Siegenthaler W, Streuli R, Siegenthaler G
Schweiz Med Wochenschr. 1979 Feb 10;109(6):170-4.
Diagnosis and treatment are two essential elements of medical practice. For obvious reasons, it is often impossible to make a definite diagnosis during the initial work-up. This raises the problem of how extensive diagnostic procedures should be to initiate adequate treatment. It is evident that the professional experience of a physician exerts a great influence on therapeutic measures instituted in the private office or in the hospital. Consequently, in certain instances, treatment may be started without a definite diagnosis. Nevertheless, the axiom "no treatment without prior diagnosis" remains a basic principle of medicine.
诊断和治疗是医疗实践的两个基本要素。出于显而易见的原因,在初步检查期间往往无法做出明确的诊断。这就引发了一个问题,即诊断程序应该进行到何种程度才能开始适当的治疗。显然,医生的专业经验对在私人诊所或医院采取的治疗措施有很大影响。因此,在某些情况下,可能在没有明确诊断的情况下就开始治疗。然而,“未经事先诊断不得治疗”这一公理仍然是医学的一项基本原则。