科学的临床思维是提高临床决策水平的基础。任何人都不能否定，在诊断每一个具体患者时，临床医师的思维能力仍然是最重要的因素，任何先进的仪器都无法替代。虽然高精尖检查设备协助医生解决了不少疑难问题，找到了一些医生"看不见的病变" 。但基本技能仍是医生在临床实践中发现问题的最基本的手段，疾病的很多重要线索是通过病史询问和体格检查获得。医者诊疗疾病的智慧来自反复认识和实践，更是勤于实践，用心领悟的过程。在临床实践中如何充分体现临床思维与临床决策者的学识、经验和悟性，在规范中显示出灵动，才能在与疾病的斗争中，在万变的机体中找到不变的方向；才能用智慧解决临床中的各种复杂问题。

Scientific clinical thinking is the foundation of the clinical development as well as decision. It is an undoubtable fact that thinking ability of clinicians, which should not be replaced with any advanced instruments, is the most important factor in the diagnosis for every individual patient.Though high-tech inspection equipment has helped clinicians to solve many problems and to discover some "invisible lesions" , fundamental skills are still primary means for clinicians to find problems, in which most of important clues are identified through history-taking and physical examination.Wisdom of clinicians for disease diagnosis and treatment methods from repeated recognition and practice, and it stands for the process of diligent practice and thorough comprehension.Clinicians should give full expression to clinical thinking, knowledge and experience so as to manifest flexibility in the frame of rules, keep moving forward against disease in complex human organization and solve complex problems with intelligence.