Paperback. Pub Date: 2013 Pages: 370 Language: Chinese in Publisher: Chinese Peking Union Medical College Press. clinical thinking ability of a physician in the process of growing need to keep learning to improve science internship phase of training medical students the important and difficult. Domestic medical textbooks and more manpower from the disease. from symptoms of manpower. step by step (step by step) case analysis method. direct counseling medical students medicine clinical thinking.

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Bibliographic Details

Title: Explanation of internal medicine clinical thinking basic skills(Chinese Edition)
Publisher: ???????????
Publication Date: 2013
Language: Chinese
ISBN 10: 7811366827
ISBN 13: 9787811366822
Binding: paperback
Condition: New

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Synopsis

临床思维能力是每一名内科医生在成长过程中需要不断学习提高的，也是医学生内科学实习阶段训练的重点和难点。国内的医学教材多从疾病人手，而从症状人手、采用循序渐进（stepbystep）的病例分析方法、直接辅导医学生内科临床思维能力养成的教材并不多见。我们以培养医学生和年轻医生缜密的临床思维能力为目标，在北京协和医院普通内科全体同仁的共同努力下完成了《内科临床思维基本功释例》的编写工作，编写过程得到了北京协和医院内科单渊东等老教授的支持和指导。《内科临床思维基本功释例》参考国外相关医学教材的写作方式，结合国内病例特点，部分采用了真实的病例，具有较强的可读性；书中以症状为导向进行了大量的疾病鉴别诊断，对培养医学生发散性思维和结合实例分析的能力非常有益；书中概要介绍了涉及呼吸、循环、消化、肾脏、血液、神经等各系统共150余种疾病的诊断、鉴别诊断和治疗；书中强调了循证医学方法，为部分疾病的诊治提供了最新的循证医学证据。我们期望《内科临床思维基本功释例》能够成为医学八年制本科生和研究生临床实习阶段有益的内科学参考书。第一章诊断决策——面对一个病人，我该如何诊断?诊断过程对于临床医师而言，工作中面临的重要问题主要有两个：①疾病的诊断；②疾病的治疗。治疗通常是建立在诊断的基础之上，因此疾病的诊断就显得格外重要。面对一个病人，提出诊断与鉴别诊断，选择下一步的诊断性试验，并对检查结果进行合理的解释，这是所有临床医师必须具备的能力，也是医学生需要学习的一项新的基本技能。诊断疾病的过程如同回答其他科学问题一样，所不同的只是将科学方法从实验室带到了病人的床边。一个典型的诊断过程往往包含以下几个步骤：A．通过病史采集和体格检查收集信息，在分析资料的基础上提出最为可能的诊断假设（包含了诊断与鉴别诊断）B．选择一种诊断眭试验（或检查）以获取新的信息，帮助确定或排除先前的诊断假设C．分析试验结果并决定是否需要进一步的信息，或提出新的诊断假设1．试验结果可以帮助确定是这个病吗?如果是，则开始治疗。2．试验结果支持这个诊断假设，但你是否还不确定?如果是，则需要另一个诊断j生试验。3．试验结果可以帮助排除这个病吗?如果是，则需要考虑其他疾病。本章将带你体会一个有经验的临床医师的诊断过程，在收集临床资料的基础上提出诊断和鉴别诊断，而后决定采用哪些诊断陛试验（或检查），并对试验（或检查）结果进行解释和应用。……绪论第一章诊断决策第二章头痛病例1偏头痛紧张性头痛未破裂的中枢神经系统动脉瘤所致头痛病例2颅内肿瘤与其他疾病相关的晨起头痛与一些物质的接触及戒断有关的头痛病例3蛛网膜下腔出血用力所致头痛良性搏动性头痛脑出血病例4颞动脉炎硬膜下血肿脑膜炎第三章胸痛病例1稳定型心绞痛胃一食管反流病病例2急性心肌梗死不稳定型心绞痛主动脉夹层病例3急性心包炎第四章咳嗽与咯血病例1社区获得性肺炎流感气道高反应病例2肺结核肺脓肿病例3肺癌支气管扩张第五章喘憋病例1支气管哮喘Chur9—Strauss综合征变应性支气管肺曲菌病病例2慢性阻塞性肺疾病病例3惊恐发作血管神经性水肿第六章呼吸困难病例1慢性心力衰竭二尖瓣关闭不全主动脉瓣反流心房颤动病例2肺栓塞第七章腹痛……第八章急性腹泻第九章

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