Kumar Bharat, Kanna Balavenkatesh, Kumar Suresh
Saba University School of Medicine, Devens, Massachusetts, USA.
BMJ Case Rep. 2011 Oct 4;2011:bcr0820114594. doi: 10.1136/bcr.08.2011.4594.
Premature closure is a type of cognitive error in which the physician fails to consider reasonable alternatives after an initial diagnosis is made. It is a common cause of delayed diagnosis and misdiagnosis borne out of a faulty clinical decision-making process. The authors present a case of aortic dissection in which premature closure was avoided by the aggressive pursuit of the appropriate differential diagnosis, and discuss the importance of disciplined clinical decision-making in the setting of chest pain.
过早定论是一种认知错误，即医生在做出初步诊断后未能考虑合理的其他可能性。它是临床决策过程存在缺陷导致诊断延迟和误诊的常见原因。作者介绍了一例主动脉夹层病例，该病例通过积极进行适当的鉴别诊断避免了过早定论，并讨论了在胸痛情况下严谨临床决策的重要性。
