Chapter 561: I Don’t Like to Do Multiple-Choice Questions

Remember [new] in one second! Lu Chen immediately came to bed No. 12 with Xiao Shikang.

I saw the old man lying half-lying on the hospital bed, panting all the time, with a very painful look on his face.

Beside the bed, Fan Jian and the nurse were busy.

"Uncle, is he suffering from heart failure again?" Lu Chen frowned.

"I guess so." Xiao Shikang nodded slightly, immediately stepped forward and began to perform a physical examination on the patient.

Lu Chen stood aside, feeling that something was not right about this old man. .

Because the life change trend above his head is still a minus sign!

According to Lu Chen's previous experience, the life value trend of patients with acute heart failure is at least two minus signs, or even three minus signs.

Now this patient has only a minus sign of change!

However, all the patient's symptoms pointed to the diagnosis of heart failure.

Lu Chen hasn't noticed anything unusual yet.

At this time, Xiao Shikang had finished examining the patient and said to Fan Jiancheng: "The patient's blood oxygen saturation is slightly lower, only 92% (normal blood oxygen is more than 97%). Give him oxygen first, and then use some diuretics." The agent removes all the water from the body and excretes it through urine. When there is less water, the load on the heart is reduced, and heart failure will be relieved. "

"Also, add some nitroglycerin. If it doesn't work, use some cardiotonic medicine."

Fan Jian nodded slightly when he heard this.

The patient is currently in such a critical condition that it is impossible to transfer him directly to the cardiology department because the risk is very high during the transfer.

Only after the patient's condition has improved slightly can he consider transferring to the cardiology ward.

By this time, the nurse had already used all the medicine.

While wiping the old man's sweat, the patient's family members muttered, blaming themselves for failing to take good care of the old man.

"The medicine is finished, let's go see other people." Xiao Shikang said.

Lu Chen glanced at the old man on the hospital bed, and then left with Xiao Shikang.

…

34 beds in the corridor.

This is a very young female patient, probably only about twenty years old.

She was wearing a mask and hat, and a pair of bright glasses.

However, her pale lips showed that her physical condition was extremely bad at this time.

The health value on her head is 54 (--)!

Lu Chen frowned deeply. She was the most serious of the three patients.

As soon as Xiao Shikang approached the hospital bed, the patient's family immediately stood up and said, "Doctor, can we move in?"

The family member is probably around fifty years old and should be the patient's father.

"We have been waiting in the emergency department for five days!" The family members' voices were choked with sobs, but a big man's eyes were red. "Doctor, please, please take my daughter in!"

The patient on the hospital bed lowered her head silently, as if she no longer had any hope.

"Family members, please don't worry. Let's check the patient's condition first." Xiao Shikang said softly, "As for whether he can be admitted to the hospital, that's not something we can decide."

Lu Chen also sighed slightly in his heart. There were only two beds and two patients had been admitted.

Therefore, there is a high probability that this patient will not be admitted.

The hospital only has so many beds, and there is no limit to the number of extra beds.

The workload of each doctor and nurse can only be so much. If the number of beds continues to increase, the efficiency of doctor management may become lower, and the gain outweighs the loss.

Lu Chen and Xiao Shikang began to check the patient's hospitalization records together.

The patient is 22 years old and was admitted to the hospital with "palpitations and chest tightness for 1 week".

The patient began to experience palpitations and chest tightness 1 week ago, which lasted from several hours to half a day. The attacks were irregular and had nothing to do with labor activities.

There was no special medical history. There is no similar family history.

Physical examination upon admission: blood pressure hg, jugular venous distension, heart boundary enlarged to both sides, regular rhythm, grade 4/6 holosystolic murmur could be heard at the lower left edge of the sternum, and there was no edema in both lower limbs.

Laboratory tests, bnp22. There were no obvious abnormalities in blood routine, CRP, cardiac enzymes, liver and kidney function, coagulation items, D-dimer, blood sugar, and blood lipids.

The patient's chest CT showed that the huge right heart squeezed the left ventricle to one side, and the left ventricle shrank significantly and shifted clockwise.

Xiao Shikang frowned after reading the patient's entire medical record.

Obviously, this is also a disease related to cardiology!

"Teacher Xiao, what should I do with this patient?" Lu Chen asked in a low voice from the side. He also felt that this young female patient most likely has a cardiovascular disease and needs to be admitted to the hospital for treatment.

However, now there are no empty beds in their group!

"There is no way." Xiao Shikang shook his head, "We have no beds, so we can only wait for other departments of cardiology to come for consultation."

Having said that, Lu Chen knew that it was really hard to find beds in the cardiology department in their hospital!

I have to wait for other teams to come for consultation before being admitted to the hospital. I don’t know that I have to wait until the year of the monkey and the horse.

"Doctor, I beg you, I kneel down for you, admit us to the hospital!"

Suddenly, the patient's family members knelt at the feet of Lu Chen and Xiao Shikang with a "plop".

"We have visited all major hospitals, but they have no good solution and no diagnosis. Now only your hospital is left. You are my last hope!"

Xiao Shikang quickly stepped forward and wanted to help the patient's family members up.

But the patient's family members are very big and difficult to move.

Xiao Shikang could only say helplessly: "I know how you feel, but we really have no choice here. We can't withdraw the beds for the time being."

When the patient's family heard this, they seemed to have lost their spirit and spirit, and lay dejectedly beside the bed.

Her daughter's condition is very unstable. If the cause is not found as soon as possible, her life will be in danger at any time.

But he can't leave the cardiology department of the First Affiliated Hospital of Jinghua University now, because this is his last hope!

"Uncle, please stand up first." Lu Chen looked at the family members and patients who seemed to have lost their minds, and felt a little reluctant, "There are no beds now, but I can promise you that as long as there are beds, I will arrange you in immediately."

There is no way, reality is sometimes so cruel.

Beds 12 and 22 that Lu Chen and Xiao Shikang just saw have indications for hospitalization, and their conditions are equally critical.

They can't give up any of the first two patients, but instead admit this patient to the hospital.

Hearing Lu Chen's words, the patient's family could only nod dejectedly.

...

Leave bed 34.

Xiao Shikang's mood is still flat, he may be used to it.

But Lu Chen sighed slightly in his heart.

He didn't like to do this kind of choice question. If possible, he hoped to admit all patients to the hospital.

Came to bed 36.

Fortunately, this patient did not have a cardiovascular disease!

Lu Chen and Xiao Shikang agreed that bed 36 should be a respiratory disease, so they told Dr. Fan Jian to ask the respiratory department to come for consultation.

"Old Xiao, you decided to admit beds 12 and 22, right?" Fan Jian confirmed again.

Xiao Shikang nodded slightly, "Yes."

As soon as the voice fell, the emergency department nurse suddenly ran over, came to Fan Jian and whispered: "Doctor Fan, there is something I want to tell you. From last night to now, the patient in bed 12 has not urinated!"