| 急性胰腺炎临床决策中的辩证思维观 |
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| 引用本文： | 刘军,;邹桂娟,;吴允孚,;李维勤. 急性胰腺炎临床决策中的辩证思维观[J]. 医学与哲学(人文社会医学版), 2014, 0(9): 3-5 |
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| 作者姓名： | 刘军, 邹桂娟, 吴允孚, 李维勤 |
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| 作者单位： | [1]南京大学医学院临床学院、南京军区总医院SICU解放军普通外科研究所,江苏南京210002; [2]南京医科大学附属苏州医院东区普外科,江苏苏州215001 |
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| 基金项目： | 基金项目：中国博士后科学基金资助项目,项目编号：2013M542578;江苏省博士后科研资助项目,项目编号：1301005A;江苏省自然科学基金资助项目,项目编号：BK20141175;江苏省卫生厅科技项目,项目编号：Z201414;苏州市科技计划项目,项目编号：SYS201251;南京医科大学哲学社会科学发展专项,项目编号：2013NJZS50 |
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| 摘 要： | 急性胰腺炎（AP）是临床常见危重症。近年来AP诊断和治疗取得了令人瞩目的进展，及早诊断和恰当、合理的生命支持治疗极大改善了AP患者的预后。临床上AP患者病情往往复杂多变，要求在极短时间内做出正确的临床决策，科学理性的临床决策思维对AP患者的合理诊治起着非常重要的指导作用。临床医师应努力学习和充分灵活地运用辩证思维，为对AP进行科学的临床诊疗决策提供合理的思路。
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| 关 键 词： | 急性胰腺炎 洛床决策 液体复苏 |
Dialectical Thinking in the Clinical Decision Making of Acute Pancreatitis |
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| Affiliation: | LIU Jun, ZOU Gui- juan, WU Yun-fu, et al. Department of Surgical Critical Care Medicine, Research Institute of General Surgery, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, China |
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| Abstract: | Acute pancreatitis （AP） remains a common critical disease. Recently, the diagnosis and treatment of AP have made remarkable progress, early diagnosis and standard life support therapy could markedly improve prognosis of patients with AP. Nevertheless, AP is complex and variable; physicians are often required to make correct clinical decisions within a very short period of time. In fact, it is very important to establish a scientific rational decision making of AP, which could efficiently guide the appropriate diagnosis and treatment of patients with AP. Clinical physicians should strive to fully learn and use the dialectical thinking, deeply understand the genesis and pathophysiological mechanisms of AP, and develop the reasonable diagnosis and treatment. We believe that these findings could lead to significant improvement in our therapeutic approach to AP. |
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| Keywords: | acute pancreatitis clinical decision making fluid resuscitation |
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