.世界結(jié)核病日深圳山廈醫(yī)院院長楊玉山訪談（The . World TB Day Shenzhen HA hospital director Yang Yushan interview）

1、3.24世界結(jié)核病日深圳山廈醫(yī)院院長楊玉山訪談（The 3.24 World TB Day Shenzhen HA hospital director Yang Yushan interview）Title:Interview Shenzhen HA hospital dean Yang Yushan World TB DayInterview Shenzhen HA hospital World TB DayWorld Tuberculosis Day, Dean of Shenzhen HA hospital interviewWorld Tuberculosis Day intervie

2、w Shenzhen HA hospital Yang YushanThe 3.24 World TB Day Shenzhen HA hospital director Yang Yushan interviewHow to prevent and cure tuberculosis, interviews Shenzhen HA hospital dean Yang Yushan World TB DayThe 3.24 World TB Day Shenzhen HA hospital director Yang Yushan interviewWorld Tuberculosis Da

3、y interview Shenzhen HA hospital Yang YushanShenzhen HA hospital dean Yang Yushan on World TB DayInterview Shenzhen HA hospital dean Yang Yushan World TB Day3.24 World Tuberculosis Prevention Day, please take a look at a very educational video3.24 World TB Day: you and I are involved in the eliminat

4、ion of tuberculosis,Video address on the website of Xinhua: Text:Xinhua interview with World Tuberculosis DayMarch 14th Xinhua Health ChannelVideo frequency:flash=506506 videoSource=http%3A%2F%2F%2Fvideo%2Fpublic%2Fvd10%2F201203%2F13%2F11%2FVEfs10201203131618315211d262.flv&autoPlay=false/flash?C

5、ompere: everybody net friend everybody is good, welcome to watch guest interview. March 24th of each year as World TB Day, there is a propaganda theme every year, in March 24th of this year is the eighteenth "World TB Day", China's propaganda theme is: "you and me to participate,

6、to eliminate the harm of tuberculosis", today in the World TB Day to the end, we go to the Shenzhen HA hospital Mr. Dean Yang Yushan, and a specialist in the Department of thoracic surgery, discuss, tuberculosis prevention and control work, welcome President yang.Guest: host is good, everybody

7、is good!Moderator: Dean Yang, the concept of "World TB Day" for some viewers, may very strange, can you explain to us the reason of this festival, in addition, what do you think of our country this year's theme?Guest: all right! In March 24, 1882, German scientist Robert o Dr. Koch fir

8、st announced to the world, discovered the cause of human tuberculosis culprit - Mycobacterium tuberculosis, and elaborates tuberculosis pathogenesis and transmission, who was named the "Koch rule", "classic koch". In order to commemorate this series of major discoveries, in March

9、 24th, the World Health Organization (WHO) was named "World Tuberculosis Day."". This year is the seventeenth "World TB Day", the country to determine the theme of "you and me to participate, but also to eliminate the harm of tuberculosis", called for common concer

10、n the tuberculosis chronic infectious disease, make concerted efforts to make its own contribution to the cause of anti tuberculosis. At the same time, we should also encourage people to strengthen their confidence in TB eradication and actively respond to it. We believe that mankind can eventually

11、eliminate tuberculosis.Moderator: Well, can you tell us about the current situation of this infectious disease in the world?Participants: according to the latest information from the WHO, 200 million people still die from TB since Dr Koch discovered tb. Currently, nearly 1/3 people worldwide are inf

12、ected with TB, about 20 million of active TB patients, and about 800-1000 new TB patients each year. The number of TB deaths increased from 2 million 500 thousand in 1990 to 4 million 500 thousand in 2010. 75% of TB deaths occurred in the most productive age group, i.e., the 15-50 year old group. Tu

13、berculosis is the world's leading cause of death from infectious diseases in adults. As early as 1993, the WHO declared that tuberculosis had entered a global emergency.Moderator: since the global form is so severe, then in our country, what is the case of TB?Honored guest: in our country, the s

14、ituation is also unoptimistic,China is one of the 22 countries with high TB prevalence in the world, with the number of active TB patients and the number of annual cases ranked second in the world. Now there are about 550 million people infected with TB bacilli, about 6 million of active TB patients

15、, 1 million 500 thousand people from infectious sources, 230 thousand people die of tuberculosis every year, 80% of them are in rural areas, and 75% of them are middle-aged and young people. Migrant workers are a high incidence of tuberculosis.As the identity of farmers, migrant workers working in t

16、he town, living space in urban and rural areas in the crevice, their employment, social security, medical insurance and prevention and treatment of infectious diseases such as the many special problems, embarrassing situation, management loopholes and dilemma. Especially some of the migrant workers

17、suffering from tuberculosis were innocent dismissal, interruption insurance, so that medical treatment without doors, adversely affected by illness, because of poor disease and illness phenomenon has become a serious social and public health problem in some places.According to experts, many migrant

18、workers before suffering from tuberculosis or infected with TB, and some migrant workers from remote mountainous areas, due to the lack of specific immunity against TB, so that they become susceptible. The problem of tuberculosis migrant workers should be paid attention to and treated seriously.This

19、 special group of migrant workers, in recent years has been the subject of widespread concern, but suffering from tuberculosis of the migrant workers have not paid enough attention, no matter they are in life or in social security, are suffering from discrimination.For example: Tang Meichun (a pseud

20、onym), one from Hunan Yongzhou migrant workers, thirty year old middle-aged women. A family of four is full of tb. Her brother died of the disease, mother and brother are suffering tuberculosis. Her lungs are now developing beyond the reach of surgery. More than 10 years of drug treatment not only f

21、ailed to cure her disease, but left her entire left lung completely destroyed and alveolar respiratory function lost. For the treatment of tuberculosis, Tang Meichun a nearly bankrupt, but still It doesn't help the situation.The Tang Meichun family had indeed national free treatment of tuberculo

22、sis of patronage, but Tang Meichun said: "I have heard that there are free medicine and epidemic prevention station of tuberculosis, take medicine, to know the only part of the drug is free, such as hepatoprotectants are expensive, each take medicine have hundreds of block, other inspection fee

23、 is more expensive. "A few years ago, Tang Meichun worked in a factory in Guangdong, but when he found out that he was suffering from tuberculosis, he was mercilessly dismissed by the factory. The reason was simple. He was afraid that other employees would be infected. Medical insurance that ha

24、s been paid is automatically cancelled. Other factories also shut her out when they heard she had tb. According to a Shenzhen city for many years engaged in the treatment of tuberculosis clinic doctors said he received each year such suffered hundreds of cases of migrant workers. We visited a tuberc

25、ulosis hospital in Shenzhen, and hundreds of migrant workers from all over the country expressed these experiences and aspirations.You see, when migrant workers are not ill, they can fully enjoy the "health insurance", when migrant workers are ill, especially tuberculosis, their so-called

26、health insurance is no longer exist. Faced with such a painful reality, we should not only ask, who abandoned the peasant workers of tuberculosis? Is the policy design loopholes, or the management level of indifference, in the interest of the people's livelihood, listen to the voice of the peopl

27、e of the two sessions, we take what rescue tuberculosis workers?. The national labor law stipulates that employees in the sick during the treatment, companies can not be dismissed without cause, but the grim reality is that the vast majority of enterprises are suffering from tuberculosis in the ille

28、gal dismissal of employees, for it ignores. Is our system design can not be more flexible, our management level can not be more humane?.Wang Zhigang (alias), 45 years old, a railway worker. Suffering from tuberculosis for many years, the treatment failed everywhere, grew worse. After a private hospi

29、tal in Shenzhen to accept advanced technical treatment, the cost is not much, the effect is remarkable. He said without emotion: "our unit leader clearly told me, if your disease to Beijing, Shanghai and other public hospitals for treatment.",Even if hundreds of thousands of dollars are no

30、t cured, I will reimburse you. However, if you go to a private hospital for treatment, even if only a few hundred dollars to cure the disease, and I will not reimburse you a penny".Examples like this are too numerous to list.Summary: this phenomenon is not the case, in Chinese such migrant work

31、ers shortly before our school is beyond count, this phenomenon to the NPC and CPPCC representative wrote a letter to "who abandoned open letter title of pulmonary tuberculosis in migrant workers", hope that this issue can be resolved effectively and pay attention, and when the real China p

32、eople the well-being.Moderator: Well, these problems for migrant workers, Yang, Dean, do you have any good suggestions?Guests: according to the relevant provisions of the Social Security Bureau, the medical insurance for migrant workers must be paid by the employer, and individuals can not pay their

33、 own. So when the migrant workers suffering from tuberculosis being fired plants, their active renewal also loss of rights, but also to pay the medical insurance that they not only did the cast to the wind, the source of life, even the basic medical insurance is also denied, almost cornered.To this

34、end, our suggestion is that.:I. enterprises should strictly implement the relevant provisions of the labor law of the state, and shall not be allowed to dismiss migrant workers suffering from tuberculosis during the period of illness treatment. Basic salary is required and employee status is maintai

35、ned;Two, if enterprises are indeed difficult, unable to bear, tuberculosis, migrant workers should also enjoy unemployment insurance benefits;Three, peasant workers who break medical insurance because of industrial dismissal should be allowed to continue their medical insurance in their own capacity

36、.Moderator: Yang, Dean, your recommendations are very pertinent, we are also looking forward to the convening of the two sessions, migrant workers health care issues can attract attention, and ultimately can be effectively resolved.So, Dean Yang, for these migrant workers, to make them really happy,

37、 in fact, the most important thing is to cure the disease, as soon as possible to return to society, you know the current international treatment of tuberculosis, what are the main therapies?At present, the domestic and foreign guests: TB therapy mainly has three kinds: one is the treatment of conve

38、ntional methods, namely chemical drug therapy, surgical treatment is two, three is the interventional therapy developed in recent years. Despite the advent of effective anti tuberculosis drugs since the 50s of this century, TB has been brought under control, but most people in the world are still no

39、t receiving prompt and effective treatment. Since 1882, Hearst found TB, TB has also gone from peak to trough, from crazy to low, and then to the crazy stage. The treatment of tuberculosis from conventional drugs to drug combination, from long-term chemotherapy to dots, from resistance to anti multi

40、 drug resistance, so that widespread resistance from hospitalization to non hospital treatment, from drug treatment to surgical treatment, but not always out of control of human tuberculosis of the cycle, so that chemotherapy of tuberculosis almost the same, the effect is not ideal.Moderator: Dean Y

41、ang, we know that you engaged in Department of thoracic surgery research for more than 20 years, do you think the current treatment of tuberculosis how to get out of this strange circle?Honored guest: "strange circle" exists, because we have been in the treatment concept for a long time in

42、to a very serious misunderstanding.1 、 the TB foci in TB patients are not only the presence of Mycobacterium tuberculosis, but also accompanied by Candida albicans, Candida albicans and other pathogenic microorganisms. Therefore, tuberculosis lesions are the result of mixed infection of various path

43、ogenic microorganisms2, due to the presence of microcirculatory disorders, the anti tuberculosis drugs can not enter the lesion, miliary and infiltrative tuberculosis is the most common phenomenon.3, because the focus of long-term persistent, resulting in local peripheral edema, granulation tissue h

44、yperplasia, fibrosis and so on, so that anti tuberculosis drugs can not successfully enter the lesion.4, in addition, conventional chemotherapy can not guarantee effective concentration in the range of tuberculosis.5. During the course of the routine treatment of tuberculosis, only destruction and k

45、illing were taken into account, no restoration or reconstruction was considered, nor dynamic balance was considered.It is precisely because of these misunderstandings, resulting in the current treatment of tuberculosis is similar, unable to achieve the effect of complete cure. For patients, they als

46、o have the following problems in the course of traditional chemotherapy:1. difficult to adhere to;2., toxic side effects are very obvious, especially for liver and kidney damage;3., the patient's immunity decline is an important reason for poor treatment;4. the drug resistance, multidrug resista

47、nce and drug resistance of chemotherapy are the insurmountable obstacles for a long time;5., the recurrence rate of chemotherapy remains high and prohibitive;6. refractory tuberculosis, secondary tuberculosis, tuberculous cavity, hemoptysis has increased the difficulty of chemotherapy.Moderator: so,

48、 Dean Yang, how did you overcome these difficulties in the treatment, and what method did you take in the treatment of tuberculosis?Participants: in view of the above problems, after more than 20 years of painstaking research, we summed up a set of treatment options for tuberculosis: that is, our ho

49、spital has been using minimally invasive target combination therapy.Its general treatment idea is:Direct killing Mycobacterium tuberculosis and other pathogenic microorganisms;Destroy the microecological environment on which Mycobacterium tuberculosis and other pathogenic microorganisms live;The rep

50、air and reconstruction of tissues and cells in the primary lesion area.Minimally invasive targeted therapy that is summarized by CT scanning technique analysis on comprehensive three-dimensional visual lesions of tuberculosis, and according to previous clinical medication, bacterial culture and drug

51、 sensitivity test results, a targeted selection of sterilization and promote the unique formula of tuberculosis reconstruction, percutaneous lung puncture or cavity lesions directly compound injection combined with anti tuberculosis drugs, nutrition, exercise and physical and mental symptoms, compre

52、hensive therapy thoroughly cure for tuberculosis.The method has the advantages of simple operation, flexible operation, repeated treatment, short treatment time, obvious curative effect, low cost, low recurrence rate and small side effect.Compere: how is the curative effect of this kind of method, h

53、ave what advantage compared with traditional therapeutics?Participants: minimally invasive targeted combination therapy, short course, quick results, low cost. The first treatment patients were cured in one month, two months after treatment, three months in the multi drug resistant group. The cure r

54、ate was 98%, the effective rate was 95%, and the cure rate was 95%. The rate of failure and recurrence was less than 2%.In addition, minimally invasive targeted combination therapy also has the following nine advantages1. comprehensive medication, unique formula2. minimally invasive targeted direct

55、injection3. nutrition, strong body detoxification4. months produce quick healing5. low cost, average 10000 yuan6., the cure rate is as high as 95%7., the rate of drug resistance was low, only 1 cases8. rarely recurred and rarely recurred9., less dosage, side effects are smallModerator: we know it is

56、 difficult for many families of TB patients, in these patients, there are many from the rural poor, their economic conditions are not wealthy, but they still chose shansha years of these hospitals, from remote rural areas, families of patients, and HA hospital is also on this part of patients in hea

57、lth care also do some relief, it will be a great burden to a private hospital, Dean Yang how do you consider?Guest: these years, our hospital has treated about more than 4000 cases of such patients, the cure rate of up to 98%, the hospital more than 100 patients, most of them are acute and severe pu

58、lmonary tuberculosis, tuberculosis in hospitals across the country to cure, we see the hospital propaganda before. Our minimally invasive targeted combination therapy is very experienced in the treatment of refractory, severely drug-resistant TB patients. A few days ago like, Guangzhou has a severe disease, first he is suffering from thoracic tuberculosis and pulmonary tuberculosis, also in January this year, the abscess, trachea pus flow to the lungs, the illness in da