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病历是临床医学科研中极其重要的数据资料,是医学工程处理的主要医学信息之一。通过对病历资料的分析、归纳、分类、统计,等处理,便可从中得到大量具有统计学意义的结果。利用这些结果,医学工作者可以解释某些疾病现象,定量地分析某些疾病的原因,流行规律,临床表现,病理特征,诊断治疗经验以及预后转归等,为医学科研工作提供大量第一手经验数据资料。目前,国内对病历的处理,仍处在手工操作阶段。若处理具有50～60个项目的病历1000份,需要1个人连续工作半年,才能初步完成,而计算机可以在几秒钟内完成这项工作,并能够做出人工无法进行的各种分类。因此,对病历采用现代化手段,即借助计算机进行处理,具有极大的优越性和实用价值。我们应用Z-80A型电子计算机,使用BASIC语言建立一个“微计算机病历库管理系统”,即MCCBM System(MCCBM是Micro Computor Caoe Base Management的缩写)。此系统具有存储、提取、检索、疾病症候群的自动统计处理(求%),等13种功能。我们已经建立了“阻塞性黄疽癌”的病历库。MCCBM系统已经运行通过,即将投入实际病历管理工作.
Medical records are extremely important data in clinical medical research and are one of the main medical information for medical engineering. Through the analysis, summary, classification, statistics, and other processing of medical records, a large number of statistically significant results can be obtained from them. Using these results, medical workers can explain certain disease phenomena, quantitatively analyze the causes of certain diseases, epidemics, clinical manifestations, pathological features, diagnosis and treatment experience, and prognosis outcomes, and provide a lot of first-hand medical research work. Empirical data. At present, the treatment of medical records in China is still in the manual operation stage. If you have 1000 medical records with 50 to 60 items, you need 1 person to work continuously for half a year before you can complete the task. The computer can complete this task in a few seconds and can make various classifications that cannot be performed manually. Therefore, the use of modern methods for medical records, that is, processing with computers, has great advantages and practical values. We use the Z-80A type computer to establish a “microcomputer medical record management system” using the BASIC language, the MCCBM System (MCCBM is an acronym for Micro Computor Caoe Base Management). This system has 13 statistical functions such as storage, retrieval, retrieval, and automatic statistical processing of disease syndromes (seeking%). We have established a medical record for “obstructive jaundice cancer.” The MCCBM system has been running and is about to be put into actual medical records management.