The dangerous patient presents a complex management problem which can be divided into four steps: (1) predicting the degree of dangerousness; (2) assessing the urgency; (3) diagnosing the cause, and (4) intervention and treatment. The interventions--verbal, physical and pharmacologic--must be safe, effective and flexible. Success depends on the degree to which the physician acts calmly, deliberately and reasonably.
危险患者带来了一个复杂的管理问题,可分为四个步骤:(1)预测危险程度;(2)评估紧迫性;(3)诊断病因;(4)进行干预和治疗。干预措施——言语、身体和药物方面的——必须安全、有效且灵活。成功与否取决于医生行事冷静、审慎和合理的程度。