Su Yun was thinking.
He has seen a 24-year-old patient with coronary heart disease. He has seen not only 24-year-olds, but also coronary heart disease patients under 20 years old.
Although rare, it is not something unbelievable to encounter in a hospital.
He just thought it was too weird to slap someone to the point of breaking his heart and causing him to die.
The operation was finally over, and the success was expected.
Zheng Ren stood up, turned around and saw that Su Yun was still thinking, and said in a deep voice: "Direct violence caused temporary deformation of the thorax, shortening of the anteroposterior diameter of the thorax, compression of the ribs in the precordial area and the cushioning effect of the spine, causing heart failure. Contusions, broken ends of the sternum or ribs can puncture the heart directly."
"Are you telling me that it's the neurosurgery medical staff's responsibility?" Su Yun asked.
"No, it's just a normal inference of the condition." Zheng Ren said calmly: "Don't think about evading responsibility first. Let's think about normal things. For example, what caused the deceased to die at the age of 24? Myocardial infarction occurs.”
He paused, smiled, and said, "I think this will be more convincing to you, or to me."
Su Yun shrugged, obviously dismissive of Zheng Ren's words.
"Another one is when the precordium is hit with a blunt force or the abdomen and lower limbs are violently compressed, blood rushes into the chest from other parts of the body, and the rapidly rising intracardiac pressure causes the heart to rupture." Zheng Ren said on the side Takuma said.
Su Yun shook his head.
"Obviously, the two most common conditions are not consistent with the course of the deceased's illness. It was just a slap in the face, using your description, or he took Da Liu's hand and slapped his company and started to provoke." Zheng Rendao : "Change your clothes and go to the anatomy teaching and research room."
"What are you thinking about?"
"Aging syndrome? Severe fatty liver leads to abnormal blood lipids, coagulation function, or other rare diseases." Zheng Rendao: "But there is still too little information. Since we can directly dissect it as evidence, why not try it?"
"Boss, how many interactions have you had with Massachusetts General Hospital recently? Why don't you speak politely?" Su Yun said disdainfully.
"Translation accent? You will always get infected by reading the translated documents every day." Zheng Ren said with a smile.
"Is the fifth edition of Surgery translated?"
"Maybe version 4 is."
Zheng Ren greeted Xie Yiren and said that he was going to Imperial Medical University, so don't wait for him for lunch.
Then he walked to the locker room and started changing while thinking.
"From what Li Zhaosen said, the patient should not have any heart malformation or stent placement. In the final analysis, the patient is 24 years old. This is the biggest problem." Zheng Rendao: "At this age, it is not like staying up late and working night shifts all the time. How could a heart rupture occur?"
"Yes, I think so too. I have done thousands of cardiac compressions and cardiac anatomy. From human bodies to rabbits and mice. I am more familiar with the heart than anyone else." Su Yun said: "It is very difficult to have a heart rupture. .Do you know how powerful the heart muscle is?"
Zheng Ren glanced at Su Yun. It was hard to believe that this guy would say to his face that he was the person who knew the heart best.
Does he really have no clue in his mind
"Could it be aortic dissection and aneurysm?" Su Yun said suddenly.
"No." Zheng Ren said, "A torn aorta and a torn heart are two different things."
"But the tear end spreads to the left ventricle, especially..." Su Yun couldn't convince himself, and his voice gradually became quieter.
"It is very rare for a heart rupture to occur spontaneously. If this happened to Chu Nuangse I met in Nanyang, I would not be surprised at all." Zheng Ren said: "But for an ordinary person, it would be too fantasy to say this."
"It's definitely not caused by chest cardiac compression." Su Yundao said.
Zheng Ren knew that this was what he had been insisting on, so he did not comfort Su Yun. That guy didn't need comfort at all.
"It may be that there are other diseases in the myocardium. Let's do an autopsy. This time you will do the autopsy and I will be responsible for recording it." Zheng Rendao.
"Aren't all the dissections finished?" Su Yun asked.
"Clinical anatomy teachers don't have a deep understanding of some rare diseases. The last time I met the patient with carotid intimal avulsion syndrome, I still have an impression." Zheng Ren said: "What about the outcome of the disease? They compare Specializes in the diagnosis of homicide and trauma.
And deaths caused by diseases are a shortcoming for them. "
"Are you saying that the patient's injuries were caused by disease?" Su Yun suddenly became hopeful.
"No." Zheng Ren said, "You said it. I just want to try my best to find the reason."
Su Yun was silent, got into a car, and came to the Anatomy Teaching and Research Department of the Affiliated Hospital of Imperial Medical University.
The autopsy room was at the very back, cold and damp. When I opened the door, a wave of cold air hit me.
Along with the cold air, there was the smell of smoke, mixed with the smell of offal, which was very strange.
"Boss Zheng, you're here." Li Zhaosen was squatting on the ground smoking. When he saw Zheng Ren coming, he immediately stood up and greeted him enthusiastically.
"Well, let's take a look at the situation." Zheng Ren said.
"White clothes for you." Li Zhaosen quickly put out his cigarette, took a prepared white clothes from the hanger, and handed it to Zheng Ren with both hands.
"Today's autopsy will be performed by Dr. Su," Zheng Ren said.
Li Zhaosen was a little unhappy and glanced at Su Yun, full of contempt.
Su Yun had no interest in arguing with him.
Now all he could think about was what rare disease caused a 24-year-old young man to have a heart attack and then be slapped to death.
What the hell, Su Yun kept cursing secretly in his heart.
How could something like this happen? Forget it if it's other diseases, Su Yun understands heart diseases very well. He thought about it many times and didn't know how to explain it.
"Boss Zheng, the surface injuries suffered by the deceased were minor and not enough to cause death. They were not distributed in the precordial area, so this factor is not supported in the cause of death." Li Zhaosen said.
"Didn't the family of the deceased say it was caused by chest cardiac compression?"
"The position is wrong, and external chest cardiac compression will at most cause the ribs and sternum to break, and the heart to be punctured. The existing evidence is not certain about this." Li Zhaosen said.
"Can't we deny it?" Su Yun asked.
"Yeah." Although Li Zhaosen didn't pay much attention to Su Yun, he was the person brought by Boss Zheng after all, so he shouldn't look down upon him too much.
After reluctantly responding, Li Zhaosen followed Zheng Ren into the autopsy room.
There was no one here this time, and Li Zhaosen kicked out all the assistants.
The room was cold and cold, and the air conditioner was turned on all year round. A corpse was placed on the autopsy table, and the chest had been cut open.
A faint smell of blood and a smell of internal organs spread around.