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关于“医学检验”向“检验医学”转变的思考
引用本文:席雪芹. 关于“医学检验”向“检验医学”转变的思考[J]. 医学与哲学(人文社会医学版), 2007, 28(5): 57-59
作者姓名:席雪芹
作者单位:留置尿管,尿潴留,膀胱充盈
摘    要:“医学检验”伴随着临床化学、临床血液学、临床微生物学、临床免疫学、临床分子诊断学等学科的发展,进一步走向深化与细化。然而检验与临床之间隔阂愈演愈烈的现状,显示出还原论指导思想下的“医学检验”模式将难以适应现代医学的发展趋势,进而向着以系统论为哲学指导思想的“检验医学”模式的转变,其间正经历着一场由还原论到系统论、再实现还原论与系统论辩证统一的演化过程。

关 键 词:目的:为探讨拔除留置尿管的不同时机对尿潴留的影响  方法:将40例留置尿管病人随机分组  A组20例在膀胱充盈时拔管  B组20例在医生下医嘱后  不论膀胱是否充盈立即拔除尿管。结果:A组自动排尿率为95%  B组为80%自动排尿率  结论:膀胱充盈时拔除尿管比膀胱空虚时拔除尿管能明显减少尿潴留。
文章编号:1002-0772(2007)05-0057-03
修稿时间:2007-03-072007-04-23

Philosophical thinking in the Transition from Medical Laboratory Science to Laboratory Medicine
XI Xue-qin.. Philosophical thinking in the Transition from Medical Laboratory Science to Laboratory Medicine[J]. Medicine & Philosophy:Humanistic & Social Medicine Edition, 2007, 28(5): 57-59
Authors:XI Xue-qin.
Abstract:Medical Laboratory Science progresses deeper and more complicatedly, which accompanies the development of its subjects, such as Clinical Chemistry, Clinical hematology, Clinical Microbiology, Clinical Immunology, Clinical Molecular Diagnosis. But the current misunderstanding getting seriously between laboratory and clinic shows that the mode of Medical Laboratory Scienceguided by reductionism would hardly follow the trends of modern medicine, which determines the transition to the mode of Laboratory Medicine guided by system theory. Laboratory Medicine is experiencing an evolution from the reductionism to the system theory, then to the unity of the two theories.
Keywords:medical laboratory science  laboratory medicine  reductionism  system theory
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