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论医学的精确与模糊 被引量:3

On the Precision and Fuzzyness of Medicine
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摘要 医学哲学的精确和模糊范畴具有本体论和认识论两个层面的涵义。精确和模糊是疾病存在的两种不同的性状。医学对于疾病尤其是复杂性疾病的认识,总是带有一定程度的模糊。大数据、靶向治疗无法达到完全精确。模糊是疾病的内在性状。疾病的模糊性状的存在具有可能性和必然性。对疾病认识的完全精确是一种理论假设,同时还具有一定的风险性。在某种情况下,医学精确的诊疗技术是没有必要甚至是有害的。精确诊疗技术的实施与否要有人文底线和伦理要求。 Precision and fussyness in the categories of philosophy of medicine have two layers of connotatins both in ontology and epistemlogy.Precision and fuzzyness are the two diverse characters in the existence of disease.The medical cognition of disease,especially complex diseases,is always fuzzy to some extent.Big data and targeted therapy cannot be completely accurate.Fuzzyness is an intrinsic characteristic of disease.The existence of fuzzy character of disease is possible and inevitable.The complete accuracy of the understanding of disease is a theoretical assumption with certain risk.In some cases,precise medical techniques are unnecessary and even harmful.The implementation of accurate diagnosis and treatment technology should have the humanistic bottom line and ethical standards.
作者 刘虹 LIU Hong(Medical Humanities Collaborative Innovation Center,Nanjing Medical University,Nanjing)
出处 《医学与哲学(A)》 2018年第7期1-4,共4页 Medicine & Philosophy:Humanistic & Social Medicine Edition
关键词 精确 模糊 医学哲学 precision fuzzyness philosophy of medicine
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