Moore M J, Bleich H L
Respir Care. 1982 Jul;27(7):834-8.
A computer program was developed at Beth Israel Hospital in Boston to offer consultation to health care personnel treating patients with electrolyte and acid-base disorders, as the diagnosis of these disorders involves consideration of numerous factors and performance of tedious calculations. In order to obtain the necessary diagnostic information, the computer conducts a dialogue between itself and the person seeking its advice. The program then allows the computer to generate an evaluation note, which lists the diagnostic possibilities, explains the pathophysiology, recommends treatment, and provides references to the medical literature. The entire transaction, from data entry to printing, takes about 4 minutes. The computer program also compensates for entry of inconsistent data and for lack of data. Our experience with the program has revealed that it has favorably influenced patient care in a number of cases and has helped our staff better understand the pathophysiology and treatment of electrolyte and acid-base disorders.
波士顿贝斯以色列医院开发了一个计算机程序，用于为治疗电解质和酸碱紊乱患者的医护人员提供咨询，因为这些紊乱的诊断涉及众多因素的考量和繁琐的计算。为了获取必要的诊断信息，计算机与寻求建议者之间会进行对话。该程序随后允许计算机生成一份评估报告，其中列出诊断可能性、解释病理生理学、推荐治疗方法并提供医学文献参考。从数据输入到打印的整个过程大约需要4分钟。该计算机程序还能弥补数据输入不一致和数据缺失的问题。我们使用该程序的经验表明，它在许多病例中对患者护理产生了积极影响，并帮助我们的工作人员更好地理解电解质和酸碱紊乱的病理生理学及治疗方法。
