2001年～2014年《中华医学杂志》刊发的临床疑难病例评析综合分析

发布时间：2018-03-16 05:14

  本文选题：诊断　切入点：疑难病例　出处：《医学与哲学(B)》2016年12期 　论文类型：期刊论文

【摘要】：了解临床内科疑难病例诊断困难的原因。通过逐一阅读2001年~2014年《中华医学杂志》刊登的疑难病例评析文章,分别统计内科疑难病例相关文章发表的年代、科室(包括多学科联合)、病种。2001年~2014年《中华医学杂志》共发表259例疑难病例,各年代分布差异不大,发表疑难病例最多的前5位分别为风湿免疫科、呼吸科、血液科、内分泌科和神经内科。病例中涉及多学科(≥2)的共39篇,涉及多学科的病例中以风湿免疫科最多(共20篇),涉及病种中前5位分别是淋巴瘤、系统性红斑狼疮、抗中性粒细胞胞浆抗体(ANCA)相关性小血管炎、结核病、肺动脉栓塞。259例疑难病例中属于罕见病仅占55%,余为常见病。为进一步提高疑难病的诊断水平,一方面要注意学习少(罕)见病,另一方面要提高临床思维水准,注意常见病的诊断思维,尤其注意多学科联合诊断,避免分科过细带来的局限性。
[Abstract]:To understand the causes of the difficult diagnosis of difficult cases in clinical internal medicine. By reading the review articles of difficult cases published in the Chinese Journal of Medicine from 2001 to 2014, we counted the years of publication of the articles related to the difficult cases of internal medicine. From 2001 to 2014, a total of 259 difficult cases were published in the Chinese Journal of Medicine. There was no significant difference in the distribution of the cases in each year. The top five most reported difficult cases were Rheumatological Immunology Department, Respiratory Department and Hematology Department respectively. Department of Endocrinology and Neurology. There were 39 cases involving multiple subjects (鈮，

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