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[急诊与重症医学中的病史采集与临床检查]

[Medical history taking and clinical examination in emergency and intensive care medicine].

作者信息

Steinkellner C, Schlömmer C, Dünser M

机构信息

Klinik für Anästhesiologie und Intensivmedizin, Kepler Universitätsklinikum, Medizinische Fakultät, Johannes Kepler Universität, Krankenhausstraße 9, 4020, Linz, Österreich.

出版信息

Med Klin Intensivmed Notfmed. 2020 Oct;115(7):530-538. doi: 10.1007/s00063-020-00731-x. Epub 2020 Sep 3.

Abstract

Medical history taking and the clinical examination are the traditional medical tools in making a diagnosis. Both the medical history taking and clinical examination have wrongly lost their practical value in modern emergency and intensive care medicine. When diagnosing an acutely or critically ill patient, the sequence, technique and focus of history taking and the clinical examination must be adapted to the individual situation and the condition of the patient. In this article the continuing central importance of both techniques in the diagnostics of emergency and intensive care patients is practically evaluated and discussed.

摘要

病史采集和临床检查是传统的诊断医学工具。在现代急诊和重症医学中,病史采集和临床检查都错误地失去了它们的实用价值。在诊断急重症患者时,病史采集和临床检查的顺序、技术和重点必须根据患者的个体情况和病情进行调整。本文对这两种技术在急诊和重症患者诊断中的持续核心重要性进行了实际评估和讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1aa/7653795/d5870b34d3ac/63_2020_731_Fig1_HTML.jpg

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