二百二十九节 诊治
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赵管家引着刘三等人往书房正房里进来，这边几个女人已经簇拥着一个中年妇人走了出来，刘三见她穿着虽不华贵，但是整齐考究，知道多半是刘进士的孺人了。
一个丫鬟禀道：“这位就是澳洲神医……”话音未落，对方已经一个福下去了。
刘三赶紧摘下口罩作揖，双方见礼。
刘大霖的孺人说得是一口本地的临高话，刘三不甚了了，只好说了几句客气话。赵管家会说新话，居中翻译了几句，话中之意就是请大夫尽量施治，只要能救回老爷的命，刘家愿意重酬。
“重酬不重酬的就不用谈了。”刘三说道，“不过，施治的事情必须完全听我得，否则就请你们奶奶另请高明。”他这话得说在前头，免得到时候这个不行，那个不许。
赵管家和大奶奶嘀咕了一阵，说：“大奶奶说了：但凭先生施治，只要能救回老爷的命来。”
“好，有你这句话就好。”说着示意张子怡拿出一张纸来，原来这是《家属告知书》，根据时袅仁的意见，医务方面的种种手续也必须从现在起齐备起来，从制度上先规范起来。
这会对刘家的人来说，已经是热锅上的蚂蚁了，只要能救老爷的命，再大的代价也愿意。尽管他们不大理解为什么要有这一纸文书：治病这事在古代是听天由命的，没有看不好病要请医生吃拳头的理，更没有医疗事故这码事。大奶奶虽然对澳洲人的做派觉得莫名其妙，还是按照刘三的要求，在这一纸文书上签字画押。
刘三和和章子怡来到正房里，屋里有佣人在旁伺候，刘三嫌屋子里太黑，空气又浑浊，关照将窗户全部打开，这才靠近床边开始诊断。
刘三仔细查看，见刘老爷面色潮红，呼息急促，额头上还有湿毛巾。看样子就是发烧了。
张子怡不待他吩咐，立刻量体温、血压，刘三也不装模作样的诊脉了，而是直接拿听诊器了。
“体温39.6！”张子怡报着数值，随后又麻利的拉出刘进士的胳膊，测量血压――刘大霖果然患有高血压。行动不便，长期卧床的人很容易造成一系列的并发症：褥疮，电解质紊乱，肺部感染，便秘等等。尽管还不能确认是哪一种并发症造成的。刘三初步判断是感染性的发作。这让他稍稍松一口气――抗感染是元老医生在本时空除了手术之外的第二大大杀器。
一番手忙脚乱的初步诊断结束，他们回到厢房里，又把伺候刘大霖的贴身仆佣叫来询问了病情。很快就确诊了。他病情并不复杂：主要病因是因为感冒造成肺炎发作。而他的肺部感染在之前已经相当的严重。
“他是周身的病，治疗肺炎容易，但是并发症的问题就难办了。这牵涉到多个科室的专业。要会诊。”刘三不由得审慎起来，“实话说最好让刘进士住院治疗。”
“他们多半是不愿意的，就家庭病房吧。只是要劳动其他大夫也来刘家了。”
“只好这样了。”刘三说着考虑下治疗方案，总体来说，抗感染治疗的拿手好戏，他们手里有足够的抗生素可以使用，对没有多少抗药性的细菌来说有足够的作用，其次是降血压，制药厂的实验室里倒是试制了丹参注射剂，但是临高版的的丹参注射剂的疗效和毒理还没有得到足够的试验――缺少试验用动物，而不幸的是在本时空高血压是一种很稀有的疾病，搜罗来的流民中间临床病例少之又少。丹参注射剂迄今为止只能算是勉强通过了二期试用。
“要不用利血平？”张子怡知道制药厂里正用广东产的一种叫“麻三端”的罗芙木的根提炼利血平。利血平是传统的降压药物，是目前制药厂能够制造的几种心血管药物之一。
“实验室里的利血平就做了动物试验，临床连一期试验都没做过，贸然给刘进士用了恐怕会要了他的命。再说他有肺炎，利血平的用上去极有可能会有不良反应。”刘三考虑再三，决定还是用他自己蒸馏出来的丹参注射液。
这时候护士和符悟本都来了。当下由张子怡分派工作，先给刘进士挂水，静脉注射抗生素――尽快消炎退烧才能确保下一步的治疗。
“刘进士可能还有褥疮之类问题，我想先给他做一下护理。”张子怡说，“就算没有，清洁工作也要做一下。”
“好，不过要注意保暖。”刘三说着赶紧骑着自行车又到了百仞总医院，把刘大霖的病历给正在医院里的几个元老大夫们看了。
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