临床病理交流ppt课件.ppt

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1、Patients-DiseasesSurgeonsPathologists现状PresentsituationACOMMUNICATIONGAPEXISTBETWEENPATHOLOGISTSANDSURGEONSPowsnerSMetal.ArchPatholLabMed2000;124:1040病理医师和外科医师的交流存在差距CliniciansMarsandPathologistsVenusClinicianInterpretationofPathologyReportsPowsnerSMetalArchPatholLabMed2000;124:1040-1046临床医师

2、来自火星病理医师来自金星THEARTOFCOMMUNICATIONBETWEENPATHOLOGISTSANDTHEIRCLINICALCOLLEAGUES病理医师和临床医师交流方法艺术ClinicianInterpretationofPathologyReportsConfusionorComprehensionRubySG.ArchPatholLabMed2000;124:943-944临床医师解释病理报告混淆or理解鱼水之情TEAM不大了解病理避免误会外科医师应用病理学Manyofourclinicalcolleaguesoftenneedtobereminedofthi

3、sfact;evensimpleinformationconcerningage,sexorlocationmaybemissingontherequestform…请求单上甚至漏写有关性别，年龄和部位等简单的信息认真填写病理检查申请单Todiagnoseatumorintheabsenceofclearandcompleteclinicaldataisfoolhardy,dangerousandsometimesimpossible缺乏清楚而完整的临床资料诊断肿瘤莽撞，危险，有时不可能“Icanseeonlywhatisinthetissuesyougaveme”我只能看到你

4、给我的组织如果没有临床资料事实并非如此不大了解临床Innoareaofsurgicalpathologydoesthepathologistplayamoreimportantandcrucialrolethaninthediagnosisoftumors病理学家肿瘤诊断决定性的作用病理医师如是说Thepatientorlaypersonoftenisentirelyignoraqntofthisroleandfondlyimaginesthattheirsurgeon,otherclinicianoroncologististhetruediagnostician病人并不了解

5、这种作用天真地认为...LimitationsofHistologicDiagnosis组织学诊断局限性金标准差距太大培训Trainpersonnel全科病理医师GENERAL专科病理医师SPECIALUNIVERSITYHOSPITAL分科齐全的大学医院？全科病理医师很难满足临床（正当）需要Clearly,surgicalpathologyevolvedinresponsetotheneedsofsurgeons.很明显，外科病理学是应外科医师的需求而发展起来的专科病理医师只有少数病例留给…‘未分化的病理医师’病理学会诊PathologicconsultationThedif

6、ficultdiagnosisinsurgicalpathology病理诊断困难Somequestionsremainunansweredafterextensivetextbookreview,eitherbecausethelesioninquestionisnotcoveredinthetextorbecauseitspresentationisatypical.教科书中找不到病变表现不典型会诊双方病人THEDIFFICULTDIAGNSISINSURGICALPATHOLOGY病理诊断困难Wealloccasionallyencountersurgicalpatholo

7、gycasesthatposesignificantdiagnosticdifficulty.TheseareresolvedeitherbyCONSULTINGatextbookorone’scolleaguesorsendingthecaseoutinconsultation.请人会诊学会尊重他人意见会诊意见有时差别很大教科书会诊Theappearanceisconsistentwith…,but…cannotberuledoutbecauseofthematerialinsuffici