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[病史对肩部疼痛概率诊断的价值]

[The value of the anamnesis for the probability diagnosis of shoulder pain].

作者信息

Gärtner J, Blauth W, Hahne H J

机构信息

Orthopädische Universitätsklinik Kiel.

出版信息

Z Orthop Ihre Grenzgeb. 1991 Jul-Aug;129(4):322-5. doi: 10.1055/s-2008-1040249.

Abstract

The response to pain of the shoulder in different diseases and injuries in this joint is uniform and this is of very little help in recognizing the cause. A detailed case history is useful in delineating the differential diagnosis. We have therefore developed a questionnaire consisting of 55 specifically aimed questions to these case histories. The acquired information was specifically rated for the 24 most frequent shoulderillnesses/injuries, and integrated in a computer program. In 55.4% of the cases the computer predicted the correct diagnosis and in 80% of the cases the right diagnosis was suggested amongst the first 3 preferences of the differential diagnosis.

摘要

该关节在不同疾病和损伤中对肩部疼痛的反应是一致的,这对识别病因帮助甚微。详细的病史有助于明确鉴别诊断。因此,我们设计了一份包含55个针对这些病史的特定问题的问卷。针对24种最常见的肩部疾病/损伤,对所获取的信息进行了专门评分,并整合到一个计算机程序中。在55.4%的病例中,计算机预测出了正确的诊断,在80%的病例中,鉴别诊断的前3个选项中给出了正确的诊断建议。

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