Low-tar smoking versus middle-tar smoking.
Low-tar smoking versus middle-tar smoking.
复制标题
低焦油吸烟与中焦油吸烟。
DOI：
10.1136/bmj.281.6235.309-a
复制
发表时间：
1980
影响因子：
--
通讯作者：
R G Rawbone
中科院分区：
文献类型：
--
作者：
R G Rawbone
先生，-MWL齿轮先生和其他人（5月3日，第1135页）证明他们的开放式内窥镜服务的成功，发现有机病变。一位愤世嫉俗的人将健康的人定义为“没有被充分调查的人”。“他们的文章没有显示研究对患者的影响，也没有显示他们认为的相关性，例如粘膜病变。胃肠病学家发现，许多消化不良患者没有相关的器质性病变，并在必要时通过钡餐或内窥镜检查立即保证治愈。这些患者过去曾被错误地贴上内脏下垂、慢性阑尾炎、慢性胆囊炎或食管裂孔疝（没有反流的客观证据）的标签。显然，内窥镜医生会在“找到一些东西”中找到更多的满足感;但许多粘膜疾病，如胃炎，是不寻常的，在正常人中发现，或者粘膜发红可能是对内窥镜检查的心理反应。如果给予不必要的器质性标签，神经症可能会持续下去，患者可能会被迫节食或西咪替丁，而不是通过安慰治愈。
SIR,-Mr MWL Gear and others (3 May, p 1135) justify'their open-access endoscopy service by their success in finding organic lesions. A cynic has defined a healthy person as" someone who has not been fully investigated." Their article does not show the effect of the investigation on the patient or how relevant they considered, for example, the mucosal lesions.Gastroenterologists find that many dyspeptics have no relevant organic lesion and are cured by instant reassurance supported, when necessary, by barium meal or endoscopy. These have suffered in the past from being wrongly labelled as victims of visceroptosis, chronic appendicitis, chronic cholecystitis, or hiatus hernia (without objective evidence of reflux). Obviously, the endoscopist will find more satisfaction in" finding something"; but much mucosal disease like gastritis is irrele-vant and found in normal people, or a reddened mucosa may be a reaction of the psyche to endoscopy. If an unnecessary organic label is given, neurosis may be perpetuated and patients may be condemned to dieting or cimetidine instead of being cured by reassurance.