从我国首例胰岛素瘤的社会服务部病历看协和早期访视工作

Review the In-Hospital Visits and Follow-up Work in the Early Stage of PUMCH from the Medical Record of the Social Service Department of China's First Insulinoma Case

摘要: 我国首例胰岛素瘤报告发表于1936年的《临床研究杂志》(J Clin Invest)，为国际第18例。该病例来自北京协和医院，病历中有多达14页的社会服务部相关记录及其附件，对该病例的院内访视和随访工作进行了客观描述，揭示了“老协和”社会服务部的访视工作程序，也体现了当年社会服务部与临床医生的良好关系以及北京协和医院的高度国际化。

Abstract: The first reported case of insulinoma in our country, published on Journal of Clinical Investigation in 1936, was the 18th reported case worldwide. It included a comprehensive 14-page medical record of social service department and its attachments. The patient came from Peking Union Medical College Hospital(PUMCH) and the document objectively described the in-hospital visits and follow-up work for this case, revealing the visitation procedure of social service department. It also highlighted the close relationship between social service department and clinical doctors at that time, and the highly internationalized management of PUMCH.