试论整合医学视域下的急诊思维

Preliminary Exploration of Emergency Thinking from the Perspective of Integrated Medicine

当前急诊工作者往往依据现代医学重视人体实体结构病变的思维进行工作,对某些发病初期实体结构病变尚不明显,但病势发展非常迅猛的患者难以快速做出明确诊断,易延误救治时机,造成遗憾。中医思维则强调对人体连贯的生命过程所分化而来的气化功能系统的认知,其诊断的核心是对人体生命过程出现紊乱的环节的定位,可以通过综合收集患者多层次信息来得出结论,诊断迅速、覆盖面广,其治疗理念的核心则是对人体系统内在关系的调节。在用经过现代化诠释后的中医思维指导临床实践时,可以帮助急诊医师快速做出现代医学的诊断,并兼顾现代医学的技术的成果,尽早对患者做出有力干预,并可提供多种干预方法,以缩小乃至规避疾病损伤。这种急诊思维可概括为“以中统西,功能主干,多方干预,关系调节”。

The current emergency department workers often work according to the thinking of modern medicine that attaches great importance to the physical structure of the human body.It is not obvious for certain physical structure lesions at the initial stage of onset,but it is difficult for patients with rapid development of the disease to quickly make a clear diagnosis,and it is easy to delay the timing of treatment,resulting in regret.Traditional Chinese medicine thinking emphasizes the cognition of the gasification function system differentiated from the coherent life process of the human body.The core of the diagnosis is the positioning of the link in the human life process that is disordered.Conclusions can be drawn by comprehensively collecting multiple levels of patient information,Rapid diagnosis and wide coverage,the core of its treatment concept is the regulation of the internal relationship of the human body system.When guiding clinical practice with modernly interpreted Chinese medicine thinking,it can help emergency doctors quickly make modern medical diagnosis,and take into account the achievements of modern medical technology,make effective interventions for patients as early as possible,and provide a variety of intervention methods.In order to reduce and even avoid disease damage.This kind of emergency thinking can be summarized as“integrating the west with the Chinese,the main function,multi-party intervention and relationship adjustment”.