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核心提示:体格检查是医生为患者进行临床诊断过程中不可缺少的重要步骤,诊断过程中如果未进行体格检查,可能使医生对疾病的诊断出现漏诊、误诊。近日,本刊记者通过暗访北京市50家大中型医院,对京城医院门诊首诊体格检查的情况进行了调查。暗访中记者发现,这50家北京大中型医院,48家医院未对就诊患者的基本生命体征(血压、心律、呼吸情况)进行检查,17家医院未对患者进行任何形式的体格检查,22家医院的医生在做腹部体格检查时方法极不规范,达不到检查目的,9家医院医生体格检查情况稍好,但仍然存在一些缺陷。从调查结果可见,78%被调查医院门诊未进行体格检查,或体检极不规范。
Core Tip: Physical examination is an indispensable step for doctors in the clinical diagnosis of patients. If a physical examination is not performed during the diagnosis process, doctors may make misdiagnosis or misdiagnosis of the disease. Recently, this reporter conducted an unannounced visit to 50 large and medium-sized hospitals in Beijing and investigated the physical examination of the first visit to the Jingcheng Hospital. Unannounced visits to reporters found that the 50 large and medium-sized Beijing hospitals and 48 hospitals did not examine the basic vital signs (blood pressure, heart rhythm, and respiratory conditions) of visiting patients, and 17 hospitals did not perform any form of physical examination on patients, 22 The doctors in the hospital did not regulate the physical examination of the abdomen and failed to achieve the purpose of inspection. The physical examination of the nine hospital doctors was slightly better, but there were still some defects. From the survey results, 78% of the hospitals surveyed did not undergo physical examination at the outpatient clinics, or the physical examination was extremely irregular.