I Can See Health

Remember [new] in one second! Xiao Shikang also understood the seriousness of the matter, immediately contacted the CT room, and then communicated the condition with the patient's family.

"Our family is here for atrial fibrillation ablation surgery, why are so many problems suddenly eliminated?"

The patient's family member is a middle-aged woman. She was confused when she heard what Xiao Shikang said. She didn't understand most of what he said and could only understand one sentence. The patient's condition suddenly became very complicated!

"It's not that so many problems appeared after the operation." Xiao Shikang explained patiently, "We considered that the patient had so many problems before the operation, but we happened to discover it during the operation!"

"Then what should we do next?" the middle-aged woman frowned.

"Immediately go out for examination. Only after the diagnosis is confirmed can the next step of diagnosis and treatment be carried out." Xiao Shikang said.

"Don't you have any suspicions about the diagnosis now?"

"Considering liver rupture and bleeding, we don't know the cause of pericardial effusion yet." Xiao Shikang paused.

"The liver is occupying space, is it liver cancer?" The middle-aged woman was stunned. She knew some medicine, but it was only superficial.

"Not sure yet." Xiao Shikang shook his head.

"Well, then, let's go out for a checkup quickly."

…

With the consent of the patient's family, Xiao Shikang immediately sent a doctor out for inspection.

Lu Chen stayed in the cath lab and continued to read the patient's medical records.

The patient's current information is not complete, only the recent medical history, and the past history is very vague.

"That's right! The patient should have been taking anticoagulant drugs!" A flash of light flashed in Lu Chen's mind.

The patient is currently undergoing atrial fibrillation ablation.

Patients with atrial fibrillation need long-term anticoagulants, warfarin or Xarelto.

The side effect of anticoagulants is bleeding!

Could it be that the patient was on long-term anticoagulation, which led to bleeding in various serosal cavities?

Just after Lu Chen thought about it, news came back from the CT room that the patient's abdominal CT was completed.

Xiao Shikang immediately found a free computer, turned on the computer imaging system, and called up the abdominal CT image.

CT showed: there were two cystic low-density shadows in the left lobe of the patient's liver, with small patchy hemorrhagic lesions and thin-walled enhancement. The larger one had small intramural nodule enhancement in the delayed phase (bleeding was not excluded), and the smaller one had arterial There is obvious enhancement of small intramural nodules in the portal venous phase and delayed phase, and the degree of enhancement is equivalent to that of the liver parenchyma. There is no enhancement in the cyst contents, and the adjacent gastric cavity is compressed.

The diagnosis given by the doctor in the CT room was liver cyst combined with bleeding, but tumor metastasis was not excluded!

Seeing this, Lu Chen already had an idea in his mind.

The doctor in the CT room makes a diagnosis simply by looking at the abdominal CT.

But real clinical diagnosis does not rely solely on a CT film.

After Xiao Shikang looked at the patient's images, he frowned and said, "It seems like a liver cyst is still ruptured and bleeding!"

Lu Chen shook his head, "I think the liver cancer is splitting and bleeding due to tumor metastasis. The tumor has not only metastasized to the liver, but also to the pericardium. Otherwise, the source of the pericardial effusion cannot be explained."

After listening to Lu Chen's explanation, Xiao Shikang was also stunned.

This explanation makes sense!

However, what surprised Xiao Shikang most was Lu Chen's clinical thinking mode.

In addition to his excellent interventional surgery capabilities, I didn't expect that his clinical diagnosis and treatment capabilities are also outstanding!

"Well, that makes sense. However, the first priority right now is to stop the bleeding!" Xiao Shikang said.

Lu Chen nodded slightly.

It no longer matters what caused the liver rupture and bleeding.

Although the patient's current symptoms are not severe, they may develop further at any time.

The trend of two minus signs in the health value above his head just confirms this state.

…

Instead of returning to the cardiology cath lab, the patient was sent directly to the surgical suite.

When liver rupture and bleeding are still developing, stop them in time!

Otherwise, once severe bleeding occurs and shock occurs, the operation will be too late.

This small episode in the cath lab did not affect the normal progress of other surgeries.

But Lu Chen didn't perform any surgery all day long.

Although there are many electrophysiology surgeries, these are the only two surgeries arranged for Lu Chen.

In the following time, Lu Chen followed Xiao Shikang and observed several other operations.

"Don't worry, there will be another operation tomorrow." Xiao Shikang smiled, "You can start it tomorrow."

"Yes." Lu Chen nodded. He was not in a hurry. Surgery should be of high quality.

Otherwise, even ten common surgeries may not be worth one difficult surgery.

…

Four p.m.

News came from the operating room.

The patient's bleeding has stopped, and the preliminary diagnosis is tumor metastasis!

This result made Xiao Shikang a little scared!

The preoperative abdominal CT examination only revealed a suspicious liver cyst.

Liver cysts are benign and generally do not need to be treated as long as their size does not compress surrounding tissue and their location is not dangerous.

Even the abdominal CT scan during the operation was considered to be a benign liver cyst ruptured and bleeding.

However, what surprised everyone was that the rapid pathology section turned out to be a malignant tumor!

"Lu Chen, thank you for discovering the abnormality." Xiao Shikang said with lingering fear, "If the ablation surgery was performed on the patient in such a confused way, the follow-up would be even more troublesome."

Atrial fibrillation does not affect the patient's lifespan.

However, after surgery, the risk of bleeding increases, and the patient's rupture and bleeding may progress faster!

Lu Chen was also a little lucky. Fortunately, when he looked at the contrast images, he saw a small to medium amount of pericardial effusion.

If he had just let it go in such a daze, the situation would be different now!

…

At 5:30 in the afternoon, I finally got off work.

Lu Chen rejected Yao Jie's request to have dinner together and returned to his hotel.

It had been a long time since he had been to a clinic. Lu Chen was really not used to it when he suddenly came to the cath lab.

However, after going through today's somewhat thrilling diagnosis and treatment process, Lu Chen felt his heart surge.

This long-lost enthusiasm cannot be compared to simply doing surgery!

Surgery, of course, requires a doctor’s technical ability.

However, the process of diagnosing and treating patients requires rigorous "detective-style" thinking, inferring from every doubtful point in the medical record, and finally discovering the patient's final diagnosis, and promptly treating and curing the patient.

While Lu Chen was thinking about it, Min Xiaobo called.

"Hey, Lu Chen, how many operations have you performed in the past two days?"

Min Xiaobo got straight to the point.

"Ahem." Lu Chen coughed slightly awkwardly, "Not even one."

"Ah?" Min Xiaobo said in surprise, "Why don't you have one? We are in the second stage of the assessment. UU Reading www.uukanshu.net The number of surgeries is also an important indicator. I asked other people, It seems that at least two surgeries have been performed.”

Lu Chen smiled helplessly and did not explain too much.

He originally had two surgeries, but due to his own reasons, both surgeries were canceled.

"You have to hurry up too!"

"Don't be hasty, there will be a chance later." Lu Chen said.

"Hey, there are thirteen of us. It would be great if half of us can pass the second stage assessment and get the graduation certificate." Min Xiaobo said, "Everyone has worked hard, Lu Chen, don't be left behind. ah!"

"Well, thank you Brother Bo for the reminder." Lu Chen smiled.

"That's it for now, hang up."

After hanging up the phone, Lu Chen breathed a sigh of relief.

In less than a month, he will really have to work hard.

Then, with a thought, he entered the system virtual space again and performed a simulated surgery of electrophysiological intervention.