1736 Heart muscle contraction and spinal necrosis!
“What kind of patients are usually sent here for you to dissect?” Zheng Ren asked.
“Most of them are people who died in the hospital, and there are also a small number of dead people who died in fights. I can’t touch the truly big and important cases. ” “Even if we need technical assistance, I’ll go to the city Bureau,” li zhaosen said. Li zhaosen said.
“You’re alone. Are you afraid?” Zheng Ren took a glance at the deceased. The chest and abdomen had been dissected, and he had probably seen everything.
Su Yun put on her clothes and gloves and began the dissection.
“We’re all dead. What’s there to be afraid of? only the living are scary.” Li zhaosen said.
In light of the gloomy atmosphere, his words were quite powerful. The corpse was like an annotation that silently agreed with li zhaosen’s words.
Su Yun walked to the dead man’s side. The knife was placed at the side. He picked it up, took out the heart, and began to dissect it.
“There’s no problem with the heart’s general structure. ” Su Yun replied,”there is no congenital heart disease or organ pathological changes other than heart disease.”
Zheng Ren did not chat. He stood behind Su Yun and watched her dissect the body.
He knew what Su Yun was conflicted about.
If the deceased’s heart was blocked, it meant that Da Liu, who had a dispute with the deceased at that time, would be jointly responsible. At the very least, there was a part of the responsibility that could not be shirked.
However, if it was not a cardiac death but a cardiac rupture instead, the medical staff who performed cardiac compressions at that time would have to bear a certain responsibility.
It was a difficult matter.
The room was filled with the smell of internal organs, and the exhaust fan was not turned on. Zheng Ren frowned as he was not used to the smell.””Teacher li, don’t you usually turn on the ventilation?”
“Why would I open that thing? if I hadn’t been waiting for you, boss Zheng, I would have done an autopsy in twenty minutes.” “The smell hasn’t dispersed yet,” li zhaosen said.
Zheng Ren really didn’t know how to describe li zhaosen.
“And an autopsy dead person smells much better than a cadaver. Especially the cadaver that was just fished out of the pool. The smell of formalin, after dissection, it was the same as someone who had just fallen out of love. “
“You have a girlfriend?” Zheng Ren stared at Su Yun as she dissected the heart and asked casually.
“No, with my job, who would be willing to marry me?” Li zhaosen didn’t mind and replied casually.
“The heart rupture occurred at the back wall of the left chamber near the tip of the heart. There is an acute large – scale myocardial infarction in the rupture area. The rupture area is irregular, about 1.2 x 0.8 cm. ” Su Yun continued to observe.
“The area of myocardial infarction is relatively large, and his heart is necrotic …”
He hesitated for a moment.
“Boss, don’t you think there’s something strange?” Su Yun asked.
“Open up three of your coronary arteries and take a look. Don’t cut your hand. ” Zheng Ren said.
“Tsk!” “I’ve done 122 coronary artery bypass surgeries,”Su Yun said.
“Just be careful,” Zheng Ren said,”the area of heart muscle necrosis is too large. The entire heart seems to be damaged, like a rotten peach.”
“This is a rare situation. When I was dissecting it, I also found it strange.” Li zhaosen said,”I’ve done dissections on patients with myocardial infarction before. Even an old man in his 70s or 80s is not as serious as him.”
Su Yun did not follow Zheng Ren’s instructions to dissect the coronary artery. Instead, she started to examine the heart.
“What are you thinking about?” Zheng Ren asked.
“The smell is terrible.” Su Yun said,”it looks like rust. Was it caused by some chemical poisoning?”
“I’ve dissected the liver, and there aren’t too many problems. At most, there’s a little alcoholic liver, but it’s not very serious. ” Li zhaosen said.
“Strange.” Su Yun shifted her heart to another direction.
“Don’t touch the coronary arteries for now. The heart is generally large, and there’s ventricular saturation, especially the left chamber. ” Zheng Ren suddenly said loudly.
An adult’s heart was about the size of a person’s fist. A fist the size of a sandbag was just an adjective. Generally speaking, the heart was not that big.
Especially since a large portion of it was in Su Yun’s hands, Zheng Ren could not see its size clearly.
“I knew something was wrong!” Su Yun said,”it’s my first time doing an autopsy, and I actually forgot such an important thing.”
With that, he began to dissect the heart.
Su Yun’s use of scalpels was different from Zheng Ren ‘s. His technique was more exaggerated, or rather, it was more dazzling.
“Focus on increasing in size. The volume is about 10% larger than normal. With the left ventricle as the example, the left ventricle expanded and thickened, which meant that the deceased had left cardiac failure at the time of death. There’s bleeding in the heart muscle, and there’s a large amount of heart muscle fiber!” Su Yun explained as she dissected.
“Cardiac contraction belt …” Soon, he stopped talking.
“Necrotic?” Zheng Ren’s eyes narrowed.
“I was just about to read this when I received your call, boss Zheng.” Li zhaosen also saw this and immediately explained.
Heart muscle contraction leading to necrosis meant that something very important had happened. Basically, only amphetamine users would have such physiological changes.
It was not an occasional use, but an abuse, long – term, large amount!
“MD!”Su Yun cursed excitedly,”boss, I know what this weird smell is!”
Zheng Ren also wanted to know what that smell was.
People who took amphetamine would have a foul smell on them.
There was a huge gap between Zheng Ren and Su Yun’s social circle and such people. They rarely saw such people, so they did not react immediately.
Li zhaosen was in the same situation.
What he saw in the book was just dry words, which couldn’t replace the smell. Li zhaosen quickly ran to turn on the exhaust fan. He only felt better when he heard the buzzing sound.
“There are many factors in the mechanism of myocardial lesion, including excessive cataplatinine, coronary artery spasms and lack of blood, increased active oxygen, mitochondria damage, changes in myocardial metabolism, as well as direct toxic effects.”
Su Yun muttered as she dissected. Zheng Ren knew that he was thinking.
Things had already taken a turn for the better, or even reversed.
“Chronic poisoning can cause changes such as myocardial inflammatory cell infiltration, cardiac bouncy platyposis, cardiac fiber, and expansive myopathy, as well as accelerating arterosticosis, aortic dissection, and even heart rupture.” Su Yun said,”we can almost be sure that the heart rupture was caused by amphetamine poisoning. It has nothing to do with external injuries.”
“You’re too subjective. ” “I don’t think so,” Zheng Ren said calmly.”The court will not believe your subjective opinion.”
“Then find objective evidence.” Su Yun turned around and smiled, her black hair fluttering in the wind.
“Take out the tissue under the epineurium and send it for pathological biopsy.” Zheng Ren said,”there are focused lymphatic infiltration under the epineurium, the coronary artery, and the aorta. There is also myocardial hemolytic necrosis, inflammatory cell infiltration, and fibrous tissue proliferation. It’s the most objective and powerful evidence. “
The room was cold and quiet. Zheng Ren’s words were like a stone, ringing loudly as they hit the walls.
“Alright!” Su Yun replied with certainty.