以人名命名疾病的ICD-10编码方法探讨——以眼科为例

眼科中很多疾病是以人名命名的疾病,这些疾病一般是以首次报告该疾病的国外眼科学家名字命名,临床医师往往直接使用人名的英文名称作为这些疾病的诊断,如Coats病、Fuchs综合征、Leber遗传性视神经病变、Duane综合征等。为查询这些疾病的正确编码,本文分别探讨这几种眼科疾病的编码查找方法,查到它们的编码分别是H35.0、H20.8、H47.2和H50.8。总结出以人名命名的疾病编码的主导词选择方法一般有2种:人名和临床表现。选择人名作主导词需要在文献资料中查询这些国外眼科学家的权威汉语音译名称,使用权威汉语音译名称作为主导词查找编码;选择临床表现作主导词需要在医学文献中充分了解这些疾病的病因、发展、诊疗和转归等情况,掌握这些疾病的临床表现。

ICD-10 coding method for naming diseases by human name-taking ophthalmology as an example

Many diseases in ophthalmology are named after people's names.These diseases are usually named after foreign ophthalmologists who reported the disease for the first time.Clinicians often use English names directly as the diagnosis of these diseases,such as Coats′disease,Fuchs syndrome,Leber's hereditary optic neuropathy,Duane syndrome,etc.In order to search for the correct codes of these diseases,this paper explores the coding search methods of these ophthalmic diseases,and finds that their codes are H35.0,H20.8,H47.2 and H50.8,respectively.It is concluded that there are generally two methods of selecting leading words for disease coding named by human names:name and clinical manifestations.Choosing persons'names as leading words requires searching for the authoritative Chinese transliteration names of these foreign ophthalmologists in the literature,and using authoritative Chinese transliteration names as leading words to search for codes;choosing clinical manifestations as leading words requires a full understanding of the etiology,development,diagnosis,treatment and prognosis of these diseases in the medical literature,to grasp the clinical manifestations of these diseases.