UpToDate临床顾问在疑难病诊断中的应用--以POEMS综合征为例  

Application of UpToDate in the Diagnosis of Complicated Diseases:A Case Study of POEMS Syndrome

作　　者：张妲 周广鑫 肖黎 ZHANG Da;ZHOU Guangxin;XIAO Li(Endocrinology Department of Air Force Medical Center,Air Force Medical University,Beijing 100142,China)

机构地区：[1]空军军医大学空军特色医学中心内分泌科,北京100142

出　　处：《医学与哲学》2024年第18期73-76,共4页Medicine and Philosophy

基　　金：2021年北京市卫生健康委住培质量提高项目(住培2021049);2021年空军特色医学中心教学研究课题(2021JX016)。

摘　　要：以一例POEMS综合征为例,展示如何使用UpToDate临床顾问辅助疑难病的诊断。详细描述一位54岁女性患者的临床资料、检查结果和治疗过程,根据病例特点,借助UpToDate临床顾问梳理包括糖尿病性多发性神经病的筛查、库欣综合征确诊、低促性腺激素性性腺功能减退症病因、慢性炎症性脱髓鞘性多发性神经病的诊断等专业知识和临床诊断思路,在多学科合作基础上,逐渐明晰诊断证据,并通过UpToDate临床顾问和PubMed数据库的互补合用,实现对临床病情全面解读。This article takes POEMS syndrome as an example to demonstrate how to use UpToDate to assist in the diagnosis of complicated diseases.This article describes in detail the clinical data,examination results and treatment process of a 54-year-old female patient.According to the characteristics of the case,with the help of UpToDate,this paper combs professional knowledge and clinical diagnostic ideas,including screening of diabetes polyneuropathy,diagnosis of Cushing's syndrome,etiology of hypogonadotropic hypogonadism,diagnosis of chronic inflammatory demyelinating polyneuropathy,and gradually clarifies diagnostic evidence on the basis of multidisciplinary cooperation.Through the complementary use of UpToDate and PubMed database,a comprehensive interpretation of clinical conditions is achieved.

关 键 词：疑难病 POEMS 综合征 UpToDate 临床顾问 临床思维 

分 类 号：R-05[医药卫生]