized achievement. Humanization: Examine the change of the medical idea and examine the development of discipline to reflect on the change of examining the medical idea more in fact. Before the 1990s of last century, the clinical laboratory of the hospital was engaged in test, the doctor or patient sent the sample to the laboratory, fruit test and then newspaper go back clinical, known as " medical science is examined " . After the 1990s of last century, worked and was no longer checked by mechanical sample in the laboratory, synthesize patient's changing, clinical diagnosis, combine the data to judge, diagnose to the test that the clinician obtains that offers consultation. This is known as " Medical science of test " . Clump jade grand to tell reporter whether until " medical science is examined " Get and " examine medical science " It is not merely a alteration on a vocabulary order, have far-reaching influence on the idea of development of discipline, service mode, working range, knowledge structure. The past blood screening test lab was Israel's " the sample was as the centre, regarded experimental data as object " ,Present test medical science until " the patient for in the center, regard diagnosis and treating of disease as object " . For example the blood platelet function in the past was tested, gathered the sample for the patient, finished if the result was submitted to a doctor. Getting different in now, doctor turn on happen blood platelet function find event, examining a doctor will point out a doctor and inquire patients at first soon, in do, should examine in the the last week taking resist agglutinate medicine of blood platelet, if has already taken aspirin, has needed Fetched the blood and did the inspection after medicines stopped within a definite time period. Molecule: Is it a top on the clinic that the strong backing of medical development is deaf? <�'s bag glutinous ��> The officials of gathering of people tired ��? 0% are newly deaf and is caused by the inherent cause. Reduce deaf emergence heavy prevention and intervention in early days. 2004, PLA the intersection of general hospital and deaf the intersection of disease and member diagnose centre take the lead in, carry on nationwide deaf epidemiology, member of disease, investigate at home, thus has confirmed that causes deaf 3 most common genes that happen of China's most heredity, can diagnose nearly 60% of the heredity is deaf while gauging these genes. The growing with each passing hour of test technology, in order to offer strong technical support for the making a diagnosis and giving treatment early of representatives' genetic disease deafly with heredity. In addition with the intersection of pancreas and the intersection of pancreatic juice and sample that conduit collect, from live, examine or draw things by leather the intersection of acupuncture and pancreas, carry on K-ras and click sudden change to analyze, can be used for pancreas cancer diagnosing in early days. Regard prostate -specific membrane antigenic mRA as the sign, use the gene to diagnose technology through dissociating the micro- cancer cell present while searching the blood circulation, can diagnose early prostate cancer. Because 70% of the patient, 50% of the lung cancer patient, 40% of the breast cancer patients of cancer of colon will present p53 mutation, so, loss and measure some sudden change of p53 location, the new route that has already in cells judged and helped to choose the therapeutic medicine as clinical diagnosis of the above-mentioned tumour, prognosis from tumour. Cong YuLong says, one that is with technology of molecular biology standardizes and the gradual development of quality control, the molecule development of medical science of test will become strong backing that medical science advances.


|