有一位老年人因左侧胸痛多日而去医院看病,医生听诊后,嘱他做胸部透视。透视报告为“肺纹理增深”。应病人的要求,医生给他再拍了胸片,并做心电图检查。做心电图时,技师掀起老人的内衣,发现其左胸部有一簇疱疹,于是医生很快得出了正确诊断:带状疱疹。 从这个例子中不难发现,如果老人叙述病史清楚些,医生在胸部检查时没有衣服的“障碍”,就不必经历胸部透视、拍片以及做心电图等一番折腾了。 随着医学科学的迅猛发展,检测设备日新月异,这对病人是个福音。可是也出现了新的问题,一是在繁忙的门诊工作量下,医生得到的病史比较粗糙、简单;二是体格检查不再那么被重视,如“隔衣听诊”历来是 An elderly person went to the hospital for multiple days because of left chest pain. After the doctor auscultated, he was instructed to do a chest radiography. Pivotal report for “lung enhancement”. At the request of the patient, the doctor gave him another chest radiograph and performed an electrocardiogram examination. Electrocardiogram, the technician lifted the underwear and found her left chest has a herpes, so the doctor quickly came to the correct diagnosis: shingles. From this example, it is not hard to find out that if the old man has a clear history, the doctor does not have the “obstacle” to do the examination on the chest and does not have to go through chest fluoroscopy, filming and electrocardiogram. With the rapid development of medical science, testing equipment with each passing day, this is a blessing to the patient. However, new problems have emerged. First, under the heavy workload of outpatient services, the doctor’s medical history is rather crude and simple. Second, physical examination is no longer taken seriously. For example,