I can see health

Chapter 423
The guide wire poked the heart, causing fluid in the heart?

Lu Chen's expression froze, and he immediately rejected his idea.

During the entire process of the guide wire entering the heart vessels, no accidents occurred, and his movements were very gentle, so he would not poke the heart at all, causing such serious complications.

On the other hand, Lu Chen is very confident in his intervention skills.

In the system simulation operating room, he has tried hundreds of times to operate the guide wire in the blood vessel, but he has never had such a serious complication.

However, the life value on the patient's head is 68 (--), and there are two minus signs, indicating that the patient's condition is further developing and may become worse and worse!
Xiao Shikang on the side frowned deeply, and he also felt that this pericardial effusion did not seem to be caused by surgery.

"Lu Chen, suspend the operation first." Xiao Shikang said.

"it is good."

After saying this, Xiao Shikang immediately walked out of the catheterization room, took off the lead jacket, and immediately contacted the doctor in the ward.

Lu Chen first withdrew the guide wire, then disinfected the patient's operation area, and after a little bandaging, he came outside the catheter room.

"I asked the doctor in the ward to bring over his medical records." Xiao Shikang frowned, "By the way, when you went to see the patient yesterday, did he have any abnormal conditions?"

Lu Chen shook his head, "No."

When Lu Chen went to the fifth district of the heart yesterday, this patient was in the ward, chatting and laughing with others.

"That's strange." Xiao Shikang asked suspiciously, "Is there an echocardiogram before the operation?"

"There was an echocardiogram a month ago, which was done in our hospital." Lu Chen said, "So I didn't do it again before this operation."

Cardiac ultrasound, under normal circumstances, there will not be much change within a month,
"Why did you suddenly have pericardial effusion?" Xiao Shikang muttered to himself.

At this moment, the doctor from the fifth ward of the heart came down, and he brought all the examination materials of the patient.

Lu Chen and Xiao Shikang immediately started to read.

The two immediately noticed a strange thing. In the past week, the patient suddenly felt tired of oil and stomach discomfort.

"Ms. Xiao, I'll get the ultrasound." Lu Chen said immediately, "I'll do a heart and abdominal ultrasound for the patient."

"Okay!" Xiao Shikang nodded, he almost forgot that Lu Chen still had this skill.

……

Lu Chen came to the CCU next to the cath lab, borrowed the ultrasound machine, and returned to the cath room.

"Uncle, don't be nervous, I will give you a check."

Lu Chen put on the gloves again, and comforted the patient, "It will be fine soon."

On the operating table, the patient was slightly nervous. The sudden termination of the operation made him quite at a loss. "Doctor, doctor, what's wrong with me? Why didn't you do the operation?"

"No big problem." Xiao Shikang said on the side, "I read the medical records, and you suddenly felt anorexia in the past week?"

The patient was taken aback for a moment, then nodded, "Yes."

"Has this ever happened before?"

"No."

The patient shook his head.

At this time, Lu Chen had already placed the probe of the ultrasound machine into the patient's heart.

"Low-moderate pericardial effusion."

The probe was placed on the heart, and the image immediately appeared on the screen of the ultrasound machine.

Normal people have a small amount of pericardial effusion, but this patient had significantly more pericardial effusion.

Lu Chen immediately looked at the patient, "Uncle, do you feel chest tightness and shortness of breath?"

"No." The patient shook his head in denial.

Lu Chen frowned deeply. If the pericardial effusion appeared suddenly, or during the operation, if a small to medium amount of pericardial effusion appeared in such a short period of time, there would definitely be symptoms of chest tightness and shortness of breath.

But the patient does not have any abnormality now.

"That explains one point!" Lu Chen's eyes were burning, "These pericardial effusions did not appear suddenly. However, the patient's echocardiography a month ago was normal, so these pericardial effusions appeared slowly within a month. "

"Well, it makes sense." Xiao Shikang nodded in agreement.

"I'll continue to look at his abdominal ultrasound." Lu Chen said.

"Do you also do abdominal ultrasound?" Xiao Shikang asked in surprise.

As a cardiologist, he is good at heart ultrasound, but when it comes to abdominal ultrasound, he is blind.

"I'll be a million dollars." Lu Chen smiled.

There is such a cheating device as the system simulation space. In addition to the heart ultrasound, Lu Chen naturally also trained the ultrasound of other parts.

Among them, the closest to the heart, such as the abdomen and chest, are his key training areas.

Lu Chen changed the ultrasound probe and reapplied the gel (the medium for ultrasound imaging).

Cardiac and abdominal ultrasounds use different probes.

Cardiac ultrasound probes are small and narrow, but abdominal ultrasound probes are much wider than cardiac ultrasound probes.

"Professional!" Xiao Shikang's eyes lit up, seeing Lu Chen's actions, he had to sigh.

Soon, images of the abdomen appeared on the ultrasound machine.

However, both of them were a little bit astonished by the video image displayed afterwards.

"This is... peritoneal effusion?!" Lu Chen wondered.

Things get more and more confusing.

In addition to pericardial effusion, the patient also has peritoneal effusion!

"Why is there another peritoneal effusion?" Xiao Shikang was also confused at this time. He remembered that the patient had undergone abdominal CT before the operation.

Abdominal CT is normal!

Abdominal CT was done two days before the operation, that is to say, the patient's peritoneal effusion suddenly appeared within one or two days!

"Besides the peritoneal effusion, the patient's liver has a large space!" Lu Chen pointed to the image on the screen.

"Cyst?" Xiao Shikang said, "Could it be the rupture and bleeding of the liver cyst, resulting in peritoneal effusion?"

Lu Chen shook his head, "I still don't know the nature of the liver occupying space, but if the rupture of the liver sac is used to explain the peritoneal effusion, how should the pericardial effusion be explained?"

Medicine emphasizes "monism", and finally uses one disease to explain multiple symptoms.

If the patient's peritoneal effusion is caused by a ruptured hepatic cyst, what about pericardial effusion?

Even if the liver cyst splits and bleeds, it is impossible to cause pericardial effusion!
At this time, Lu Chen removed the ultrasound machine and began to perform abdominal examination on the patient.

There was so much peritoneal effusion suddenly, although the patient did not have any symptoms, but there were no abdominal signs.

Exposing the patient's abdominal skin, Lu Chen began the abdominal examination.

Physical examination is divided into sight, touch, percussion, and hearing.

Lu Chen is now mainly doing palpation.

"Does it hurt?" Lu Chen palpated from shallow to deep.

The patient didn't have any symptoms at the beginning, but when he started to feel it, he started to feel it.

"It hurts, it hurts a little!"

Lu Chen immediately stopped, unable to continue the inspection.

If the real liver occupies a space and ruptures and bleeds, then it will be a big trouble!

"Ms. Xiao, please contact the CT room immediately." Lu Chen said quickly.

In the current situation of patients, the most important thing is to confirm the diagnosis.

It is not enough to rely only on the ultrasound images at the bedside!

(End of this chapter)