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如何撰写一份患者病例报告。

How to write a patient case report.

作者信息

Cohen Henry

机构信息

Arnold & Marie Schwartz College of Pharmacy & Health Sciences, Long Island University, Brooklyn, NY 11203, USA.

出版信息

Am J Health Syst Pharm. 2006 Oct 1;63(19):1888-92. doi: 10.2146/ajhp060182.

DOI:10.2146/ajhp060182
PMID:16990637
Abstract

PURPOSE

Guidelines for writing patient case reports, with a focus on medication-related reports, are provided.

SUMMARY

The format of a patient case report encompasses the following five sections: an abstract, an introduction and objective that contain a literature review, a description of the case report, a discussion that includes a detailed explanation of the literature review, a summary of the case, and a conclusion. The abstract of a patient case report should succinctly include the four sections of the main text of the report. The introduction section should provide the subject, purpose, and merit of the case report. It must explain why the case report is novel or merits review, and it should include a comprehensive literature review that corroborates the author's claims. The case presentation section should describe the case in chronological order and in enough detail for the reader to establish his or her own conclusions about the case's validity. The discussion section is the most important section of the case report. It ought to evaluate the patient case for accuracy, validity, and uniqueness; compare and contrast the case report with the published literature; derive new knowledge; summarize the essential features of the report; and draw recommendations. The conclusion section should be brief and provide a conclusion with evidence-based recommendations and applicability to practice.

CONCLUSION

Patient case reports are valuable resources of new and unusual information that may lead to vital research.

摘要

目的

提供撰写患者病例报告的指南,重点是与药物相关的报告。

总结

患者病例报告的格式包括以下五个部分:摘要、包含文献综述的引言和目的、病例报告描述、包括文献综述详细解释、病例总结和结论的讨论。患者病例报告的摘要应简洁地包括报告正文的四个部分。引言部分应提供病例报告的主题、目的和价值。它必须解释为什么该病例报告是新颖的或值得回顾的,并且应包括证实作者主张的全面文献综述。病例呈现部分应以时间顺序描述病例,并提供足够的细节,以便读者对病例的有效性得出自己的结论。讨论部分是病例报告最重要的部分。它应该评估患者病例的准确性、有效性和独特性;将病例报告与已发表的文献进行比较和对比;获取新知识;总结报告的基本特征;并提出建议。结论部分应简洁,并提供基于证据的建议和对实践适用性的结论。

结论

患者病例报告是新的和不寻常信息的宝贵资源,可能会引发重要研究。

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