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1除非临床有特殊需要,不要行常规实验室检查。Don’t order diagnostic tests at regular intervals(such as every day),but rather in response to specific clinical questions.对ICU住院患者,许多临床检查如血常规、血气分析、血生化、x线胸片和心电图等都是按常规定期(如每天)进行复查的。但是,与只有在临床需要(如需解决临床问题或影响临床处理)时才进行检查比较,常规定期检查,除增加医疗费用外,对患者并无益处,并且还存在潜在的危害:①不必要采血造成的贫血,有时还会需行有风险的和费用昂贵的输血治疗;②对偶然发现,但无近期危害影响的异常实验室指标进行深入检查所带来的隐患和资源浪费。
1 Unless clinical special needs, do not do routine laboratory tests. In ICU hospitalized patients, many clinical tests such as blood tests, blood gas analysis, blood biochemistry, x-ray and electrocardiogram, etc. Are regular (such as daily) review. However, compared with examinations that are only made when there is a clinical need (such as resolving a clinical problem or affecting clinical management), routine periodic examinations are not beneficial to the patient except for increased medical costs and are potentially harmful: (1) unnecessary Anemia caused by blood collection, and sometimes the need for risky and expensive transfusion therapy; ② On the occasional discovery, but no immediate impact on the abnormal laboratory indicators to conduct an in-depth examination of the hidden dangers and waste of resources.