妊娠期高血压疾病临床“对应性”问题

• 作 者: 杨孜
• 机 构: 北京大学第三医院妇产科,
• 出 处: 中国实用妇科与产科杂志
• 发表日期: 2012年04期
• 关键词: 子痫前期 对应性 早发型 临床指南 早发型子痫前期 晚发型子痫前期 时代局限性 风险评估 晚发型 具体操作步骤

当前,国内外相关各学科疾病的临床指南颁布得越来越多。但是,不论是指南的制定者还是实践者,都已注意到指南的时代局限性,尤其是在医疗实践中,临床指南尚不能解决所有的临床问题,也取代不了临床判断和临床具体操作步骤。临床发现子痫前期可以向前追溯百年以上,但对于早发型子痫前期的认识仅可以向前追溯至20多年前。

At present, more and more clinical guidelines have been promulgated at home and abroad for relevant disciplines. However, neither guideline practitioners nor practitioners have noticed the limitations of the guideline. Especially in medical practice, clinical guidelines can not solve all clinical problems and can not replace clinical judgment and clinical specific procedures. Clinically, preeclampsia can be traced back more than a century, but awareness of early onset preeclampsia can only be traced back more than 20 years.