医院现代化建设的发展,仍然需要努力提高病历质量,以使其更好地为医疗、教学和科研服务。采集病史的重要性和基本原则在日益繁多的现代化检查手段应用于临床的今天,还需不需要重视病史呢?回答是肯定的。一个完善的病史,是建立初步诊断的很好线索。如许多胆道疾患,有不少临床特点,就是明显的例证。为使采集的病史全面系统,真实可靠,必 The development of hospital modernization still requires efforts to improve the quality of medical records in order to better serve medical care, teaching, and scientific research. The importance and basic principles of collecting medical history In today’s increasingly extensive modern examination methods used in clinical practice, do we still need to pay attention to medical history? The answer is yes. A complete medical history is a good clue to establish a preliminary diagnosis. Many clinical features, such as many biliary disorders, are obvious examples. In order to make the history of the collected system comprehensive, true and reliable,