Chapter 1627 The Inexplicable Dead
The more Zheng Ren looked at it, the more strange it became.
According to the medical records, the patient was hit with a wine bottle. The two sides scolded each other. The deceased was bleeding continuously, but there was no follow-up physical contact. Later, he was pulled away and sent to a nearby hospital for treatment.
There was no problem with the first CT scan. The report did not mention any images such as subarachnoid hemorrhage and subdural hematoma.
However, the medical records stated that the patient was awake at this time, and there was no problem with his behavior and behavior.
The CT of the head checked after being sent to the hospital was also normal, but the patient was admitted to the hospital only because he requested to be hospitalized for observation.
This is mentioned by the doctor in the original medical records.
Generally, in this situation, the doctor will write a statement that the patient strongly requests hospitalization for observation and the like. Although it's useless, there's always something missing if you don't write it.
The subsequent ward rounds were also normal, and Zheng Ren could see obvious traces of copying and pasting from the medical records.
Only the mildest patients, doctors will carelessly copy and paste medical records.
However, in the early hours of the third day, things took a turn for the worse.
The deceased, who was well before going to bed, woke up on his own in the middle of the night, but soon became incontinent.
This is the weirdest point.
Because the hospital for the first consultation was a county and township-level hospital in the suburbs of the imperial capital, the doctor was immediately stunned when he found that the problem was wrong.
A good person, after being hospitalized for 2 or 3 days, suddenly falls asleep?
The local doctors were also confused, so the family members of the patients were advised to hurry up and go to the higher-level hospital.
Because of the party responsible for the accident and the cost, it was delayed for several hours before being transferred to the Affiliated Hospital of Imperial Medical University.
However, after delivery, the patient's bilateral pupils have been dilated, the light reflex has almost disappeared, and a series of symptoms such as urinary incontinence have not improved at all.
MRI showed symptoms of massive cerebral infarction.
In the end, the family members of the patient refused to conduct further examinations and made a clear diagnosis due to economic reasons, and focused their energy on litigating with the other party.
This patient boiled for a week under the maintenance of sugar and saline, and finally died.
The CT report I just saw was made by the Affiliated Hospital of Imperial Medical University.
"Boss Zheng, are you here?" Li Zhaosen said eagerly after seeing Zheng Ren read the report and handing the white clothes to Zheng Ren. He waited for three days just to see the "craftsmanship" of Boss Zheng's dissection.
"I don't know the rules, you come first, I'll take a look." Zheng Ren's speech was a little slow, Su Yun knew that this guy must be thinking about his illness, so he didn't speak, just took a half step back.
Several teachers in the anatomy teaching and research section whispered that they trusted Li Zhaosen. After all, the cooperation time is very long, and Li Zhaosen's basic anatomy skills are the most solid.
"Then I'm welcome." Li Zhaosen said: "Boss Zheng, what did I do wrong? Just say it!"
Zheng Ren glanced at him, and saw that the tone of his words was very serious, not like a joke or hypocrisy.
I remember that when I was teaching anatomy at Imperial Medical University, the last person named Li Zhaosen sat in front and watched. After separating the muscularis and adventitia, he rushed up and stroked the gross specimen with his hands.
It is indeed the most standard technician. In his eyes, if he is accompanied by hundreds of general teachers, it is the best place to go.
Li Zhaosen cut open the skin of the deceased's head and described the temporal injury, which was recorded by an assistant next to him.
Then he skillfully opened the skull with a chainsaw.
There were patchy hemorrhages in the left temporal cap membrane and the left temporal muscle, and the brain tissue was hyperemia and edema.
As the skull was opened, a rotten smell permeated the entire dissection chamber.
"There is no intracranial hemorrhage, it is considered a cavity infarction." Li Zhaosen said with certainty, "The chest and abdomen must be dissected to rule out other diseases."
"Wait a minute." Zheng Ren said suddenly.
"Huh?" Li Zhaosen was startled.
Very typical anatomical structure, brain tissue congestion and edema, and early softening foci of different sizes in the internal capsule and basal ganglia on both sides.
What's there to wait for?
Su Yun's eyes lit up, although he didn't understand it, but this is the field of neurosurgery.
Zhou Chunyong covered his mouth and nose, and took a few steps back together with the teacher from the Anatomy Teaching and Research Office next to him.
"No." Zheng Ren said, and began to put on gloves.
What Li Zhaosen prepared for Zheng Ren were sterile gloves for clinical use, while the ones he wore were ordinary latex gloves.
Zheng Ren didn't know whether he was paying attention or not. After putting on gloves, he stretched out his hand.
Empty hands.
"Knife." Zheng Ren said solemnly.
"Oh." Li Zhaosen responded twice and handed the knife in his hand to Zheng Ren.
The cooperation was not particularly tacit. Li Zhaosen pointed the tip of the knife at Zheng Ren, instead of slapping the handle of the knife in Zheng Ren's hand like an instrument nurse.
Zheng Ren was almost not scratched by the knife.
Fortunately, at the end, Zheng Ren dodged under Su Yun's reminder.
This is the difference between clinical and forensic.
There was a little disturbance, but Zheng Ren didn't pay too much attention. He picked up the knife and began to dissect the neck of the deceased.
As soon as the knife went down, Su Yun's eyelids jumped twice.
"Doctor Su, why does Boss Zheng look the same as how many years he has been a forensic doctor?" Zhou Chunyong felt that Zheng Ren's proficiency in dissecting cadavers was a bit strange, so he leaned over to Su Yun and asked in a low voice.
The difference between a doctor and a forensic doctor is still stark.
Boss Zheng's action is definitely not an action on the operating table. Judging from the stance of the child god blocking the killing god, it is absolutely ferocious. I don't know how many dead people have been dissected.
Su Yun shook his head, his eyelids jumping.
He had already seen that Zheng Ren's technique was very unrestrained, and this was definitely not something that was practiced on the operating table.
Zheng Ren acted according to his thoughts as if in the operating room of the system. His anatomical structure was clear, and he went straight to the common carotid artery.
After incision and dissociation, the common carotid artery was found, and Zheng Ren cut it open.
There is a large amount of atherosclerotic plaque in the common carotid artery.
"Boss Zheng, who are you?" Li Zhaosen was a little confused.
Zheng Ren didn't speak, and continued to dissect and dissect.
Soon, free to the origin of the right internal carotid artery. After opening, a thrombus was found here, extending distally, 1.5 cm long, and completely occluding the lumen.
Li Zhaosen was silent.
It's not a cerebral infarction judged by yourself, but an internal carotid artery occlusion!
This is too coincidental, Li Zhaosen was a little puzzled, but he was obviously more confident in Zheng Ren than Su Yun, and quietly watched Zheng Ren's dissection.
"If possible in the future, I still have to look at the medical records." Zheng Ren stopped and was very satisfied with his judgment, "The brain tissue was sent for biopsy, and under the microscope, we can see the encephalomalacia and some of the cerebral vessels V-R's. There is some focal hemorrhage in the cavity,
Cerebral pyramidal cells were swollen, eosinophilic in cytoplasm, cytoplasmic nuclei were dissolved, and protrusions were shortened or disappeared. Some glial cells also showed nucleolysis or outlines of residual nuclei. "
Li Zhaosen was dumbfounded like a duck listening to thunder.