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第四百七十一节 选择性的

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时袅仁自从当了部长兼院长,行政事务就如同雪崩一般的堆到他的头上――而且雪崩的规模一个月大过一个月。这几天因为医务繁忙,连着做了几台手术,又去会诊加上课,文牍边堆积起来。此时部长的巨大办公桌上,各类文件已堆积如山。

文件经过时袅仁直属的卫生部秘书和总医院秘书整理过,分门别类倒是堆放的井井有条,但是时袅仁知道自己光是把这些文件全部签字盖章就够他得腱鞘炎的,更别说看一遍了。

但是不看又不行,天知道邓铂鋆科长又在里面塞了什么私货,此人干这类暗渡陈仓事情最为拿手,时袅仁不得不对此多加警惕。

时部长在办公桌前坐了一会,痛苦的抬起了头,要去取第一份文件却见张子怡推门进来。

张子怡手持一张x光平片,递给时袅仁:“时院长,这有张片子,艾大夫想请你看看。”。

时袅仁转身找了太阳,举起片子,对着太阳读片。光线不理想,只能凑合着看:“透亮度降低,质密――斑片状阴影,肺尖好像有钝化……记得以后在我办公室里装个阅片灯,不在阅片室看不清……小叶性肺炎就好,可别是肺不张……”

“像孩子的片子?哪位元老公子的?”

张子怡回答到:“不,是归化民的孩子,1周岁3个月,发热1个余月伴咳嗽,入院时体格检查示精神欠佳,双肺呼吸音粗,闻少许及湿罗音,肝肋下约2.5cm,在院磺胺治疗效果差。昨天出现双下肢水肿,艾贝贝大夫决定拍张x光片看看,这不除了支气管肺炎,还确诊了双侧胸腔积液、叶间积液。”

时袅仁听了眉头微皱:“不是说了射线管还不知道哪辈子山寨出来,不是元老和家属的话都要慎重签字使用……”说到这里他随即又换了副笑脸:“哈哈,虽然我们传染科医生在美国可以在电视剧《庸医房大夫》里当万金油大夫使,但还是有不熟悉的病情啊哈哈……其实小婴儿呼吸道局部免疫不完善,对所道炎症的局限能力差,动不动就小叶性肺炎了。这阶段的孩子气道直径相对较小、粘膜组织丰富、分泌腺旺盛,呼吸道感染后易导致小气道阻塞,所以容易出现哮鸣音……小婴儿肺的代偿能力不足,加上膈肌易疲劳,肺部炎症后易发生呼吸衰竭,由于多数肺炎伴有支气炎症及堵塞,所以主要表现为ii型呼吸衰竭……你们护理的时候要注意保持病人呼吸道通畅,清除呼吸道分泌物,翻身拍背,解除气道痉挛……”

时袅仁打了一轮太极拳,总算把张子怡给糊弄走了――艾贝贝打发她来干什么他很清楚,不过他实在下不了决心,就算这快到期的抗生素也是越来越少了……

他刚开始处理了几份文件,忽然门猛得被推开了,进来的正是气冲冲的艾贝贝。

“哎呀,艾大夫,有什么事吗?”时袅仁见势不妙,赶紧做出一副百忙之中不忘同志友情的笑容。

艾贝贝正色道:“老时,病人的下肢浮肿是在接受多天磺胺治疗之后出现的,说明病情在加重,以至于出现了心源性双下肢水肿。难道你不提一提升级抗生素么?至于这张片子,虽说暂时化工部还拿不出底片,但是赛璐珞和银盐感光材料在上次的企划院通气会上也说了,都是近期可以自制的东西――这说明办法总是比办法多的,早晚我们也能造出射线管,你何必对忠于我们的归化民这么小气呢?刘大霖那个不识稼穑的剥削阶级老爷,你又是送医又是送药的,还把张子怡派去照顾了这么多天,现在普通民众需要治疗,你怎么就一毛不拔了呢?”

时袅仁面子上有些挂不住了:“刘大霖那是执委会,嗯,元老院的指示……小艾啊,其实我也是个人权分子,想在符有地那里用我们的临床实验基地试验杀人机器的军武宅被我骂跑多少了?但是你要知道,人权这东西不是天赋的,是随着社会发展而不断发展的。我们穿越前的法律和政府工作报告说,我们都享有基本医疗,穿越过来之后,生产力水平降了,当年享受的基本医疗待遇现在不也没了么?现在我们卫生部不正在拼命的争取全民公费医疗吗?当然,目前条件还不是很成熟,依我的观点,现在咱们三个月一期培养的赤脚医生就是量产庸医,好歹在有了甲种文凭之后,系统的学习两年,有了中专文化;再在我们的带领下接受两年临床培训,有了六、七十年代县级庸医的水平,才好意思出门啊!但是现在培养他们,对基层医疗就是能够起到填补空白的贡献,就是能在历史发展过程起到不可或缺的作用……反正本位面的土著也习惯儿童早夭了……”

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