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异位妊娠误诊的诊断思维偏差原因分析
Analysis of Causes of Thinking Errors Resulting in Misdiagnosis of Ectopic Pregnancy
【摘要】 临床上误诊的原因是多方面的,医师思维方法的偏差是主要原因之一。通过对27例异位妊娠误诊病例的分析,提出导致思维偏差的原因有:忽视必要的病史询问和体检,过于相信已经做出的诊断,静止性的诊断思维和思维定势,重视临床现象忽略疾病本质,医师过分依赖和迷信辅助检查结果的诊断思维等。因此,临床思维必须坚持辨证唯物主义的认识论,收集资料和分析判断都必须客观全面,认清疾病的共性和个性,深究疾病的本质,正确评价各项检查结果,综合分析病情,才能避免诊断思维的偏差,减少误诊率。
【Abstract】 Causes of clinical misdiagnosis and mistreatment are various . An error in doctor’s mode of thinking is one of the main causes resulting in misdiagnosis’ and mistreatment. From analysis of 27misdiagnosed cases of ectopic pregnancy, the following causes of thingking errors were dravm: Neglecting the necessary history-taking and the necessary physical examinations; Excessively beliving in the diagnoses having been made; Thinking statically and regularly; thingking highly of the appearance while neglecting the essence of the disease,doctor’s excessively relying on accessoiy examinations etc.Therefore,when considering clinical thinking the dialectical materialist theory of knowledge must be adhered to.It must be objective and overall to collect data and to analyse and judge them. The common and individual characters of different diseases must be discovered. Seeing through the phenomena the essence of the disease objectively. Various laboratory test results and the materials about the cases should be evaluated comprehensively. Only by doing so, thinking errors in diagnosis can be avoided and the rate of misdiagnosis can be decreased.
- 【文献出处】 医学理论与实践 ,The Journal of Medical Theory and Practice , 编辑部邮箱 ,2002年03期
- 【分类号】R714.22
- 【下载频次】19