كتابچه راهنمای بخش غدد - روماتولوژی (فروردین 99) PDF

‫ﻣﺮﮐﺰ ﺁﻣﻮﺯﺷﯽ ﺩﺭﻣﺎﻧﯽ ﻭﺗﺤﻘﯿﻘﺎﺗﯽ ﺍﻣﺎﻡ ﺭﺿﺎ ) ﻉ (‬ ‫ﻛﺘﺎﺑﭽﻪ ﺭﺍﻫﻨﻤﺎﯼ‬ ‫ﺑﺨﺶ ﻏﺪﺩ ـ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ‬ ‫ﺗﻬﯿﻪ ﮐﻨﻨﺪﮔﺎﻥ ‪ :‬ﻣﺮﯾﻢ ﺷﺮﯾﻔﯽ‬ ‫ﻓﺮﻭﺭﺩﯾﻦ‪۹۹‬‬ ‫‪1‬‬ 2 ...

‫ﻣﺮﮐﺰ ﺁﻣﻮﺯﺷﯽ ﺩﺭﻣﺎﻧﯽ ﻭﺗﺤﻘﯿﻘﺎﺗﯽ ﺍﻣﺎﻡ ﺭﺿﺎ ) ﻉ (‬ ‫ﻛﺘﺎﺑﭽﻪ ﺭﺍﻫﻨﻤﺎﯼ‬ ‫ﺑﺨﺶ ﻏﺪﺩ ـ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ‬ ‫ﺗﻬﯿﻪ ﮐﻨﻨﺪﮔﺎﻥ ‪ :‬ﻣﺮﯾﻢ ﺷﺮﯾﻔﯽ‬ ‫ﻓﺮﻭﺭﺩﯾﻦ‪۹۹‬‬ ‫‪1‬‬ 2  ‫ﻓﻬﺮﺳﺖ ﻣﻄﺎﻟﺐ‬ ‫‪.۱‬ﻣﻘﺪﻣﻪ‪۴.........................................................................................................................................................................‬‬ ‫ﺗﺎﺭﯾﺨﭽﻪ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ‪۵...............................................................................................................................................‬‬ ‫‪.۲‬‬ ‫‪.۳‬ﺗﺎﺭﯾﺨﭽﻪ ﺑﺨﺶ ‪۶.........................................................................................................................................................‬‬ ‫‪.۴‬ﮐﺮﻭﮐﯽ ﺑﺨﺶ ‪۷...........................................................................................................................................................‬‬ ‫‪.۵‬ﮐﺎﺩﺭ ﭘﺰﺷﮑﯽ ‪۸............................................................................................................................................................‬‬ ‫‪.۶‬ﮐﺎﺩﺭ ﺩﺭﻣﺎﻧﯽ ‪۱۰...........................................................................................................................................................‬‬ ‫‪.۷‬ﺑﯿﻤﺎﺭﯾﻬﺎﯼ ﺷﺎﯾﻊ ﺑﺨﺶ ‪۱۱.......................................................................................................................................‬‬ ‫‪.۸‬ﺩﺍﺭﻭﻫﺎﯼ ﺷﺎﯾﻊ ﺑﺨﺶ ‪۱۵.............................................................................................................................................‬‬ ‫‪.۹‬ﭘﺮﻭﺳﯿﺠﺮﻫﺎﯼ ﺑﺨﺶ‪۱۵..............................................................................................................................................‬‬ ‫‪.۱۰‬ﺗﺠﻬﯿﺰﺍﺕ ﺑﺨﺶ ‪۱۶....................................................................................................................................................‬‬ ‫‪.۱۱‬ﺷﺮﺡ ﻭﻇﺎﯾﻒ ﭘﺮﺳﻨﻞ ‪۱۷...........................................................................................................................................‬‬ ‫‪3‬‬  ‫ﻣﻘﺪﻣﻪ‬ ‫ﺑﺨﺶ ﻏﺪﺩ‬ ‫ﻏﺪﻩ ﻫﺎﯼ ﺩﺭﻭﻥ ﺭﯾﺰ ﻫﻮﺭﻣﻮﻥ ﻫﺎ ﺭﺍ ﺗﻮﻟﯿﺪ ﻣﯽ ﮐﻨﻨﺪ‪.‬ﻫﻮﺭﻣﻮﻥ ﻫﺎ ﻣﻮﺍﺩﯼ ﺷﯿﻤﯿﺎﯾﯽ ﻫﺴﺘﻨﺪ ﮐﻪ ﺩﺭ ﺟﺮﯾﺎﻥ ﺧﻮﻥ ﻭﺟﻮﺩ ﺩﺍﺭﻧﺪ ﻭ ﻓﺮﺁﯾﻨﺪ‬ ‫ﻫﺎﯼ ﻗﺴﻤﺖ ﻫﺎﯼ ﺩﯾﮕﺮ ﺑﺪﻥ ﺭﺍ ﮐﻨﺘﺮﻝ ﻣﯽ ﮐﻨﻨﺪ‪.‬ﺍﯾﻦ ﻣﺠﻤﻮﻋﻪ ﺷﺎﻣﻞ ﻏﺪﻩ ﻫﺎ ﻭ ﺳﻠﻮﻝ ﻫﺎﯼ ﺗﻮﻟﯿﺪ ﮐﻨﻨﺪﻩ ﻫﻮﺭﻣﻮﻥ ﻫﺴﺘﻨﺪ‪.‬ﻏﺪﻩ ﻫﺎﯾﯽ‬ ‫ﻣﺜﻞ ﻫﯿﭙﻮﻓﯿﺰ‪ ،‬ﻓﻮﻕ ﮐﻠﯿﻪ ﻭ ﺗﯿﺮﻭﯾﯿﺪ ﺍﻋﻀﺎﯾﯽ ﻫﺴﺘﻨﺪ ﮐﻪ ﺗﻨﻬﺎ ﮐﺎﺭﮐﺮﺩ ﺁﻥ ﻫﺎ ﺗﻮﻟﯿﺪ ﻫﻮﺭﻣﻮﻥ ﻫﺎﯼ ﺍﺧﺘﺼﺎﺻﯽ ﺍﺳﺖ‪.‬ﺳﺎﯾﺮ ﺍﻋﻀﺎ ﻣﺜﻞ‬ ‫ﺗﺨﻤﺪﺍﻥ ﻫﺎ‪ ،‬ﻗﻠﺒﻮ ﮐﻠﯿﻪ ﻫﺎ ﻧﯿﺰ ﺣﺎﻭﯼ ﺳﻠﻮﻝ ﻫﺎﯼ ﺗﻮﻟﯿﺪ ﮐﻨﻨﺪﻩ ﻫﻮﺭﻣﻮﻥ ﻫﺴﺘﻨﺪ‪.‬‬ ‫ﺩﺭ ﺍﯾﻦ ﻣﺮﮐﺰ ﺩﺭﻣﺎﻥ ﺑﯿﻤﺎﺭﯼ ﻫﺎﯼ ﻣﺮﺑﻮﻁ ﺑﻪ ﻏﺪﺩ ﺍﻋﻢ ﺍﺯ ﮐﻢ ﮐﺎﺭﯼ ﯾﺎ ﭘﺮﮐﺎﺭﯼ ﻏﺪﺩ ﻓﻮﻕ ﮐﻠﯿﻪ‪ ،‬ﻏﺪﺩ ﺗﯿﺮﻭﯾﯿﺪ ﻭ ﭘﺎﺭﺍﺗﯿﺮﻭﯾﯿﺪ‪ ،‬ﻏﺪﺩ ﮐﺒﺪ‬ ‫ﻭﻏﺪﺩ ﺩﺍﺧﻞ ﻣﻐﺰﯼ ) ﻫﯿﭙﻮﻓﯿﺰ‪ ،‬ﻫﯿﭙﻮﺗﺎﻻﻣﻮﺱ ﻭﺗﺎﻻﻣﻮﺱ ( ﺗﻨﻈﯿﻢ ‪ PH‬ﺧﻮﻥ )ﺁﻟﮑﺎﻟﻮﺯ ﯾﺎ ﺍﺳﯿﺪﻭﺯ(‪ ،‬ﺩﯾﺎﺑﺖ ﺣﺎﻣﻠﮕﯽ‪ ،‬ﺗﻨﻈﯿﻢ ﺩﯾﺎﺑﺖ‬ ‫ﻣﻠﯿﺘﻮﺱ‪ ،‬ﺩﯾﺎﺑﺖ ﺑﯽ ﻣﺰﻩ ﺗﺤﺖ ﺩﺭﻣﺎﻥ ﻗﺮﺍﺭ ﻣﯽ ﮔﯿﺮﺩ‪.‬‬ ‫ﺑﺨﺶ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ‬ ‫ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ ﺑﻪ ﻣﻌﻨﺎﯼ ﻋﻠﻢ ﺷﻨﺎﺧﺖ ﺑﯿﻤﺎﺭﯼ ﻫﺎﯼ ﺍﺳﺘﺨﻮﺍﻥ ﻭ ﻣﻔﺎﺻﻞ ﻫﺴﺖ‪.‬ﭘﯿﺸﮕﯿﺮﯼ‪ ،‬ﺩﺭﻣﺎﻥ ﻭ ﺑﺎﺯﺗﻮﺍﻧﯽ ﺑﯿﻤﺎﺭﯼ ﻫﺎﯼ ﺩﺍﺧﻞ‬ ‫ﻣﻔﺼﻠﯽ‪ ،‬ﺧﺎﺭﺝ ﻣﻔﺼﻠﯽ‪ ،‬ﺑﺎﻓﺖ ﻫﻤﺒﻨﺪ ﻭ ﺳﺘﻮﻥ ﻓﻘﺮﺍﺕ ﻭ ﺍﺳﺘﺨﻮﺍﻥ ﻫﺎ ﺍﻋﻢ ﺍﺯ ﺍﻟﺘﻬﺎﺏ ﻭ ﺳﻔﺘﯽ ﻣﻔﺎﺻﻞ‪ ،‬ﭘﻮﮐﯽ ﻭ ﻧﺮﻣﯽ ﺍﺳﺘﺨﻮﺍﻥ ﺩﺭ‬ ‫ﺍﯾﻦ ﻣﺮﮐﺰ ﺍﻧﺠﺎﻡ ﻣﯽ ﮔﯿﺮﺩ‪.‬‬ ‫‪4‬‬  ‫ﺗﺎﺭﯾﺨﭽﻪ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ‬ ‫ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺍﻣﺎﻡ ﺧﻤﯿﻨﯽ ﻭﺍﻗﻊ ﺩﺭ ﺷﻬﺮ ﺗﺒﺮﯾﺰ ﯾﮏ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺩﺍﻧﺸﮕﺎﻫﯽ‪ ،‬ﺁﻣﻮﺯﺷﯽ ﮐﻪ ﺩﺭ ﺳﺎﻝ ‪ ۱۳۳۹‬ﺑﺎ ﻇﺮﻓﯿﺖ ‪ ۵۰۰‬ﺗﺨﺖ ﺛﺎﺑﺖ‬ ‫ﺗﺎﺳﯿﺲ ﮔﺮﺩﯾﺪ‪.‬‬ ‫ﺗﺨﺼﺺ ﻫﺎﯼ ﺩﺍﺧﻠﯽ ﺟﺮﺍﺣﯽ‪ ،‬ﺟﺮﺍﺣﯽ ﻗﻔﺴﻪ ﺳﯿﻨﻪ‪ ،‬ﺍﻭﺭﮊﺍﻧﺲ‪ ،‬ﮔﻮﺵ ﻭﺣﻠﻖ ﻭﺑﯿﻨﯽ‪ ،‬ﺍﻭﺭﻭﻟﻮﮊﯼ‪ ،‬ﺟﺮﺍﺣﯽ ﻣﻐﺰﻭ ﺍﻋﺼﺎﺏ‪ ،‬ﭘﯿﻮﻧﺪ ﮐﻠﯿﻪ‬ ‫ﺑﺨﺶ ﻫﺎﯼ ﻭﯾﮋﻩ ﺩﺭ ﺁﻥ ﻓﻌﺎﻝ ﺑﻮﺩ‪.‬‬ ‫ﺩﺭ ﺳﺎﻝ ‪ ۱۳۸۶‬ﺑﻪ ﺩﻧﺒﺎﻝ ﺯﻟﺰﻟﻪ ﻫﺎﯼ ﻣﺘﻌﺪﺩ ﺩﺭ ﺗﺒﺮﯾﺰ ﻭ ﺧﻄﺮ ﺭﯾﺰﺵ ﺳﺎﺧﺘﻤﺎﻥ ﺑﻪ ﺩﻟﯿﻞ ﻗﺪﻣﺖ ﻭ ﻓﺮﺳﻮﺩﮔﯽ ﺩﭼﺎﺭ ﺁﺳﯿﺐ ﻫﺎﯼ ﺟﺪﯼ‬ ‫ﺷﺪ ﻭ ﺩﺭ ﺍﺩﺍﻣﻪ ﮐﺎﺭﮐﻨﺎﻥ ﻭ ﺗﺠﻬﯿﺰﺍﺕ ﺁﻥ ﺑﻪ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺍﻣﺎﻡ ﺭﺿﺎﯼ ﮐﻨﻮﻧﯽ ﺍﻧﺘﻘﺎﻝ ﯾﺎﻓﺖ‪.‬‬ ‫ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺍﻣﺎﻡ ﺭﺿﺎ ﺑﺎ ‪ ۶۴۵‬ﺗﺨﺖ ﻭ ﺑﺎ ﺯﯾﺮﺑﻨﺎﯼ ‪۴۴‬ﻫﺰﺍﺭ ﻣﺘﺮ ﻣﺮﺑﻊ ﺑﻪ ﺻﻮﺭﺕ ﻃﺒﻘﺎﺗﯽ ﺗﻨﻬﺎ ﻣﺮﮐﺰ ﺩﺭﻣﺎﻧﯽ ﮐﻪ ﺍﻣﺪﺍﺩ ﻫﻮﺍﯾﯽ ﺍﻭﺭﮊﺍﻧﺲ‬ ‫ﻣﻨﻄﻘﻪ ﺭﺍ ﻧﯿﺰ ﭘﻮﺷﺶ ﻣﯽ ﺩﻫﺪ ﺩﺭ ﺳﺎﻝ ‪ ۱۳۸۴‬ﺩﺭ ﺭﺷﺘﻪ ﻫﺎﯼ ﻓﻮﻕ ﺗﺨﺼﺼﯽ ﻭ ﺁﻣﻮﺯﺷﯽ ﻭ ﭘﮋﻭﻫﺸﯽ ﺑﺎ‪ ۱۴‬ﺍﺗﺎﻕ ﻋﻤﻞ ﻭ ‪ ۱۶‬ﺗﺨﺖ‬ ‫ﺍﻭﺭﮊﺍﻧﺲ ﺩﺍﺭﺍﯼ ﺩﺭﻣﺎﻧﮕﺎﻩ ﻫﺎﯼ ﺩﺍﺧﻠﯽ ﻭ ﺟﺮﺍﺣﯽ‪ ،‬ﺭﯾﻪ‪ ،‬ﮐﻠﯿﻪ‪ ،‬ﭘﯿﻮﻧﺪ ﮐﻠﯿﻪ‪ ،‬ﺍﻋﺼﺎﺏ‪ ،‬ﺟﺮﺍﺣﯽ ﻣﻐﺰ ﻭ ﺍﻋﺼﺎﺏ‪ ،‬ﺟﺮﺍﺣﯽ ﺗﻮﺭﺍﮐﺲ‪،‬‬ ‫ﺍﻭﺭﻭﻟﻮﮊﯼ‪ ،‬ﮔﻮﺍﺭﺵ‪ ،‬ﻏﺪﺩ‪ ،‬ﮔﻮﺵ ﻭ ﺣﻠﻖ ﻭ ﺑﯿﻨﯽ‪ ،‬ﻋﻔﻮﻧﯽ ﻭ ﺍﻭﺭﺗﻮﭘﺪﯼ ﺑﺎ ﺍﻣﮑﺎﻧﺎﺕ ﺗﺸﺨﯿﺼﯽ ﻭ ﺩﺭﻣﺎﻧﯽ‪ ،‬ﺭﺍﺩﯾﻮﺗﺮﺍﭘﯽ‪،‬‬ ‫ﺭﺍﺩﯾﻮﻟﻮﭘﺰﻭﺳﻮﻧﻮﮔﺮﺍﻓﯽ‪ ،‬ﺳﻮﻧﻮﺩﺍﭘﻠﺮ‪ ،MRI ،‬ﻣﺎﻣﻮﮔﺮﺍﻓﯽ‪ ،‬ﺍﻟﮑﺘﺮﻭﻣﯿﻠﻮ ﮔﺮﺍﻓﯽ‪ ،‬ﺍﻟﮑﺘﺮﻭﺁﻧﺴﻔﺎﻟﻮﮔﺮﺍﻓﯽ‪ ،‬ﺍﻟﮑﺘﺮﻭﮐﺎﺭﺩﯾﻮﮔﺮﺍﻓﯽ‪ ،‬ﺁﻧﺪﻭﺳﮑﻮﭘﯽ‪،‬‬ ‫ﺑﺮﻭﻧﮑﻮﺳﮑﻮﭘﯽ‪ ،‬ﮐﻠﻮﻧﻮﺳﮑﻮﭘﯽ‪ ،‬ﺗﺴﺖ ﺭﯾﻪ‪ ،‬ﻃﺐ ﻫﺴﺘﻪ ﺍﯼ‪ ،‬ﻓﯿﺰﯾﻮﺗﺮﺍﭘﯽ‪ ،‬ﺳﯽ ﺗﯽ ﺍﺳﮑﻦ ﺍﺳﭙﯿﺮﺍﻝ‪ ،‬ﯾﻮﺭﻭﺩﯾﻨﺎﻣﯿﮏ‪،‬‬ ‫ﺭﮐﺘﻮﺳﯿﮕﻤﻮﺋﯿﺪﻭﺳﮑﻮﭘﯽ‪ ،‬ﻟﯿﺰﺭ‪ ،‬ﻻﭘﺎﺭﺍﺳﮑﻮﭘﯽ‪ ،‬ﭘﺎﺗﻮﻟﻮﮊﯼ‪ ،‬ﺁﺯﻣﺎﯾﺸﮕﺎﻩ‪ ،‬ﺍﮐﻮﺩﺍﭘﻠﺮ ﻣﯽ ﺑﺎﺷﺪ‪.‬‬ ‫ﻫﻢ ﺍﮐﻨﻮﻥ ﺑﺨﺶ ﻫﺎﯼ ﺁﯼ ﺳﯽ ﯾﻮ ﺟﺮﺍﺣﯽ‪ ،‬ﺁﯼ ﺳﯽ ﯾﻮ ﺍﻋﺼﺎﺏ‪ ،‬ﺁﯼ ﺳﯽ ﯾﻮ ﻣﻐﺰ ﻭ ﺍﻋﺼﺎﺏ‪ ،‬ﺁﯼ ﺳﯽ ﯾﻮ ﺭﯾﻪ‪ ،‬ﺁﯼ ﺳﯽ ﯾﻮ ﺟﻨﺮﺍﻝ‪،‬‬ ‫ﺍﻭﺭﺗﻮﭘﺪﯼ‪ ،‬ﺑﺨﺶ ﺟﺮﺍﺣﯽ ‪۱‬ﻭ‪ ،۲‬ﺗﺮﻭﻣﺎﯼ ﻣﻐﺰ‪ ،‬ﻓﮏ ﻭﺻﻮﺭﺕ‪ ،‬ﺑﺨﺶ ﺍﻋﺼﺎﺏ‪ ،‬ﺩﺍﺧﻠﯽ ﺭﯾﻪ‪ ،‬ﻏﺪﺩ‪ ،‬ﮔﻮﺍﺭﺵ‪ ،‬ﻋﻔﻮﻧﯽ‪ ،‬ﺍﻭﺭﻭﻟﻮﮊﯼ‪ ،‬ﻧﻔﺮﻭﻟﻮﮊﯼ‪،‬‬ ‫ﭘﯿﻮﻧﺪ ﮐﻠﯿﻪ‪ ،‬ﺩﯾﺎﻟﯿﺰ‪ ،‬ﮔﻮﺵ ﻭ ﺣﻠﻖ ﻭﺑﯿﻨﯽ‪ ،‬ﺗﻮﺭﺍﮐﺲ‪ ،‬ﺍﻧﮑﻮﻟﻮﮊﯼ‪ ،‬ﺩﯾﺎﻟﯿﺰ ﺻﻔﺎﻗﯽ ﻭ ﺟﺮﺍﺣﯽ ﻣﻐﺰ ﻓﻌﺎﻝ ﻫﺴﺘﻨﺪ‪.‬‬ ‫‪5‬‬  ‫ﺗﺎﺭﯾﺨﭽﻪ ﺑﺨﺶ ﻏﺪﺩ ﻭ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ‬ ‫ﺑﺨﺶ ﻏﺪﺩ‬ ‫ﺑﺨﺶ ﻏﺪﺩ ﺩﺍﻧﺸﮕﺎﻩ ﻋﻠﻮﻡ ﭘﺰﺷﮑﯽ ﺗﺒﺮﯾﺰ ﺑﻌﻨﻮﺍﻥ ﻭﺍﺣﺪﯼ ﺍﺯ ﺩﭘﺎﺭﺗﻤﺎﻥ ﺑﯿﻤﺎﺭﯾﻬﺎﯼ ﺩﺍﺧﻠﯽ ﺍﺯ ﺳﺎﻝ ‪ ۱۳۷۳‬ﺩﺭ ﻣﺮﮐﺰ ﭘﺰﺷﮑﯽ ﺍﻣﺎﻡ‬ ‫ﺣﻤﯿﻨﯽ ﺗﺒﺮﯾﺰ ﺑﻄﻮﺭ ﻣﺴﺘﻘﻞ ﺑﺎ ‪ ۱۲‬ﺗﺨﺖ ﺑﯿﻤﺎﺭﺳﺘﺎﻧﯽ ﺩﺭ ﯾﮑﯽ ﺍﺯ ﺑﺨﺸﻬﺎﯼ ﺑﯿﻤﺎﺭﯾﻬﺎﯼ ﺩﺍﺧﻠﯽ ﺑﺎ ﺳﻪ ﻧﻔﺮ ﻫﯿﺌﺖ ﻋﻠﻤﯽ ﻭﯾﮏ ﻧﻔﺮ ﻧﻔﺮ‬ ‫ﻓﻮﻕ ﺗﺨﺼﺺ ﺑﯿﻤﺎﺭﯾﻬﺎﯼ ﻏﺪﺩ ﺩﮐﺘﺮ ﺍﻣﯿﺮ ﺑﻬﺮﺍﻣﯽ ﻭﺩﻭﻧﻔﺮ ﻫﯿﺌﺖ ﻋﻠﻤﯽ ﻣﺘﺨﺼﺺ ﺑﯿﻤﺎﺭﯾﻬﺎﯼ ﺩﺍﺧﻠﯽ ﺑﺎ ﮔﺮﺍﯾﺶ ﺑﯿﻤﺎﺭﯼ ﻫﺎﯼ ﻏﺪﺩ‬ ‫ﺷﺮﻭﻉ ﺑﻪ ﮐﺎﺭ ﮐﺮﺩ‪.‬ﺩﺭ ﺳﺎﻝ ‪ ۱۳۷۴‬ﺩﮐﺘﺮ ﻋﻠﯽ ﻋﺴﮕﺮ ﺯﺍﺩﻩ ﻭﺩﺭ ﺳﺎﻝ ‪ ۱۳۷۸‬ﺩﮐﺘﺮ ﻣﺒﺼﺮﯼ ﺩﺭ ﺍﯾﻦ ﺑﺨﺶ ﻣﺸﻐﻮﻝ ﺑﻪ ﮐﺎﺭ ﺷﺪﻧﺪ‬ ‫ﻭﺳﭙﺲ ﺩﮐﺘﺮ ﺁﻗﺎﻣﺤﻤﺪﺯﺍﺩﻩ ﻭﺩﮐﺘﺮ ﻧﺠﻔﯽ ﭘﻮﺭ ﺑﻪ ﺍﯾﻦ ﻣﺠﻤﻮﻋﻪ ﭘﯿﻮﺳﺘﻨﺪ ﻭﺩﺭ ﺳﺎﻝ ‪۱۳۷۶‬ﺑﺨﺶ ﻏﺪﺩ ﺑﻪ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺳﯿﻨﺎ ﺍﻧﺘﻘﺎﻝ‬ ‫ﯾﺎﻓﺖ‪.‬ﻭﺩﺭ ﺳﺎﻝ ‪۱۳۸۶‬ﺑﻪ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺍﻣﺎﻡ ﺭﺿﺎ ﻭﺍﻗﻊ ﺩﺭ ﻃﺒﻘﻪ ﭼﻬﺎﺭ ﻣﻨﺘﻘﻞ ﺷﺪ‪.‬‬ ‫ﺑﺨﺶ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ‬ ‫ﺑﯿﻤﺎﺭﺍﻥ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ ﺍﺑﺘﺪﺍ ﺩﺭ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺍﻣﺎﻡ ﺧﻤﯿﻨﯽ )ﺭﻩ( ﺩﺭ ﺑﺨﺶ ﺩﺍﺧﻠﯽ ﺑﺴﺘﺮﯼ ﻭ ﺗﻮﺳﻂ ﺩﮐﺘﺮ ﻋﻄﺎﺭﯼ ﻭﯾﺰﯾﺖ‬ ‫ﻣﯽ ﺷﺪﻧﺪ‪.‬ﺩﺭ ﺳﺎﻝ ‪ ۱۳۷۶‬ﺑﺨﺶ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ ﺑﻪ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺳﯿﻨﺎ ﺑﺎ ﺭﯾﺎﺳﺖ ﺩﮐﺘﺮ ﺑﺮﺯﮔﺮ ﻣﻨﺘﻘﻞ ﺷﺪ‪.‬ﺩﺭ ﺷﻬﺮﯾﻮﺭ ﻣﺎﻩ‬ ‫ﺳﺎﻝ ‪ ۱۳۸۶‬ﺑﺎ ﺭﯾﺎﺳﺖ ﺩﮐﺘﺮ ﻧﺨﺠﻮﺍﻧﯽ ﺑﻪ ﺑﯿﻤﺎﺭﺳﺘﺎﻥ ﺍﻣﺎﻡ ﺭﺿﺎ )ﻉ( ﻣﻨﺘﻘﻞ ﺷﺪ ‪.‬‬ ‫ﺩﺭ ﺣﺎﻝ ﺣﺎﺿﺮ ﺑﺎ ‪ ۱۲‬ﺗﺨﺖ ﻭ ﺑﺎ ﺭﯾﺎﺳﺖ ﺟﻨﺎﺏ ﺩﮐﺘﺮ ﺣﺎﺟﻌﻠﯿﻠﻮ ﻭ ﭘﻨﺞ ﺍﺳﺘﺎﺩ ﺩﺍﻧﺸﮕﺎﻩ ﻭ ﺩﻭ ﻓﻠﻮﺷﯿﭗ ﺑﻪ ﮐﺎﺭ ﺧﻮﺩ ﺍﺩﺍﻣﻪ‬ ‫ﻣﯿﺪﻫﺪ‪.‬‬ ‫‪6‬‬  ‫ﻛﺮﻭﻛﻲ ﺑﺨﺶ ﻏﺪﺩ ﻭ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ‬ ‫‪7‬‬ ‫ﻣﺪﻳﺮ ﮔﺮﻭﻩ ﺩﺍﺧﻠﯽ – ﺁﻗﺎﯼ ﺩﮐﺘﺮ ﺩﮐﺘﺮ ﺗﻘﯽ ﺯﺍﺩﮔﺎﻥ‬ ‫ﺭﺋﻴﺲ ﺑﺨﺶ ﻏﺪﺩ ﺁﻗﺎﯼ ﺩﮐﺘﺮ ﺑﻬﺮﺍﻣﯽ‬ ‫ﺭﺋﻴﺲ ﺑﺨﺶ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ ﺁﻗﺎﯼ ﺩﮐﺘﺮ ﺣﺎﺟﻌﻠﻴﻠﻮ‬ ‫ﻛﺎﺩﺭ ﭘﺰﺷﻜﻲ ﺑﺨﺶ ﻏﺪﺩ‬ ‫ﺭﺋﻴﺲ ﺑﺨﺶ ﻏﺪﺩ ‪ :‬ﺟﻨﺎﺏ ﺁﻗﺎﻱ ﺩﻛﺘﺮ ﺑﻬﺮﺍﻣﻲ‬ ‫ﺍﺗﻨﺪﻫﺎﻱ ﺑﺨﺶ ﻏﺪﺩ‬ ‫ﺧﺎﻧﻢ ﺩﻛﺘﺮ ﻧﯿﺎﻓﺮ‬ ‫‪-۱‬‬ ‫ﺁﻗﺎﻱ ﺩﻛﺘﺮ ﻋﻠﻲ ﻋﺴﮕﺮﺯﺍﺩﻩ‬ ‫‪-۲‬‬ ‫ّﺮﻱ‬ ‫ﺁﻗﺎﻱ ﺩﻛﺘﺮ ﻣﺒﺼ‬ ‫‪-۳‬‬ ‫ﺁﻗﺎﻱ ﺩﻛﺘﺮ ﺁﻗﺎ ﻣﺤﻤﺪﺯﺍﺩﻩ‬ ‫‪-۴‬‬ ‫ﺁﻗﺎﻱ ﺩﻛﺘﺮﻧﺠﻔﯽ ﭘﻮﺭ‬ ‫‪-۵‬‬ ‫ﺁﻗﺎﯼ ﺩﮐﺘﺮ ﻓﺮﺟﯽ‬ ‫‪-۶‬‬ ‫ﺁﻗﺎﯼ ﺩﮐﺘﺮ ﻫﻮﺷﯿﺎﺭ‬ ‫‪-۷‬‬ ‫ﺧﺎﻧﻢ ﺩﮐﺘﺮ ﺻﺪﺭﺍ‬ ‫‪-۸‬‬ ‫‪8‬‬ ‫ﺟﻨﺎﺏ‬ ‫ﺭﺋﻴﺲ ﮔﺮﻭﻩ ﺑﺨﺶ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﻱ‬ ‫ﺁﻗﺎﻱ ﺩﻛﺘﺮ ﺣﺎﺟﻌﻠﻴﻠﻮ‬ ‫ﺍﺗﻨﺪﻫﺎﻱ ﺑﺨﺶ ﺭﻭﻣﺎﺗﻮﻟﻮﮊﻱ‬ ‫‪.۱‬ﺧﺎﻧﻢ ﺩﻛﺘﺮ ﺳﻮﺳﻦ ﻛﻼﻫﻲ‬ ‫‪.۲‬ﺁﻗﺎﻱ ﺩﻛﺘﺮ ﻋﻠﻲ ﺍﺻﻐﺮ ﺍﺑﺮﺍﻫﯿﻤﻲ‬ ‫‪.۳‬ﺁﻗﺎﻱ ﺩﻛﺘﺮ ﻋﻠﯿﺮﺿﺎ ﺧﺒﺎﺯﻱ ﺍﺳﻜﻮﺋﻲ‬ ‫ﻧﺨﺠﻮﺍﻧﯽ‬ ‫‪.۴‬ﺁﻗﺎﻱ ﺩﻛﺘﺮ‬ ‫‪9‬‬  ‫ﻣﺮﯾﻢ ﺷﺮﯾﻔﯽ‬ ‫ﺳﺮﭘﺮﺳﺘﺎﺭ ﺑﺨﺶ‬ ‫ﺗﻌﺪﺍﺩ ﺍﺗﺎﻕ ﺑﯿﻤﺎﺭﺍﻥ ‪۱۱‬‬ ‫ﺗﻌﺪﺍﺩ ﺗﺨﺖ‪۳۶ :‬‬ ‫ﺗﻌﺪﺍﺩﭘﺮﺳﺘﺎﺭ‪۱۹ :‬ﻧﻔﺮ‬ ‫ﺗﻌﺪﺍﺩﮐﻤﮏ ﺑﻬﯿﺎﺭ‪ ۱۰ :‬ﻧﻔﺮ‬ ‫ﺗﻌﺪﺍﺩ ﻣﻨﺸﯽ‪۱ :‬ﻧﻔﺮ‬ ‫ﺑﯿﻤﺎﺭﯾﻬﺎﯼ ﺷﺎﯾﻊ ﺑﺨﺶ ﻏﺪﺩ ﻭﺭﻭﻣﺎﺗﻮﻟﻮﮊﯼ‬ ‫)ﮐﺘﻮﺍﺳﯿﺪﻭﺯ ﺩﯾﺎﺑﺘﯽ ‪( Diabetic Keto ucidosis‬‬ ‫‪D.K.A -۱‬‬ ‫‪Hypo Glaysmia -۲‬‬ ‫‪PCD -۳‬‬ ‫‪ -۴‬ﺁﺭﺗﺮﯾﺖ ﻭﺭﻭﻣﺎﺗﻮﺋﯿﺪ‬ ‫‪10‬‬  ‫‪ -۵‬ﻟﻮﭘﻮﺱ‬ ‫‪DKA‬‬ ‫ﺗﺸﺨﯿﺺ‬ ‫ﻗﻨﺪﺧﻮﻥ ﺑﺎﻻﯼ‪، ۲۵۰‬ﻭﺟﻮﺩﮐﺘﻮﻥ ﺳﺮﻣﯽ ‪ ،‬ﮐﺘﻮﻥ ﺍﺩﺭﺍﺭﯼ ‪ ،‬ﺍﺳﯿﺪﻭﺯ‪ PH < ۷ / ۳‬ﯾﺎ‪. Hco3