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腰腿痛患者现病史的客观采集及其评价
引用本文:赵平,田青.腰腿痛患者现病史的客观采集及其评价[J].医学与哲学,2009(7):72-73,76.
作者姓名:赵平  田青
作者单位:空军总医院中西医结合正骨治疗科,国家中医药管理局脊柱软伤专病中心,全军中西医结合正骨治疗中心,北京100142
摘    要:腰腿痛患者的现病史采集比较困难,临床上经常引发混乱,甚至会被忽略。作者根据临床经验总结了一套相对系统和客观的分析思路。借此启发和提示临床医生临诊分析的主观能动性。作者还通过时现病史采集在医学发展史上的地位变化的回顾,提出了现代临床医学对患者症状特征进行归纳分析的重要性。

关 键 词:腰腿痛  现病史  诊断

Objective Collection and Evaluation on the Present History taking from Back/leg Pain Patient
ZHAO Ping,TIAN Qing.Objective Collection and Evaluation on the Present History taking from Back/leg Pain Patient[J].Medicine & Philosophy:Humanistic & Social Medicine Edition,2009(7):72-73,76.
Authors:ZHAO Ping  TIAN Qing
Institution:( Department of TCM Manipultaive Orthopeadics, General Air Force Hospital, Beijing 100142 ,China)
Abstract:Patients with back/leg pain are always a headache for doctors, especially in the present history taking for clinical evaluation. It is hardly reliable in providing a concrete proof for diagnosis nowadays, though many of our ancestors in ancient time believed that the history taking was of fatal clinical significance and possibly was the only way to figure out the course of disease. The author introduces some of his personal experiences about present history taking from the patient suffered from back/leg pain, which may helpful in reaching a more reasonable diagnosis and produce more information for deciding the principle of therapy. The author believes after a recall of medical history in the development of clinical practice and emphasis the importance of careful and logical meditation of doctors for systematic and scientific evaluation of his patients complain.
Keywords:back/leg pain  present history  diagnosis
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