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復旦大學 內科學

復旦大學 內科學

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內容介紹

     內科學是一門古老而又不斷發展的學科,她的古老在于她的歷史源遠流長,內科學作為臨床醫學中的一門綜合學科涉及面廣,整體性強,是臨床醫學中各科的基礎,一直以來都是醫學專業的主修課程。從1936年建校后,臨床醫生就將自己的學識和經驗傳授給學生,從可以考證的資料來看,中山醫院的林兆耆教授1952年編寫出版了《實用內科學》,是我國第一部大型的內科綜合性參考書,再版多次,深受歡迎。1964年他又主編了《內科學》,是我國第一本內科系統的高等醫學院校教科書。

     

    課程內容:

     

    (一)第一學期為理論課,共計68學時,內容按系統分成十個部分:

    1、 緒論 1學時

    2、 呼吸系統疾病 11學時

    3、 心血管系統疾病 12學時

    4、 消化系統疾病 10學時

    5、 泌尿系統疾病 8學時

    6、 血液和造血系統疾病 8學時

    7、 內分泌和代謝疾病 8學時

    8、 風濕性疾病 3學時

    9、 危重病醫學 1學時

    10、理化因素所致疾病 2學時

    每個系統講述各系統結構與功能特點、如何對該系統疾病進行診查、該系統疾病的防治原則以及診療進展,對各疾病結合發病機制加強診斷、鑒別診斷和治療的闡述。

     

    (二)第二學期為床旁教學,共計6周

    1、上午學生分組在心血管、肺科、消化、血液、腎臟、內分泌科6個病房輪轉,每個病房1周,每位學生安排床位6張左右。具體安排:7:30~9:45:交班后隨住院醫師、主治醫師查房,10點起由專職人員進行床旁帶教(帶教內容見第5點),每周四次,另一天為科主任教學查房。

    各病房床旁教學內容:

    心內科:心衰/風心;冠心病/高血壓;心肌病/心包炎;心律失常;

    呼吸科:呼衰/COPD;肺炎;肺結核/胸腔積液;肺癌;

    消化科:肝硬化;消化性潰瘍/上消化道出血;炎癥性腸病/腹瀉原因待查;急性胰腺炎/腹痛待查;

    腎臟科:腎病綜合癥;IgA腎病及其他腎小球疾病;尿毒癥及水電解質紊亂;SLE與狼瘡性腎炎

    血液科:白血病;貧血;淋巴瘤;出血性疾病

    內分泌科:糖尿病;甲亢;甲減或皮質醇增多癥;中毒(由急診科負責)。

     

    2、下午集中上課。

    3個半天集中上大課(共48學時),2個半天安排示教(1天安排特殊檢查或操作,1天為病例討論)。

    (1)上課內容:

    緒論 1學時

    呼吸系統疾病 9學時

    心血管系統疾病 8學時

    消化系統疾病 8學時

    泌尿系統疾病 2學時

    血液和造血系統疾病 4學時

    內分泌和代謝疾病 6學時

    風濕性疾病 4學時

    危重病醫學 2學時

    其他 4學時

    (2)特殊檢查與操作內容:

    心內科:心電圖;

    肺科:肺功能檢查/了解呼吸機的使用;

    消化科:內鏡;

    血液科:病理;

    內分泌科:急診示教

    腎病科:血透

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