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沮伤

2009-04-08 19:46:59| 分类：默认分类 | 标签： |举报 |字号大中小订阅

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一月前值夜班，23：10科室里一病人右上腹痛，我赶紧起床查看：墨菲征阴性、麦氏点无压痛、B超提示：肝胆脾胰肾输尿管未见异常、胃镜提示：慢性胃窦炎。肌注654-2、安痛定等效果欠佳，请相关课室会诊未见手术指征；次日凌晨病人很痛，辗转反侧...我与病人讲有两种可能：1是病人房颤诱发血栓脱落引起脏器栓塞；2是功能性腹痛；征得家属同意先镇痛、密切观察病情变化...早9：00复查墨菲征阳性，B超示胆囊肿大。予手术治疗，后见胆囊壁坏死。几天后病人常规出院；出院考虑房颤诱发血栓引起胆囊动脉栓塞而致胆囊壁坏死。今病人到业务院长投诉，要求赔钱，理由是明确诊断太迟、造成胆囊壁坏死...挨了批评...现心情沮伤之至...那夜一夜未睡，也不是我管的病人，还是找到我...呜呼，还是出家去才是...

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