第一百三十五章 格林巴利综合症
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旁边的钱学斌这时听得徐泽问些这样的情况,却是皱了皱眉,不知道徐泽是什么意思,因为他按照徐泽的这些提问,想了许久,却是也没有想到这些症状和这个病有什么关系。
他对自己很自信,附一新一代代表性人物的名头可不是干假的,基本上内科学上的疾病他绝大多数都已经进行了相关的学习和深研,一些新的进展他也大多数都了解,知识面甚至比许多高资历的年长医师都要全面。
而徐泽现在问的几个问题,至少在他现在的知识范畴里边,应该是没有这方面的印象的。所以钱学斌却是也轻笑了笑,这徐泽只怕是也没事找点东西问问,难不成你一个刚毕业的轮科医生,还能看出什么来不成?
徐泽这时也轻笑了笑,他并没有轻易地将自己的判断说出来,毕竟推翻别人的诊断,除非是上级医师,否则可是极犯忌讳的事情,而且自己现在虽然挂了一个轮科医生的牌子,但还是较之钱学斌这样的正式单独管病人的医生身份要差上不少。
这样的情况,如果两人感情好,到底私底下可以提醒一下,但徐泽自信和钱学斌没有什么感情,如果自己贸然提醒,只怕他还以为自己诚心拆台,而且钱学斌应该还不知道这种疾病的存在,说了只怕是也白说,所以徐泽却是将这个想法藏到了自己心里,并没有贸然地表露出来。
问完了这几个问题之后,徐泽便笑着点了点了点头道:“钱医生……我们去看看下一个病人吧……”
见得徐泽并没有提出什么疑问,钱学斌这时倒是也不以为意,暗笑这徐泽也喜欢高深莫测地装逼。当下便笑道:“好……我们去看下一个病人!”说罢,便领着徐泽出了病房,朝着下一个病房而去。
不过两人刚走出来,却听得瞿主任叫道:“徐泽……来病人了,你过来看看……”
“好的!”徐泽赶紧应了一声,然后抱歉地朝着钱学斌一笑,便朝着瞿主任的方向去了。
钱学斌看着徐泽的去向,脸上的热情却是快速褪去,露出了一丝淡淡的冷笑,然后也随着徐泽身后走了过去。
徐泽走到瞿主任所在的病房,看到一个新病人,这时这个病人正气喘嘘嘘地侧躺在病床上,护士正忙着给病人上氧。
瞿主任见得徐泽进来,便存心想了解一下徐泽的真实水平如何,虽然是老爷子推荐的,但至少自己心里得有个底才行,当下便笑对着徐泽试探着问道:“徐泽,这个病人你来处理一下如何?”
听得瞿主任的言语,徐泽很明白瞿主任的意思,自己要是没信心就可以直接跟他说,如果有把握就可以接手治疗这个病人。
当下自然是轻笑着点了点头,对于这样的病人,徐泽见得倒是不少,在虚拟空间中,在惠民诊所也曾见过,只不过在虚拟空间中见到的病人比这个还要严重的多。
见徐泽一脸自信地点头应允,瞿主任却是也稍稍地放了些心,既然徐泽敢接手,那说明他还是有些底子的,那以后这两个月自己应当不会太辛苦才是。
徐泽拿着听诊器走上前去,然后便对着傍边的家属问起病史来,通过简短的询问之后,徐泽便大概地对病情了有了一些了解,又看了看病人半躺在病床上,张口困难的呼吸,而且口唇发绀,徐泽这时心里已经有了底。
再通过一系统针对病人心肺的检查,不需要通过其他照片心电图等检查的配合,单凭经验,徐泽这时已经完全可以基本上肯定这个是什么病。
有过冠心病史,而且平时稍稍活动后就容易出现气急的情况,这次是前几天感冒了,然后慢慢气急就加重了,到现在已经是睡都不能睡,每天只能坐在床上喘气。
体格检查没有见到明显地颈静脉改变,但可以听到明显地双肺底的细小湿罗音,而且叩诊可以发现心脏有扩大,心率速度极快,达到了近一百二十多次每分。
“冠心病、心脏扩大、心功能四级……”徐泽得到了以下判断,不过为了明确自己的诊断,让瞿主任放心,徐泽拿过了一旁的心电图,快速地替病人上好电极,开始做心电图。
一旁的瞿主任见得徐泽熟练的体检动作,还有做心电图时的熟练操作,不禁地是暗暗点头,暗道:“这小子倒还真是不错,至少应该不是自己担心的那种混日子的家伙,只要等下看他诊断的结果如何了,如果不错,那自己就放心多了!”
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