床边技能：50年个人回顾
Bedside skills: a 50-year personal retrospective.
作者信息
Grais Ira Martin
机构信息
Department of Medicine, Cardiology Division, Northwestern Feinberg School of Medicine, Chicago, Illinois 60611, USA.
出版信息
Tex Heart Inst J. 2010;37(6):629-32.
Abstract
Medicine bears a long tradition of detailed medical history and physical examination. These standard techniques are now being shunned in favor of an emphasis on laboratory studies. Yet there should be no contest. The clinician needs both bedside skills and appropriately selected laboratory testing. High-touch and high-tech medicine are not incompatible. When the physician uses them together, he or she is less likely to be misled.
摘要
医学有着悠久的详细病史记录和体格检查传统。如今，这些标准技术却被摒弃，转而青睐对实验室检查的重视。然而，这两者不应相互排斥。临床医生既需要床边技能，也需要适当选择的实验室检查。人文关怀型医学和高科技医学并非互不相容。当医生将两者结合使用时，更不容易被误导。
相似文献
1
Bedside skills: a 50-year personal retrospective.床边技能：50年个人回顾
Tex Heart Inst J. 2010;37(6):629-32.
2
A history of physical examination texts and the conception of bedside diagnosis.物理检查文本的历史与床边诊断的概念。
Trans Am Clin Climatol Assoc. 2011;122:290-311.
3
[The clinical examination in cardiology].
Ther Umsch. 2006 Jul;63(7):459-62. doi: 10.1024/0040-5930.63.7.459.
4
Medical education on the brink: 62 years of front-line observations and opinions.医学教育处于危机边缘：62年的一线观察与见解
Tex Heart Inst J. 2012;39(3):322-9.
5
Whither the history and physical?
Conn Med. 2008 Nov-Dec;72(10):611-2.
6
Back to the Past for the Future of Medicine: Special Series on Bedside Medicine.回到过去，展望医学未来：床边医学特刊
South Med J. 2016 Dec;109(12):735. doi: 10.14423/SMJ.0000000000000575.
7
The lost art of clinical skills.临床技能的失传技艺。
Am J Med. 2007 Apr;120(4):374-8. doi: 10.1016/j.amjmed.2007.01.023.
8
The history of the patient history since 1850.自1850年以来的病史记录。
Bull Hist Med. 2006 Fall;80(3):490-512. doi: 10.1353/bhm.2006.0097.
9
Salvaging the history, physical examination and doctor-patient relationship in a technological cardiology environment.在技术化的心脏病学环境中挽救病史、体格检查及医患关系。
J Am Coll Cardiol. 1999 Mar;33(3):892-3. doi: 10.1016/s0735-1097(98)00649-4.
10
Present role of the precordial examination in patient care.心前区检查在患者护理中的当前作用。
Am J Cardiol. 2015 Jan 15;115(2):253-5. doi: 10.1016/j.amjcard.2014.10.031. Epub 2014 Oct 30.
引用本文的文献
1
Flexner has fallen: Transitions in medical education system across time, a gradual return to pre-Flexnerian state (de-Flexnerization).弗莱克斯纳时代已然落幕：医学教育体系随时间推移发生转变，逐渐回归到弗莱克斯纳时代之前的状态（去弗莱克斯纳化）。
World J Clin Cases. 2023 Jul 26;11(21):4966-4974. doi: 10.12998/wjcc.v11.i21.4966.
2
Thyroid Hormone Plays an Important Role in Cardiac Function: From Bench to Bedside.甲状腺激素在心脏功能中发挥重要作用：从实验台到病床边
Front Physiol. 2021 Oct 18;12:606931. doi: 10.3389/fphys.2021.606931. eCollection 2021.
3
The Role of Thyroid Diseases and their Medications in Cardiovascular Disorders: A Review of the Literature.甲状腺疾病及其药物在心血管疾病中的作用：文献综述
Curr Cardiol Rev. 2020;16(2):103-116. doi: 10.2174/1573403X15666191008111238.
4
The impact of thyroid hormone dysfunction on ischemic heart disease.甲状腺激素功能障碍对缺血性心脏病的影响。
Endocr Connect. 2019 May 1;8(5):R76-R90. doi: 10.1530/EC-19-0096.
5
Prime time to resuscitate clinical medicine and kill diagnostic greed?复苏临床医学并遏制诊断贪婪的黄金时机？
Singapore Med J. 2016 Sep;57(9):473-5. doi: 10.11622/smedj.2016151.
6
Thyroid and the heart.甲状腺与心脏。
Am J Med. 2014 Aug;127(8):691-8. doi: 10.1016/j.amjmed.2014.03.009. Epub 2014 Mar 22.
7
Intractable Hiccups in an Elderly Diabetic: An Unusual Presentation of Ascaris lumbricoides.老年糖尿病患者的顽固性呃逆：蛔虫的一种罕见表现
J Glob Infect Dis. 2013 Apr;5(2):88. doi: 10.4103/0974-777X.112287.
8
Proper use of the stethoscope: three heads and one tale.听诊器的正确使用：三个头，一个故事。
Tex Heart Inst J. 2013;40(2):120-2.
本文引用的文献
1
Hyposkillia: deficiency of clinical skills.临床技能不足：临床技能的缺乏。
Tex Heart Inst J. 2005;32(3):255-7.
Zotero 插件