论临床经验的总结和积累——深入探究某些特殊病例的重要性

Summarization and accumulation of clinical experience: A discussion on the importance of exploring some special cases

在日常临床工作中,由于我们知识的欠缺,对患者病情观察不仔细.对化验、检查结果认识不透彻,会使得某些病例的临床诊治过程充满曲折。本文通过详述一例以脑梗死为首发表现的隐匿性恶性肿瘤病例以及两例视神经脊髓炎谱系疾病病例的诊治过程并加以剖析,试图探讨深人研究这些特殊病例在临床思维训练及经验积累方面的重要意义。通过研究这些病例的临床诊治过程,我们能够掌握最新知识和进展,学会关注病情演变、化验、检查等细节,梳理其中的逻辑思维过程从而训练临床思维能力,不断总结经验和教训,做到举一反三。

The lack of knowledge, careless observation of patients condition, and incomplete understanding of the results of laboratory tests and examinations make the clinical diagnosis and treatment of some cases in our daily practice full of twists and turns. In this article, a detailed description and analysis was provided on the diagnosis and treatment of one case of occult malignant tumor with cerebral infarction as the first manifestation and two cases of neuromyelitis optica spectrum disorders, with an attempt to explore the significance of in-depth study of these special cases in training clinical thinking mode and accumulating experience. By studying the clinical diagnosis and treatment of these cases, we can grasp the latest knowledge and progress, learn to pay attention to the details of disease evolution, laboratory tests, and examinations, and rearrange the logical thinking process in order to train our clinical thinking ability, constantly sum up experience and lessons, and infer other cases from one instance.