Chapter 1628 Worship+2

When I came to Boss Zheng, I wanted to see his superb anatomy skills.

But who would have thought that Boss Zheng did not follow the routine and did not find the location of the cerebral hemorrhage, but directly discovered the internal carotid artery thrombosis through autopsy.

"Zheng... Boss, what do you mean?" Li Zhaosen was at a loss for words.

"The deceased had carotid atherosclerosis, and the blood vessels had poor elasticity. During the process of dodging and fighting, the neck produced violent movements such as hyperextension or lateral bending.

The carotid artery is pulled violently in an instant, causing the intima of the carotid artery to tear, resulting in thrombosis and occlusion of the lumen.

Brain tissue due to vascular occlusion or thrombus partially falls off and embolizes intracranial branches, causing acute cerebral ischemia and multiple large-scale necrosis. "

Zheng Ren slapped the knife in front of Li Zhaosen and took off the gloves, said neatly.

"..." Everyone was stunned.

"Boss, carotid intima avulsion, the incidence is very low, how did you think of it?" Su Yun asked with a frown.

"The development of the disease is very strange, inexplicable incontinence, the disease under consideration is mainly carotid endarterial avulsion syndrome." Zheng Ren said casually.

"How do you know?" Su Yun was concerned about this.

"Before you went to the emergency department, there was a similar patient in the observation room, and then he was sent to the medical university." Zheng Ren said nonsense. Anyway, Su Yun arrived at the emergency department a few days later than himself, so what he said was what he said.

If he has the ability to go back to Haicheng to look for medical records, Zheng Ren believes that Su Yun is not so busy.

Su Yun just asked casually, and he didn't think about what Zheng Ren said.

There is a very clear logical chain. If you have the opportunity to do anatomy, you must look at the carotid artery. In this regard, Su Yun will not question the IQ of his boss.

That guy, EQ is very low, but IQ is definitely not low. Only a little lower than himself, Su Yun thought to himself.

"Boss Zheng, you..." Li Zhaosen was stupid and didn't know what to say.

"Huh?" Zheng Ren turned his head to look at him, smiled, and said, "What's wrong?"

"Traumatic carotid artery occlusion and cerebral infarction, the court's judgment is completely different. The forensic doctor must be cautious, can you... be sure?" Li Zhaosen whispered.

Zheng Ren looked at his expression carefully, and felt that he was not defending the other party, but just asked himself to be cautious.

Perhaps in Li Zhaosen's opinion, his judgment is a bit far-fetched, but in his opinion, it is the most obvious thing.

In fact, it is also true, how can you find the top diagnostic and surgical experts in China to do something like an autopsy?

Top-notch surgery costs tens of thousands of dollars for a single operation. It is better to go to the knife when you have time. Who will pay for the autopsy?

This time it was a coincidence, so let's teach Li Zhaosen something.

This person's anatomical techniques are very skilled, but autopsy is definitely not something that can be done by anatomy alone.

Corresponding clinical knowledge and the development of the disease will provide many clues.

Judging from his attitude towards medical records, Zheng Ren can guess one or two.

"That's it." Zheng Ren turned around and took off his white clothes, and said, "traumatic carotid artery occlusion refers to a blunt or sharp injury to the neck, hyperextension and scoliosis of the neck, or involvement of the petrous temporal bone of the skull. Fractures, etc., lead to tearing and rupture of the intima of the internal carotid artery, and even complete thrombotic occlusion."

"There are two types of disease, open and closed, and the patients...the deceased are better differentiated."

"That...Mr. Li, it's not enough to do an autopsy. If the deceased comes from the hospital, you should read more medical records. There are some descriptions in the medical records, and many situations can be inferred." Zheng Ren said.

"..." Li Zhaosen looked at Zheng Ren silently, aggrieved. But not dissatisfied, more confused.

After the ESD autopsy that day, Li Zhaosen's attitude towards Zheng Ren had skipped the blandness, friendliness, respect, and reverence, and went straight to worship.

Zheng Ren thought Li Zhaosen was very interesting, and he was willing to say a few words to him. While washing his hands, he said, "Just like there is a clinical differential diagnosis, a forensic doctor will also have it. They are all cerebral infarctions, and there is still a difference between traumatic and pathological ones. of."

"What's the difference?" Li Zhaosen immediately asked like a student.

"First, there is a clear history of head and neck trauma; the site of external force is likely to cause neck hyperextension or scoliosis.

Second, there is an incubation period between injury and disease. The patient just now has an incubation period of 2-3 days. During the incubation period, the patient is completely fine. This is also my main basis for judging patients with carotid endarterial avulsion syndrome.

Third, mild hemiplegia, hemiparesis and aphasia may occur after the onset, and some may be accompanied by Horner's syndrome. This is not clearly reflected in the medical records, because it is difficult for district and county-level hospitals to make targeted judgments.

Fourth, brain CT examination showed multiple large-scale encephalomalacia on one or both sides, which was inconsistent with the latter's predilection site.

Fifth, autopsy revealed carotid intima rupture and thrombosis. "

Zheng Ren's thinking is a standard science student, and Li Zhaosen was immediately confused.

What the hell is this?

Although I didn't understand it, the feeling of unawareness reverberated in my heart. Boss Zheng is really professional, Li Zhaosen was very emotional.

Although he is a doctor, he directly crushed himself during the autopsy.

"Zheng... Boss, speak slowly, and I'll remember." Li Zhaosen had an expression of admiration on his face.

Unlike Liu Zewei's kind of old Jianghu, Li Zhaosen belongs to the kind of person with a single brain. He writes everything on his face instead of hiding it in his heart.

Zheng Ren felt that Li Zhaosen was a little crazy, obsessed with technology, but he was also a good person.

He said slowly, little by little, and when Li Zhaosen recorded it, Zheng Ren finally realized that WeChat voice was completely possible.

"Boss Zheng, I have brought you the specimens of the general teacher." Zhou Chunyong answered a call and said.

Li Zhaosen's ears perked up when he heard the words "Teacher Routou".

"Okay." Zheng Ren and Li Zhaosen said, "Mr. Li, let's first..."

Just after saying this, Zheng Ren's cell phone rang.

[They said to write a love song quickly, and both the refined and the popular...]

Zheng Ren answered the phone, "President, I..."

"Well, I'm in a medical university." Zheng Ren's expression immediately became solemn, and Zhou Chunyong shuddered when he saw it.

An ominous foreboding quickly rose in his heart.

"Okay, I'll rush over right away!" Zheng Ren said with a serious expression.

"Boss, what's wrong?" Su Yun asked.

"An employee who worked overseas was injured by a gunshot wound locally. It has been 8 days since he was sent back to China after simple treatment, and he couldn't find any bullets. Vice President Yuan asked me for a consultation to see if he could find anything." Zheng After Ren finished speaking, he hurried away.

"Boss Zheng..." Zhou Chunyong's voice was very small, getting smaller and smaller.