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糖尿病是内分泌科最常见的疾病。掌握糖尿病的诊疗思路和病历书写是广大医学生和住院医师必经的临床训练。糖尿病的诊疗思路有着内分泌疾病诊疗的共同特点,即先定性诊断后定位诊断,再评估并发症和合并症。现病史的书写主要是记录糖尿病及其并发症的诊治经过。拟诊分析是对糖尿病诊疗思路的书面体现。理顺糖尿病的诊疗思路,规范糖尿病的病历书写,有助于临床医师临床思维能力的培养和临床业务水平的提高。
Diabetes is the most common endocrine disease. To master the diagnosis and treatment of diabetes and medical record writing is the vast majority of medical students and residents must undergo clinical training. Diagnosis and treatment of diabetes has the common feature of endocrine disease diagnosis and treatment, that is, after the first diagnosis of localized diagnosis, and then evaluate the complications and complications. The history of the current writing is mainly recorded in the diagnosis and treatment of diabetes and its complications. The proposed diagnosis is a written reflection of the diagnosis and treatment of diabetes mellitus. Straighten out the diagnosis and treatment of diabetes ideas, regulate the writing of medical records of diabetes, to help clinicians clinical thinking ability and clinical professional level.