临床医师是疾病诊断及病案资料的主要书写者,而且临床医师正确书写疾病诊断是疾病分类工作的一个关键环节,只有他们最了解病情,深知什麽样的诊断名称才符合标准要求。如何正确书写疾病诊断及主要诊断的选择,对于进一步提高医疗质量,满足医、教、研等方面的需要,具有不可估量的 Clinicians are the main writers of disease diagnosis and medical records, and clinicians correctly write disease diagnosis is a key link in the classification of diseases. Only when they know the most about the disease, they know exactly what kind of diagnosis meets the standard requirements. How to correctly write the diagnosis of the disease and the choice of the main diagnosis, to further improve the quality of medical care, to meet the medical, teaching, research and other needs, with incalculable