中华诊断学电子杂志
中華診斷學電子雜誌
중화진단학전자잡지
2014年
2期
118-120
,共3页
陈适%刘慧婷%朱慧娟%潘慧%顾锋
陳適%劉慧婷%硃慧娟%潘慧%顧鋒
진괄%류혜정%주혜연%반혜%고봉
转化医学%代谢性疾病%临床诊断思路%低钠血症
轉化醫學%代謝性疾病%臨床診斷思路%低鈉血癥
전화의학%대사성질병%림상진단사로%저납혈증
Translational medicine%Metabolic diseases%Clinical consideration of diagnosis%Hyponatremia
临床诊断思维主要有印象对比法、综合分析法和逐步排除法。其中,综合分析法和逐步排除法均较常用,都需要临床医师熟悉相关疾病病因。熟悉病因可以考虑从转化医学的角度出发,将基础医学知识和临床医学知识结合的记忆方法解决,即从物质和激素产生、分泌、作用、消除的各个环节,用病理生理和生物化学的视角认识和思考内分泌和代谢疾病,区分疾病病因。代谢性疾病主要研究机体中物质的多和少,其病因复杂。具体到低钠血症,可以从水钠代谢的过程出发,利用转化医学的思路逐步分析。
臨床診斷思維主要有印象對比法、綜閤分析法和逐步排除法。其中,綜閤分析法和逐步排除法均較常用,都需要臨床醫師熟悉相關疾病病因。熟悉病因可以攷慮從轉化醫學的角度齣髮,將基礎醫學知識和臨床醫學知識結閤的記憶方法解決,即從物質和激素產生、分泌、作用、消除的各箇環節,用病理生理和生物化學的視角認識和思攷內分泌和代謝疾病,區分疾病病因。代謝性疾病主要研究機體中物質的多和少,其病因複雜。具體到低鈉血癥,可以從水鈉代謝的過程齣髮,利用轉化醫學的思路逐步分析。
림상진단사유주요유인상대비법、종합분석법화축보배제법。기중,종합분석법화축보배제법균교상용,도수요림상의사숙실상관질병병인。숙실병인가이고필종전화의학적각도출발,장기출의학지식화림상의학지식결합적기억방법해결,즉종물질화격소산생、분비、작용、소제적각개배절,용병리생리화생물화학적시각인식화사고내분비화대사질병,구분질병병인。대사성질병주요연구궤체중물질적다화소,기병인복잡。구체도저납혈증,가이종수납대사적과정출발,이용전화의학적사로축보분석。
Clinical consideration of diagnosis mainly included the impression comparison method, comprehensive analysis and stepwise elimination method,among them,comprehensive analysis and stepwise elimination method were commonly used.The clinicians should be familiar with the causes of related diseases.They could mixed the basic medical knowledge and clinical medical knowledge together from the perspective of translational medicine,that is,with physiological and biochemical perspective,understanding and thinking about the produce,secrete,function and elimination of material and hormone in endocrine and metabolic diseases and distinguishing the causes of disease.To distinguish the causes of hyponatremia,the clinicians should know the water and sodium metabolism from the consideration of translational medicine.