1、Central South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South University采集病史采集病史-重要意义重要意义 Central South UniversityCentral South UniversityCentral South UniversityCentral South Univ
2、ersityCentral South UniversityCentral South Universityn问诊结束时,问诊结束时,向患者致谢,向患者致谢,感谢患者的配感谢患者的配合合。Central South UniversityCentral South University一、一般项目姓名 性别年龄 籍贯出生地 民族婚姻 住址及联系方式工作单位 职业入院日期 记录日期病史陈述者 可靠程度Central South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCent
3、ral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South Un
4、iversityCentral South University问诊的内容问诊的内容个人史个人史Central South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South University问诊的内容问诊的内容家族史家族史Central South UniversityCentral South Univer
5、sity问诊的技巧及注意事项问诊的技巧及注意事项Central South UniversityCentral South UniversityCentral South UniversityCentral South University问诊的技巧及注意事项问诊的技巧及注意事项n问题类型问题类型Central South UniversityCentral South University问诊的技巧及注意事项问诊的技巧及注意事项应避免的提问方式连续性提问连续性提问:没有间隔的连续提出几个问题,:没有间隔的连续提出几个问题,不容患者逐一回答问题。不容患者逐一回答问题。Central South
6、 UniversityCentral South University为核实患者提供的病史资料,为核实患者提供的病史资料,允许对同一个问题进行反复提问允许对同一个问题进行反复提问必要时可采取反问或解释等必要时可采取反问或解释等方式来获取需要的病史资料,方式来获取需要的病史资料,要尽可能避免不必要的重复提问要尽可能避免不必要的重复提问。n重复提问重复提问Central South UniversityCentral South University问诊的技巧及注意事项问诊的技巧及注意事项Central South UniversityCentral South University问诊的技巧及注
7、意事项问诊的技巧及注意事项Central South UniversityCentral South University问诊的技巧及注意事项问诊的技巧及注意事项Central South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCen
8、tral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South UniversityCentral South University