Yuezhou Fourth Hospital, Emergency Department, Night.

"Section Chief Chen, Chen Xia, a little brat, come out quickly. Several emergency patients were sent out outside, and we were too busy."

The director of the emergency department, Du Guobiao, shouted loudly outside the door.

In the lounge, Chen Xia, who was sleeping on the table, raised her head in confusion and looked at her watch. It was 1:30 in the morning.

"I know Lao Du, I'll be in place right away."

Chen Xia answered, quickly picked up the teacup on the table and took a sip to go out, filling a cup of wolfberry with wild ginseng.

In the past two months since he returned from Beijing, his waist has not healed. He has aches every day, his eyes are very dark, and his walking is weak.

No, this must be because I work my night shift often, and it is definitely not because newlyweds fight in bed every day.

When I opened the door of the lounge, there were noisy noises everywhere in the rescue hall outside. At midnight, it was probably the emergency department of the hospital would be so lively.

Chen Xia grabbed a young doctor, Wu Shaochen, and asked, "What's wrong? What's the patient?"

Wu Shaochen's low voice report:

"A elderly male patient who was just sent by his family, 75 years old, claimed that he had a history of "pulmonary disease", had cold symptoms 3 days ago, and had difficulty breathing half an hour ago.

Physical examination: body temperature 37℃, blood pressure 210/120 mmHg, pulse 40 times/min, heart rate 130 times/min, double pupils equally large 2.5 mm, light sensitivity, jugular vein irritation, both lungs are covered with dry and wet sensation, and mild and moderate swelling of both lower limbs."

"Oh, the blood pressure is so high, it's the rhythm of blood vessel explosion. Let's go and see the patient."

In fact, according to normal operations, Chen Xia is not qualified to be a "superior doctor". According to his, he is equivalent to a secondary technical school degree and is studying in a correspondence course in college. He should have been a small role to start and listen to.

But who said he was the section chief? In terms of level, Du Guobiao, director of the emergency department, wanted him to listen to Wu Shaochen and other little children?

Wait, it seems that Wu Shaochen is older than him...

In the past two months, Du Guobiao saw that Chen Xia's medical skills were pretty good, so he did not treat him as a fledgling doctor. He thought that Chen Bingkun had taught him all his money to his son.

If we say that the hospital is really brave now, if it is a future generation, it will be a problem without a practicing physician certificate.

While looking through the medical records, Chen Xia walked over with a stethoscope. This was an obese old man who was lying on the ill and gasping heavily and sweating profusely. Fortunately, he was clear and clear.

"Old man, where do you feel uncomfortable now?"

The old man pointed to his chest and spoke intermittently: "I, I, I am stuffy, I can't breathe, I feel dizzy, I'm dying."

After saying that, he coughed hard, and the old lady quickly caught it with her handkerchief.

Chen Xia glanced at it and the yellow pus and sputum.

So I took out the stethoscope, pulled open my clothes and saw that the old man's chest diameter was significantly enlarged, and the intercostal space and the lower sternum of the lower xiphoid process widened. This is a "barrel-shaped chest". Now I have a clear idea.

He also carefully auscultated the exhalation phase, the proportion of wet slugs is small, and the tone is louder. The palpation of the bilateral verbal tremor weakened, further confirming his guess.

The old lady was quite anxious after seeing it: "Doctor, please save me, the miserable old man. Oh, what should I do?"

Chen Xia quickly comforted: "It's okay, this old man has a lung infection, and then he has raised his blood pressure. We will give the medicine immediately, and it will be relieved slowly."

When he walked to the doctor's workstation, Wu Shaochen asked quickly: "Secretary Chen, are you going to use antihypertensive drugs right now?"

"Let's deal with the infection first. The old man has an acute infection in COPD. Urgent is also caused by airway spasm. High blood pressure is secondary. We must first deal with the infection foci, and blood pressure will drop by itself."

Wu Shaochen knew that he was going to issue a doctor's advice now, so he immediately took out a notebook to prepare the record.

"Inhaling oxygen first, open the venous channel with NS 250 mL, and immediately ask the patient to take a chest X-ray and have a blood test routine. Don't forget the electrocardiogram."

"Okay, I'll go and execute it right away."

When Chen Xia saw Wu Shaochen running towards the nurse's table, he had a headache. Although he had a clear understanding of the diagnosis, he lacked the necessary auxiliary examination reports, so he was afraid that misdiagnosis would occur.

This old man has changed his life to later generations and now he must use the electrocardiogram monitor immediately, but now he does not have it, so he cannot dynamically monitor vital signs.

CT lung scans, no. It is not possible to judge the inflammation condition or hidden pathogens that cannot be discovered by X-rays.

There is no emergency blood qi analysis. Then it is impossible to determine whether the patient has acid and base imbalance and type, nor can it be judged whether there is respiratory failure, and which type of failure will be.

During the past few months after coming to the emergency department, Chen Xia wanted to throw things countless times.

As a doctor in the past life who could not see a doctor without the machine, he had no auxiliary examination and had no experience and no confidence in his heart.

I am afraid that if I accidentally delay the condition, I will be cured and wait for the patient's family to rush.

What drove Chen Xia crazy was not only the lack of necessary auxiliary examinations, but also the lack of clinical drugs.

Those familiar and very common drugs in previous lives were simply not seen in 1982.

Chen Xia has spaces in the hospital, and it’s okay to take them out in private, but this is the hospital. I took out some medicine for no reason and will be caught and sliced ​​sooner or later.

So he had to use some very ordinary and very average drugs, and finally get a very ordinary therapeutic effect.

It’s really hard to cook without rice.

There is no auxiliary examination, no equipment, no medicine, and no experienced assistant team. It is only for one doctor to have a job.

Now even if you let Ling Ran from Yunhua Hospital and Zhang Fan from Chasu Hospital come over, you can't do it, so you can only stare at me.

An hour passed, and the inspection report finally came out. When Chen Xia saw that there was indeed inflammation, what are you waiting for? Take the medicine as soon as possible.

It's here, the headache is indeed coming.

According to the treatment plan of the emergency department in later generations, two groups of antibiotics should be combined with "anti-inflammatory" at this time, and then urgently push a strong dragon needle to make a nebulized inhalation and relieve spasm and asthma. The patient can immediately explain the symptoms under this treatment.

The topic has been back again, and there are no such medicines now.

What to do?

Cool salad.

Chen Xia could only take one set of penicillin needles and one set of dexamethasone needles.

Wu Shaochen reminded weakly: "Secretary Chen, why don't you use ammoniatin?"

Chen Xia slapped his forehead and said, "If you use it, use it, there is no medicine available anyway."

It is not for Chen Xia to forget that it is really that amyophylate was rarely used in his previous life, because there are too many side effects and the clinical efficacy is not certain. Respiratory doctors no longer use this drug.

However, in the 1980s, amyophylate was still the main clinical anti-asthma drug, and it can even be said to be the main drug.
Chapter completed!