临床思维是人们认识疾病、判断疾病和治疗疾病等临床实践过程中所采用的一种逻辑推理方式,过去教科书中很少提及,人们只是在多年实践后逐步领悟。药品不良反应(ADR)实际上是一种药源性疾病,ADR临床思维的基础同样在于我们对病人、病情和药物三方面的了解。由于这三方面的复杂性,ADR难以避免,特别是某些严重的ADR,虽然少见,但危害很大。目前临床对ADR时有误诊,处理也多是对症处理,因此迫切需要药师主动参与其临床思维。 Clinical thinking is a kind of logical reasoning adopted by people in clinical practice, such as understanding disease, judging disease and treating disease. In the past, it was seldom mentioned in textbooks, and people gradually realized after years of practice. Adverse drug reactions (ADR) is actually a drug-induced disease, ADR clinical thinking is also based on our understanding of the patient, condition and drug three aspects. Because of these three aspects of complexity, ADR can not be avoided, especially some serious ADR, although rare, but the harm is great. At present, clinical misdiagnosis of ADR, the treatment is mostly symptomatic treatment, it is urgent need pharmacists take the initiative to participate in their clinical thinking.