产科医生的临床思维方式及过程

Obstetricians’ clinical ways of thinking and its process

产科的工作性质决定了产科医生的思维特点,既有内科医生的严谨、慎重特性,又有外科医生的开朗、直率、豪放性格,同时也存在某些不足之处,产科医生的临床思维也包括纵向思维和横向思维过程,纵向思维贯穿于诊断和治疗方案全部思维过程,包括产前诊断、并发症及合并症的处理、决定分娩方式、必要时制定手术方案、术前准备、手术方案的实施、术后的处理,而横向思维则是这每一步骤的横向扩展.

The working features of obstetrics decide the obstetric doctors' thinking features, which have both the internal doctors' caution and the surgeon's bold and unconstrained characters. These induced the obstetric doctors' certain deficiencies in the clinical thinking. The obstetric doctors' clinical thinking also includes the processes of vertical and horizontal thinking. Vertical thinking runs through the whole thinking process of diagnosis and treatment scheme, including the diagnosis before confinement, the disposal of syndrome, the way of confinement. If it is necessary, the vertical thinking process will decide on operation scheme, preparation before the operation, disposal afrer the operation. While the horizontal thinking is the horizontal expansion of such steps.