Kempster P A
Neurosciences Department, Monash Medical Centre, 246 Clayton Road, Clayton, Vic. 3168, Australia.
J Clin Neurosci. 2006 Jan;13(1):14-7. doi: 10.1016/j.jocn.2005.03.017.
Case delineation in clinical medicine is the technique of creating a narrative that allows the appropriate scientific knowledge to be brought to bear. Neurologists get to be good at this type of story reading and telling from dealing with clinical stories which are relatively long and complicated. These skills are evident whenever working neurologists gather to discuss case material, or when studying their written clinical communications. The purpose of the article is to analyze this aspect of everyday neurological practice by looking at some of the general principles of story telling and appreciation.
临床医学中的病例描述是一种构建叙述的技巧,它能运用恰当的科学知识。神经科医生由于处理相对冗长复杂的临床病例,从而擅长这类病例的解读与讲述。无论在职神经科医生聚在一起讨论病例资料,还是研究他们书写的临床交流内容时,这些技能都很明显。本文的目的是通过审视病例讲述与理解的一些一般原则,来分析日常神经科实践的这一方面。