本文選題：診斷　切入點(diǎn)：疑難病例　出處：《醫(yī)學(xué)與哲學(xué)(B)》2016年12期 　論文類型：期刊論文

【摘要】：了解臨床內(nèi)科疑難病例診斷困難的原因。通過逐一閱讀2001年~2014年《中華醫(yī)學(xué)雜志》刊登的疑難病例評(píng)析文章,分別統(tǒng)計(jì)內(nèi)科疑難病例相關(guān)文章發(fā)表的年代、科室(包括多學(xué)科聯(lián)合)、病種。2001年~2014年《中華醫(yī)學(xué)雜志》共發(fā)表259例疑難病例,各年代分布差異不大,發(fā)表疑難病例最多的前5位分別為風(fēng)濕免疫科、呼吸科、血液科、內(nèi)分泌科和神經(jīng)內(nèi)科。病例中涉及多學(xué)科(≥2)的共39篇,涉及多學(xué)科的病例中以風(fēng)濕免疫科最多(共20篇),涉及病種中前5位分別是淋巴瘤、系統(tǒng)性紅斑狼瘡、抗中性粒細(xì)胞胞漿抗體(ANCA)相關(guān)性小血管炎、結(jié)核病、肺動(dòng)脈栓塞。259例疑難病例中屬于罕見病僅占55%,余為常見病。為進(jìn)一步提高疑難病的診斷水平,一方面要注意學(xué)習(xí)少(罕)見病,另一方面要提高臨床思維水準(zhǔn),注意常見病的診斷思維,尤其注意多學(xué)科聯(lián)合診斷,避免分科過細(xì)帶來的局限性。
[Abstract]:To understand the causes of the difficult diagnosis of difficult cases in clinical internal medicine. By reading the review articles of difficult cases published in the Chinese Journal of Medicine from 2001 to 2014, we counted the years of publication of the articles related to the difficult cases of internal medicine. From 2001 to 2014, a total of 259 difficult cases were published in the Chinese Journal of Medicine. There was no significant difference in the distribution of the cases in each year. The top five most reported difficult cases were Rheumatological Immunology Department, Respiratory Department and Hematology Department respectively. Department of Endocrinology and Neurology. There were 39 cases involving multiple subjects (鈮，

本文編號(hào)：1618475