目的:设计初诊结核病上报与监测管理系统,优化结核病患者初诊、报病、治疗、复查的各个流程,形成系统的闭环管理。方法:该系统采用客户机/服务器(Client/Server,C/S)架构,使用PowerBuilder编程语言进行开发。通过调用医院信息系统(hospi...目的:设计初诊结核病上报与监测管理系统,优化结核病患者初诊、报病、治疗、复查的各个流程,形成系统的闭环管理。方法:该系统采用客户机/服务器(Client/Server,C/S)架构,使用PowerBuilder编程语言进行开发。通过调用医院信息系统(hospital information system,HIS)数据库中的相关基础信息,建立患者唯一病历号,医师填报确诊信息后系统自动上报确诊病例给预防科,并通过患者病历号与HIS、门诊、住院医嘱系统和电子病历系统(electronic medical record system,EMRS)中的数据进行智能串联,自动生成查痰日期并对复诊患者进行智能提示。结果:该系统改变了确诊结核病患者病例的漏报、错报和重复报病等现象,能自动监测确诊患者的查痰日期,对医师进行智能提示,获得了院方及同行业单位的高度评价。结论:初诊结核病上报与监测管理系统促进了结核病管理水平的提升,为改变结核病上报管理的工作效率和模式开辟了新思路,具有一定的市场应用价值。展开更多
Pulmonary epithelioid hemangioendothelioma (PEH) is a rare tumor that occurs among young women and typically presents as bilateral multiple nodules. In this report, we described an unusual case of PEH presented as a s...Pulmonary epithelioid hemangioendothelioma (PEH) is a rare tumor that occurs among young women and typically presents as bilateral multiple nodules. In this report, we described an unusual case of PEH presented as a single mass in a 46-year-old man, with 6 positive pulmonary hilar lymph nodes. Histologic findings were compared with conventional PEH, except those features such as round to oval-shaped nodules, hypocellular/cellular peripheral zone, hyaline, myxomatous intercellular stroma and intracellular vacuoles, and we found the patient's pulmonary hilar lymph nodes were metastasis and cholesterol crystal were discovered in the focal infarction areas. Immunohistochemically, the tumor cells were strong positive for CD34, CD31, factor VIII related endothelial antigen and vimentin. The patient died 3 and half months after the surgery without receiving any radiotherapy or chemotherapy. This report may contribute to the data on clinical and histological finding of this rare tumour.展开更多
文摘目的:设计初诊结核病上报与监测管理系统,优化结核病患者初诊、报病、治疗、复查的各个流程,形成系统的闭环管理。方法:该系统采用客户机/服务器(Client/Server,C/S)架构,使用PowerBuilder编程语言进行开发。通过调用医院信息系统(hospital information system,HIS)数据库中的相关基础信息,建立患者唯一病历号,医师填报确诊信息后系统自动上报确诊病例给预防科,并通过患者病历号与HIS、门诊、住院医嘱系统和电子病历系统(electronic medical record system,EMRS)中的数据进行智能串联,自动生成查痰日期并对复诊患者进行智能提示。结果:该系统改变了确诊结核病患者病例的漏报、错报和重复报病等现象,能自动监测确诊患者的查痰日期,对医师进行智能提示,获得了院方及同行业单位的高度评价。结论:初诊结核病上报与监测管理系统促进了结核病管理水平的提升,为改变结核病上报管理的工作效率和模式开辟了新思路,具有一定的市场应用价值。
文摘Pulmonary epithelioid hemangioendothelioma (PEH) is a rare tumor that occurs among young women and typically presents as bilateral multiple nodules. In this report, we described an unusual case of PEH presented as a single mass in a 46-year-old man, with 6 positive pulmonary hilar lymph nodes. Histologic findings were compared with conventional PEH, except those features such as round to oval-shaped nodules, hypocellular/cellular peripheral zone, hyaline, myxomatous intercellular stroma and intracellular vacuoles, and we found the patient's pulmonary hilar lymph nodes were metastasis and cholesterol crystal were discovered in the focal infarction areas. Immunohistochemically, the tumor cells were strong positive for CD34, CD31, factor VIII related endothelial antigen and vimentin. The patient died 3 and half months after the surgery without receiving any radiotherapy or chemotherapy. This report may contribute to the data on clinical and histological finding of this rare tumour.
