如何一次挽救一条生命,注意危险信号

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引用次数: 0

摘要

在一个由高产技术和新疗法主导的时代,临床医生的洞察力和有意识的推理仍然比精细的仪器更强大。在我们的医学培训过程中,我们被教导要预先考虑最普遍的病因,因为“常见的情况很普遍”。此外,我们接受的训练是在临床场景面前形成一种单一的愿景,尤其是在年轻患者身上。然而,我们永远不要忘记,例外情况最终会出现在临床。识别危险信号是我们的责任。每个病人只有一次生命,良好的临床意识保护着这些生命。本综述讨论的病例与许多医学领域高度相关,包括:神经病学、神经外科、内科、精神病学、急诊医学、家庭医学、普外科和内分泌学。许多专家参与一个单一的案例。一位30岁出头的男士被诊断患有单侧基底神经节的低级别少突胶质细胞瘤,临床和放射学记录显示多年来病情稳定。当他背诵他的故事时,我们仔细地听着。这个年轻人说了一句话,这句话后来救了他的命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How to Spare a Life at a Time, Being Mindful of the Red Flags
In an era dominated by high-yield technology and novel therapies, a clinician’s insight and mindful reasoning remain more powerful than fine point instruments. During the course of our medical training, we are taught to consider the most prevalent aetiologies upfront, since « frequent conditions are widespread ». Moreover, we are trained to develop a unicist vision in front of a clinical scenario, especially when young patients are concerned. However, we shall never forget that the exceptional case will eventually present to clinic. It is our responsibility to recognize the Red Flags. Every patient has only one life, and good clinical awareness protects those lives. The case discussed in this review is highly pertinent for numerous medical fields, mentioning: Neurology, Neurosurgery, Internal Medicine, Psychiatry, Emergency Medicine, Family Medicine, General Surgery and Endocrinology. Numerous specialists are involved in a single case. A gentleman in his early 30s presents is diagnosed with a low-grade oligodendroglioma involving unilaterally the basal ganglia, documented clinically and radiologically to be stable for years. While he recited his story, we listened carefully. This young man mentioned one sentence, which retrospectively saved his life.
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