Super Doctor

Chapter 13 Zhang Lao's Test

Unsurprisingly, there were many people in the amphitheater with bright faces. Seeing Muzi and Xu Ze come in, they all smiled and nodded, showing a sense of conceit.

The mule patted Xu Ze's shoulder arrogantly and said proudly: Did you see, we brothers are interesting enough. Aze, are you interested in coming to our warm and big group to play?

Touching his sore arm, Xu Ze raised his delicate eyebrows and said helplessly, You know that I'm really not good at ball games. Besides, I'm still at work, so how can I have time to play ball!

Okay, okay... Mule looked regretful, glanced up and down at Xu Ze, and sighed: Aze, you really have to play basketball, only basketball can truly reflect the charm of our men, otherwise Your qualifications, surpassing Zhang Tianyu of the school team is trivial.

Zhang Tianyu? Xu Ze smiled bitterly. He couldn't compare to the basketball prince who was popular among girls in the school. Not only did that guy have a face that girls liked, but he also played basketball well and was very attractive to girls for two years. After changing seven or eight girlfriends, it is said that apart from being deflated in front of Sun Lingfei, there are really not many girls who can resist his charm, we can't compare with him.

After finally finishing a day's class, Xu Ze had to start working hard again for his stomach after he felt distressed about his meal money several times.

The business of Huimin Clinic seems to be getting more and more prosperous recently. When Xu Ze arrived at the clinic, there were already three or four waiting patients sitting on the waiting chair.

Sister Luo was busy in the injection room all by herself. Seeing Xu Ze coming over, her face was full of joy: Xu Ze, come and help, I have been busy all afternoon today and haven't caught my breath. Xu Ze nodded in response. With a sound, she quickly put on her work clothes and began to assist Sister Luo in dispensing medicine and infusion for the patient.

Just after a little bit of work, Xu Ze heard the old doctor Zhang who was sitting outside shouting: Xu Ze, come and do an electrocardiogram for this old man!

Hearing the words of the old doctor Zhang, Xu Ze hurriedly fixed the needle that had already been pierced with an infusion tape, and after explaining that the patient should not move the hand of the injection, he stepped forward and helped the old man who was leaning on crutches. Out of breath, he walked slowly to the examination room at the back.

Let the family support him to lie down on the diagnosis and treatment bed, and after the old man unbuttoned his clothes, Xu Ze quickly took the opportunity to take out the stethoscope and listen to the old man carefully.

There is a little wheezing in the lungs, the heart rhythm seems to be a little irregular, and there are some murmurs in the heart; the old man is so short of breath, it seems that he has coronary heart disease and heart failure! After having some general understanding of the old man's condition , Xu Ze took out the new ECG machine added by the clinic from the bedside table.

Every time he sees this new machine, which is half lighter than the previous one and costs more than 10,000 yuan, Xu Ze can't help but murmur to himself, it is true that Western medicine practitioners make more money than Chinese medicine practitioners. , the most valuable device in it is just a fast blood glucose meter that costs about 200 yuan, and this old doctor has either bought a car or replaced the device in the past two years. I really don't know how much money he made; It really is a difference between heaven and earth.

Xu Ze murmured to himself, and started to do an electrocardiogram. He carefully clipped the wires around the old man's skinny wrists and ankles, and then instructed his family to help untie the old man's shirt. Apply a cotton swab to the skinny rib cage, then connect the negative pressure balls of the six chest leads in the order of red, yellow, green, brown, black and purple, and then gently press two keys on the machine. Chi Chi sound, the long ECG drawing slowly slipped out.

A new machine is a new machine, and it is indeed much easier to use than the old one! Xu Ze stretched out his hand to hold his glasses, carefully looked at the graph on the ECG chart that had slipped out, and quickly came to a conclusion: Hmm... V4V5V6 has obvious ST segment downshift of more than 0.05mv, there is myocardial ischemia, but there seems to be no obvious myocardial infarction, and there is a little arrhythmia!

soon,

At the end of the drawing, the computer's automatic conclusion quickly confirmed Xu Ze's judgment: Sinus arrhythmia, myocardial ischemia!

Xu Ze smiled with satisfaction, then tore off the ECG chart, carefully folded it, and put it in the pocket of his work clothes. Then he greeted the family to help the old man get up, and sat back at the doctor's desk.

He carefully handed the blueprint that was neatly folded in his hand to Doctor Zhang and said, Elder Zhang, it's done, take a look!

Old Physician Zhang looked at the extremely neatly folded drawings, nodded approvingly, thought for a moment, and then said to Xu Ze, Show the feverish patient how his body temperature is, check it carefully, and then prescribe a medicine. give me.

Hey... Hearing Doctor Zhang's words, Xu Ze nodded happily. Doctor Zhang is a test of himself. This time is a good opportunity to get his approval. If he recognizes his ability in the future, then of course it will be good. It's a lot... let's not go wrong this time,

Thinking of this, Xu Ze carefully took his stethoscope from the shelf beside the consultation table and hung it around his neck, then walked over to the young man who was sitting beside him, and said with a smile, The thermometer is fine, take it out. have a look!

Thirty-eight degrees five, I do have a fever. Xu Ze nodded, then took out the small flashlight and cotton swab he carried with him from his pocket, and gestured to the patient: Open your mouth and look at your throat!

Under the light of a small flashlight, the two huge bright red tonsils in the patient's throat were, as expected, wantonly proclaiming their existence to Xu Ze;

The tonsils are swollen at 2°, but there are no obvious pus spots! Xu Ze nodded suddenly, then threw the cotton swab in hand into the trash can next to him, and hung the stethoscope on his ear, listening attentively. the patient's lungs.

Feeling the sound from the stethoscope, Xu Ze quickly made a diagnosis in his mind: The tonsils are swollen at 2°, the breath sounds in both lungs are slightly thicker, and there are no obvious rales; the main symptoms of the patient are fever and chills. Headache, slight cough, no obvious sputum and vomiting; the diagnosis of acute tonsillitis is right!

Once the diagnosis is confirmed, the medicine is easy to prescribe. Although Dr. Zhang rarely asks Xu Ze to prescribe medicine for the patient, it is just because Xu Ze is too young to really gain his trust. This does not mean that Xu Ze does not This ability, after all, Xu Ze relied on the years of studying with Old Physician Zhang, and also exercised at home for a long time. Of course, these minor illnesses are easily managed.

Sitting at the return table, he took out the prescription, and according to the old doctor Zhang's habit of prescribing medicines in the past, he wrote on the prescription: 100ml of normal saline + 2.0 intravenous drip of cefuroxime sodium, twice a day, skin test; ofloxacin; 100ml intravenous drip twice a day; 5% glucose 250ml + ribavirin 0.5 intravenous drip, once a day; 5% glucose 500ml + vitamin C3.0, vitamin B60.2, 10% potassium chloride 10ml intravenous drip, once a day; analox Near the needle 0.5 intramuscular injection, immediately!

Looking at the prescription in his hand, Xu Ze checked it again. Cefuroxime sodium and ofloxacin are anti-inflammatory, ribavirin is anti-viral, analgin is anti-fever and headache, and vitamin and glucose rehydration should be enough. , the dosage is also correct; and the anti-inflammatory drugs prescribed are also the same as the old doctor Zhang's habit of using drugs in the past, which should be similar.

At this moment, I looked at Dr. Zhang, and it happened that Dr. Zhang had prescribed the old man just now and gave it to the nurse for an infusion. Xu Ze took the prescription and gave it to Dr. Zhang, and then said carefully: The patient's temperature is three Eighteenth degree five, pharynx is red, tonsils are swollen at II degrees, and the breath sounds in the lungs are slightly thicker, but no rales are heard. I think the diagnosis should be acute tonsillitis!

After that, he looked at Old Physician Zhang nervously, waiting for his judgment.

PS: Ask for a recommendation ticket. . . thank you all!

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