Chapter 26 Acute Left Heart Failure

Hearing the family's angry questioning, Xu Ze had a stern face, suppressed his nervousness, and responded in a deep voice: "Doctor Zhang will be here soon, and now your father's situation is extremely dangerous, let me take a look first, or it will be too late. I'm afraid it's too late!"

The family was extremely reluctant to let a young doctor like Xu Ze, who was obviously an apprentice, see him, but now that the old doctor Zhang didn't come, he hesitated, and had to let Xu Ze check it first, and shouted angrily at Sister Luo next to him: "Quickly. Find Doctor Zhang, if there is a problem with my dad, I won't stop talking to you!"

"Okay, Physician Zhang will be here soon, let Physician Xu show him first!" Sister Luo replied while watching anxiously, because she knew that the pharmacy must have called at this time, and the patient here , as a nurse, she must not leave at will.

At this time, Xu Ze had already run to the old man's side and nervously checked the old man; at this time, the old man was pale and sweaty, his mouth opened wide, he was breathing heavily, and he kept coughing rapidly. Vice looks like he is about to breathe out at any time.

Seeing this, Xu Ze was startled, and quickly listened with a stethoscope, only to hear that the old man's heart rate was extremely fast, maybe one hundred twenty or thirty beats per minute, and his lungs were full of wheezing;

While examining, Xu Ze suppressed the nervousness and panic in his heart, and at the same time shouted to Sister Luo, who was also anxious: "Give the patient oxygen first!"

At the same time, the small head of melon seeds was running fast, and secretly analyzed: "This old man suddenly has such serious shortness of breath, what's the matter? What's going on? And so many wheezing sounds? But he coughed so badly, Did he have bronchitis before? Bronchitis? Or is it caused by heart failure?"

Thinking of this, Xu Ze hurriedly raised his head and asked the family members of the patient nearby, "Has he had bronchitis before?"

"No, my dad only has coronary heart disease and high blood pressure, and has never had any bronchitis!" the patient's family said with a cold face.

But at this time, Xu Ze didn't care about these things. "No history of bronchitis? What the hell is going on? But heart failure shouldn't have such a bad cough, right?" Xu Ze frowned tightly, running his brain quickly, Diligently analyzing, we must find out the cause as soon as possible, and then take medicine.

It's just that Xu Ze racked his brains at this time, but he couldn't confirm what happened to the old man. After all, he had not studied internal medicine formally and systematically, and basically he had never seen such a patient before, and he couldn't confirm it at all. What happened to the patient?

Seeing Xu Ze frowning tightly, the family members of the patient next to him turned dark, looking at Xu Ze and said angrily: "Can you do it? Call Doctor Zhang, if there is a problem, I will let you know. Your clinic looks great!"

And the people who were infusion next to him also talked a lot at this time: Dr. Zhang is not here, just this little doctor, I'm afraid that this old man is going to have an accident now, alas... The trouble of Huimin Clinic this time is only a big one....

Xu Ze sighed and was about to answer when suddenly a flash of light flashed in his mind, and he quickly shouted in his heart, "The system is activated, X-ray perspective."

"Di..." Following Xu Ze's order, a strange light that was invisible to the naked eye flashed on the spectacle lenses, and the old man's chest was completely exposed in front of Xu Ze.

Xu Ze looked at the old man's lungs and found that the old man's lungs didn't seem to have much problems except that the texture was slightly disordered and the transparency was a little high, but the heart was obviously enlarged a lot, and the heartbeat was very fast. .

Seeing this appearance, Xu Ze was stunned again. Now it must be a heart problem, but what is the cause of the heart? Is it really heart failure? But he coughed so badly, what the hell was going on?

Thinking about it, Xu Ze seemed to have thought of something. The color ultrasound of the heart should be able to see the situation in the heart clearly, and immediately ordered again: "Scan the heart by color ultrasound!"

"Di... Insufficient permissions, unable to start!"

"..." Hearing the system prompt,

Xu Ze is completely depressed now. X-rays are fine, but the color ultrasound of the heart turned out to be insufficient. If there is a color Doppler, you must be able to see the reason for this. Is this color Doppler's permission level 2 or 3? What's up now?

"Idiot..." When Xu Ze was anxious, Xiaodao's familiar tone suddenly came into his mind: "The patient suddenly became extremely short of breath, accompanied by a sudden cough. The physical examination showed that his face was pale, he was sweating profusely, and his lungs could be heard. And obvious wheezing; X-ray fluoroscopy, left heart enlargement, heart rate evaluation 148 beats/min, obviously sudden acute left heart failure!"

After that, Xiaodao also said something that made Xu Ze blush: "What a shame, fortunately you are only a medical trainee now, otherwise my face will be humiliated by you!"

"Acute left heart failure?!" At this moment, Xu Ze couldn't care about how the knife would appear at this time, but he asked in ecstasy, "Then how to deal with this?"

"You...you're the doctor, I'm just an auxiliary system, you also have to ask me about this? Then what do you want your doctor to do?" Hearing Xu Ze's question, Xiaodao was so angry that he was so angry, but it seemed that the matter in front of him didn't matter. No, if Xu Ze gets into any trouble, it won't do him any good, so he has no choice but to say: "I owe you in my last life, the original system didn't have medical data from your era, but fortunately Tao Jun was fine at that time. I have studied ancient medical techniques, and I have saved a lot of medical materials from the thirteenth century to the twenty-third century of the ancient calendar of the earth. There are treatment methods and medicines, which should be able to be used now..."

"After the data search and analysis, the origin of the earth in the 21st century, according to the current situation, the best recommended treatment method: oxygen inhalation...sitting, legs sagging...furosemide 20mg intravenous injection...sodium nitroprusside 25mg intravenous drip...cedilan 0.4mg IV push…”

After that, Xiaodao laughed and read: "I hope the information is in line with your era, otherwise I can't do anything. May God, Buddha, and Allah bless this old man... Amen, oh Mituo Buddha..."

At this time, Xu Ze was not in the mood to joke with him. Although he communicated with Xiaodao very quickly, the family members of the patient next to him were already on fire. If Xu Ze couldn't make up his mind again, he would really smash the store...

"Furosene, cedilan, they are all available in the clinic." Xu Ze's mind quickly turned, it seemed that he was lucky, these materials were suitable, he made a bold decision at the moment, rescued the patient himself, and took a deep breath. With a sigh, she said solemnly to Sister Luo, "Fosemide 20mg static push!"

"Ah..." When she heard Xu Ze's words, Sister Luo was taken aback for a moment. She knew very well whether she should listen to Xu Ze. After all, Xu Ze is only a part-time apprentice here at most, and has no qualifications as a doctor at all, and he is still studying. , If the wrong medicine is used, it will be even more troublesome!

But Sister Luo thought about it again, if this patient is not saved now, I'm afraid it won't last long. Who knows when the old doctor Zhang will come back.

It's just that Xu Ze didn't have time for Sister Luo to hesitate, so he shouted in a deep voice, "Come on, don't waste time!"

Being urged by Xu Ze like this, Sister Luo looked at Xu Ze's confident appearance and gritted her teeth. Now that Mr. Zhang is not here, she can only trust Xu Ze once.

At the moment, he hurried to the side to draw a furosemide with a syringe, and then quickly pushed it in from the patient's infusion tube.

Seeing furosemide pushed in, Xu Ze thought about it and said: "Add 5% glucose 250ml + sodium nitroprusside 25mg + 10% potassium chloride 7ml intravenously at a rate of 6 drops/min to dilate the coronary arteries and reduce the load on the heart. , and check blood pressure at the same time!"

This time, Sister Luo's speed is much more agile. Seeing Xu Ze's calm expression, she feels a lot more at ease. She secretly hopes that these medicines will be effective. Now she hurried back to the treatment table and dispensed the medicine. Replace the patient.

At this time, the patient's family members saw that Xu Ze was treating his father in an orderly manner, so they put down their anger and anxiety a little bit, and put all their hopes on Xu Ze. After all, there is no one here except Xu Ze. Can save people.