论首发症状的分析在临床决策中的作用

根据不同标准,首发症状可以划分为常见首发症状、可见首发症状、偶见首发症状、特异性首发症状和非特异性首发症状。首发症状在临床决策中的重要作用表现在:提示早期诊断决策信息、疾病内在特征、病灶发生部位、发病病理机制、疾病发展预后和鉴别诊断要点。首发症状的复杂性表现在其无特异性、不典型性、多样性、本系统疾病以外系统疾病为首发症状、躯体性疾病以精神症状为首发症状和首发并发症现象等方面。

On Analysis of the Function of First Symptoms in the Clinic Decision-making

According to different standards, the first symptoms may divide into five categories, namely, the common first symptoms, ordinary first symptoms and the infrequent first symptoms, specific first symptoms and non-specific first symptoms.The function of first symptoms in the clinic decision-making is to prompt the signal of early diagnosis,the character of disease, the focus position,the pathology mechanism, the prognosis and the distinction diagnosis. The complicacy of first symptoms lies in the non-specific symptoms, non-typical symptoms, the multiple symptoms, first symptoms of external system,the body disease with psychiatric first symptoms and the phenomena of syndrome as first symptoms.