医疗常规的遵守与打破

Abidance and break of medical routine

常规是人制定的,合理的必须遵守,不合理的必须打破,否则都会造成不良后果。医疗过程中需要打破的医疗常规分为三类,即错误常规、正确常规和缺陷常规。错误常规包括不符合客观规律的常规和不是常规的常规;正确常规包括不符合实情的常规和结局极坏的常规;缺陷常规包括书本知识局限的常规和误导性思维定势。常规的遵守容易打破难,尤其是医疗常规,因为要打破某项医疗常规,不仅要具有更大的思维格局,明白其常规的不合理性及打破该常规的方法。还必须具有以下条件:1有大爱,视患者为亲人,有高度的责任心和敢于冒险的精神;2得到患者和家属的充分信任和密切配合。

The rules created by humans has to be obeyed if they are reasonable, but if not, they should be broken, otherwise, it will cause adverse consequences. There are three categories of conventions in medical treatment which should be broken. The error routines include：（1） the routine does not conform to the objective law;（2） the routine is not regular. The right routines include：（1） the routine is not suitable to the reality;（2） the ending of the routine is very bad. The defect routines include：（1） the routine is limited to book knowledge;（2） the routine is limited to misleading mindset. It would be an easy thing to comply with a routine, but difficult to break out of it, especially the medical routine. The reason is that, to do so, one should not only think beyond normal patterns, understand unreasonable existence of a convention and figure out the method to break it, but also meet the following criteria：（1） holding great love, treating the patient as family, high sense of responsibility and willingness to take risks;（2） winning full trust and close cooperation of the patient and their family m embers.