CN103680234A - Clinical diagnosis learning system and method - Google Patents
Clinical diagnosis learning system and method Download PDFInfo
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- CN103680234A CN103680234A CN201210314568.1A CN201210314568A CN103680234A CN 103680234 A CN103680234 A CN 103680234A CN 201210314568 A CN201210314568 A CN 201210314568A CN 103680234 A CN103680234 A CN 103680234A
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Abstract
The invention provides a clinical diagnosis learning system which comprises (a) at least one learning operation device, (b) a database device, (c) a server device and (d) at least one humanoid device. According to the system, a user can do a diagnosis practice according to a real disease case. In addition, the invention provides a method and steps for learning clinical diagnosis.
Description
Technical field
The present invention relates to a kind of innovation provides the learning system of clinical diagnosis training.The invention still further relates to the learning method of this clinical diagnosis.
Background technology
Doctor provides clinical diagnosis and the treatment that patient is correct, need to be by every good training, medical knowledge correctly, neatly, suitably can be used in to patient, and doctor's apprenticeship training not only will rely on the foundation of self medical knowledge, the more important thing is the exercise that clinical medicine operates on the spot.
Training in clinical skills fundamental purpose is to help medico can independently carry out interrogation future, understands the cause of disease and the clinical meaning thereof of patient symptom; Can carry out deagnostic test with correct step; Correct interpretation patient body checks data, routine inspection and other clinical conventional checks such as Electrocardioscopy, biochemical analysis (such as blood, urine, ight soil), and understand object, reference value and the clinical meaning of above-mentioned inspection; According to interrogation result and check that data can correctly write out objective, the complete case history of being in hospital that has standard that meets patient; Clinical thinking training is data analysis by interrogation, physical examination and other clinical examination, it is whole to converge, reasoning, conclusion propose final correct diagnosis.By perfect clinical medicine technical ability and thinking training, can help medico to make correct clinical diagnosis, significantly reduce the possibility of error diagnosis in clinical practice or medical careless mistake.
Science and technology is maked rapid progress, at present existing commercially available clinic commodity can help medical students ' learning and set up clinical knowledge, such as utilizing network software, audio-visual devices, fictitious situation and medical science simulation facility etc., help medico in school, just can understand the actual situation attending to the patient.Current commercially available clinic commodity, with medical educational simulation people, released intelligent product, its diverse in function, comprise that can give expression to relative disease according to the specific symptoms of built-in disease pattern or user's setting characterizes, its built-in disease pattern major part is for needing emergency treatment maybe to need the disease of performing the operation, and this simulation people can bestow that treatment means produces that relative symptom changes and reaction etc. according to user.
Yet medical educational human simulation product is absorbed in mostly providing user to practise " treatment or the processing " of disease at present, there is no the product that can train clinical disease " diagnosis " exercise simultaneously.More because the patient information providing is limited, the most Shi You of the disease symptoms of medical educational human simulation and check data manufacturer writes voluntarily, be not real patient data, and instructor need answer voluntarily learner's content of inquisition, upgrade relative biochemical investigation data, learner only can judge according to limited data, cannot freely select to want the clinical examination of carrying out and obtain relative emulated data.In addition, in the information that learner may be provided by instructor and answer, obtain clue, and conjecture is to the disease of its simulation, has lost the teaching purpose of objective diagnosis.
Another shortcoming is the correctness that current commercially available prod cannot automatic decision user clinical diagnosis operation steps, if learner judges by accident in diagnostic procedure, the situation of mistaken diagnosis or operating mistake, simulation people cannot directly inform the message of user's instruction errors, therefore still need examine the correctness of learner's operating process and instructed after operation completes looking on by another senior doctor, significantly reduce the efficiency of clinical simulation training.
Based on current commercially available clinical Simulation Training product various shortcoming, therefore hand brain that medico is complete lay equal stress on clinical diagnosis and skill training still cannot be provided.In order to assist the efficient study clinical diagnosis of medico technical ability, medical circle still needs a set of product that can improve clinical diagnosis simulation training, and it is also the problem place that institute of the present invention wish solves.
Summary of the invention
The present invention overcomes current clinical human simulation teaching product various shortcoming, the clinical diagnosis learning system of one innovation Reality simulation situation is provided for clinical " diagnosis " in conjunction with clinical diagnosis thinking training, the present invention collects the disease data of true sufferer, it comprises case history, symptom, interrogation is answered, physical examination result and clinical examination result etc., allow user carry out disease assessment according to the situation of true sufferer, also can freely select interrogation project, the actual exercise that carries out a medical examination, freely select Clinical laboratory test and carry out medical diagnosis on disease according to all information, write case history or determine and dispose.
The invention has the advantages that, do not need senior doctor (teacher or assiatant) in the other correctness of assisting decision operation flow process of user (student), the present invention can directly provide detecting and record all contacts of user or the function of noncontact diagnostic process, judge the correctness of this user's clinical diagnosis or further mark or remind, the present invention more can calculate cost and the time that user's clinical diagnosis spends, significantly reduce the needed professional manpower of clinical diagnosis teaching, also can increase the efficiency of clinical simulation training.In addition, because user of the present invention does not need and teacher or the direct question and answer of assiatant, reduce and from question and answer, guess the chance that obtains clue, more meet doctor and face for the first time the real environment of sufferer, allow user from the most basic interrogation, with objective position, carry out clinical diagnosis training.
The invention provides a kind of learning system (100) of clinical diagnosis (Fig. 1), it comprises:
At least one learning manipulation device (110), wherein comprise a display member (111), output link (113) and input link (114), this output link (114) output one user's disease case is set, and this user can be via the relevant information of this input link (113) input diagnosis;
One data library device (130), for storing a default clinical diagnosis operating parameter corresponding at least one disease case information and this disease case, in preferred embodiment, this data library device can be a data server;
One server unit (120), in wireless or wired mode, be connected to this at least one learning manipulation device (110) and this data library device (130), this server unit (120) is set, is compared the middle corresponding disease case information storing of this data library device (130), sends this correspondence disease case information to this at least one learning manipulation device (110) and this at least one simulated person device (140) in order to receive user's disease case of this at least one learning manipulation device (110) transmission; And
At least one simulated person device (140), in wireless or wired mode, be connected to this server unit (120), it includes at least one detection element (141) and at least one emulation component (142), this disease case information that this simulated person device sends in order to receive this server unit (120), with this at least one emulation component (142), show at least one emulation physiological information corresponding to this disease case, and detect with this at least one detection element (141) the clinical diagnosis operation that this user bestows this simulated person device (140), produce this user's a clinical diagnosis operating parameter and sent it back this server unit (120).In a preferred embodiment, this at least one simulated person device (140) external form is copied the structure of human body, and in another embodiment, this simulated person device (140) possesses the ability that has computing and storage data.
Wherein, this at least one learning manipulation device (110) is set this user's disease case to send to this server unit (120) with this output link (113); Receive this correspondence disease case information that this server unit (120) sends, a clinical diagnosis instruction according to this user via this input link (113) input, this disease case information that comparison and this server unit (120) send, it is shown with this display member (111), via this output link (113), send this user's clinical diagnosis instruction to this server unit (120); And
This server unit receives and record (120) this at least one learning manipulation device (110) is passed back this user's clinical diagnosis instruction and this user's that this at least one simulated person device (140) is passed back clinical diagnosis operating parameter, and default clinical diagnosis operating parameter comparison and a correct judgment corresponding to this disease case storing with this database (130).
In preferred embodiment, this at least one simulated person device (140) and this at least one learning manipulation device (110) are noted down respectively this user's clinical diagnosis operating parameter and clinical diagnosis instruction, and this server unit (120) produces an appraisal result according to the correctness of this user's clinical diagnosis relevant information.
The present invention separately provides a clinical diagnosis operating means (150), for this simulated person device certainly, receives detection signal for physical examination.It can further comprise an inductive component (151) and is used for responding to this emulation component (142) in this simulated person device (140) and shows at least one emulation physiological information corresponding to this disease case, and allows this clinical diagnosis operating means (150) show.For example, this clinical diagnosis operating means (150) can be a multifunctional intelligent stethoscope, when using this multifunctional intelligent stethoscope, user carries out a medical examination on this simulated person device (140), can be according to the emulation component (142) of this simulated person device (140) diverse location, receive and show if the detection signals such as hear sounds or lungs sound are to diagnose, for user's interpretation and diagnosis.In preferred embodiment, this clinical diagnosis operating means (150) external form copies general clinical diagnosis operation utensil external form, and it is including but not limited to syringe, electric shock device, Sirecard, stethoscope, thermometer, breathing cylinder, electric torch or endotracheal intubation utensil.
This user can use a clinical diagnosis operating means (150) to bestow this simulated person device (140) one clinical diagnosis operations, and this emulation physiological information being shown by this clinical diagnosis operating means (150) judges the symptom of this disease.In preferred embodiment, this clinical diagnosis operating means (150) is to detect with contact or cordless, (150 identification or pairing utilize BT to this simulated person device (140), the technology such as RFID, then bidirectional information transmission each other with clinical diagnosis operating means.And this detection element (141) of this simulated person device (140) detects by this clinical diagnosis operating means (150) of detecting the clinical diagnosis operation that this user bestows this simulated person device (140), and produce one of this user clinical diagnosis operating parameter.
The learning system of the clinical diagnosis according to the present invention, at a specific embodiment, this learning manipulation device (110) enters one and comprises an access member (112), this appraisal result producing in order to this server unit of access (120) and this user's of storage thereof this clinical diagnosis operating parameter and this clinical diagnosis instruction.
Again in another specific embodiment, this server unit can further load the learning software of a clinical diagnosis, for managing the simulated person device (140) of a group, and elasticity is upgraded simulated person device (140) state, for inquiry system running present situation, to a plurality of simulated person devices, pass on instruction in real time, compare the functions such as simulated person device state and Student Diagnosis.In preferred embodiment, the learning software of this clinical diagnosis is DxR Clinician.
The learning system of clinical diagnosis of the present invention (200) (Fig. 2) further comprises a radio base apparatus (Access Point) (160), it is connected with this server unit (120), for generation of a wireless transmission environment, wherein this server unit is connected with other device wirelessly through this radio base apparatus.In a preferred embodiment, this radio base apparatus further connects a cloud server device (170).
According to the learning system of clinical diagnosis of the present invention, this at least one learning manipulation device (110) is preferably a computing machine, laptop computer, flat computer, iPad or mobile phone.In preferred embodiment, the learning manipulation device that this at least one learning manipulation device comprises a student and a preceptorial supervising device, this student's learning manipulation device is in order to input clinical diagnosis instruction, to show disease case information and appraisal result; And this preceptorial supervising device is in order to the setting of imported disease case, access and analyze appraisal result that this server unit produces and this user's of this servo storage clinical diagnosis operating parameter and clinical diagnosis instruction and upgrade the data of this data library device storage.
Described " having wireless or wired mode connection " is including but not limited to NFC, WIFI, BT or HDMI etc. herein.
Described " disease case information " is including but not limited to the case history of a sufferer, at least one disease symptoms, sufferer interrogation answer, physical examination result, clinical examination data or physiological reaction message herein.
Described " default clinical diagnosis operating parameter " is including but not limited to a default interrogation project and answer, default physical examination, default Clinical laboratory test, default Clinical laboratory test result of determination, default diagnostic result or the default result of disposing herein.
Described " clinical diagnosis operating parameter " is including but not limited to position, number of times and step and the running time of a physique inspection item herein.
Described " clinical diagnosis instruction " is herein including but not limited to interpretation, diagnostic result, disposal result or its cost and the running time of an interrogation project and answer, physical examination, Clinical laboratory test, Clinical laboratory test.
Described " Clinical laboratory test " is including but not limited to an image check, Electrocardioscopy or corpse or other object for laboratory examination and chemical testing biochemical analysis herein.
In another specific embodiment, the learning system of clinical diagnosis of the present invention, wherein this detection element (141) for detecting this user, bestow the clinical diagnosis operation of this at least one simulated person device sound, light, touch, press or temperature; This emulation component (142) is for sound, shake, temperature or the action of this correspondence disease case of emulation.
The present invention also provides a kind of method of learning clinical diagnosis, and its learning system (100) of using clinical diagnosis of the present invention (Fig. 1), comprises following steps:
One user inputs these at least one learning manipulation device (110) one disease cases and sets;
This at least one learning manipulation device (110) sends this disease case and sets to this server unit 120;
This server unit (120) receives and compares this disease case and sets a corresponding disease case information stored with this data library device (130), sends to this at least one learning manipulation device (110) and this at least one simulated person device (140);
This at least one simulated person device (140) shows at least one emulation physiological information according to this correspondence disease case information;
This user bestows a clinical diagnosis operation and uses this at least one learning manipulation device (110) input one clinical diagnosis instruction this at least one simulated person device (140) according to this at least one emulation physiological information;
This at least one simulated person device detects that (140 survey these users' clinical diagnosises operation, produce this user's a clinical diagnosis operating parameter, send it back this server unit;
This at least one learning manipulation device (110) is according to the clinical diagnosis instruction of this input, compare this disease case information sending with this server unit (120) and it is shown with a display member (111), this server unit (120) is returned in the clinical diagnosis instruction that sends this user; And
This server unit (120) receives and notes down this user's clinical diagnosis instruction and this user's that this at least one simulated person device (140) is passed back the clinical diagnosis operating parameter that this at least one learning device (110) is passed back, default clinical diagnosis operating parameter comparison and a correct judgment corresponding to this disease case storing with this data library device (130).
In one embodiment, wherein this server unit (120) produces an appraisal result according to the correctness of this user's clinical diagnosis relevant information.This user can use this appraisal result of this at least one learning manipulation device (110) this server unit of access (120) generation and this user's of storage thereof this clinical diagnosis operating parameter and this clinical diagnosis instruction.
In another specific embodiment, this user uses a clinical diagnosis operating means (150) provided by the invention to bestow this simulated person device (140) one clinical diagnosis operations, and this emulation physiological information showing from this clinical diagnosis operating means (150) judges the symptom of this disease.This disease case information that this user can send in conjunction with this server unit (120) according to the symptom of this disease, infers and obtains a diagnostic result or prescription result and input this clinical diagnosis study device (110).And this detection element (141) of this simulated person device (140) is detected this clinical diagnosis operating means (150) and detected this user and bestow one of this simulated person device (140) clinical diagnosis operation, and produce this user's a clinical diagnosis operating parameter.
In another specific embodiment, this at least one learning device further provides a student learning manipulation device and a preceptorial supervising device.In preferred embodiment, in a teaching environment, this preceptorial supervising device that one teacher can use the learning system (100) of clinical diagnosis of the present invention to provide, input one disease case setting, access and analyze appraisal result that this server unit produces and this user's of storage clinical diagnosis operating parameter and clinical diagnosis instruction and upgrade the data of this data library device storage.And student can use this student's learning manipulation device to input a clinical diagnosis instruction, show disease case information and appraisal result.
Accompanying drawing explanation
Fig. 1 is the block schematic diagram of learning system of the clinical diagnosis of the first instantiation of the present invention.
Fig. 2 is the block schematic diagram of learning system of the connection cloud server clinical diagnosis of the second instantiation of the present invention.
Element numbers explanation
The learning system of 100 clinical diagnosises
110 learning manipulation devices
111 display members
112 access members
113 output links
114 input links
120 server units
130 data library devices
140 simulated person devices
141 detection element
142 emulation components
150 clinical diagnosis operating means
151 inductive components
160 radio base apparatus
170 cloud server devices
200 connect the learning system of cloud server clinical diagnosis
Embodiment
Embodiment 1
Take typhlitis as example, and to be mostly appendix be obstructed due to secondary bacterium infects in the outlet of caecum general Blind enteritis reason; But separately there is 30% case to have no obstruction, its inflammation may be because of due to virus, parasite or bacterium infection, wound or the rear ight soil of operating on be detained, the patient's condition that need distinguish during doctor diagnosed not less than dozens, important have cholecystitis (epigastric pain takes over), perforated ulcer (mobile more pain), diverticulitis (can palpation to lump), small intestine to block (enterocinesia quickening), enterobrosis (enterocinesia is slack-off), most important diagnosis sharp weapon or detailed medical history and physique (Neo-Confucianism) inspection.Although typhlitis is common in addition, because the position of originally outbreak is similar with general stomachache, if do not pay special attention to, be easy to obscure.Except obviously suffering from abdominal pain, typhlitis patient also there will be the phenomenons such as appetite is poor, nauseating, vomiting, some also has feveret (about 38 degree left and right), also someone there will be the white blood cell of tongue fur increase, halitosis or graininess to increase situation in addition, some people there will be constipation symptom, some people occurs suffering from diarrhoea to react even can occurring the trace of blood in excreta, because symptom is changeable, so be relatively difficult to make a definite diagnosis.
The typhlitis course of disease can be from several hours to some months not etc., divides into acutely and chronic with the generation speed of the course of disease, and acute typhlitis symptom is comparatively seriously also compared with tool menace.The symptom initial stage may be only because stomachache appears in appendix inflammation, obstruction, but the time one may cause purulence ulcer, even perforation, after general perforation all occurs in symptom and occurs 24 to 36 hours, but child or the elderly may be more early for a long time.
Typhlitic mistaken diagnosis ratio is not low, need to diagnose typhlitis by certain program and method, and diagnose by interrogation and detailed physical examination: first doctor can first carry out detailed medical history interrogation, if suspection is typhlitis, carry out coherence check, comprise following content.
1. blood test: because have part sufferer when there is typhlitis, white blood cell count can surpass 10,000/mm
3.
2. physical examination (of science inspection): first typical typhlitis symptom is to be difficult to the stomachache of cumulative crescendo of confining spectrum, and pit of the stomach place or navel around bitterly, shift toward Right Lower Abdomen gradually before this conventionally; Secondly for being afraid of that the abdominal muscle that touch belly causes shrinks, abdominal muscle Jinsuo is stiff, bounce-back property tenderness.Physical examination emphasis, doctor first lives patient's right lower abdomen with hand, has local bounce-back pain during relieving; While pullling the right leg of patient, right side psoas meeting pain; Right leg is put to left leg and is become cross-legged shape, then by right knee to pressing down, can affect the obturatorius pain of right abdomen; If last, press while moving left abdominal muscle, right abdominal muscle has pain.
3. belly X-ray: the enteremphraxis phenomenon of locality appears in Right Lower Abdomen, maybe can see abnormal intestines gas or coprolite.
4. ultrasonic, computerized tomography or celioscopy: visible appendix enlargement, ascites or purulence ulcer are logical, and this project is auxiliary diagnosis, can not with this assay, conclude separately, also not necessarily will carry out this inspection.
typhlitis diagnostic exercises of the present invention
Academic environment in the learning system 200 (Fig. 2) of device clinical diagnosis of the present invention, the learning manipulation device 110 that comprises student and preceptorial supervising device 110, preceptorial supervising device 110 has higher authority, can set wish exercise disease case, the data in access service apparatus 120, upgrade data that this data library device 130 stores, the data in the accessible server unit 120 of learning manipulation device 110 of controlling student.In diagnostic exercises process, student's learning manipulation device 110 can only show server unit 120 data that receive, input interrogation project and diagnosis, disposal result, the data in can not access service apparatus.
Diagnostic exercises starts, one teacher opens preceptorial supervising device 110 input one typhlitis patients' disease case, preceptorial supervising device 110 is set this teacher's disease case to be sent to radio base apparatus 160 and to be sent to server unit 120, and this server unit 120 receives this disease case and sets, compares the typhlitis patient's who stores in this database disease case information, by radio base apparatus 160, sends this information to learning manipulation device 110 and the simulated person device 140 of all students in academic environment.
Under unknown which kind of disease of student, carry out diagnostic exercises, first student can open student's learning manipulation device 110 input wish interrogation projects, inquire the patient's condition and the medical history of this sufferer, student's learning manipulation device 110 is according to the interrogation project of student's input, the typhlitis patient information that comparison and this server unit send, find out answer corresponding to this patient and display it, also server unit 120 is noted down and sent it back to the interrogation project of student's input simultaneously.Such as: student, inquire that how long uncomfortable where patient is, pain, the pain problem such as where, and student's learning manipulation device shows that patient answers: stomach-ache, Right Lower Abdomen pain, bitterly a whole day etc.According to the interrogation obtaining, answer, student can tentatively obtain a plan and examine result, and inputs in student's learning manipulation device 110.
Then student uses simulated person device 140 exercise that carries out a medical examination, for example: student lives simulated person device 140 right lower abdomens with hand and decontrols, detection element 141 in this simulated person device 140 detects the action that student presses Right Lower Abdomen position, the typhlitis patient information of comparison and this server unit transmission, find out physiological information corresponding to this patient, with emulation component 142, send the sound that sufferer yelps in pain, server unit 120 is noted down and sent it back to this simulated person device 140 also by student's physical examination action simultaneously.The corresponding physiological information of patient that student can obtain physical examination inputs in student's learning manipulation device 110, or further determines or modified quasi is examined result according to this result.
According to interrogation and physical examination result, student uses student's learning manipulation device 110 inputs may need the Clinical laboratory test carrying out to select, as: blood test, X-ray examination and ultrasound examination.According to the Clinical laboratory test of student's input, the typhlitis patient information that 110 comparisons of learning manipulation device and this server unit of student sends, the clinical examination result of finding out the corresponding Clinical laboratory test of this patient displays it, as: white blood cell count >10 in blood biochemistry checking report, 000/mm
3, Right Lower Abdomen occur locality enteremphraxis phenomenon X-ray and show the Abdominal echo image of appendix enlargement.Student can carry out interpretation according to clinical examination result, and by clinical examination sentence read result input student's learning manipulation device 110, server unit 120 is noted down and sent it back to learning manipulation device 110 also by Clinical laboratory test and the clinical examination sentence read result of student's input simultaneously.
Student can determine or modified quasi is examined result and obtained a last diagnostic result according to the interrogation result obtaining, physical examination result and clinical examination result, and determine that disposal result (MCA and treatment content) that this sufferer needs is such as: excision caecum and with antibiotic therapy etc., learning manipulation device 110 by this diagnostic result and disposal result input student, further sends it back again server unit 120.This student's that these server unit 120 receptions and record learning device are passed back interrogation result, plan is examined result, Clinical laboratory test sentence read result, diagnostic result and dispose result and a typhlitis that this student's that this simulated person device is passed back physical examination action is corresponding with the typhlitis patient information of these database 130 storages is preset the answer of communicating with the eyes of interrogation item, default physical examination, default Clinical laboratory test, default Clinical laboratory test sentence read result, the correctness of Student Diagnosis step and result is compared and judged to default diagnostic result and default disposal result, and produce this student's appraisal result.
Teacher can instruction person the student that produces of supervising device 110 access service apparatuses 120 appraisal result and store the study condition that each student understood in all records (interrogation project, Clinical laboratory test interpretation, clinical diagnosis step and result etc.) in Student Diagnosis flow process, auxiliary teacher gives student's clinical diagnosis scoring.In addition teacher can understand individually this student according to each student's idagnostic logout and holds blundering diagnosis algorithm, further instructs individually.In addition, after exercise finishes, server unit 110 also can be stored student's appraisal result and the learning manipulation device 110 that all idagnostic logouts send to each student, allow student can be directly acquainted with oneself place that where step mistake and needing corrects.
Claims (34)
1. a learning system for clinical diagnosis, it comprises:
(a) at least one learning manipulation device, wherein comprises a display member, output link and input link, and this output link is exported a user disease case and set, and this user can be via the relevant information of this input link input diagnosis;
(b) data library device, for storing a default clinical diagnosis operating parameter corresponding at least one disease case information and this disease case;
(c) server unit, in wireless or wired mode, be connected to this at least one learning manipulation device and this database, this server unit is set, is compared the corresponding disease case information that stores in this database, sends this correspondence disease case information to this at least one learning manipulation device and this at least one simulated person device in order to the user's disease case that receives this at least one learning manipulation device and send; And
(d) at least one simulated person device, in wireless or wired mode, be connected to this server unit, it includes at least one detection element and at least one emulation component, this simulated person device is in order to this disease case information of receiving this server unit and sending, show at least one emulation physiological information corresponding to this disease case and detect with this at least one detection element the clinical diagnosis operation that this user bestows this simulated person device with this at least one emulation component, produce this user's a clinical diagnosis operating parameter and sent it back this server unit
Wherein, this at least one learning manipulation device is set this user's disease case to send to this server unit with this output link; Receive this correspondence disease case information that this server unit sends, a clinical diagnosis instruction according to this user via this input link input, this disease case information that comparison and this server unit send, it is shown with this display member, and the clinical diagnosis instruction that sends this user via this output link is to this server unit; And
This server unit receives and records this user's clinical diagnosis instruction and this user's that this at least one human simulation is passed back the clinical diagnosis operating parameter that this at least one learning manipulation device is passed back, and a default clinical diagnosis operating parameter corresponding with this disease case of this database storage compared and correct judgment.
2. learning system according to claim 1, clinical diagnosis operating parameter and clinical diagnosis instruction that wherein this at least one simulated person device and this at least one learning manipulation device record respectively this user.
3. learning system according to claim 1, wherein this server unit produces an appraisal result according to the correctness of this user's clinical diagnosis relevant information.
4. learning system according to claim 3, wherein this learning manipulation device further comprises an access member, this appraisal result producing in order to this server unit of access and this user's of storage thereof this clinical diagnosis operating parameter and clinical diagnosis instruction.
5. learning system according to claim 1, wherein this server unit further loads the learning software of a clinical diagnosis.
6. learning system according to claim 5, wherein the learning software of this clinical diagnosis is DxR Clinician.
7. learning system according to claim 1, it further comprises a radio base apparatus, be connected with this server unit, for generation of a wireless transmission environment, wherein this server unit is connected with other device wirelessly by this radio base apparatus.
8. learning system according to claim 1, wherein this at least one learning manipulation device is a computing machine, laptop computer, flat computer, iPad or mobile phone.
9. learning system according to claim 1, wherein the external form of this at least one simulated person device is copied the structure of human body.
10. learning system according to claim 1, learning manipulation device and a preceptorial supervising device that wherein this at least one learning manipulation device comprises a student, this student's learning manipulation device is in order to input clinical diagnosis instruction, to show disease case information and appraisal result; And this preceptorial supervising device in order to the setting of imported disease case, access and analyze appraisal result that this server unit produces and this servo storage this user clinical diagnosis operating parameter and clinical diagnosis instruction and upgrade the data of this data library device storage.
11. learning systems according to claim 1, wherein this disease case information comprises: a case history, at least one disease symptoms, sufferer interrogation answer, physical examination result, clinical examination data or physiological reaction message.
12. learning systems according to claim 1, wherein this default clinical diagnosis operating parameter comprises: a default interrogation project and answer, default physical examination, default Clinical laboratory test, default Clinical laboratory test sentence read result, default diagnostic result or the default result of disposing.
13. learning systems according to claim 1, wherein this detection element for detecting this user, bestow the clinical diagnosis operation of this at least one simulated person device sound, light, touch, press or temperature.
14. learning systems according to claim 1, wherein this emulation component is for sound, shake, temperature or the action of this correspondence disease of emulation.
15. enclose the learning system described in 1 according to claim, and it further comprises a clinical diagnosis operating means, for this simulated person device certainly, receive a detection signal for physical examination.
16. learning systems according to claim 15, wherein this detection signal comprises hear sounds or lungs sound.
17. learning systems according to claim 1, wherein this user's clinical diagnosis diagnostic operation parameter comprises: the position of a physique inspection item, number of times and step and running time.
18. learning systems according to claim 1, wherein this clinical diagnosis instruction comprises: the interpretation of an interrogation project and answer, physical examination, Clinical laboratory test, Clinical laboratory test, diagnostic result, disposal result or its cost and running time.
19. learning systems according to claim 18, wherein this Clinical laboratory test comprises: image check, Electrocardioscopy or corpse or other object for laboratory examination and chemical testing biochemical analysis.
20. 1 kinds of methods of learning clinical diagnosis, its right to use requires the learning system of the clinical diagnosis described in 1, this learning system comprises at least one learning manipulation device, a data library device, a server unit and at least one simulated person device, and the method includes the steps of:
(a) user inputs this at least one learning manipulation device one disease case setting;
(b) this at least one learning manipulation device sends this disease case and sets to this server unit;
(c) this server unit receives and compares this disease case and sets a corresponding disease case information stored with this data library device, sends to this at least one learning manipulation device and this at least one simulated person device;
(d) this at least one simulated person device shows at least one emulation physiological information according to this correspondence disease case information;
(e) this user bestows a clinical diagnosis operation and uses this at least one learning manipulation device to input a clinical diagnosis instruction this at least one simulated person device according to this at least one emulation physiological information;
(f) this at least one simulated person device is detected this user's clinical diagnosis operation, produces this user's a clinical diagnosis operating parameter, sends it back this server unit;
(g) this at least one learning manipulation device, according to the clinical diagnosis instruction of this input, is compared this disease case information sending with this server unit and it is shown with a display member, and this server unit is returned in the clinical diagnosis instruction that sends this user; And
(h) this server unit receives and notes down this user's clinical diagnosis instruction and this user's that this at least one simulated person device is passed back the clinical diagnosis operating parameter that this at least one learning device is passed back, and a default clinical diagnosis operating parameter corresponding with this disease case of this database storage compared and correct judgment.
21. methods according to claim 20, clinical diagnosis operating parameter and clinical diagnosis instruction that wherein this at least one simulated person device and this at least one learning manipulation device record respectively this user.
22. methods according to claim 20, wherein this server unit produces an appraisal result according to the correctness of this user's clinical diagnosis relevant information.
23. methods according to claim 22, wherein this at least one learning manipulation device further provides an access member, comes this appraisal result of this server unit generation of access and this user's of storage thereof this clinical diagnosis operating parameter and clinical diagnosis instruction.
24. methods according to claim 20, wherein this server unit further loads the learning software of a clinical diagnosis.
25. methods according to claim 24, wherein the learning software of this clinical diagnosis is DxR Clinician.
26. methods according to claim 20, the learning system of this clinical diagnosis further provides a radio base apparatus, be connected with this server unit, for generation of a wireless transmission environment, wherein this server unit is connected with other device wirelessly by this radio base apparatus.
27. methods according to claim 20, wherein this at least one learning device further provides a student learning manipulation device and a preceptorial supervising device, and this student's learning manipulation device is in order to input clinical diagnosis instruction, to show disease case information and appraisal result; And this preceptorial supervising device in order to the setting of imported disease case, access and analyze appraisal result that this server unit produces and storage this user clinical diagnosis operating parameter and clinical diagnosis instruction and upgrade the data of this data library device storage.
28. methods according to claim 20, wherein this disease case information comprises: a case history, at least one disease symptoms, sufferer interrogation answer, physical examination result, clinical examination data or physiological reaction message.
29. methods according to claim 20, wherein this default clinical diagnosis operating parameter comprises: a default interrogation project and answer, default physical examination, default Clinical laboratory test, default Clinical laboratory test sentence read result, default diagnostic result or the default result of disposing.
30. methods according to claim 20, wherein this at least one simulated person device provides a detection element bestows the clinical diagnosis operation of this at least one simulated person device sound, light for detecting this user, touches, presses or temperature.
31. methods according to claim 20, wherein this at least one simulated person device provides sound, shake, temperature or the action of an emulation component for this correspondence disease case of emulation.
32. methods according to claim 20, wherein this user's clinical diagnosis operating parameter comprises: the position of a physique inspection item, number of times and step and running time.
33. methods according to claim 20, wherein this clinical diagnosis instruction comprises: an interrogation project and answer, physical examination, Clinical laboratory test, Clinical laboratory test interpretation, diagnostic result, disposal result or its cost and running time.
34. methods according to claim 33, wherein this Clinical laboratory test comprises: image check, Electrocardioscopy or corpse or other object for laboratory examination and chemical testing biochemical analysis.
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