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医学与哲学的关系十分密切,医学中处处有哲学。医生的一举一动都要受到思维方法的支配。正确的临床思维方法对于提高临床工作质量,保护人民身体健康有着重要的实践意义。本文以东北某医院对某绒癌患者的误诊,导致不必要的手术创伤直至发展到肺转移一例,就临床医生的思维方法和该绒癌病例误诊的原因作一探讨。患者王××,女性,28岁,1983年1月因阴道不规则流血月余,发现右前庭大腺肿物二个月,在东北某医院诊断为右巴氏腺囊肿并行手术摘除,术中因发生大出血而停止操作。组织送检病理报告为:
The relationship between medicine and philosophy is very close. Philosophy is everywhere in medicine. Every move of a doctor is subject to the method of thinking. The correct clinical thinking method has important practical significance for improving the quality of clinical work and protecting people’s health. In this paper, a hospital in northeast China misdiagnosed a patient with choriocarcinoma, resulting in unnecessary surgical trauma until the development of a case of lung metastasis. The doctor’s thinking method and the reasons for the misdiagnosis of this choriocarcinoma case were discussed. Patient Wang × ×, female, 28 years old, January 1983 due to irregular vaginal bleeding for more than a month, found right vestibular gland mass for two months, diagnosed as a right Bactrian gland cyst in a hospital in Northeast China and surgical removal, intraoperative Stop the operation due to major bleeding. Organize the pathological report for examination: