河北省儿童医院与加拿大病童医院成功开展首例国际远程会诊

文/河北省儿童医院国际联络处

7月15日，河北省儿童医院与加拿大病童医院首例国际远程会诊在河北省儿童医院“外国专家书屋”成功开展。本次会诊在双方专家团队的共同努力和高效沟通下，成功探索出了更为完善和全面的治疗方案，为饱受重病折磨的年仅6岁的患儿带来了康复的希望。

加拿大病童医院作为国际三大儿童医院之一，成立于1875年。在过去的百年间，发展成集医疗、科研和教学于一体的大型综合医院。其院内医疗中心包括骨骼健康中心、脑健康和行为中心、肿瘤中心、心脏中心、医学遗传学中心和移植中心等。具备世界一流的医护人员及医疗设备，更重要的是拥有众多学术成就。河北省儿童医院作为省内唯一所集医疗、教学、科研、保健、康复、急救于一体的三级甲等综合儿童医院，拥有一个国家临床重点专科和多个省级医学重点学科；年门诊量达160余万人次，日均门诊量最高达6000余人次。依托河北省科学技术厅（外国专家局）的平台支持，在加中商贸创新联盟的全力协助和推进下，2020年两院正式签署了全面合作框架协议。此次中加两院间的专家共同为患儿进行国际远程会诊，以中西方医疗专家共同的智慧碰撞，为河北省儿科疑难、罕见疾病的诊断和救治引入新思路、增添新希望。

双方在充分考虑合作需求和发展前景的背景下，经过前期多次的远程会议沟通，于2020年10月22日正式签订了长期合作框架协议，明确了血液肿瘤、重症医学、康复医学、心理行为、心血管疾病、神经系统疾病等领域为方向的多项合作。本次的国际远程会诊正是在这样的大背景下得以顺利实施。

加拿大病童医院儿童呼吸专家在线参会

申请会诊的患儿来自河北省儿童医院呼吸三科，曾因多次肺炎和相关病症住院救治，是典型的儿科复杂疑难性病例。为保证会诊质量，双方医院的国际会诊项目团队经过多达50多封邮件和至少3次视频会议的充分沟通、协调，并在河北省儿童医院呼吸科、影像科、信息科、医务处等多处室协同配合下最终得以顺利进行。会诊中，来自加拿大病童医院儿童呼吸专业的Amin院士与河北省儿童医院呼吸三科治疗团队就患儿用药、检查、康复、手术方案和康复辅助治疗方面进行了详细的沟通和探讨，最终提供了全面完整的诊疗方案和建议。经过一段时间的治疗，目前患儿病情终于得到了理想的控制，并呈现出良好的康复趋势。

自2020年4月28日启动国际远程会诊项目以来，河北省儿童医院已陆续完成多例针对儿童复杂疑难病例的国际会诊工作。会诊专家分别来自美国、意大利、加拿大等国家，已组成多学科跨专业的国际会诊团队。不断拓展的合作单位和不断完善的会诊流程将更好地服务河北省及周边地区的广大患儿，为患有疑难复杂罕见疾病的孩子和家庭带去新的希望。

The first international tele-consultation between Hebei Children’s Hospital and the Hospital for Sick Children of Canada (SK) has been successfully achieved at Hebei Children’s hospital’s “Foreign Experts’ Book House”. This consultation explored more consummate and comprehensive treatment plan by specialists’ teamwork and efficient communication. These experts bring the rehabilitative hope to the girl who are 6 years old and are suffering severe disease.

SK was established in 1875. As one of the three wellknown international children’s hospitals, it becomes a large synthetical hospital that contains medical treatment, scientific research, and education in the last hundred years. SK medical treatment center contains skeleton health center, brain health and behavior center, tumor center, heart center, and medical genetics center and transplant center. The hospital has the most outstanding staff and advanced equipment. More importantly, it has extensively a range of academic achievements. In China, Hebei Children’s hospital is the only one comprehensive Grade 3A (top level in China) children’s hospital in Hebei province. It integrates medical education, scientific research, health care, rehabilitation and first aid. Besides, our hospital has one national clinical specialty and multiple provincial crucial medical disciplines. The annual outpatient number is more than 1.6 million, and the average daily outpatient number is more than 6,000. Relying on the platform support of the Hebei Provincial Department of Science and Technology (Bureau of Foreign Experts), with the full assistance and promotion of the Canada-China Business Innovation Alliance, the two academies formally signed the MOU in 2020. In this international tele-consultation, the specialists from our hospital and SK shared their diverse thoughts. The new ways of treatment represent the hope of pediatric therapy in Hebei province.

The two hospitals fully considered the needs of cooperation and the prospects, formally signed the long-term MOU on October 22, 2020. It clarifies the cooperation in the fields of hematology and oncology, critical care, medicine, rehabilitation medicine, psychological behavior, cardiovascular disease, nervous system disease etc. This international teleconsultation was successfully implemented under this background.

The patient who applied for the consultation came from the Respiratory III Department of Hebei Children’s Hospital, who has been hospitalized for repeated pneumonia and related diseases. It is a t ypical complicated case. In order to ensure the quality of consultation, the international consultation project teams of the two hospitals have fully communicated and coordinated through more than 50 emails and at least 3 video conferences. With the cooperation and support of the respiratory department, imaging department, information department, medical department and other departments of our hospital, it was finally able to proceed smoothly. Dr. Amin, a respiratory specialist working at SK, had a detailed communication and discussion with respiratory III department of Hebei Children’s Hospital on medication, examination, rehabilitation, surgical plan, and auxiliary rehabilitation treatment for the patient. Ultimately, both hospitals provided a systematized diagnosis plan and recommendations. After a period of treatment, the patient’s situation got ideal control and represented a recovery trend.

Since the launch of the international teleconsultation project on April 28, 2020, Hebei Children’s Hospital has successively completed a number of international consultations for patients with complex and difficult cases with foreign experts come from the United States, Italy, Canada and other countries, which have formed a multidisciplinary and cross-professional international consultation team. The continuously expanding cooperation units and the constantly improving consultation process will better serve the vast number of children in Hebei province and surrounding areas, and bring new hope to children and families suffering from complex and rare diseases.