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Remember [New] in one second! The guidewire pierced the heart, causing cardiac effusion? Lu Chen's face was stern, and he immediately rejected his idea. There was no accident during the whole process of the guidewire entering the heart and blood vessels, 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 was very confident in his interventional technology. In the system simulation operating room, he had tried the operation of the guidewire in the blood vessels hundreds of times, and had never had such serious complications. However, the life value on the patient's head was 68 (--). There was a trend of two minus signs, indicating that the patient's condition would become worse and worse if it developed further! Xiao Shikang on the side frowned deeply, and he also felt that this pericardial effusion was not likely to be caused by surgery. "Lu Chen, suspend the operation first." Xiao Shikang said. "Okay." After saying this, Xiao Shikang immediately walked out of the catheter room, took off his lead suit, and immediately contacted the ward doctor. Lu Chen first withdrew the guidewire, then disinfected the patient's surgical area, and after a slight bandage, he came out of the catheter room. "I asked the ward doctor to bring his medical records." Xiao Shikang frowned and said, "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 area of ​​the heart yesterday, the patient was in the ward, talking and laughing with others.

"That's strange." Xiao Shikang asked in confusion, "Did you have a cardiac ultrasound before the operation?"

"There was a cardiac ultrasound done in our hospital a month ago." Lu Chen said, "So it wasn't done before this operation."

Generally speaking, there won't be much change in cardiac ultrasound within a month.

"How could there be pericardial effusion suddenly?" Xiao Shikang muttered to himself.

Just then, the doctor from the fifth area of ​​the heart ward came down and brought all the patient's examination data.

Lu Chen and Xiao Shikang immediately began to look through them.

The two immediately noticed something strange. The patient suddenly felt aversion to oil and stomach discomfort in the past week.

"Teacher 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 had this trick.

...

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

"Uncle, don't be nervous. I'll check you."

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

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

"No big problem." Xiao Shikang said on the side, "I saw it in the medical record. You suddenly felt anorexia in the past week?"

The patient was stunned, then nodded, "Yes."

"Have you had this situation before?"

"No."

The patient shook his head.

At this time, Lu Chen had already taken the ultrasound probe and placed it on the patient's heart.

"Small to moderate amount of 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 has obviously a lot more.

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

"No." The patient shook his head and denied.

Lu Chen frowned. If the pericardial effusion appeared suddenly, or appeared during the operation, a small to moderate amount of pericardial effusion in such a short period of time would definitely cause chest tightness and shortness of breath.

But the patient is not abnormal now.

"That shows one thing!" Lu Chen's eyes were sharp, "These pericardial effusions did not appear suddenly. But the patient's heart ultrasound a month ago was normal, so these pericardial effusions appeared slowly within a month."

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

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

"You can also do abdominal ultrasound?" Xiao Shikang said in surprise.

As a cardiologist, he knows some cardiac ultrasound, but when it comes to abdominal ultrasound, he is blind.

"I know a little bit." Lu Chen smiled.

With the cheating device of system simulation space, Lu Chen naturally trained ultrasound of other parts in addition to cardiac ultrasound.

Among them, the abdomen, chest, etc., which are closest to the heart, are his key training parts.

Lu Chen changed an ultrasound probe and reapplied the coupling agent (ultrasound development medium).

The probes for cardiac ultrasound and abdominal ultrasound are different.

The probe of cardiac ultrasound is small and narrow, but the probe of abdominal ultrasound is much wider than that of cardiac ultrasound.

"Professional!" Xiao Shikang's eyes lit up, and he couldn't help but sigh when he saw Lu Chen's actions.

Soon, an image of the abdomen appeared on the ultrasound machine.

"This is... peritoneal effusion?!" Lu Chen was shocked.

Things became more and more confusing.

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

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

The abdominal CT was normal!

The abdominal CT scan was done two days before the operation, which means that the patient's ascites suddenly appeared within one or two days!

"In addition to ascites, the patient's liver has a large space-occupying mass!" Lu Chen pointed to the image on the screen.

"Cyst?" Xiao Shikang said, "Could it be that the hepatic cyst ruptured and bled, causing the ascites?"

Lu Chen shook his head, "I don't know the nature of the liver mass, but if the hepatic cyst rupture is used to explain the ascites, how should the pericardial effusion be explained?"

Medicine emphasizes "monism", and in the end, one disease is used to explain multiple symptoms.

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

Even if the hepatic cyst splits and bleeds, it is impossible to cause pericardial effusion!

At this time, Lu Chen removed the ultrasound machine and began to examine the patient's abdomen. UU看书 wｗw.uukａnshu.net

There was suddenly so much ascites. Although the patient did not have any symptoms, there must be no abdominal signs.

Exposing the patient's abdominal skin, Lu Chen began to examine the abdomen.

Physical examination is divided into visual, tactile, percussion and auscultation.

Lu Chen is now mainly palpating.

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

The patient did not have any symptoms at first, but when he palpated from shallow to deep, he began to feel it.

"It hurts, a little bit!"

Lu Chen stopped immediately and could not continue the examination.

If the liver mass is really ruptured and bleeding, then it will be a big trouble!

"Teacher Xiao, contact the CT room immediately." Lu Chen said hurriedly.

In the patient's current situation, the most important thing is to confirm the diagnosis.

It is not enough to rely solely on the ultrasound image at the bedside!