I Can See Health

   Chapter 565 I don't like to do multiple choice questions

  Lu Chen and Xiao Shikang immediately came to the bedside of bed number 12.

  I saw the uncle on the hospital bed half-lying, gasping for breath all the time, with a very painful look on his face.

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

   "Master has a heart failure again?" Lu Chen frowned.

   "It is estimated that it is." Xiao Shikang nodded slightly, and immediately stepped forward to start the physical examination of the patient.

  Lu Chen stood aside, always feeling that something was wrong with this uncle.

   Because of the changing trend of life on his head, it is still a minus!

  According to Lu Chen's previous experience, patients with acute heart failure have at least two minus signs, or even three minus signs.

   Now this patient has only one minus sign trend!

   However, all the symptoms of the patient point to the diagnosis of heart failure.

  Lu Chen has not found any abnormality yet.

At this time, Xiao Shikang had finished the physical examination of the patient, and said to Fan Jian: "The patient's blood oxygen saturation is a little lower, only 92% (normal blood oxygen is more than 97%), first give the uncle oxygen, and then use some diuretics. The agent can release all the water in the body and excrete it through the urine, the water is less, the load on the heart is reduced, and the heart failure will also be relieved.”

   "In addition, add some nitroglycerin, it's really not good, and then use some cardiotonic drugs."

   Fan Jian nodded slightly when he heard the words. .

   In this critical condition of the patient, it is impossible to directly transfer to the Cardiology Department, because the risk of transfer is very high.

   Only after the patient's condition has eased a little, consider transferring to the cardiology ward.

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

  The patient's family members were wiping the old man's sweat while murmuring, blaming themselves for not taking good care of the old man.

   "The medicine is on, let's go see someone else." Xiao Shikang said.

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

  …

   34 beds in the hallway.

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

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

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

   The HP on her head is 54 (--)!

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

  Xiao Shikang just approached the hospital bed, the patient's family immediately stood up, "Doctor, can we live in?"

   The family members are about fifty years old and should be the father of the patient.

   "We've been waiting in the emergency department for five days!" The family members' voices were a little choked, 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, she seemed to have no hope.

   "Family, don't worry, let's take a look at the patient's condition first." Xiao Shikang said softly, "As for whether or not to be admitted to the hospital, this is not something we can decide."

  Lu Chen also sighed slightly in his heart. There are only two beds, and two patients have already been admitted.

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

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

   The workload of each doctor and nurse is only so much. If the number of beds continues to increase, the efficiency of doctor management may become lower, so the gain will not be worth the loss.

  Lu Chen and Xiao Shikang started to check the patient's hospitalization record together.

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

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

   No special medical history. No similar family history.

   Physical examination on admission: blood pressure 96/65mmHg, jugular vein distended, cardiac border expanded to both sides, rhythm uniform, a grade 4/6 holosystolic murmur could be heard at the lower end of the left sternal border, and there was no edema in both lower extremities.

  Laboratory examination, BNP229.32pg/ml. Blood routine, CRP, myocardial enzymes, liver and kidney functions, coagulation items, D-dimer, blood sugar, and blood lipids were all normal.

  The chest CT of the patient showed that the left ventricle was squeezed to one side by the huge right heart, and the left ventricle was obviously reduced and transposed clockwise.

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

   Obviously, this is also a disease related to cardiology!

   "Mr. Xiao, what should I do with this patient?" Lu Chen asked in a low voice. He also felt that this young female patient had a high probability of a disease of the cardiovascular system and needed to be admitted to the hospital for treatment.

   However, now their group has no vacant beds!

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

   Having said that, Lu Chen knew that beds in the Cardiology Department of their hospital were really hard to come by!

   I have to wait for other groups to come for consultation before being admitted to the hospital.

   "Doctor, I beg you, I kneel down for you, and put us in the hospital!"

   Suddenly, the patient's family "thumped" and knelt at the feet of Lu Chen and Xiao Shikang.

   "We've gone all over the major hospitals, but they can't do anything, and they haven't been diagnosed. Now only your hospital is left, and you are my last hope!"

  Xiao Shikang hurried forward, trying to help the patient's family up.

   But the patient's family members are very bulky and it is difficult to move them.

  Xiao Shikang could only helplessly say: "I know how you feel, but we really can't do anything here. We can't get out of the bed for the time being."

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

   Her daughter's condition is very unstable and her life is at risk if the cause is not found as soon as possible.

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

   "Uncle, stand up first." Lu Chen looked at the family members and patients who seemed to have lost their minds, and couldn't bear it. "There is no bed now, but I can promise you that as long as there is a bed, I will arrange you in immediately."

  No way, reality is so cruel sometimes.

   The 12-bed and 22-bed that Lu Chen and Xiao Shikang have just looked at are all indications for admission to the hospital, and their condition is equally critical.

   They couldn't have given up on either of the first two patients and admitted this patient instead.

   Hearing Lu Chen's words, the patient's family members could only nod their heads in frustration.

  …

   left 34 beds.

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

   But Lu Chen sighed slightly in his heart.

   He doesn't like doing multiple choice questions, and if he can, he would like to admit all patients to the hospital.

   came to the bedside of 36 beds.

   Fortunately, this patient is not a disease of the cardiovascular system!

  Lu Chen and Xiao Shikang agreed that the 36 beds should be respiratory diseases, so they told Dr. Fan Jian and asked him to invite the respiratory department to come for consultation.

   "Old Xiao, you 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 in the emergency department suddenly ran over and whispered beside Fan Jian: "Doctor Fan, I have a situation to tell you, the 12-bed patient has not urinated since he urinated 300ml in the morning. !"

   (end of this chapter)