输血医学理论与临床实践脱节的原因与解决办法刍议  

Reasons and solutions for the disconnect between transfusion medicine theory and clinical practice

作　　者：张印则 ZHANG Yinze(Department of Blood Transfusion,Shenzhen University General Hospital,Shenzhen 518055,China)

机构地区：[1]深圳大学总医院输血科,广东深圳518055

出　　处：《中国输血杂志》2025年第1期126-129,148,共5页Chinese Journal of Blood Transfusion

摘　　要：输血医学作为1门经验性学科,其发展是1个扬弃的过程,观念、技术在其中起着关键作用。在传承过程中,要做到去伪存真,则需要充分了解观念、技术的发展历史,得出某一结论的研究背景、前提及缺陷。更为关键的是要有严密的逻辑分析能力,从蛛丝马迹中发现原有理论的不足,结合当今的技术、研究成果,不断完善前人给我们留下的宝贵经验与结论,使之更加接近事物的真相。审视当今的输血医学理论,在名词术语、规范、标准、论文、专著中仍存在一些似是而非的观念及实践指南。究其原因,是缺乏对研究史的了解、缺乏知识的沉淀、缺乏独立思考的理性精神,更为重要的是缺乏严谨的逻辑思维能力。通过本文所列举事例,希望读者能从知识的演进背景和过程中,领悟隐匿其中的理性精神与科学规律。沿着输血医学发展历史的脉络,梳理出结构严密、推理严谨的理论体系,以便于更好地为实践服务,解决实际工作中遇到的各种疑难问题。Transfusion medicine,an empirical discipline,evolves through a process of selective retention,where concepts and technologies play a pivotal role.To discern the authentic from the spurious in this knowledge transmission,one must thoroughly understand the historical development of these concepts and technologies,including the contexts and limitations of various conclusions.Crucially,rigorous logical analysis is necessary to identify and address the shortcomings of existing theories.By integrating modern technologies and research findings,we can refine the invaluable insights and conclusions inherited from our predecessors,thereby approximating closer to the true nature of matters.Upon reviewing contemporary theories in transfusion medicine,one finds that some terms,norms,standards,papers and monographs still harbor seemingly plausible yet incorrect concepts and guidelines.This often stems from a lack of understanding of the discipline’s research history,insufficient knowledge accumulation,a deficit in independent and rational thinking,and most importantly,a lack of rigorous logical thought.Through the examples presented in this article,readers are encouraged to appreciate the rational spirit and scientific principles underlying the evolution and process of knowledge.By tracing the developmental trajectory of transfusion medicine,we aim to establish a tightly structured and logically coherent theoretical framework that better serves practical applications and resolves complex issues encountered in the field.

关 键 词：输血医学 理论 逻辑 临床医学 

分 类 号：R457.1[医药卫生—治疗学]