中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
32期
3985-3987
,共3页
未分化疾病%全科医生%诊断%治疗
未分化疾病%全科醫生%診斷%治療
미분화질병%전과의생%진단%치료
Undifferentiated diseases%General practitioners%Diagnosis%Therapy
未分化疾病是指医学上无法解释的躯体症状或指疾病早期尚未明确归属于某一系统的疾病。疾病初期,由于很多典型症状尚未显现,确诊较为困难。在全科医生的诊疗过程中,首先接触较多的是疾病症状问题,但症状和疾病之间存在着偶然和必然的关系,全科医生应具备透过现象看本质来实施诊断的能力和技巧,使疾病在早期阶段被发现并处理,做好居民健康的“守门人”。本文就常见的3种未分化疾病乏力、水肿、消瘦进行分析,为全科医生在诊断时提供一定的临床思路。
未分化疾病是指醫學上無法解釋的軀體癥狀或指疾病早期尚未明確歸屬于某一繫統的疾病。疾病初期,由于很多典型癥狀尚未顯現,確診較為睏難。在全科醫生的診療過程中,首先接觸較多的是疾病癥狀問題,但癥狀和疾病之間存在著偶然和必然的關繫,全科醫生應具備透過現象看本質來實施診斷的能力和技巧,使疾病在早期階段被髮現併處理,做好居民健康的“守門人”。本文就常見的3種未分化疾病乏力、水腫、消瘦進行分析,為全科醫生在診斷時提供一定的臨床思路。
미분화질병시지의학상무법해석적구체증상혹지질병조기상미명학귀속우모일계통적질병。질병초기,유우흔다전형증상상미현현,학진교위곤난。재전과의생적진료과정중,수선접촉교다적시질병증상문제,단증상화질병지간존재착우연화필연적관계,전과의생응구비투과현상간본질래실시진단적능력화기교,사질병재조기계단피발현병처리,주호거민건강적“수문인”。본문취상견적3충미분화질병핍력、수종、소수진행분석,위전과의생재진단시제공일정적림상사로。
Undifferentiated disease is defined as medically unexplained physical symptoms or the disease which is still in the early stage and not clearly attributed to specific system. In the early stage of the disease,the diagnosis is difficult because many typical symptoms are not yet apparent. The physical symptoms are more common in the process of diagnosis and treatment by general practitioners,while there is accident or necessary relation between symptom and disease. General practitioners should master the ability and skills to make correct diagnosis by seeing through the phenomenon to perceive the essence. In this way, diseases could be detected in early stage,and general practitioners could play the role of " gatekeeper" of residents' health well. The article conducted an analysis on three kinds of undifferentiated diseases,including fatique,edema and emaciation,in order to provide clinical thoughts for general practitioners in diagnosis.