Before Chen Xia could sit for a while and drink a sip of wolfberry tea, the door of the emergency room was "bang" opened.

Chen Xia was speechless for a while. The door of the emergency department was the most troublesome part of the General Affairs Department. Anyway, 365 days a year, at least 765 times have to be repaired. No day is peaceful.

"Doctor, doctor, save my mom!"

Several middle-aged men carried a patient and rushed in, running and shouting, and the nurse on duty immediately arranged an empty bed.

Chen Xia put down his cup and trotted over.

The patient is an obese old lady with rapid breathing and sweating all over her body, and her consciousness is already a little blurred.

"Are you family members? What's the situation with the old lady?"

"My mother started catching a cold the day before yesterday and had a fever. She said she didn't have the strength at that time. We gave her some cold medicine at the health care station. As a result, one hour ago, my mother suddenly said that she couldn't breathe and said that she was chest pain, but then she couldn't speak."

Chen Xia hurriedly greeted him: "Wan Lu, hurry up and measure body temperature, blood pressure and blood sugar, Lin Xingchen quickly opens the venous channel, hurry up and get the time, the patient is in shock and is more critical."

Then he turned around and asked his family: "What kind of chronic diseases do your mother have? Such as hypertension, diabetes, heart disease, etc."

The patient's son quickly said, "My mother has high blood pressure, her heart is really bad, and she usually feels gasping when walking."

Wan Lu reported urgently at this time: "The patient's blood pressure is 210/120 mmHg, body temperature is 38.5℃, heart rate is 125 times/min, breathing is 40 times/min, blood sugar is 7.1 mmol/L."

Chen Xia complained: "Fuck, why are you getting another high blood pressure?"

While complaining, I started a physical examination:

The patient has drowsy state, rapid breathing, rapid heart rate, large light sensitivity such as both pupils, angrily venting the jugular vein, dry and wet slurred slurred in both lungs, mild and moderate abdominal distension on both lower limbs.

Chen Xia checked it around and wrote down several checklists to his family: "Hurry up, go and have a blood test, take a chest X-ray, and do an electrocardiogram."

The patient's family hurriedly pushed the patient to have an examination.

The young follower Wu Shaochen hurriedly came over, "Chen Laoshi, is this patient also caused by a lung infection that caused his blood pressure to be high?"

Chen Xia shook her head, "This old lady is more ill than the old man just now. When I was just checking my body, didn't you notice that her vein was venting angrily?"

Wu Shaochen shook his head and touched his head awkwardly: "I didn't find it."

"Damn, you're a technical secondary school student in vain. I'll test you, tell me about the concept of left heart failure."

Wu Shaochen's khan was all over and quickly replied: "Left heart failure refers to heart failure caused by compensatory dysfunction of the left ventricular is more common in clinical practice and is characterized by pulmonary circulatory congestion."

"What are the specific clinical manifestations?"

"Experience dyspnea is the earliest symptom of left heart failure. Patients often have to sit up and breathe. Oh, by the way, there will be pink like foamy phlegm, and both lungs can smell wet rales."

Chen Xia asked again: "What about right heart failure?"

"Right heart failure is mainly manifested in systemic circulation congestion, which is manifested as swelling of the lower limbs, gastrointestinal congestion, and in severe cases, hepatic enlargement, ascites, jugular vein angrily, and even pleural effusion."

Chen Xia patted Wu Shaochen on the shoulder: "Yes, the young man has a good grasp of basic knowledge, but theory still needs to be linked to practice. Think about the old lady just now and compare it."

Wu Shaochen suddenly became excited, "Oh, I understand, the old lady has symptoms of heart failure, right?"

Chen Xia nodded: "Well, the man is very good at teaching, much smarter than that fool Bai Hua."

Wu Shaochen received the praise and smiled, "Hehe, thank you Chen Laoshi for your teaching."

He had forgotten that Chen Xia was younger than him and was not from a professional class. He became a teacher in the emergency department, which has to be said to be a great wonder in the Fourth Hospital.

The patient's examination report was sent immediately.

Chen Xia taught again as if he were accustomed to: "This patient has acute heart failure, the underlying disease is hypertensive heart disease, and the cause is respiratory infection."

Wu Shaochen knew that he was about to issue a doctor's advice, so he quickly took out a pen to prepare the record.

"The patient's blood pressure is 210/120 mmHg. The first measure is to expand the tube and reduce blood pressure. Immediately drop nitroprusside sodium. At the same time, in order to reduce the afterload, Immediately give morphine bolus; Immediately do penicillin skin test, and if it is negative, Immediately hang it up to fight the infection."

Wu Shaochen suddenly asked, "Secretary Chen, since he has heart failure, why is it not diuretic?"

"I just said you are smart, but now you are stupid. The patient has fever recently, shortness of breath and dry skin, which means that the blood volume in the body is insufficient. How can you use diuretics?"

Wu Shaochen didn't give up and asked again: "If you have heart failure, should you use some heart-boosting medicines like Xidilan?"

Chen Xia rolled her eyes: "I have high blood pressure and my blood pressure is not low. What kind of positive muscle intrinsic medicine should I use?"

"Then will this old lady have a pulmonary infarction?"

"The clinical symptoms are quite similar, but X-rays do not support this diagnosis. Unfortunately, we do not have CT, MRI, angiography, or nuclide scans, otherwise the diagnosis will be clear immediately."

Chen Xia looked melancholy. He had these machines in the hospital in his space, but he couldn't operate them. He wasted so many advanced instruments.

Wu Shaochen was already impressed by the young section chief in front of him and gave him a thumbs up.

Chen Xia frowned: "I said you didn't hurry up and give the doctor's advice, why are you standing there stupidly? Beware of being beaten to death by the old lady's four sons."

Wan Lu burst out laughing, Wu Shaochen laughed twice, and ran to the workstation to issue a doctor's order.

After dealing with two hypertension, Chen Xia walked to the door of the emergency room and watched Du Guobiao undergo surgery inside with a little enviousness.

Since he was rushed to the emergency department by his father-in-law, he firmly requested to go to the emergency department, but neither Lao Gu nor Lao Du agreed, thinking that the risk of inexperienced surgery was too great.

As a result, he was rushed to the internal medicine team. This was obviously not his strength. Chen Xia leaned against the door of the operating room, holding a thermos cup, and felt a little depressed.

There is no way, my hands are itchy.

I yawned and looked at my watch. It was already 3 a.m.

He was a little hungry. Chen Xia was just about to go to the office to steal something lazy when he suddenly got a "bang" and pushed open again.

Chen Xia was so depressed that he kept cursing his father-in-law in his heart that it was not good to go to any department, even if he went to the obstetrics and gynecology department, he just asked him to come to the emergency department? Isn’t this torture?

"Doctor, hurry up, my friend fainted, and now he can't wake up no matter how much he screams."

A middle-aged man cried hysterically, and Chen Xia's little heart was hung up again.
Chapter completed!