Carballo Sebastian, Garin Nicolas, Gerstel Eric, Reny Jean-Luc, Nendaz Mathieu, Perrier Arnaud
Service de médecine interne générale, Département de médecine interne, HUG, 1211 Genève 14.
Rev Med Suisse. 2010 Feb 3;6(234):228-32.
The recommended best clinical management of common pathologies encountered in the practice of internal medicine in a hospital setting evolves with time. This selective review covers recent studies that may significantly contribute to the decision process at several stages of such management. The areas that are addressed are those of screening, namely for coronary heart disease in diabetic patients, and those of therapeutic choices, such as for severe pneumonia, hypertension as well as coronary heart disease and anemia in patients with renal failure. The presurgical evaluation of lung cancer, the level of glucose control to be achieved in the intensive care unit, and novel methods of teaching medicine are also discussed.
医院环境下内科实践中常见病症的推荐最佳临床管理会随时间而演变。这篇选择性综述涵盖了近期研究，这些研究可能在这种管理的多个阶段对决策过程有重大贡献。所涉及的领域包括筛查领域，即糖尿病患者的冠心病筛查，以及治疗选择领域，如重症肺炎、高血压以及肾衰竭患者的冠心病和贫血的治疗选择。还讨论了肺癌的术前评估、重症监护病房应达到的血糖控制水平以及医学教学的新方法。
