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病理报告是病理医师向临床医师提供的一份诊断证据,为患者治疗的依据,也是青年医师应该掌握的基本功。文章描述了病理报告的主要内容及书写要求,分析了病理报告常见的患者信息不完整、大体标本描述不规范以及病理诊断类型运用不当等问题,提出病理科青年医师应该注重综合素质的培养,加强继续教育的学习,在“住院医师规范化培训”的过程中加强基本功训练。上级医师应严格审核青年医师书写的病理报告,不断提高青年医师的专业素质。
Pathological report is a pathologist to provide clinicians a diagnostic evidence for the treatment of patients based on the basic skills of young doctors should also be. The article describes the main contents and writing requirements of pathological reports, analyzes the common patient information in pathological reports, the general description of the specimen is not standardized and the type of pathological diagnosis is not properly used and so on. It is suggested that young pathologists should pay attention to the cultivation of comprehensive quality, strengthen Continuing education, strengthening the training of basic skills in the process of standardized training of residents. Physicians at higher levels should strictly review the pathological reports written by young physicians and continuously improve the professional qualities of young physicians.