16臨床思維方法與診斷步驟-展示頁
2025-01-20 23:56本頁面
【正文】 循以下基本要求： （ 10）書寫住院病歷的上級醫(yī)師在全面了解病情的基礎(chǔ)上，對住院病歷認(rèn)真修改、簽字以示負(fù)責(zé)后，可不必再寫入院記錄，但必須認(rèn)真書寫首次病程錄。上級醫(yī)師修改住院病歷或入院記錄最遲在病人入后 72小時內(nèi)完成。 診斷步驟和臨床思維 沒有正確的診斷，就沒有正確的治療。正確掌握這些方法，可以防止誤診、漏診、提高診斷水平。 TEST PREPARATION Patient Preparation a fasting state（禁食）： is needed for optimal glucose and triglyceride measurements。 strenuous exercise should be avoided before taking samples for creatine kinase determinations, since vigorous muscle activity can lead to falsely abnormal results. Specimen Collection patient identification and specimen labeling. Knowing when the specimen was collected may be important. For instance, eg, digoxin levels drawn during the first 6 hours after an oral dose). cortisol have a circadian variation. ETC： contaminate、 Lysis of cells（ lactate dehydrogenase and potassium ）、 blood gas specimens、 Delay in delivery、 (eg, low blood glucose). Accuracy Precision Interfering Factors Sensitivity Specificity For instanc， to exclude infection with the AIDS virus, for instance, a clinician might choose a highly sensitive test such as the HIV antibody test. 診斷步驟和臨床思維 screening, ie, to identify risk factors for disease and to detect occult disease in asymptomatic persons. Criteria for use of screening procedures Characteristics of population 1. Sufficiently high prevalence of disease. 2. Likely to be pliant with
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