第二百一十三章 异常透视
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第二百一十三章异常透视
徐泽看着眼前的这个病人,不禁地皱起了眉头,心底不禁地暗骂着,这小子实在是太阴险了…
“咳嗽查因…”病人的床头牌上,虽然徐泽没有特意去看,但是以他的眼力劲儿,还是一眼便瞄见了床头牌上的字样。更多小说ltxs520.com
能够在附一还挂个这“查因”字样牌子的病人,多数都是病因不清的病人,以附一的实力,能写个什么查因,那说明这个病人的病情极为的复杂,难以辨明的。
原本一帮男生兴高采烈地拥着徐泽,打算等着徐泽能给黎莫岭这家伙一个教训,这时却是都看着那咳嗽查因的牌子,一个个发呆,纷纷暗叹这黎莫岭果然够阴,竟然弄出这样一个给徐泽看,这下徐泽还有什么能力翻盘。
徐泽轻哼了一声,指着这个病人的床头牌扬了扬眉道:“黎医生,你这个莫不是连确诊都没,就弄出来给我看吧…”
见得徐泽那阴郁的脸色,黎莫岭却是得意的笑了,然后看着徐泽冷声笑道:“徐泽…这个病人只是刚进来的时候挂了个“咳嗽查因”而已,早已经确诊了,怎么你怕了?再说我要弄个牌子上写清楚了病的病人,我还让你看什么…”
徐泽倒是淡笑了笑,看着一脸得意的黎莫岭轻笑着道:“黎医生,这样首先进到这里来,都还是咳嗽查因的病人,你让我看,看来你还真是看得起我啊…”
被徐泽这暗声讽刺了一番,这黎莫岭倒是脸稍稍地一红,不过却是依然哼声道:“要是进来前就确诊的,那么简单,我还让你看什么…你倒是看不看?”
“看…当然看…”徐泽嘿嘿冷笑了一声,然后道。
徐泽拿出听诊器,仔细地给病人问了问,然后又详细地做了做检查,花了十来分钟,检查完之后,倒是轻轻地皱起了眉头,这个病人果然还真有些古怪,难怪这黎莫岭这般信心十足的模样。
见得徐泽那皱眉的模样,黎莫岭心底却是暗笑了起来,这个病人虽然已经确诊了,但可是在咱们这呆了个多礼拜,通过了钱主任和几个医生一起会诊,最后才拿出的诊断,我倒是要看你这小子怎么能看出这病来。
徐泽这时倒是还真有些疑惑了,眼前这病人,主要是因为咳嗽两个月,治疗无效之后,前来附一医院就诊的,主要是干咳无痰,无胸痛气促,无明显的发热及畏寒等情况;但是肺部听诊除了呼吸音稍低之外,竟然是没有其他异常的体征。
而且病人年纪不过是三十来岁,既往也无吸烟史,这咳嗽的原因倒是有些奇怪了…
原本以这个病人的症状和体征,这样的情况的话,一般可能主要是会考虑为支原体感染的肺炎;而且也可以考虑为肺结核,甚至不排除肺癌。
但是徐泽知道这病人的病情,既然还要跑附一来治疗,而且进来的时候,还是个咳嗽查因,那么这个病情,只怕不是那么简单的。
而且根据常理,既然附一已经确诊了,但是这个病人既然还留在这里治疗,那么肺结核这种病应该是可以排除的。
如果是肺结核这种传染性疾病的话,肯定会转往感染科治疗的,而不会留在呼吸内科。
至于肺癌,病人不过三十岁,而且没有吸烟史,也没有相关的肺癌的症状和体征,那么这个可能性也是极小的,再说如果确诊为肺癌的话,多数也会转往肿瘤科治疗。
所以排除了这两种病,徐泽却是只能考虑是不是支原体肺炎的可能,但是既然病人已经咳嗽了两月,而且是干咳的话,那么肯定有医院早已经考虑过这种疾病了,并针对支原体肺炎进行过相关的治疗。
既然治疗了无效,而且到了附一才进行确诊,那么这个疾病的可能性,自然也是极小的,这般说来,却是得考虑其他一些问题了。
当下徐泽两条清俊的眉毛,却是紧紧地皱了起来,并快速地进行着分析和思考。
旁边的同学们,见得向来极为厉害的徐泽,现在竟然皱起了眉头,倒是一个个都跟着紧张了起来,不单是男同学,女同学们可是也都跟着担心了,都屏住呼吸,看着徐泽,生怕打扰了他的思考。
旁边的黎莫岭看着徐泽皱眉的模样,心底却是暗笑,你就慢慢想,嘿嘿…你要是这样也能想出来,那我也就佩服你了…
肺间质病…支原体病…中枢性咳嗽?还是其他…
徐泽稍稍地想了一下,还是决定自己先用x光透视一下,以确定这个病人的肺部到底有没有问题。
“x光透视启动…”徐泽在脑海中轻声命令道。
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