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[直觉与手术责任]

[Intuition and surgical responsibility].

作者信息

Gastinger I

机构信息

Chirurgische Klinik, Carl-Thiem-Klinikum Cottbus.

出版信息

Zentralbl Chir. 1999;124 Suppl 3:48-9.

Abstract

The vast majority of surgical tasks can be managed by using basic, special and experts' knowledge gained during many years of clinical training and by applying solid surgical skills. This refers to elective cases as well as to emergency surgery and to general surgeons as well as to subspecialists. Consensus statements and standards of care derived from objective study results are aimed to be helpful as practice guidelines and in the decision making process. Only rare, non-foreseeable, unexpected and suddenly occurring exceptional situations require actions based on intuition, which results from a quick, sharp and brilliant decision founded on huge knowledge and experience. But in the scope of surgical work an overstatement or a mystic glorification of intuition should always be avoided.

摘要

绝大多数外科手术任务可以通过运用多年临床培训积累的基础、专业和专家知识,并凭借扎实的手术技能来处理。这适用于择期手术病例以及急诊手术,适用于普通外科医生以及专科医生。源自客观研究结果的共识声明和护理标准旨在作为实践指南并在决策过程中发挥作用。只有极少数不可预见、意外突发的特殊情况需要基于直觉采取行动,而这种直觉源于基于丰富知识和经验做出的快速、敏锐且明智的决策。但在外科工作范围内,应始终避免对直觉的夸大或神秘化美化。

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