感染性疾病诊疗的思考

Overview of Diagnosis and Treatment of Infectious Diseases

科学技术进步带来的医学发展,对包括感染在内的很多疾病诊疗水平的提高作出了巨大贡献。但不可否认的是,感染依旧是威胁人类健康的重要病种。即便最先进的病原鉴定技术,也没能改变感染性疾病早期诊疗实践中,以感染内科医生为主体的经验性治疗和综合判断为主要手段的诊疗模式。因此,在我国目前感染专科医生普遍比较匮乏的现状下,如何提高临床医生对感染性疾病的综合诊疗能力,在接诊早期制定出符合患者后续诊疗需要的方案至关重要。本文拟结合临床实践和国际先进经验,对感染性疾病的诊疗思路进行梳理,以期为临床医生提供借鉴。

The medical development brought about by the progress of science and technology has made great contributions to the improvement of diagnosis and treatment of many diseases including infection. However,it is undeniable that infection is still an important disease threatening human beings. Even the most advanced technique of pathogen identification still cannot change the model of empirical treatment and comprehensive judgment,which is the main module of early diagnosis and treatment of infectious diseases（ ID）. Therefore,how to improve the comprehensive diagnosis and treatment of ID by clinicians is very important in the early diagnosis and treatment,especially in the current situation of general lack of ID specialists in our country. This article is to combine basic skills of clinical practice and international advanced experience to sort out the diagnosis and treatment of ID,in order to provide a feasible reference for clinicians.