从转化医学的角度看内分泌和代谢病临床诊断思路

内分泌和代谢性疾病主要有内分泌病和代谢病两大类，研究的对象均为激素或者物质的多和少。临床思维主要有印象对比法、综合分析法和逐步排除法，其中，综合分析法和逐步排除法均较常用，都需要临床医师熟悉相关疾病病因。熟悉病因可以考虑采用转化医学的角度出发，将基础医学知识和临床医学知识结合的记忆方法解决，即从物质和激素产生、分泌、作用、消除的各个环节，用病理生理和生物化学的视角认识和思考内分泌和代谢疾病，区分疾病病因。

Clinical Consideration of Diagnosis in Endocrine and Metabolic Diseases from Translational Medicine

The endocrine and metabolic diseases include endocrine diseases and metabolic diseases, their objects are the hormone or material. Clinical Consideration of diagnosis mainly have the impression comparison method, comprehensive analysis and stepwise elimination method, wherein, comprehensive analysis and stepwise elimination method are commonly used. The Clinicians shall be familiar with the related diseases from translational medicine. They can mix the basic medical knowledge and clinical medical knowledge together from the secretion, function, eliminate of material and hormone with physiological and biochemical point of view to distinguish the disease.