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疾病诊断是临床医师的工作之一,也是其强项;但临床药师作为临床团队的一个成员,不但应该在药物治疗中发挥重要作用,而且也可以从药物角度出发参与疾病诊断的讨论。由于职业的敏感性和知识结构的特征,临床药师在讨论某些诊断问题时有一定的优势,有独到的出发点和视角。临床药师往往是从药物治疗的角度来思维诊断问题的:①疾病是否由药物引起;②药物是否为发病的诱因;③症状、体征和辅助检查结果是否受到药物的影响;④在诊断性治疗时,治疗方案是否合理,执行方案是否规范,判断结果是否科学。通过在临床实践中培养临床思维能力,积累临床经验,在教学方法中重视病例讨论等互动式教学形式,可以提高临床药师参与疾病诊断的能力。
Disease diagnosis is one of the work of clinicians, but also its strengths; but clinical pharmacists as a member of the clinical team should not only play an important role in drug treatment, but also from the drug point of view to participate in the discussion of disease diagnosis. Due to occupational sensitivity and the characteristics of knowledge structure, clinical pharmacists have some advantages in discussing certain diagnostic problems, and have unique starting points and perspectives. Clinical pharmacists often think from the perspective of drug treatment to diagnose the problem: ① whether the disease caused by drugs; ② whether the drug is the cause of the disease; ③ symptoms, signs and auxiliary test results are affected by the drug; ④ in the diagnosis of treatment Whether the treatment plan is reasonable and whether the implementation plan is standardized and whether the result is scientific or not. By cultivating clinical thinking ability in clinical practice, accumulating clinical experience, attaching importance to interactive teaching forms such as case discussion in teaching methods, the ability of clinical pharmacists to participate in disease diagnosis can be improved.