手术之前,主管医生要与病人和家属交谈,这很重要,是必要的医疗程序。为什么要谈话?谈什么?怎么谈?无论对于医生,还是对于病家都应该有正确的态度。谈话通常在术前一两天或手术方案确定之后。要把病情做个回顾(或复习),关于诊断和鉴别手术的适应症及手术方式的选择,会特别谈到手术可能遇到的情况或可能发生的问题等,一一告之,知情同意。有的病家当术前谈话之后,疑窦丛生,顾虑重重,甚至不敢接受手术了,这里有医生的表述问题,也有病家的理解问题。比如,大夫会将从麻醉开 It is important that the competent doctor talk to the patient and family before surgery, which is a necessary medical procedure. Why talk? What to talk about? How to talk? There should be a right attitude for both doctors and patients. The conversation is usually a day or two before the operation plan is determined. To review the situation (or review), the diagnosis and identification of surgical indications and surgical options, in particular, may talk about the operation may encounter situations or problems that may occur, one by one informed consent. Some patients when the preoperative conversation, the piles of suspicions, worries, and even did not dare to accept surgery, there are the doctor’s statement, but also the sick’s understanding of the problem. For example, the doctor will start from anesthesia