加强麻醉教学中重症思维培养的思考

整体与局部、目标与终点、治疗与再损伤是三种常见的重症思维，对麻醉教学具有重要意义。通过课堂上对整个发病机制的讲解，指导学生发现整体与局部中的首要问题、找到疾病治疗的切入点，初步培养学生的“整体与局部”思维。通过案例教学，指导学生选定目标、确定终点，分阶段解决问题，使学生模拟的危重病人治疗方案具有较好的操作性。促进学生“目标和终点”思维不断强化。采用以问题为基础的学习，指导学生通过广泛讨论和查阅资料．懂得如何实现治疗效果最佳化，培养学生的“治疗与再损伤”思维，同时增强其“整体与局部”思维。

Thinking of cultivating critical care thinking in anaesthesiology teaching

The global and local, goal and destination, treatment and reinjury are three common critical thinking, which has the vital significance to the teaching of anesthesiology. Through the classroom interpretation of the pathogenesis, we preliminarily cultivate the students＇ ＂global and local＂ thinking by guiding students to find the primary problem in the global and local and finding out the breakthrough point of disease treatment. Through the case teaching, we promote students to constantly strengthen their ＂goal and destination＂ thinking by guiding students to select target, determine the endpoint, and solve the problem in stages to make the treatment of the critically ill patient which students simulate has good operability. Through adoption of problem based learning, we make students know how to achieve the optimal treatment effect by guiding them to have extensive discussions and have access to information so as to cultivate students＇ ＂treatment and reinjury＂ thinking and enhance their ＂global and local＂ thinking at the same time.