急重症影像學與黃金搶救
急重症影像醫學量能
急重症醫學近年來發展日益蓬勃,而影像醫學在急重症領域中,始終扮演著決定性的舉足輕重角色。本科在前李子瑜主任的遠見與努力下,毅然開創台灣醫學界之先例,自民國 78 年 12 月開始,即實施「全年無休、每日皆有專責主治醫師在院值班」的高規格編制,即時提供全方位急重症影像醫學診斷及高難度介入性栓塞治療,歷年來深獲本院臨床各科同仁的高度推崇與信任。
除了高度重視臨床第一線的救命服務,本科部亦投入大量心血於急重症影像學之學術研究。早期由李子瑜醫師在《Abdominal Imaging》發表肝膿瘍研究,以及萬永亮主任在知名頂尖期刊《Radiology》發表產氣性腎盂炎之重量級論文奠定基礎;近年亦有多篇前沿成果連續刊載於國際權威急重症 SCI 醫學雜誌。
本部積極與小兒急診、急診內科、外傷科、婦產科等院內急難核心科別建立緊密的綠色通道,共同投入急重症病人之臨床診斷與介入性診療研究,全方位提升救治成功率。
🧬 跨團隊急重症臨床診斷與介入診療核心範疇
‧ 嚴重外傷脾臟出血經導管動脈栓塞
‧ 突發性肝癌破裂急性出血緊急栓塞
‧ 產後大出血與前置胎盤出血導管栓塞
‧ 小兒急重症腸阻塞之即時放射診斷
‧ 腹部鈍傷、睪丸移位之精密影像判定
‧ 頭頸靜脈破裂出血之高階電腦斷層評估
🤰 產後大出血與植入性胎盤的介入治療
緊急栓塞止血與術中預防性栓塞,已獨立為產科介入治療專頁
急重症領域 核心國際學術論文集
Yu PC, Ou HY, Leung-Chit Tsang L, Kung FT, Hsu TY, Cheng YF (Corresponding author). Prophylactic intraoperative uterine artery embolization to control hemorrhage in abnormal placentation during late gestation. Fertil Steril 2009.
Kung CT, Liu BM, Ng SH, Lee TY, Cheng YF, Chen MC, Ko SF (Corresponding author). Transcatheter arterial embolization for hemodynamic instability due to ruptured hepatocellular carcinoma in the emergency department: an analysis of 167 cases. AJR Am J Roentgenol 2008;191(6):W231~239.
Ko SF, Tiao MM, Huang FC, Hsieh CS, Huang CC, Ng SH, Wan YL, Lee TY. Internal hernia associated with Meckel’s Diverticulum in two pediatric patients. Am J Emerg Med 2008;2:86~90.
Ko SF, Ng SH, Fang FM, Wan YL, Hsieh MJ, Liu PP, Kung CT, Liu BM. Left brachiocephalic vein perforation: computed tomographic features and treatment considerations. Am J Emerg Med 2007;25:1051~1056.
Liu CF, Kung CT, Liu BM, Ng SH, Huang CC, Ko SF (Corresponding author). Splenic artery aneurysms encountered in the ED: 10 years experience. Am J Emerg Med 2007;25:430~436.
Yu CW, Hsieh MJ, Huang KB, Huang CC, Ng SH, Ko SF (Corresponding author). Mediastinal mature teratoma with complex rupture into the pleura, lung and bronchus complicated with mycoplasma pneumonia. J Thorac Cardiovasc Surg 2007;133:1114~1115.
Ko SF, Lee TY, Huang CC, Cheng YF, Ng SH, Kuo YL, Lin MC, Liu JW, Yang KD, Chen MC, Chen CL. Severe acute respiratory syndrome: prognostic implications of chest radiographic findings in 52 patients. Radiology 2004;233:173~181.
Ko SF, Ng SH, Wan YL, Huang CC, Lee TY, Kung CT, Liu PP. Testicular dislocation: an uncommon and easily overlooked complication of blunt abdominal trauma. Ann Emerg Med 2004;43:371~375.