Carruthers B M
J Clin Pathol. 2007 Feb;60(2):117-9. doi: 10.1136/jcp.2006.042754. Epub 2006 Aug 25.
A perspective on the various definitions of myalgic encephalomyelitis and the process of discovering its aetiology is presented. The importance of clinical guidelines is emphasised to encourage clinicians to provide clear descriptions of their individual patients required for proper clinical activity; diagnosis, estimation of severity of effect, prognosis, treatment and rehabilitation. This individual knowledge is informed by general and (hopefully) publicly confirmed knowledge resulting from scientific research during the second-person interaction which lies at the core of the clinical encounter. Both types of knowledge are essential.
本文阐述了对肌痛性脑脊髓炎各种定义的观点以及发现其病因的过程。强调了临床指南的重要性,以鼓励临床医生对个体患者进行清晰描述,这是正确临床活动(诊断、评估影响严重程度、预后、治疗和康复)所必需的。这种个体知识是由在临床诊疗核心的第二人称互动过程中科学研究产生的一般知识(并希望是经公开证实的知识)所提供的。这两种知识都至关重要。