临床药师的病例分析选题与写作.ppt

参考文献引用全面准确1注意文献新颖与权威2尽量国内外文兼顾3著录格式规范4上海长海医院——第二届“专科临床药师药学服务技能及病例分析论坛”2015年10月29日——武汉临床药师的病例分析选题与写作卫生部临床药师（师资）培训基地国家临床药学重点专科（军队建设）中国人民解放军全军临床药学中心临床药学病例分析病例分析的选题病例分析的写作病例分析的评价CaseReportAreportofasinglecaseofadisease,usuallywithanunexpectedpresentation,whichtypicallydescribesthefindings,clinicalcourse,andprognosisofthecase,oftenaccompaniedbyareviewofothercasespreviouslyreportedinthebiomedicalliteraturetoputthereportedcaseincontext./case+reportCasereportInmedicine,acasereportisadetailedreportofthesymptoms,signs,diagnosis,treatment,andfollow-upofanindividualpatient.Casereportsmaycontainademographicprofileofthepatient,butusuallydescribeanunusualornoveloccurrence.TypesofcasereportsMostcasereportsareononeofsixtopics[1]:Anunexpectedassociationbetweendiseasesorsymptoms.Anunexpectedeventinthecourseofobservingortreatingapatient.Findingsthatshednewlightonthepossiblepathogenesisofadiseaseoranadverseeffect.Uniqueorrarefeaturesofadisease.Uniquetherapeuticapproaches.Apositionalorquantitativevariationoftheanatomicalstructures.UsefulnessandvalidityAcasereportisatypeofanecdotalevidence.Assuch,itislessscientificallyrigorousthancontrolledclinicaldatainvolvingalargersamplesize.Proponentsarguethatcasereportshavevaluewithinscientificmethod:Theypermitdiscoveryofnewdiseasesandunexpectedeffects(adverseorbeneficial)aswellasthestudyofmechanisms,andtheyplayanimportantroleinmedicaleducation.Casereportsandserieshaveahighsensitivityfordetectingnoveltyandthereforeremainoneofthecornerstonesofmedicalprogress;theyprovidemanynewideasinmedicine.(Vandenbroucke,2001)FamousscientificcasereportsSigmundFreudreportedonnumerouscases,includingAnnaO.,Dora,LittleHans,RatMan,andWolfManFrederickTrevesreportedonT