Clinical application of "holism view" dialectical thinking in the etiological diagnosis of contradictory heart rate reaction
Sun Minghui1,2, Lei Xu1, Li Jinke1, Li Fang1, Du Weixing1, Li Rugui1, Tan Huabing1
1Department of Infectious Disease, the Shiyan People′s Hospital, Shiyan 442000,China; 2Department of Medicine, Fangxian County Mental Health Center, Fangxian 442100, China
Abstract：ObjectiveTo understand the concept of holism view and to analyse the etiological diagnosis of contradictory heart rate reaction．MethodsA dialectic diagnosis thinking way was performed on 2 patients with contradictory heart rate admitted to the department of infectious disease in Shiyan People′s Hospital from November 2017 to June 2018. A 69-year-old woman with a history of pneumonia, coronary heart disease, polyserositis and with heart rate 65 beats a minute. The other patient was a 41-year-old man who presented with massive hemorrhage of gastrointestinal tract, liver cirrhosis after hepatitis B, and with heart rate 70 beats a minute. ResultsThe “holistic view” theory was applied to analyze the contradictory responses of pulmonary infection, pleural effusion and relatively slow heart rate in the first patient, as well as upper gastrointestinal hemorrhage and relatively slow heart rate in the second patient.The 2 cases were eventually diagnosed as hypothyroidism and cirrhotic cardiomyopathy respectively. ConclusionApplying “holism view” dialectical analysis to the etiological diagnosis of contradictory heart rate reaction is helpful to get a correct diagnosis and giving the patients′ reasonable treatments, on the basis of detailed inquiry, standardized physical examination and auxiliary examination.
孙明辉 雷旭 李金科 李芳 杜卫星 李儒贵 谭华炳. “一元论”病因诊断在心率矛盾反应中的临床应用[J]. 中华诊断学电子杂志, 2019, 7(1): 59-62.
Sun Minghui1,2, Lei Xu1, Li Jinke1, Li Fang1, Du Weixing1, Li Rugui1, Tan Huabing1. Clinical application of "holism view" dialectical thinking in the etiological diagnosis of contradictory heart rate reaction. zhzdx, 2019, 7(1): 59-62.
