Chapter 49

Seeing the old man's cough and shortness of breath, Xu Ze roughly estimated what kind of disease it was, so his mind was also determined. If all the patients were such obvious patients, even if they were 20, it would not be too hard work. It should not be easy to get an electric shock. Xu Ze shivered when he thought of the shocking taste.

First of all, through detailed consultation, the old man had a history of smoking for decades, and in the past five or six years, he had frequent coughing and expectoration every winter and spring. In the last two years, he began to have shortness of breath.

In physical examination, the patient's mouth was opened and his lips were cyanosis, which was an obvious manifestation of hypoxia; carotid artery was dilated, bilateral thorax was enlarged, costal space was widened, bilateral lung breathing sounds were low, and obvious blister like moist rales and wheezing could be heard. This should be tracheitis and infection, as well as emphysema. And it's not just the lungs that have problems, but the beating heart seems to have enlarged.

Xu Ze thought about it. Although he had not studied internal medicine systematically in school, he clearly introduced this situation in the internal medicine taught by Xiaodao recently. He coughed, expectorated, breathless and had cyanosis. Combined with physical examination, it was obvious that there was chronic bronchitis and emphysema. If the heart was enlarged, pulmonary heart should be considered venereal disease.

Thinking of this, Xu Ze started X-ray fluoroscopy to further examine the patient's lungs.

The air permeability of both lungs is obviously increased, most of them are dark gray, and we can see the shadow of patchwork. The heart is much larger than that of ordinary people.

At the moment, Xu Ze made a definite diagnosis and confidently pointed to the knife beside him and said, "it's not wrong to consider chronic bronchitis with infection, obstructive emphysema and pulmonary heart disease in the diagnosis."

Seeing Xu Ze's complacency, Xiaodao chuckled and saw a flash of lightning. Xu Ze's face changed and exclaimed. Then he trembled involuntarily. His hair was once again made into a fireworks perm free of charge by Xiaodao, which was very beautiful.

Feeling the unforgettable taste of crispy hemp just now, Xu Ze trembled his lips and angrily looked at the knife and said, "knife, what do you do? Obviously, I am right

Looking at Xu Ze's indignation, the knife shrugged, chuckled and said, "you're right, but you still have a comprehensive answer."

"As a doctor, have you forgotten what a comprehensive physical examination is? What is carefulness Xiaodao looked disdainful and taught: "anyone can analyze these diagnoses by their symptoms, but you forget that you didn't measure his blood pressure just now. His actual blood pressure is 180120mmhg. Do you think you made a great mistake?"

"Well "After listening to the words of Xiaodao's lesson, Xu Ze has nothing to say. He was really careless just now. He thought that the diagnosis was very simple, so he was careless for a moment. He forgot the step of blood pressure measurement. At present, he had to lower his head and admit:" we should add grade 3 hypertension (extremely high risk group); yes, I was wrong this time. "

"Well..." Seeing Xu Ze's modest acceptance, Professor Xiaodao nodded with satisfaction and continued: "OK, continue to talk about his treatment plan."

Xu Ze was more serious. After thinking about it for a while, he said cautiously: "give continuous low flow and low concentration oxygen, anti infection, expectorant and cough relieving, spasmolysis and asthma relief, improvement of pulmonary circulation, and treatment of blood pressure..."

"Specific medication?"

After hearing the words, Xu Ze was relieved. It seemed that he was right. He quickly continued: "antibiotics are generally cefoperazone sodium plus oxacillin, and aminophylline and Mucosolvan are used for spasmolysis, asthma, phlegm and cough. Dopamine and lichetin can improve pulmonary circulation and use plendil to lower blood pressure." Having said that, he quickly looked at the knife for fear that he might make mistakes.

But fortunately, Professor Xiaodao was very satisfied with his answer this time. He nodded and laughed and said, "well Yes, let's start the formal treatment Xu Guangze's hand and a piece of the doctor's advice.

Now that Xiaodao has approved his treatment plan, Xu Ze is relieved to prescribe a doctor's order. As long as the general direction is good, this should not cause too many problems.

As Xu Ze finished all the doctor's orders, the knife nodded with a smile, pointing to the old man in the middle and saying, "good Now let's look at your first day of treatment, and you can check it again. "

Xu Ze stepped forward and saw that the old man had changed obviously. His shortness of breath began to ease and his lips did not turn cyanosis again. Now Xu Ze had confidence and the treatment effect looked good.

After careful examination, he confirmed that the lung rales were reduced and the blood pressure dropped to 15090mmhg. Then he nodded to the knife and said, "the treatment is effective and the patient is better. It is suggested to add nitrendipine 10mg three times a day to reduce blood pressure, and other treatments should be continued."

"Well Well, according to your treatment plan, let's take a look at his condition after treatment the next day... "

"Shortness of breath was significantly relieved, lips without cyanosis, lung rales were significantly reduced, and blood pressure was controlled at 13070mmhg. The therapeutic effect was good... " Xu Ze put down his mind, it seems that his treatment plan is very effective, this time there is no need to get electric shock.

Xiaodao nodded with satisfaction and then said, "OK, next one..."As the voice of the knife dropped, the old man in the middle of the room suddenly changed, but he became a young man. Xu Ze stepped forward and began to check. Now he was more careful and did not dare to have any carelessness.

The most important thing is to ask for medical advice. The young people said that they had a lot of defecation recently, and all of them were oily. This situation has been for more than ten days. In the past two days, they felt more and more powerless and had shortness of breath after a little activity.

As soon as Xu Ze heard these situations, he had some knowledge in his mind and began to carry out the examination. Visual examination showed that the young man's face was pale, his lips were white, and his heart beat was rapid during auscultation. Palpation of upper abdomen tenderness was obvious.

Now Xu Zeke has a dispute. It is obvious that this is a patient with gastrointestinal bleeding. After careful consideration, he puts forward a treatment plan and further examination, which makes the knife very satisfied.

At this time, Xu wuze's hair style was changed into four kinds of hair styles after 20 hours of electric shock treatment.

Xiaodao nodded unexpectedly. He was surprised that Xu Ze could pass the test at one time. He even diagnosed all the 20 patients and completed the treatment of all the virtual patients. Moreover, the effect was good. Originally, he planned to spend a few days to see Xu Ze reach the standard, but this was a relief.

At the moment, he finally showed a smile and said: "good, look, this month's learning effect is good, today you can pass the test successfully..."

"Work hard. I think your primary energy cycle has reached eight laps. If you stick to it, you can break through nine laps in a few days and advance to a higher level. Then you won't have to work so hard."

It's just that Xu Ze didn't feel happy at this time, just shaking his hand and touching his hair, full of resentment on his face. Fortunately, this is just the virtual space. If he went out with this hairstyle, he might as well commit suicide

After going out, Xu Ze couldn't understand the weird performance of Xiaodao today. Finally, after thinking about it, he finally found out the purpose of Xiaodao's hard training. If he didn't advance to a higher level soon, he didn't know what he would be playing with.

Therefore, Xu Ze had been playing hard in the early morning, desperately urging the energy cycle to run. While urging, he secretly said: "if we don't break through to nine laps today, we don't know if it will be as miserable as last night."

Remembering the taste of being shocked by those electric shocks last night, Xu Ze was still shivering all over his body at this time. He bit his teeth and didn't dare to think about it again.

Feeling that the air flow in the sea of Qi was driven by himself and was working with all his strength, Xu Ze didn't dare to be distracted at this time. He encouraged all his mental strength to push the air flow forward. His experience in the past told him that as long as the air flow broke through a certain circle once, it would be very easy to reach this circle in the next operation.

But now he has reached eight laps for several days. Every time he runs to the ninth lap, he is still a little bit worse. This time, he has to make an impact on the ninth lap. If he can pass the test smoothly, it will be very easy to advance to a higher level. Because at the time of gene optimization, the constitution is already F grade. In terms of medicine, the meaning of "knife" should not be too bad. It should be just this.

"I hope I can succeed. I don't want to be abused by that abnormal knife." Xu Ze hopes so.

PS: please ask for the recommended ticket first... The front is just a little bit short, and the back is just a little bit short, but Tiannan has no choice but to ask for the ticket... Please support the brothers and sisters who have tickets.

Then I would like to thank all the brothers and sisters for their comments in the book review area, as well as the support of the evaluation tickets. Tiannan saw all the book reviews, but they were very busy, so they didn't reply one by one. Tiannan is here to apologize and thank you.

There are many friends who reward in July. Here, Tiannan doesn't list them one by one. There is a table in the table of contents. Thank you for your appreciation!

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