第333章 错诊与急诊
顶点小说(dingdian666.com)更新快,无弹窗!
因前车之鉴,焦亮的检查很仔细,对病人头部仔细查了一遍,翻眼皮,看口腔,听诊胸腔,最后再切脉。
足足有两三分钟,他才做出判断。
“你是肝病。”焦亮微笑着说道:“你手上有蜘蛛痣,面色蜡黄,眼白也发黄了,再加上脉象,我断定你是肝硬化早期,做个肝部穿刺活检吧!另外,查一下乙肝五项,血常规。”
周围的几位老头纷纷点头认可,这个男人很明显是肝病面容,有经验的老中医一眼就能看出来!
焦亮的判断应该是无误的!
“谢谢医生”男人起身鞠躬道谢,他的病自己也清楚,肝区经常疼痛,肯定是肝的问题。
“等一下。”林风再次叫住他,“你不是肝病。”
“啊?”男人愕然,不是肝病?到底该信谁的?
包括陈古韵在内的等人也很错愕,这么明显的肝病表现,怎么不是肝病呢?那会是什么?
“林医生,这不会搞错了吧?”方润泽是肝病方面的专家,他也皱起了眉。
“搞错的是他。”林风指着焦亮沉声说道:“只看表面,不明内里,病因没有搞清楚,就叫病人去做穿刺,这是错诊!发生医疗纠纷,责任他能承担吗?”
焦亮脸色涨红,憋不出话来。明明就是肝病啊,哪里会错!让他再诊一次,也是这个结论,他的水平就在这里了,不可能有其他发现。
其他几位专家也都面露蹊跷之色,难不成这个病人,真不是肝病?凭他们的中医理论知识,观其面色,应该没错啊!
“你说不是肝病,那是什么病?”焦瑜竭力维护孙子,挺身而出质问:“你不说出个所以然来,就是信口开河,故弄玄虚!一派胡言!”
“呵呵,焦胖子,我如果说对了,你当众道歉?”
“行!”焦瑜拍着胸口喝道:“你要是说出个让大伙心服口服的答案,我焦瑜不仅道歉,还尊你一声前辈!”
“好,你听好了!”林风指着那个病人说道:“他是胆病,不是肝,肝胆相依,胆阻塞引发肝气郁积,这是根本病因!只有治好了胆病,才能舒开肝气,治标不治本,等于白忙一场。”
“胆病?”方润泽仔细看了看那个病人,眉宇深锁,胆病的确有可能造成肝郁,肝郁则脸色发黄,进而使肝病面容显现。
而胆病表现则不明显,胆囊本身很小,依附在肝下,容易被忽略,只有最高明的医生,才能通过面诊,发现胆的病变。
“你从哪里判断他是胆病不是肝病?”焦瑜不服气,觉得林风这话可信度不大。
林风冷哼一声,不耐烦地说道:“睁大你的眼珠子看清楚,他鼻梁两侧各有淤痕,那是胆兆,胆囊堵塞非常严重,一般的肝病患者很少有这种情况发生。再看他的眼睛,眼白虽有染黄,但眼瞳却很正常,此外,这位患者的职业也是胆病高危行业!”
“他是什么职业?”孙福仲随口问了一句。
“渔民。”林风笑道:“渔民有生食鲜物的习惯,他的胆囊里头,一定生了寄生虫,最近是不是有呕吐经历?”
“对,昨天、前天都有!”男人眼神一惊,“是不是泥螺?我经常吃醉泥螺!有自制的,还有市场上买的。”
“那就对了,以后记得不要吃生食,东西再美味,也要煮熟了吃!”林风笑道:“去肝胆科吧!叫医生给你开些排虫药先试试看,有效果的话,可以少挨一刀,不然只能切胆囊。”
“谢谢谢谢医生!”男子连声感激,临走时,狠狠瞪了一眼焦亮,低声怒斥:“呸,庸医!”
焦亮的脸顿时一片煞白,两眼空洞,望着那人,攥紧了拳头。
“焦胖子,你刚刚说什么来着?”孙福仲笑呵呵看向脸色同样灰败的焦瑜。
“我前辈!行了吧!”焦瑜向林风拱了下手,内心恨死了这两人。
岳灵柔漏诊,焦亮误诊,还剩下王耀堂没出过手,至于林风,不用验证,大家也知道他远超所有候选者。
“王同学,该你了!”陈古韵示意,不出意外,这场筛选的结果,已经出炉。
王耀堂犹豫不决,不知道该选哪个病人才好,这是他唯一的机会,能压过岳灵柔的机会!如果挑不好,诊断出了纰漏,那他也将和其他人一样,没有什么优势可言。
看他这副迟疑的模样,排队等候的病人和家属们不乐意了,有人叫道:“我们不要免费治疗,只要林医生问诊!”
“对,只要林医
生问诊!其他人都是半吊子医生,我不信!”一个老头高声叫嚷,引来大家七嘴八舌附和。
“没错,林医生才是高明医生,配得上神医称号!”
刚刚那两个病人的情况,让旁观者越发不信任年轻医生,但唯独对林风的医术深信不疑,都想让他为自己诊治。
“这个院长你看”方润泽询问陈古韵的意见,这样一来,王耀堂可能
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