复旦大学附属妇产科医院：《妇产科学》课程教学资源（PPT课件讲稿）妇科临床思维与诊疗规范

妇科临床思维与诊疗规范概述 孙红

妇科临床思维与诊疗规范概述 孙 红

◆除了医学知识外,妇科医生必须注重 communication skills 不仅关注患者的疾病状况,还需了解患 者的心理、社会、家庭状况等因素。 ◆同样,环境以及文化背景也影响患者

 除了医学知识外，妇科医生必须注重 communication skills。  不仅关注患者的疾病状况，还需了解患 者的心理、社会、家庭状况等因素。  同样，环境以及文化背景也影响患者

Communication good communication is essential to patient assessment and treatment 4 Good communication requires patience, dedication, and practice(耐心,奉献和策 略) ◆结果:准确的理解患者的状况和问题 思索有效的解决方案

Communication  Good communication is essential to patient assessment and treatment.  Good communication requires patience, dedication, and practice.(耐心，奉献和策 略）  结果：准确的理解患者的状况和问题 思索有效的解决方案

Foundation of communication ◆ Empathy, attentive listening(全神贯 汪 ◆ Expert knowledge ◆ Rapport and trust

Foundation of communication  Empathy, attentive listening(全神贯 注）  Expert knowledge  Rapport and trust

History Ascertainment of the chief complaint Characteristics of the present illness 4 Include her complete medical and surgical history Her reproductive historylincluding menstrual history) ◆ Family history

History  Ascertainment of the chief complaint  Characteristics of the present illness  Include her complete medical and surgical history  Her reproductive history(including menstrual history)  Family history

Physical examination o abdominal examination ◆ Breast examination ◆ Pelvic examination

Physical examination  Abdominal examination  Breast examination  Pelvic examination

Pelvic examination

Pelvic examination

((UVe Figure 1.3 The bimanual examination

Figure 1. 4 the rectovaginal examination