I Can See Health

Remember [new] in one second! Lu Chen immediately came to bed No. 12 with Xiao Shikang.

I saw the old man lying half-lying on the hospital bed, panting all the time, with a very painful look on his face.

Beside the bed, Fan Jian and the nurse were busy.

"Uncle, is he suffering from heart failure again?" Lu Chen frowned.

"I guess so." Xiao Shikang nodded slightly, immediately stepped forward and began to perform a physical examination on the patient.

Lu Chen stood aside, feeling that something was not right about this old man. .

Because the life change trend above his head is still a minus sign!

According to Lu Chen's previous experience, the life value trend of patients with acute heart failure is at least two minus signs, or even three minus signs.

Now this patient has only a minus sign of change!

However, all the patient's symptoms pointed to the diagnosis of heart failure.

Lu Chen hasn't noticed anything unusual yet.

At this time, Xiao Shikang had finished examining the patient and said to Fan Jiancheng: "The patient's blood oxygen saturation is slightly lower, only 92% (normal blood oxygen is more than 97%). Give him oxygen first, and then use some diuretics." The agent removes all the water from the body and excretes it through urine. When there is less water, the load on the heart is reduced, and heart failure will be relieved. "

"Also, add some nitroglycerin. If it doesn't work, use some cardiotonic medicine."

Fan Jian nodded slightly when he heard this.

In the current critical condition of the patient, it is impossible to transfer him directly to the cardiology department because the risk is very high during the transfer.

Only after the patient's condition has improved slightly can he consider transferring to the cardiology ward.

At this time, the nurse had already used all the medicine.

While wiping the old man's sweat, the patient's family members muttered, blaming themselves for failing to take good care of the old man.

"The medicine is finished, let's go see other people." Xiao Shikang said.

Lu Chen glanced at the old man on the hospital bed, and then left with Xiao Shikang.

…

34 beds in the corridor.

This is a very young female patient, probably only about twenty years old.

She was wearing a mask and hat, and a pair of bright glasses.

However, her pale lips showed that her physical condition was extremely bad at this time.

The health value on her head is 54 (--)!

Lu Chen frowned deeply. She was the most serious of the three patients.

As soon as Xiao Shikang approached the hospital bed, the patient's family immediately stood up and said, "Doctor, can we move in?"

The family member is probably around fifty years old and should be the patient's father.

"We have been waiting in the emergency department for five days!" The family members' voices were choked with sobs, but a big man's eyes were red. "Doctor, please, please take my daughter in!"

The patient on the hospital bed lowered her head silently, as if she no longer had any hope.

"Family members, please don't worry. Let's check the patient's condition first." Xiao Shikang said softly, "As for whether he can be admitted to the hospital, that's not something we can decide."

Lu Chen also sighed slightly in his heart. There were only two beds and two patients had been admitted.

Therefore, there is a high probability that this patient will not be admitted.

The hospital only has so many beds, and there is no limit to the number of extra beds.

The workload of each doctor and nurse can only be so much. If the number of beds continues to increase, the efficiency of doctor management may become lower, and the gain outweighs the loss.

Lu Chen and Xiao Shikang began to check the patient's hospitalization records together.

The patient is 22 years old and was admitted to the hospital with "palpitations and chest tightness for 1 week".

The patient began to experience palpitations and chest tightness 1 week ago, which lasted from several hours to half a day. The attacks were irregular and had nothing to do with labor activities.

There was no special medical history. There is no similar family history.

Physical examination on admission: blood pressure hg, jugular venous distention, heart boundary enlarged to both sides, regular rhythm, a grade 4/6 holosystolic murmur could be heard at the lower left edge of the sternum, and there was no edema in both lower limbs.

Laboratory tests, bnp22. There were no obvious abnormalities in blood routine, CRP, cardiac enzymes, liver and kidney function, coagulation items, D-dimer, blood sugar, and blood lipids.

The patient's chest CT showed that the huge right heart squeezed the left ventricle to one side, and the left ventricle shrank significantly and shifted clockwise.

Xiao Shikang frowned after reading the patient's entire medical record.

Obviously, this is also a disease related to cardiology!

"Teacher Xiao, what should I do with this patient?" Lu Chen asked in a low voice from the side. He also felt that this young female patient most likely had a cardiovascular disease and needed to be admitted to the hospital for treatment.

However, now there are no empty beds in their group!

"There is no way." Xiao Shikang shook his head, "We have no beds, so we can only wait for other departments of cardiology to come for consultation."

Having said that, Lu Chen knew that it was really hard to find beds in the cardiology department in their hospital!

I have to wait for other teams to come for consultation before being admitted to the hospital. I don’t know that I have to wait until the year of the monkey and the horse.

"Doctor, I beg you, I kneel down for you, admit us to the hospital!"

Suddenly, the patient's family members knelt at the feet of Lu Chen and Xiao Shikang with a "plop".

"We have visited all the major hospitals, but they have no solution and no diagnosis. Your hospital is the only one left now. You are my last hope!"

Xiao Shikang quickly stepped forward and wanted to help the patient's family members up.

But the patient's family members are very big and difficult to move.

Xiao Shikang could only say helplessly: "I know how you feel, but we really have no choice here. We can't withdraw the beds for the time being."

When the patient's family members heard this, they seemed to have lost their energy and spirit, and lay slumped beside the hospital bed.

Her daughter's condition is very unstable and her life may be in danger at any time if the cause is not found soon.

But he can't leave the Department of Cardiology at the First Affiliated Hospital of Beijing University now, because this is his last hope!

"Uncle, please stand up first." Lu Chen looked at the family members and patients who were as if they had lost their minds. He couldn't bear it. "There are no beds now, but I can promise you that as long as there are beds, I will put you in them immediately."

No way, reality is so cruel sometimes.

The 12th bed and the 22nd bed that Lu Chen and Xiao Shikang just visited had indications for hospitalization, and their conditions were equally critical.

It was impossible for them to abandon either of the first two patients, and instead admitted this patient to the hospital.

Hearing Lu Chen's words, UU Reading www.uukanshu.net The patient's family could only nod dejectedly.

…

Leave 34 beds.

Xiao Shikang's mood is still dull, he may be used to it.

But Lu Chen sighed slightly in his heart.

He didn't like doing this kind of multiple-choice question, and if possible, he would like to admit all patients to the hospital.

Came to the bedside of bed 36.

Fortunately, this patient did not have a cardiovascular disease!

Lu Chen and Xiao Shikang agreed that bed 36 should be a respiratory disease, so they told Dr. Fan Jian to ask the respiratory medicine department for consultation.

"Old Xiao, you have decided to accept 12 beds and 22 beds, right?" Fan Jian confirmed again.

Xiao Shikang nodded slightly, "That's right."

As soon as he finished speaking, the nurse from the emergency department suddenly ran over, leaned next to Fan Jian and whispered: "Dr. Fan, I have something to tell you. From last night to now, the 12-bed patient has not urinated!"