Kanai Shinichiro, Matsumoto Go, Sano Kenji, Ueda Kazuhiko, Fujisawa Shinya, Obayashi Konen, Hashiguchi Teruto, Yanagihara Katsunori, Moriyoshi Miho, Kitagawa Kiyoki, Wada Hideo, Morinobu Akio, Wada Takashi, Honda Takayuki
Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto 390-8621, Japan.
Rinsho Byori. 2012 May;60(5):449-57.
Clinicopathological conferences (CPC) are one of the most important clinical conferences, and processes of both diagnosis and treatment performed in an autopsy case are retrospectively and finely checked to offer better medical treatment in the future. In CPC, the medical history, physical findings, laboratory data, image findings, diagnosis and treatment are discussed in the order that a physician examines a patient. Differential diagnoses usually decrease and several important diagnoses remain as the CPC discussion progresses. Medical treatment is also reexamined to identify a better approach. In this CPC, several medical doctors in various special fields try to understand the detailed state of the patient from each standpoint, and such a CPC is called an Expert CPC at Shinshu University School of Medicine. This CPC is carried out followed by reversed-CPC (R-CPC) of the same case. The purpose of this CPC is to understand the importance of R-CPC and to understand the correct interpretation of routine laboratory data.
临床病理讨论会(CPC)是最重要的临床会议之一,对尸检病例的诊断和治疗过程进行回顾性细致检查,以便为未来提供更好的医疗服务。在临床病理讨论会上,按照医生检查患者的顺序讨论病史、体格检查结果、实验室数据、影像检查结果、诊断和治疗情况。随着临床病理讨论会讨论的推进,鉴别诊断通常会减少,剩下几个重要诊断。治疗方法也会重新审视,以确定更好的治疗途径。在本次临床病理讨论会上,多个专业领域的多名医生试图从各自角度了解患者的详细情况,在信州大学医学院,这样的临床病理讨论会被称为专家临床病理讨论会。本次临床病理讨论会之后会对同一病例进行反向临床病理讨论会(R-CPC)。本次反向临床病理讨论会的目的是了解其重要性,并理解常规实验室数据的正确解读。