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[经验在确定手术适应症和手术技术方面的作用及重要性]

[Effect and importance of experience in determining indications and surgical technique].

作者信息

Kümmerle F

出版信息

Langenbecks Arch Chir Suppl II Verh Dtsch Ges Chir. 1990:1291-6.

PMID:1983531
Abstract

Medicine is an empirical science in which there are very heterogeneous view about the importance of experience. Numerical data attempt to quantify the required experience for student education and clinical practice. Support systems, i.e. scores, decision trees, etc., facilitate decision-making for surgical indications and choice of operative techniques. They are aided by clinimetrical systems, i.e. controlled clinical trials and even computer assistance. Beyond all strategies of decision-making lies the accumulated individual experience of making the right decision at the right time. Experience is also at the bottom of the often cited intuition, clinical judgement and common sense.

摘要

医学是一门经验科学,对于经验的重要性存在非常不同的观点。数值数据试图量化学生教育和临床实践所需的经验。支持系统,即评分、决策树等,有助于手术适应症的决策和手术技术的选择。它们得到临床测量系统的辅助,即对照临床试验甚至计算机辅助。在所有决策策略之外,是在正确的时间做出正确决策的累积个人经验。经验也是常被提及的直觉、临床判断和常识的基础。

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