De Dombal F T
Clinical Information Science Unit, Leeds, England.
Ann Chir. 1991;45(4):273-7.
This presentation describes the use of computer aided decision support in acute abdominal pain. The development of such support and the feasability of providing it are described with reference to worldwide studies involving nearly 100,000 patients in the UK, the European Community and worldwide. This presentation will give an overview of the experienced gained in these and other studies. As a result of this experience, it will be suggested: a) The diagnosis of acute abdominal pain by inexperienced emergency surgeons remains a difficult problem. 2) Doctors who have been assisted by a computer have, in many instances, improved their diagnostic and decision-making performance. 3) This improvement has not been due to superior "artificial intelligence" of the computer--but due to the computer acting as an educational focus and a stimulus to good clinical practice. 4) On an international level, these studies have been immensely valuable. They have helped bring together different national groups and helped to develop common medical terminology--as well as foster collaborative "spin-off" in terms of research around the world.
本报告介绍了计算机辅助决策支持在急性腹痛中的应用。参考了英国、欧洲共同体及全球范围内涉及近10万名患者的研究，阐述了此类支持的发展情况及其提供的可行性。本报告将概述在这些研究及其他研究中获得的经验。基于这些经验，将提出以下建议：a）经验不足的急诊外科医生对急性腹痛的诊断仍然是一个难题。2）在许多情况下，借助计算机辅助的医生提高了他们的诊断和决策能力。3）这种提高并非源于计算机卓越的“人工智能”，而是由于计算机起到了教育焦点的作用，并对良好的临床实践起到了促进作用。4）在国际层面上，这些研究具有巨大价值。它们有助于汇聚不同国家的团体，有助于形成通用的医学术语，同时也促进了全球范围内围绕研究的合作“衍生成果”。
