【162】老师们电话指导(1 / 1)

“你确定是张力性气胸吗?”杨医生必须先打个大大的问号的,因为现在是见习生给患者诊断。

“患者右侧胸部饱胀,肋间隙变大,现场没有x光机和ct机可以做检查。这样,杨医生,我让你先听听患者的呼吸幅度。”

对面的女声冷静到出乎了这里现场所有老师的预料!

金医生吃惊地吞下口水:这两天医院里传闻的这个女见习生原来真是这么厉害的吗?

林医生挑挑眉:意料之中。

至于杨医生吃愣着。

傅昕恒眯了下眼,脑子里再次浮现出昨晚上曹勇他们奇奇怪怪的表情。

电话机里传出了病人的呼吸声:呼、呼、呼,呼吸在变浅,呼吸幅度明显降低,而且越来越困难,像是随时窒息。

“我的手指放到胸前患区进行叩诊,杨老师您听一听,是不是鼓音。”谢婉莹说,一只手拿着手机靠近病人胸前,另一只手三只手指并拢,轻拍患者的病区。

一帮老师竖起了耳朵,全神贯注聆听电话里的每一点声音,这都关系到病人的生命。

宛如咚——、咚——的声音传了过来。

“我把听诊器放到病人胸前,试试杨老师你能不能听见病人健侧的呼吸音,再对比患侧。”接下来,谢婉莹将急救箱里的听诊器掏了出来,听头贴到了病人左锁骨下。

听不到,完全听不到。再次说明未来的通信发展对医学发展太重要太重要了。

不过没关系,靠刚才的叩诊音,临床老师们可以初步判断谢婉莹可以说是诊断正确的。

“是张力性气胸,要赶紧排气啊!”金医生对杨医生说。

是见习生,怎么让见习生操作?杨医生急问,冲电话对面喊话:“你们现在离医院距离还有多远?”

肯定首先选择送回医院来做!

开车的两位交警回答:“至少还需要三十分钟以上的路程。”

“确定三十分钟能到吗?”杨医生问。

交警完全无法保证能,因为今晚路况实在是不好。可见,病人到达医院的时间可能远远超过三十分钟。

“来不及的了,杨医生。”金医生急道。

病人的呼吸声是快来不及了,必须先排气,否则心脏要停了。

“他是什么心脏病?”杨医生也着急,嗓音喊得沙哑。

这个病人从一开始都说不出话。谢婉莹只得自己拿听诊器给病人听听,再用异能辅佐判断一下。等了等没听见她回答的声音,这边临床老师不清楚发生了什么事。金医生吼道:“赵兆伟!”

赵兆伟紧张到跳眼皮,听见老师的声音才回答:“金医生,我在。”

“你说,他什么心脏病?”金医生问。

“我和莹莹不知道。他说不出话。莹莹在用听诊器给他听心脏。”赵兆伟磕磕巴巴地说。

两个学生,光从回答的口气和内容给老师们留下了两种截然不同的印象。.xqqxδ捌

“是同个班吗?”杨医生质疑。

金医生和林医生点点头,这点毋庸置疑的。

杨医生想起了昨晚跟他进手术室的岳文同,好像也是同一个班的。同个班差别大。对了,今天岳文同没有跟老师上班,家里有点事调休去了。

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