1735 A 24 - year - old with myocardial infarction and a heart rupture.
Su Yun was thinking.
He had seen a 24 – year – old patient with coronary heart disease before. He had seen patients with coronary heart disease under the age of 20, not just 24 years old.
Although it was rare, it was not hard to believe that they could encounter it in the hospital.
He just felt that it was too strange to kill someone with a heart rupture.
The surgery was finally completed, and the success was expected.
Zheng Ren stood up and turned around. Seeing that Su Yun was still deep in thought, he said in a low voice,””Direct violence causes temporary deformation of the chest, shortening the front and back of the chest, and heart contusions caused by the compression of the ribs in the precordium and the padding of the spine. The fracture of the sternum or rib can directly Pierce the heart.”
“Are you telling me that it’s the responsibility of the medical staff in the neurosurgery department?” Su Yun asked.
“No, it’s just a normal deduction.” “Let’s not think about shirking responsibility for now,” Zheng Ren said calmly.”Let’s think about the normal things. For example, what caused the deceased to have a heart attack at the age of 24.”
He paused for a moment, smiled, and said,”I think this will be more convincing to either you or me.”
Su Yun shrugged her shoulders, obviously disdainful of Zheng Ren’s words.
“Another case is when the anterior heart area is hit by a blunt violent blow or violent pressure on the abdomen and lower limbs. Blood from other parts of the body is rapidly injected into the chest, and the rapidly rising pressure in the heart cavity causes the heart to rupture.” Zheng Ren said as he pondered.
Su Yun shook her head.
“Obviously, the two most common cases don’t match the course of the disease of the deceased. He was only slapped. To use your description, he took big Liu’s hand and slapped his own face, starting a provocation. ” “I’m going to change my clothes and take a look at the anatomy teaching and research room,”Zheng Ren said.
“What are you considering?”
“Aging syndrome? Severe fatty liver causes abnormal blood cholesterol, blood clotting function, or other rare diseases. ” “But there’s still too little information now,” Zheng Ren said.”Since we can directly dissect them and use them as evidence, why don’t we try?”
“Boss, have you been in contact with the Massachusetts General Hospital recently? Why can’t you speak properly?” Su Yun said in disdain.
“Translated? It’s always infectious to read those translated documents every day. ” Zheng Ren said with a smile.
“Is the fifth edition of the book a translation?”
“Maybe the fourth version is.”
Zheng Ren told Xie Yiren that he was going to the imperial capital Medical University and that she shouldn’t wait for him for lunch.
Then, as he thought about it, he went to the changing room to change his clothes.
“From what li zhaosen said, the patient should not have any problems with a heart deformity or a stent. All in all, the patient is twenty – four years old this year. This is the biggest problem. ” “She’s not that young,” Zheng Ren said.”It’s not like she’s working night shifts all year round. How could she have a heart rupture?”
“Yes, I think so too. He had performed up to a thousand chest compressions and heart dissections in school. From humans to rabbits and white mice. I’m more familiar with the heart than anyone else. ” “It’s very rare for a heart to rupture. ” Do you know how strong the heart muscle is?”
Zheng Ren glanced at Su Yun, finding it hard to believe that this fellow would say to his face that he was the person most familiar with the heart.
Did he really not have any idea?
“Could it be an aortic dissection and an aneurysm?” Su Yun suddenly said.
“I won ‘t.” “An aortic rupture and a cardiac rupture are two different things,” Zheng Ren said.
“But the rupture ends have spread to the left chamber, especially …” Su Yun could not convince herself, and her voice gradually became softer.
“It’s rare for a heart to rupture on its own. I wouldn’t be surprised if something like this happened to chunuanse in Southeast Asia. ” “But if it’s an ordinary person, it’s too much of a fantasy,” Zheng Ren said.
“It’s definitely not caused by external chest compressions. ” Su Yun said.
Zheng Ren knew that this was what he had been insisting on, so he did not comfort Su Yun. That fellow did not need any comfort at all.
“It’s possible that there’s some other disease in the heart muscle. Let’s do an autopsy. You’ll do the autopsy this time, and I’ll be in charge of recording the results.” Zheng Ren said.
“Haven’t we already dissected them?” Su Yun asked.
“A Clinical Anatomy teacher doesn’t have a deep understanding of some rare diseases. Do you still remember the patient with carotid endartium tearing syndrome you met previously?” “As for the transfer of diseases, they’re better at the Diagnosis of Murder and external injuries,” Zheng Ren said.
The deaths caused by diseases are their shortcomings. “
“Are you saying that the patient’s injury was caused by a disease?” Su Yun was suddenly filled with hope.
“No,” she said. “You’re the one who said it,” Zheng Ren said.”I’m just trying my best to find out the reason.”
Su Yun was silent. She hailed a car and went to the dissection teaching and research room of the imperial capital Medical University.
The autopsy room was at the innermost part of the room. It was cold and damp. When the door was opened, a gust of cold air rushed in.
Along with the cold air, there was also the smell of smoke mixed with the smell of internal organs. It was very strange.
“Boss Zheng, you’re here.” Li zhaosen was squatting on the ground and smoking. When he saw Zheng Ren, he immediately stood up and greeted him enthusiastically.
“Hmm, let’s see how it goes.” Zheng Ren said.
“Here’s your white suit. ” Li zhaosen quickly put out his cigarette, took a white shirt from the clothes rack, and handed it to Zheng Ren with both hands.
“Today’s dissection will be done by doctor su,” Zheng Ren said.
Li zhaosen was a little unhappy, and he glanced at Su Yun with disdain.
Su Yun was not in the mood to bicker with him.
Now, his mind was filled with thoughts about what kind of rare disease caused a 24 – year – old young man to have a heart block and then be slapped to death.
‘Damn it!’ Su Yun cursed in her heart.
How could such a ghostly thing happen? If it was any other disease, it would be fine, but Su Yun had a thorough understanding of heart diseases. He thought about it many times, but he still didn’t know how to explain this matter.
“Boss Zheng, the surface damage of the deceased was light and not enough to kill him. Moreover, it was not distributed in the anterior heart region, so we don’t support the participation of this factor in the cause of death.” Li zhaosen said.
“Didn’t the family of the deceased say that it was caused by external chest compressions?”
“The position is not right, and external chest compression will at most cause the ribs and sternum to break and the heart to be punctured. The evidence we have now can not confirm this. ” Li zhaosen said.
“You can’t deny it, can you?” Su Yun asked.
“Yes.” Although li zhaosen didn’t really care about Su Yun, he was still someone that boss Zheng had brought, so he couldn’t be too condescending.
Li zhaosen reluctantly agreed and followed Zheng Ren into the autopsy room.
There wasn’t anyone around this time, and all the assistants had been chased away by li zhaosen.
The room was cold and the air – Conditioner was on all year round. A body was placed on the autopsy table, and the chest had been cut open.
The faint smell of blood and internal organs filled the air.
……
……
[Note: as for the autopsy procedure, I’ve only been exposed to the old calendar from decades ago, so I’ll take care of this part first.]