第十三章 张老的考验(2 / 2)

超级医生 叶天南 1309 字 2023-03-04

很快,图纸上结尾处,电脑自动给出的结论很快便证实了徐泽的判断:“窦性心律不齐,心肌缺血!”

徐泽满意地笑了笑,然后撕下心电图纸,小心地折好,放到工作服的口袋里,然后招呼着家属扶着那老头起床来,又坐回张老医师的诊桌旁。

将手中折得整整齐齐地图纸小心地递给张老医师道:“张老,做好了,您看看!”

张老医师看着手头叠得极为整齐的图纸,嘉许地点了点头,想了一下,然后对徐泽道:“你给那个发烧的病人瞧瞧体温量得怎么样了,仔细检查一下,然后开个药给我。”

“哎…”听得张老医师这话,徐泽欢喜地点了点头,张老医师这算是考验自己呢,这次可是得到他认同的好机会,要是他以后认可了自己的能力,那好处当然是多多的...这次万万不能出什么岔子,

想到这里,徐泽小心地从诊桌旁的架子上取下自己的听诊器挂到脖子上,便后走到正坐在一旁的那个青年男子身旁,笑道:“体温表可以了,拿出来看看!”

“三十八度五,确实有些发烧。”徐泽点了点头,然后从口袋里摸出随身携带的小电筒和棉签,朝着病人示意道:“张开嘴,看看喉咙!”

在小电筒的照耀下,病人喉中两颗硕大鲜红的扁桃体不出所料的,正放肆地向徐泽宣扬着它们的存在;

“扁桃体2°肿大,但未见明显脓点!”徐泽心头恍然,点了点头,然后将手头的棉签丢到旁边的垃圾桶中,又将听诊器挂到耳朵上,用心地听了听病人的肺部。

感觉着听诊器中传来的声响,徐泽在脑海中便很快下好了诊断:“扁桃体2°肿大,双肺呼吸音稍粗,未见明显啰音;而患者主要症状是发热畏寒头疼,稍有咳嗽,没有明显咳痰及呕吐;诊断急性扁桃体炎没错!”

诊断确定,药就容易开了,虽然平日张老医师很少放心让徐泽给病人开药,但只是因为徐泽年纪还太小,还不能真正得到他的信任而已,这不代表徐泽没有这个能力,毕竟徐泽靠着在张老医师这里学了年多的时间,在家中也锻炼了许久,这些许小病,当然是手到擒来。

当下坐回诊桌旁,拿出处方,按照往日张老医师开药的习惯,在处方上写道:“生理盐水100ml+头孢呋辛钠2.0静滴,日两次,皮试;氧氟沙星100ml静滴日两次;5%葡萄糖250ml+利巴韦林0.5静滴,日一次;5%葡萄糖500ml+维生素C3.0,维生素B60.2,10%氯化钾10ml静滴,日一次;安乃近针0.5肌注,立即!”

看了看手中的处方,徐泽再仔细检查了一遍,头孢呋辛钠和氧氟沙星消炎,利巴韦林抗病毒,安乃近退烧止头痛,还有维生素和葡萄糖补液,应该够了,用药量也没错;而且所开的消炎药也跟张老医师往日用药的习惯,应该差不多了。

当下看了看张老医师,这时正好张老医师已经给刚才那个老头开完药,交给护士输液去了,徐泽便拿着处方交给张老医师,然后小心地道:“患者体温三十八度五,咽红,扁桃体2°肿大,肺部呼吸音稍粗,但没有听到啰音,我想诊断应该是急性扁桃体炎!”

说罢,满脸紧张地看着张老医师,等着他的评判。

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