Chapter 26: Acute left heart failure

After hearing the angry questions from his family, Xu Ze pressed his face, restrained his nervousness, and responded with a deep voice: "Dr. Zhang is coming right away. Now your dad is in a very dangerous situation. Let me take a look first, otherwise it will be late I'm afraid it's too late!"
The family was very reluctant to let Xu Ze, a young doctor who was obviously an apprentice, see the old doctor Zhang now, hesitated, and had to let Xu Ze check first, and at the same time screamed at the sister Luo nearby: "Quick Come to Dr. Zhang, if there is a problem with my dad, I’ll never end with you!"
"Okay, Dr. Zhang will come right away. Let Dr. Xu show him first!" Sister Luo answered, watching with anxiety, because she knew that the pharmacy must have called by this time, and this patient is here As a nurse, she must never leave at will.
At this time, Xu Ze had ran to the old man and examined the old man nervously; at this time, the old man was pale and sweaty, his mouth wide open, his mouth breathing, and he kept coughing quickly. The deputy has to cut off the air at any time.
　　 Seeing this, Xu Ze was shocked, and quickly listened to it with a stethoscope. He only heard that the old man's heart rate is very fast now, maybe one hundred twenty or thirty times per minute, and his lungs are wheezing;
　　 While checking, Xu Ze restrained the nervous panic in her heart, and at the same time shouted to Luo, who was also full of anxiety on the side: "First give oxygen to the patient!"
At the same time, the small head of melon seeds was running fast, secretly analyzing: "This old man suddenly has such shortness of breath. What is the matter? What is going on? And so many wheezing sounds? But coughing so badly, Did he have bronchitis before? Bronchitis was done? Or was it caused by heart failure?"
　　Thinking about this, Xu Ze hurriedly raised his head and asked the family members of the side patient: "Did he have bronchitis before?"
　　 "No, my dad only has coronary heart disease and high blood pressure, never had any bronchitis!" The patient's family member said with a cold face.
But at this time, Xu Ze didn't have any thoughts about these, "No history of tracheitis? What is going on? But should heart failure not be so coughing?" Xu Ze frowned, running his brain quickly. Analysing hard, you must find out the reason as soon as possible before you can use the medicine.
It’s just that Xu Ze racked his brain at this time, but he couldn’t confirm what happened to the old man. After all, he hadn’t formally and systematically studied internal medicine, and such patients hadn’t seen them before, and they couldn’t confirm it. What happened to the patient?
Seeing Xu Ze frowning tightly, the face of the patient's family next to him was black, and he looked at Xu Ze with an angry voice: "Are you all right? Call Doctor Zhang quickly, if something goes wrong, I let Your clinic is beautiful!"
　　The people who were next to the infusion also talked about it at this time: Dr. Zhang is not here, this little doctor, I am afraid that this old man is going to have an accident, alas... Huimin clinic is only in trouble this time....
　　 Xu Ze sighed, and was just waiting for an answer. Suddenly, there was a flash of light in his head, and he quickly whispered in his heart: "The system starts, X-ray perspective."
　　 "嘀..." With Xu Ze's order, an invisible light flashed on the spectacle lens, 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 did not seem to have much problems except for a little texture disorder and a high degree of translucency, but the heart was significantly increased and the heart was beating very fast. .
　　Looking at this look, Xu Ze was stunned again. Now it is definitely a heart problem, but what is the cause of this heart, is it really heart failure? But he coughed so badly, what the is going on?
　　Thinking about it, Xu Ze seemed to think of something. The heart color Doppler ultrasound should be able to see the situation inside the heart. Now he hurriedly ordered: "Heart color ultrasound scan!"
　　 "Bee... Insufficient permissions to start!"
"..." Hearing the system's prompt, Xu Ze was completely depressed now. X-ray fluoroscopy is OK. This heart color ultrasound is actually inadequate. If there is a color ultrasound, you can definitely see what the reason is. Is this color ultrasound? Is the level 2 or level 3? How is that good?
"Fool..." When Xu Ze was anxious, a familiar tone of the knife came from his mind: "The patient is extremely short of breath, with a sudden cough, and his physical examination shows pale, sweaty, and his lungs can be heard. And obvious wheezing sounds; X-ray fluoroscopy, left heart enlargement, heart rate evaluation 148 beats/min, obviously sudden acute left heart failure!"
　　Finally, Xiaodao also lost a sentence that made Xu Ze blush: "It's really embarrassing. Fortunately, you are just a medical intern, otherwise my face will be lost to you!"
　　 "Acute left heart failure?!" Xu Ze could not care about how the knife came out at this time, but he asked ecstatically, "What should I do with this?"
"You... you are a doctor, I'm just an assistant system, do you have to ask me? What do you want your doctor to do?" Hearing Xu Ze's question, the knife is full of anger, but it seems that it doesn't matter No, if Xu Ze got into any trouble, it would be of no benefit to him, and he had no choice but to say honestly: "I owe you my last life, the original system does not have medical data of your age, but fortunately, Tao Jun was fine at that time. I have studied ancient medical techniques and have saved a lot of medical materials from the 13th to the 23rd centuries of the earth's origin. There are treatments and medicines, and now they should be able to be used conditionally..."
"The data search and analysis are completed, the earth is in the 21st century. According to the current situation, the best treatment method is recommended: oxygen inhalation... sitting position, legs drooping... furosemide 20mg static push... sodium nitroprusside 25mg intravenous drip... 0.4mg static push..."
　　Finally, Xiaodao laughed and said with a smile: "Hope that the information fits your era, otherwise I will be unable to do anything. May God, Buddha, and God bless this old man... Amen, Oh Mito Buddha..."
　　 Xu Ze was not in a mood to joke with him at this time. Although the speed of communication with the knife was extremely fast, the family members of the patients next to him were already angry. If Xu Ze couldn't make up his mind, I was afraid that he would really smash the store...
"Fasturia, cedar, all in the clinic." Xu Ze's brain quickly turned ~EbookFREE.me~ It seems that he had good luck, these materials can fit, and now he made a bold decision, and he made a decision to the patient himself. Rescue, took a deep breath, and said to the sister Luo aside, "quick push 20mg furosemide!"
"Ah..." Hearing Xu Ze's words, Sister Luo was a little stunned. She knew she should listen to Xu Ze. After all, Xu Ze was at most a part-time apprentice here. He was not qualified as a doctor at all, and he is still studying now. , If the wrong medicine is used, it will be more troublesome!
　　 But Sister Luo thought about it in turn, if the patient is not saved now, I am afraid that it will not last long, who knows when Dr. Zhang will come back.
　　 It was just Xu Ze but there was no time for Sister Luo to hesitate, Shen Sheng shouted: "Go quickly, don't delay time!"
　　 Being so urged by Xu Ze, Sister Luo looked at Xu Ze's chest-like appearance and gritted her teeth. Now that Zhang Lao is away, she can only believe Xu Ze once.
　　Hurry up and draw a piece of furosemide with a syringe, and then quickly pushed in from the patient's infusion tube.
Seeing that furosemide was pushed in, Xu Ze thought about it and said: "Adding 5% glucose 250ml + sodium nitroprusside 25mg + 10% potassium chloride 7ml intravenously at a rate of 6 drops/min to expand the coronary artery and reduce the heart load , While measuring blood pressure!"
At this time, Sister Luo's speed was much sharper. She could see Xu Ze's calm expression, and she also had a lot of confidence in her heart. She secretly hoped that these drugs would be effective. Now she hurried back to the treatment table and prepared the medicine. Replace the patient.
The family of the patient saw Xu Ze orderly treating his father at this time, which put down the anger and anxiety of his heart a little, and put all hope on Xu Ze. After all, there is no one except Xu Ze now. Can save people.