2019 hospital index

　Our hospital is special hospital providing high treatment for cerebro-vascular disease or the backbone spinal cord disease mainly on stroke. It is thought that cerebro-vascular disease and the backbone spinal cord disease have much onset of elderly person, and 70s or more occupy 57.6% of the whole at our hospital.

　In the backbone spinal cord Surgery, patients hospitalized with vertebral canal stenosis increase most. Spinal column has pipe called vertebral canal which is way of nerve, and spinal column is transformed in long time, and vertebral canal becomes small.
　Operations such as skill or skill to decompress in backbone fixation may be necessary with vertebral canal stenosis is case that improvement is not provided by conservative therapy such as kinesitherapy, oral medicine, nerve block.
　As the backbone transformation such as scolioses has many a lot of inpatients particularly young groups next to vertebral canal stenosis, the average age becomes low (46.20). Specialized knowledge, technique, experience is necessary for diagnosis for scoliosis and treatment.
　In addition, it is important that even scoliosis health check-up reduces unnecessary X-rays imaging in these days becoming subject of concern that health hazard by radioactive exposure is serious.
　At our hospital, we introduce the backbone, waist, radiography device "sterEOS imaging system" which can evaluate form, sequence of hip joint and we let radiation dose fall to lower than 1/10 of conventional radiography, 1/20-1/170 of CT shooting in this device and can photograph all spinal columns.　Furthermore, we give medical treatment by specialist to strengthen medical treatment function of scoliosis at our hospital.
　It is organ comprised of bone, joint, nerve, muscle, and exercise device that knee joint disease center intends for brings degenerative change with aging at each organization, and various diseases develop. By pain of knee and waist, we affect everyday life as well as walk, and possibility to develop the internal organs disease and mental disease increases.
　Frequency of disease of knee particularly "degenerative gonarthrosis" is high in exercise device degenerative disease, and 25 million are contracting a disease now, and it is said that 8 million people of those are patients with pain. In this country which met super aging society, increase of patient is further expected in future, from the long-term care prevention, viewpoint of medical care of policy called extension of healthy life expectancy of "knee joint disease" treat.

　Is important by operation for bleeding disorders and the cerebral infarction prevention in neurosurgical domain (neurosurgery in in-hospital profession, treatment department in cranial nerve blood vessel, treatment center in blood vessel); intend.
　We make accurate diagnosis using medical equipment such as MRI, CT, three-dimensional cerebrovascular imager (3D-DSA) and we add neurological function evaluation by cranial nerve Internal medicine and Rehabilitation as needed and decide operation adaptation and are engaged in surgical management.
　In addition, we work on treatment in blood vessel to let thin pipe called catheter arrive at lesion from blood vessel, and to treat positively conventionally at our hospital. In late years it spread as treatment with a few burdens that we did not open up body rapidly and established treatment center in blood vessel in response to the adaptive expansion and increase of needs in 2019. Cerebral infarction is treated for non-explosion cerebral aneurysm, the immediate nature period.

　In cranial nerve Internal medicine, we treat headache, dizziness, drift, numbness, paralysis of one side (the single paralysis), central nerve (brain, spinal cord), peripheral nerves such as disturbance of consciousness, disease of muscle.
　For stroke that is representative disease, we establish stroke intensive care unit and fix the system which can treat 365⽇ for 24 hours and cope with treatment of ⾎ stopper dissolution therapy for the super immediate nature period.
　In addition, there is ⾏ by medical treatment of dizziness including front garden dysfunction positively. We introduce electric nystagmus meter, video nystagmus meter with head rank sensor, rotary stimulation chair, air Karo Rick device, repeated transcranial magnetic stimulation device (rTMS) and give the results in scientific analysis and treatment of dizziness equilibrium disorder.
　In addition, we perform a lot of medical treatment of nerve incurable disease such as epilepsy or Parkinson's disease.
　As our hospital has local inclusion care ward and convalescence rehabilitation ward, and it becomes possible to provide appropriate medical care that accepted for stage of treatment until - convalescence for ... sub-immediate nature period for the immediate nature period in environment that ⼀ kan did, the number of average hospitalization ⽇ is ⻑ meninatteimasu.

　In our hospital, as for according to UICC staging of 5 major cancers of first and the recurrence number of patients, ten all was within for treated special hospital for cerebro-vascular disease or the backbone spinal cord disease.

　Community-acquired pneumonia means pneumonia that contracted a disease while we live everyday social life.
　The number of patients of each disease severity was all less than 10⼈.
　

　Patients with cerebral infarction (ICD10 I63$) of 2019 occupy 22.4% of all the discharged patients in 497⼈ in total.
　Our graduate school establishes stroke intensive care unit and fixes the system which can treat 365⽇ for 24 hours and copes with treatment of ⾎ stopper dissolution therapy for the super immediate nature period.
　ICD10 is abbreviation of "international statistics classification ︓International Statistical Classification of Diseases and Related Health Problems of the issue of illness and allied health", and systematic record, analysis, interpretation of data of the death and illness that were added up from different country and area when it is different and ⽐ are classifications that ⾏ utame, World Health Organization (WHO) made comparing.

　In the backbone spinal cord Surgery, patient receiving skill in backbone fixation occupies most.
　In the skill in ⼿ treatment, I am on the basis of skill in ⼿ of bioclean room (with fine grain ⼦ in air cleanliness degree class 100︓ about 28 L 0.5 microns or more 100 or less) for the purpose of insuturumenteshon where shi ⽤ does the ⾦ genus making risk of infection most ⼩ gen after the operation during operation. In addition, we put radioscopy detection equipment (Ziehm Vision FD) and navigation system that we can build of the latest three-dimensional image together, and ⾏ is in ⾼ i insuturumenteshon of precision.
　By skill in ⼿ of spinal column transformation such as spinal cord disease and scoliosis, ⽤ is to head and spinal cord called monitoring by the ⽅ method to confirm whether we do electrical stimulation, and electricity reaches nerve sinew of lower limbs normally during operation by spinal cord evoked potential, and ⾏ is by skill in ⼿ safely.
　In knee joint disease center, ⾏ is by skill in ⼿ therapy of skill in ⼈⼯ knee joint substitution (operation all skill in substitution and single condyle ⽚ side substituted depending on the condition of a patient). ⼈⼯ total knee replacement intends for person at ⾼ age or patient with severe transformation and, about correction of lower limbs alignment and setting of each kompotonento of ⼈⼯ joint, ⽤ is in computer ⽀ enkiki and carries out skill in ⾼ i ⼿ of precision.

　Surgical management of 3 department of neurosurgical domain performs craniotomy operation (we use clip at the root of cerebral aneurysm) and operation (we put catheter from blood vessel) in blood vessel.
　We put pipe made in the ⾦ genus which halftone plate-formed can expand called stent for "cerebral aneurysm embolization with coil" to fill with or carotid artery stenosis (state that the carotid artery becomes narrow by arteriosclerosis) in aneurysms by the soft threadlike ⾦ genus made in platinum called coil to prevent explosion of cerebral aneurysm (swelling which there was in main channel in brain) with it is operation in blood vessel to perform in treatment department in cranial nerve blood vessel, treatment center in blood vessel, and ⾏ is by "stenting" to open blood vessel.
　We play so ⼊ to blood vessel with plastic thin pipe called catheter for cerebral infarction for the immediate nature period, and we snatch clot with wire that it is, and ⾏ is in mesh by "clot collection therapy" absorbing clot with appliance called "penumbra" the tip called "stent retriever".

　
　

　In cranial nerve Internal medicine, so ⼊ does plastic thin pipe called catheter to ⾎ pipe for cerebral infarction in cooperation with treatment center in blood vessel for the immediate nature period, and we snatch ⾎ stopper with wire that it is, and ⾏ is in mesh by "clot collection therapy" absorbing clot with appliance called "penumbra" the tip called "stent retriever".
　Gastrostomy is skill in ⼿ constructing i* using endoscope of stomach for the purpose of stomach giving patient who passes for aftereffects such as strokes, and cannot do ⼝ intake nutritional supplement, and improving all ⾝ states. At our hospital, we pass, and ⾏ is to patient that ⼝ intake is impossible by gastrostomy after patient book ⼈, consultation with ⽅ of family after having well considered in case.

　At our hospital, as for the number of ⽣ of complications such as DIC (disseminated ⾎ jurisdiction solidification syndrome), sepsis of 2019, other mycosis and ⼿ skill, measures, all ten were within.