剖析临床诊断思路论述临床基本技能的重要性  

To analyse the approach of diagnosis in order to expound the importance of basic skills

作　　者：杨淑芳[1] 秦俭[1] 

机构地区：[1]首都医科大学附属宣武医院急诊科,北京100053

出　　处：《中国急救医学》2009年第5期421-423,共3页Chinese Journal of Critical Care Medicine

摘　　要：急性胸痛和腹痛是急诊患者就诊常见的主诉，是一些致命性疾病的主要临床表现，起病急、变化快、病情重，如果诊断和处理不当，后果严重。正确的临床诊断过程必须通过问诊、体格检查、实验室和辅助检查四个步骤来完成。许多疾病通过询问病史及仔细、有序、规范和有重点的体格检查就可获得初步诊断，再通过实验室和辅助检查来验证诊断。临床诊断程序不应改变，否则会陷入误区，延误诊断和治疗。本文通过剖析急诊病历的临床诊断思路来论述临床基本技能在诊断过程中的重要性。The acute chest pain and abdominal pain are the common symptoms of the patients in emergency department and the main clinical manifestations of some lethal diseases. For their rapid onset, quick change and severe conditions, the unsuitable diagnosis or treatment may lead to a serious outcome. The accurate clinical diagnosis process includes inquiry, physical examination, laboratory and accessory examination. The preliminary diagnosis could be get by history taking, careful and standardized physical examination, and further strengthened by laboratory and accessory examination. The procedure of diagnosis should not be altered, otherwise the doctor the may be misled to the delay of diagnosis and treatment. This article analyzes the method of clinical diagnosis in emergency department in order to detail the importance of basic skills in the diagnosis process.

关 键 词：剖析 诊断思路 基本技能 

分 类 号：R44[医药卫生—诊断学]