症状对临床决策重要性的哲学解析  

Philosophical Analysis of the Significance of Symptoms to Clinical Decision-making

作　　者：郭慧 赵茜[1] 贾阳娟 李建国[1] GUO Hui;ZHAO Qian;JIA Yang-juan(Department of Emergency Medicine,Hebei General Hospital,Shijiazhuang 050051,China)

机构地区：[1]河北省人民医院急诊医学科,河北石家庄050051

出　　处：《医学与哲学》2022年第1期24-27,共4页Medicine and Philosophy

基　　金：2021年河北省中医药类科研计划课题(2021160)。

摘　　要：症状是疾病所引起患者主观上的异常感觉或某些客观病态改变,是医师对患者进行疾病调查的起点,以症状为导向的诊疗模式更符合临床实践;充分了解患者症状,可以便捷、高效扩展医生的横向思维,而大型仪器的使用也是以症状学为基础,用来验证医生临床决策;医生最早接触的是患者的症状,因此,症状能更早提示鉴别危重患者,减少过度医疗;症状学是通向患者真实世界的途径之一,不仅能判断患者整体情况和病情转归,还是医学人文融入临床的落脚点。Symptoms are the subjective abnormal feelings or some objective pathological changes of patients caused by diseases.And it is the first step for doctors to carry out disease investigation on patients.The symptom-oriented diagnosis model is more in line with the clinical practice.Full understanding of patients'symptoms can expand lateral thinking for doctors.The use of large-scale instruments is also based on symptomatology to verify doctors'clinical decisions.Symptom is the first clue to doctors,therefore,it helps to identify critically ill patients earlier,and reduces excessive medical treatment.Symptomatology is an access to the real world of patients,from which doctors judge the overall condition and prognosis,it is also the foothold of the integration of medical humanities into clinical practice.

关 键 词：症状学 横向思维 医学人文 真实世界 过度医疗 

分 类 号：R-02[医药卫生]