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临床上书写病历时,职业史和其它项目一样重要,因为许多疾病是由职业因素引起的。然而实际工作中,由于忽视职业史而导致误诊和漏诊的情况并非罕见。例如曾有把重症铅中毒产生的急性腹痛误诊为阑尾炎或其它急腹症而施行手术,给病人带来痛苦的;有把慢性氟中毒引起氟骨症所出现的关节疼痛、畸形、运动障碍误诊为类风湿性关节炎,以致长期治疗无效的;常有不少镀锌、电焊、铸铜、轧
Occupational history is as important as other programs when writing medical records clinically, as many diseases are caused by occupational factors. However, in actual work, it is not uncommon for misdiagnosis and missed diagnosis due to the neglect of occupational history. For example, acute abdominal pain caused by severe lead poisoning has been misdiagnosed as appendicitis or other acute abdomen and surgery, to bring pain to patients; have fluorosis caused by fluorosis, joint pain, deformity, dyskinesias misdiagnosis For rheumatoid arthritis, resulting in long-term treatment is ineffective; often a lot of galvanized, welded, cast copper, rolled