第二十六章 急性左心衰
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“嘀……权限不足,无法启动!”
“……”听得系统的提示声,徐泽这下是彻底的郁闷了,x光透视可以,这个心脏彩超竟然是权限不足,如果有彩超一定可以看出这个是什么原因的,难道这个彩超的权限是二级,或者是三级?那这下怎么可好?
“笨蛋……”正在徐泽焦急的时候,脑海中突然传来了小刀熟悉的语调声:“患者突发极度气促,伴突发咳嗽,体查可见面色惨白,大汗淋漓,双肺可闻及明显哮鸣音;x光透视,左心扩大,心率评测148次/分,很明显的突发急性左心衰竭!”
说罢,小刀还丢了句让徐泽脸红的话来:“真是丢脸,还好你现在只是实习医护兵,否则我的脸都会被你丢光了去!”
“急性左心衰?!”徐泽这时可顾不上小刀这个时候怎么会冒了出来,心底却是狂喜着问道:“那这个该怎么处理?”
“你……你才是医生,我只是辅助系统,这个你也要问我?那还要你医生做什么么?”听得徐泽的问题,小刀是气得七窍生烟,但是似乎眼前这事不管又不行,要是徐泽惹上了什么麻烦,对他可是没有什么好处的,只得无奈地道:“算我上辈子欠你的,原本系统是没有你们这个时代的医学资料的,好在陶钧那时候没事研究了一下古代医术,存了不少地球本源古历十三世纪到二十三世纪的医学资料,有治疗方法和药物,现在应该能够有条件使用……”
“资料搜索分析完毕,地球本源二十一世纪,按照目前的情况,推荐的最佳处理方法:吸氧……坐位,双腿下垂……速尿20mg静推……硝普钠25mg静滴……西地兰0.4mg静推……”
说罢,小刀嬉笑着念了句:“希望资料和你们这个时代切合,否则我就没法子了,愿上帝、佛祖、真主保佑这个老头……阿门、哦米拖佛……”
徐泽这个时候可是没有心情和他开玩笑,虽然和小刀交流的速度极快,但是旁边的病人家属已经是两眼冒火了,要是徐泽再拿不定主意,只怕真是要砸店了……
“速尿,西地兰,诊所里都有的。”徐泽脑子飞快的一转,看来运气不错,这些资料能够切合,当下大胆地做出了决定,自己对病人进行抢救,深吸了口气,对着一旁的罗姐沉声道:“速尿20mg静推!”
“啊……”听得徐泽的言语,罗姐稍稍一愣,她很知道该不该听徐泽的,毕竟徐泽最多只算是这里的兼职学徒,根本没有医师资格,而且现在又还在读书,这万一用错了药,那就更麻烦了!
但是罗姐反过来又一想,这病人现在如果不救,只怕也熬不了多久,谁知道张老医师什么时候才会回来。
只是徐泽却是没有时间让罗姐犹豫,沉声喝道:“快去,不要耽搁时间!”
被徐泽这般一催,罗姐看了看徐泽那副胸有成竹的模样,咬了咬牙,现在张老不在,不管怎么样也只能信徐泽一回了。
当下赶紧去旁边用注射器抽了一支速尿过来,然后快速地从病人的输液管处推了进去。
见得速尿推了进去,徐泽想了想又道:“再加用5%葡萄糖250ml+硝普钠25mg+10%氯化钾7ml以6滴/分速度静滴,扩冠状动脉,减轻心脏负荷,同时检测血压!”
这下罗姐的速度可就利落多了,见得徐泽镇定的表情,她心里也踏实了许多,暗道希望用了这些药有效才行,当下赶紧又赶回治疗台前,将药配了过来给病人换上。
而病人的家属这时见得徐泽有条不紊地对父亲进行救治,这便也将心头的恼怒和不安稍稍地放下来一些,将希望全部放到了徐泽身上,毕竟现在这里除了徐泽,再没有谁能救人了。
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