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从本月起,我们接受四川读者胡月初同志的意见,开辟了“教学查房”这一专栏。临床医学,就目前的状况而言,相当程度上仍取决于临床医生的经验。张孝骞教授曾正确地指出说:“医学不能公式化,用公式化的办法对待临床医学,就会出问题。”他还说:“我们临床医生,要把自己的基点放在认识每一具体不同的病人身上。”这就是说,临床医生的学习和业务水平的提高,一刻也不能脱离临床实践。而具体分析各种复杂的病例,从这种分析中积累对各种疾病的认识,又是从实践中学习的重要一环。我们正是本着这种认识开设这一专栏的。本次查房选择了一个“胸水、胸部块影”的病例。它不仅有助于我们提高对胸膜间皮瘤的认识,而且在启发我们思索本质与现象、常见病与少见病、特殊性与普遍性等问题的关系上,也有重要的意义。
Starting from this month, we accept the opinion of Comrade Hu Yuechu, a Sichuan reader, that we have opened the column of “teaching rounds.” Clinical medicine, to the current situation, still depends to a great extent on the experience of clinicians. Professor Zhang Xiaoqian once correctly pointed out: “Medicine can not be formulated and treated with a formulaic approach to clinical medicine, and it will be a problem.” He added: “Our clinicians should put their own starting point in understanding each specific patient ”That is to say, the clinician’s study and the enhancement of the professional level can not be separated from the clinical practice moment by moment. The specific analysis of a variety of complex cases, accumulated from this analysis of various diseases awareness, but also an important part of learning from practice. It is in this sense that we have opened this column. The ward chose a “pleural effusion, chest shadow” cases. It not only helps us to improve our understanding of pleural mesothelioma, but also has great significance in enlightening the relationship between the essence and the phenomenon, common and rare diseases, particularities and universality.