目前无论是医务人员还是医学生对病案的书写感到迷茫和困惑,病案的书写一直成为临床工作中的薄弱环节。在临床病案书写的教学中,多是从医学理论自身来阐释医学病案的写作,这样学生不易理解和接受。本文试图转换角度和思维,从应用写作的视角来研究和探讨医学病案的自身特点和写作技巧。 At present, whether medical personnel or medical students are confused and confused about the writing of medical records, the writing of medical records has always been a weak link in clinical work. In the teaching of clinical medical record writing, the medical theory itself is often used to interpret the writing of a medical case so that students are not easy to understand and accept. This article attempts to change the perspective and thinking, from the perspective of the application of writing to study and explore the medical record’s own characteristics and writing skills.