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如何写好鉴别诊断
引用本文:张琦. 如何写好鉴别诊断[J]. 中国病案, 2010, 11(4): 28-28
作者姓名:张琦
作者单位:西安市高新医院病案室,西安市,710075
摘    要:目的为了更好的提高住院医师选择鉴别诊断的能力,着重讲述了如何正确选择鉴别诊断的思路和方法。方法本文从首次病程记录、现病史、体格检查三方面进行鉴别诊断思路和步骤的分析。结果对住院医师进行如何写好鉴别诊断的讲座,对正确的选择被鉴别的疾病有重要的启示。结论怎样写好鉴别诊断,使其有明确的针对性和鉴别诊断意义;如何正确的、合理的选择被鉴别的疾病、现病史如何提炼重要的阴性鉴别症状等,是住院医师在病历书写中亟待提高的问题。

关 键 词:鉴别诊断

How to Write Differential Diagnosis Better
Zhang Qi. How to Write Differential Diagnosis Better[J]. Chinese Medical Record, 2010, 11(4): 28-28
Authors:Zhang Qi
Affiliation:Zhang Qi.Department of Medical Records Xi'an Hi-Tech Hospital.Xi'an 710075
Abstract:Objective To describe how to choose correct ideas and methods of differential diagnosis and improve residents' capacity of differential diagnosis.Methods Thinking and steps of differential diagnosis were analyzed from three aspects:first course,present history,and physical examination.Results Lectures on how to write differential diagnosis well,has an important inspiration for residents to choose correct identifying diseases.Conclusion How to write differential diagnosis well,how to choose reasonable identi...
Keywords:differential diagnosis  
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