Super Doctor

Chapter 26: Acute left heart failure

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Hearing the angry questioning from the family members, Xu Ze kept a straight face, suppressed the tension in his heart, and responded in a deep voice: "Doctor Zhang will be here soon. Your father's condition is extremely dangerous now. Let me take a look first, otherwise it will be too late." I’m afraid it’s too late!”

The family was originally very reluctant to let Xu Ze, a young doctor who was obviously an apprentice, see him, but now that Dr. Zhang didn't come over, he hesitated and had to let Xu Ze check first. At the same time, he shouted angrily at Sister Luo next to him: "Hurry up. Call for Dr. Zhang, if something goes wrong with my dad, I will never stop dealing with you!"

"Okay, Dr. Zhang will be here soon. Let Dr. Xu take a look at him first!" Sister Luo responded while watching anxiously, because she knew that the pharmacy must have called at this time, and the patient was here , as a nurse, she must not leave at will. wWW、QuANbEn-XiAoShUo、com

At this time, Xu Ze had already run to the old man and examined him nervously. At this time, he saw that the old man was pale, covered in sweat, his mouth wide open, breathing heavily, and coughing rapidly. He looked like he was going to die at any moment.

Seeing this, Xu Ze was startled, and quickly listened with a stethoscope. He could only hear that the old man's heart rate was extremely fast, maybe 120 to 30 times per minute, and he was wheezing all over his lungs.

While examining, Xu Ze suppressed the nervousness and panic in his heart, and at the same time shouted to Sister Luo, who was also looking worried, "Give the patient oxygen first!"

At the same time, the melon seeds in his little head were running rapidly, and he analyzed secretly: "What happened to this old man who suddenly had such severe shortness of breath? What on earth is going on? And there is so much wheezing? But he coughs so badly, Did he have bronchitis before? Is he suffering from bronchitis? Or is it caused by heart failure?"

Thinking of this, Xu Ze quickly raised his head and asked the family members of the patient next to him: "Has he had tracheitis before?"

"No, my dad only has coronary heart disease and hypertension, and has never had bronchitis!" the patient's family member said with a cold face.

But Xu Ze didn't care about this at this time, "No history of tracheitis? What's going on? But heart failure shouldn't cause such a severe cough, right?" Xu Ze frowned and thought quickly. After diligently analyzing, we must find out the cause as soon as possible so that we can take the medicine.

It's just that Xu Ze racked his brains at this time, but he couldn't confirm what happened to the old man. After all, he had not formally studied internal medicine in a systematic way, and basically he had never seen such a patient before, so he couldn't confirm it at all. What happened to the patient

Seeing Xu Ze's frown, the faces of the patient's family members turned dark. They looked at Xu Ze and said angrily: "Are you okay? Call Dr. Zhang quickly. If something goes wrong, I'll let you know." Your clinic looks great!”

The people who were doing infusions nearby were also talking about it: Dr. Zhang is not here, and this little doctor is just a small doctor. I am afraid that something will happen to this old man. Alas... Huimin Clinic is probably in big trouble this time...

Xu Ze sighed and was about to answer when suddenly an idea flashed in his mind and he quickly shouted in his heart: "Start the system, X-ray."

"Beep..." Following Xu Ze's command, an invisible light flashed on the lenses of his glasses, and the old man's chest was completely exposed to Xu Ze.

Xu Ze looked at the old man's lungs and found that there didn't seem to be any big problems except that the texture of the old man's lungs was slightly disordered and the transparency was a bit high. However, the heart was obviously enlarged and was beating extremely fast. .

Seeing this appearance, Xu Ze was stunned again. Now it was definitely a heart problem, but what was the cause of this heart problem? Was it really heart failure? But he was coughing badly again. What was going on

After thinking about it, Xu Ze seemed to have thought of something. Cardiac color Doppler ultrasound should be able to clearly see the situation inside the heart. He quickly ordered: "Heart color Doppler ultrasound scan!"

"Beep...Insufficient permissions, unable to start!"

"..." Hearing the system prompts, Xu Ze was completely depressed. Is the authority level two or three? So what's going on now

"Idiot..." Just when Xu Ze was anxious, Xiao Dao's familiar tone suddenly came to his mind: "The patient had a sudden onset of extreme shortness of breath, accompanied by a sudden cough. The physical examination showed that his face was pale, he was sweating profusely, and his lungs could be heard. And obvious wheezing; X-ray revealed left heart enlargement, heart rate evaluation was 148 beats/min, it was obvious sudden acute left heart failure!”

After that, Xiao Dao also said something that made Xu Ze blush: "It's really embarrassing. Fortunately, you are only a medical trainee now, otherwise I would have been embarrassed by you!"

"Acute left heart failure?!" Xu Ze couldn't care less about why the knife came out at this time, but asked ecstatically in his heart: "Then how should we deal with this?"

"You...you are the doctor, I am just the auxiliary system, you want to ask me this? What else do you need your doctor to do?" Hearing Xu Ze's question, Xiaodao was so angry that he couldn't care less about the matter in front of him. No, if Xu Ze got into any trouble, it would not be of any benefit to him. He had no choice but to say: "Counting what I owe you in my previous life, the system originally did not have medical information of your era. Fortunately, Tao Jun was fine at that time. I have studied ancient medical techniques and have saved a lot of medical materials from the 13th to 23rd centuries of the Earth's ancient calendar. There are treatment methods and medicines that should be able to be used now... "

"The data search and analysis is completed. The origin of the earth is the 21st century. According to the current situation, the recommended best treatment method is: oxygen inhalation...sitting position with legs drooped...furosemide 20mg intravenously...sodium nitroprusside 25mg intravenous infusion...cedilan 0.4mg intravenously…”

After that, Xiaodao smiled and recited: "I hope the information is relevant to your era, otherwise I have no choice. May God, Buddha, and Allah bless this old man... Amen, Oh Mitao Buddha..."

Xu Ze was not in the mood to joke with him at this time. Although he communicated with Xiao Dao very quickly, the patient's family members next to him were already angry. If Xu Ze couldn't make up his mind, he might really destroy the store...

"Furosemide and Cidilan are all available in the clinic." Xu Ze's mind quickly turned around. It seemed that he was lucky. The information was relevant. He made a bold decision to rescue the patient himself and took a deep breath. He said in a deep voice to Sister Luo on the side: "Furosemide 20mg intravenously!"

"Ah..." Sister Luo was stunned for a moment when she heard Xu Ze's words. She knew very well whether she should listen to Xu Ze. After all, Xu Ze was only a part-time apprentice here at most and had no medical qualifications at all, and he was still studying. , if the wrong medicine is used, it will be even more troublesome!

But Sister Luo thought again, if this patient is not saved now, he may not be able to survive for long. Who knows when Dr. Zhang will come back.

But Xu Ze didn't have time to let Sister Luo hesitate, and shouted in a deep voice: "Go quickly, don't waste time!"

Being urged by Xu Ze, Sister Luo looked at Xu Ze's confident look and gritted her teeth. Now that Mr. Zhang is not here, she can only trust Xu Ze no matter what.

At that moment, he quickly went to the side and drew a vial of furosemide with a syringe, and then quickly pushed it in through the patient's infusion tube.

Seeing that furosemide was pushed in, Xu Ze thought for a while and said: "Add 250 ml of 5% glucose + 25 mg of sodium nitroprusside + 7 ml of 10% potassium chloride intravenously at a rate of 6 drops/min to expand the coronary arteries and reduce the load on the heart. , and detect blood pressure at the same time!”

Sister Luo's speed was much faster now. Seeing Xu Ze's calm expression, she felt much more at ease. She secretly hoped that these medicines would be effective. She hurried back to the treatment table and prepared the medicines. Put it on the patient.

When the patient's family saw that Xu Ze was treating his father in an orderly manner, they put down their anger and uneasiness a little, and put all their hopes on Xu Ze. After all, there is no one here except Xu Ze. It can save people.