Chapter 26 Acute Left Heart Failure

Hearing the angry questioning of the family members, Xu Ze put on a straight face, suppressed the tension in his heart, and responded in a deep voice: "Doctor Zhang will come over immediately, now your father's situation is extremely dangerous, hurry up and let me take a look first, otherwise I will be afraid that it will be too late!" ”

The family was originally extremely reluctant to let a young doctor like Xu Ze, who was obviously an apprentice, see it, but now that Doctor Zhang didn't come over, he hesitated, and had to let Xu Ze check it first, and at the same time shouted angrily at Sister Luo next to him: "Come to Doctor Zhang, if something happens to my father, I'll be done with you!" ”

"Okay, Doctor Zhang will come right away, let Doctor Xu show him first!" Sister Luo replied while watching anxiously, because she knew that the pharmacy must have called at this time, and this patient, as a nurse, she must not leave at will.

At this time, Xu Ze had already run to the old man's side and nervously examined the old man; At this time, I saw that the old man's face was pale, he was sweating, his mouth was wide open, he was breathing heavily, and he kept coughing rapidly, looking like he was about to lose his breath at any time.

Seeing this, Xu Ze was shocked, and quickly listened with a stethoscope, only to hear that the old man's heart rate was extremely fast now, maybe one hundred and twenty or thirty times per minute, and his lungs were full of wheezing;

While checking, Xu Ze forcibly suppressed the nervousness and panic in his heart, and at the same time shouted to Sister Luo, who was also full of anxiety on the side: "Give oxygen to the patient first!" ”

At the same time, the little head was running rapidly, and he secretly analyzed: "What happened to this old man's sudden shortness of breath so severe?" What the hell is going on? And so many wheezing? But he coughed so badly, could he have had tracheitis before? Tracheitis committed? Or is it caused by heart failure? ”

Thinking of this, Xu Ze hurriedly raised his head and asked the family members of the patient next to him, "Did he have tracheitis before?" ”

"No, my dad only has coronary heart disease and high blood pressure, and has never had any tracheitis!" The patient's family said with a cold face.

But at this time, Xu Zeke didn't have the heart to think about this, "No history of tracheitis?" So what's going on? But heart failure shouldn't cough so badly, right? Xu Ze frowned, running his brain quickly, and analyzed hard, he must find out the cause as soon as possible before he can use the medicine.

It's just that Xu Ze racked his brains at this time, but he couldn't confirm what happened to this old man, after all, he hadn't formally and systematically studied internal medicine, and he had basically never seen such a patient before, let alone what happened to the patient?

Seeing Xu Ze's frowning appearance, the patient's family members next to him suddenly darkened their faces, looked at Xu Ze and said angrily: "Are you good or not?" Call Dr. Zhang, if something goes wrong, I'll make your clinic look good! ”

And the people who were infusing next to him were also talking at this time: Dr. Zhang is not here, just this little doctor, I'm afraid that this old man is going to have an accident, alas... I'm afraid that Huimin Clinic is in big trouble this time.......

Xu Ze sighed, and was about to answer, when suddenly a flash of inspiration flashed in his mind, and he quickly shouted in his heart: "The system is activated, X-ray fluoroscopy." ”

With Xu Ze's order, a strange light invisible to the naked eye flashed on the lenses of the glasses, and the old man's chest was completely exposed in front of Xu Ze.

Xu Ze looked at the old man's lungs and found that the old man's lungs didn't seem to have much of a problem except for a slight texture disorder and a little high translucency, but the heart was obviously enlarged, and the heart was beating extremely fast.

Looking at this appearance, Xu Ze was stunned again, now it is certain that he has a heart problem, but what is the reason for this heart, is it really heart failure? But he's coughing so badly, what the hell is going on?

Thinking about it, Xu Ze seemed to have thought of something, cardiac ultrasound should be able to see the situation in the heart clearly, and immediately ordered again: "Cardiac ultrasound scanning!" ”

"Tick... Insufficient permissions to start! ”

"......" heard the prompt sound of the system, Xu Ze was completely depressed now, X-ray fluoroscopy is OK, this heart color ultrasound is actually insufficient permission, if there is color ultrasound, you must be able to see what the reason for this is, is the permission of this color ultrasound level two, or is it level three? So what's going on?

"Stupid..."When Xu Ze was anxious, the familiar tone of the knife suddenly came from his mind: "The patient suddenly has extreme shortness of breath, accompanied by a sudden cough, and the physical examination can show that he is pale and sweating, and obvious wheezing can be heard in both lungs; X-ray, left heart enlargement, heart rate evaluation 148 beats/min, obvious sudden acute surname left heart failure! ”

After that, Xiaodao also lost a sentence that made Xu Ze blush: "It's really embarrassing, fortunately you are only a trainee medical soldier now, otherwise my face will be lost by you!" ”

"Urgent surname left heart failure?!" Xu Ze didn't care about how the knife came out at this time, but he asked in ecstasy in his heart: "Then how to deal with this?" ”

"You... You're the doctor, I'm just the auxiliary system, and you have to ask me about this? Do you need your doctor to do anything? Hearing Xu Ze's question, the knife was so angry that he smoked, but it seemed that it didn't matter what happened in front of him, if Xu Ze got into any trouble, it would be no good for him, so he had to say helplessly: "Even if I owe you in my last life, the original system did not have the medical data of your time, but fortunately, Tao Jun studied the ancient medical skills at that time, and saved a lot of medical materials from the thirteenth century to the twenty-third century of the earth's origin ancient calendar, there are treatments and medicines, and now it should be able to use the conditions......"

"After the data search and analysis, the origin of the earth in the 21st century, according to the current situation, the best treatment method is recommended: oxygen inhalation... Sitting, legs drooping... Furosemide 20mg intravenous push... Sodium nitroprusside 25mg intravenous infusion... Cedilan 0.4mg intravenously..."

After saying that, Xiaodao smiled and read: "I hope the information is in line with your times, otherwise I can't do it, may God, Buddha, and Allah bless this old man... Amen, O Mitofo..."

Xu Ze was not in the mood to joke with him at this time, although the speed of communication with the knife was extremely fast, but the patient's family members next to him were already on fire, if Xu Ze couldn't make up his mind again, he was afraid that he would really smash the store......

"Furosemide, cediran, all in the clinic." Xu Ze's brain spun quickly, it seemed that he was lucky, these materials could be fit, and he made a bold decision at the moment, rescued the patient by himself, took a deep breath, and said in a deep voice to Sister Luo on the side: "Furosemide 20mg intravenous push!" ”

"Ah..."Hearing Xu Ze's words, Sister Luo was stunned for a moment, she knew very well whether she should listen to Xu Ze or not, after all, Xu Ze was only a part-time apprentice here at most, and he was not qualified as a doctor at all, and he was still studying now, if he used the wrong medicine, it would be even more troublesome!

But Sister Luo thought about it in turn, if this patient is not saved now, I am afraid that it will not last long, and who knows when Old Doctor Zhang will come back.

It's just that Xu Ze didn't have time to make Sister Luo hesitate, and shouted in a deep voice: "Go quickly, don't delay time!" ”

Urged by Xu Ze like this, Sister Luo looked at Xu Ze's confident appearance, gritted her teeth, and now that Zhang Lao is not here, she can only believe Xu Ze once no matter what.

At that moment, he quickly went to the side and used a syringe to draw a furosemide, and then quickly pushed it through the patient's infusion line.

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

Now Sister Luo's speed is much neater, seeing Xu Ze's calm expression, she is also a lot more steady, and secretly hopes that these drugs will be effective, so she hurriedly rushed back to the treatment table and dispensed the medicine for the patient.

At this time, the patient's family saw that Xu Ze was treating his father in an orderly manner, so they also put down the anger and anxiety in their hearts a little, and put all their hopes on Xu Ze, after all, no one here can save people except Xu Ze now.