He had asked Boss Zheng to come because he wanted to see his exquisite anatomical skills.
However, who would have thought that Boss Zheng would not follow the routine. He did not find the location of the cerebral hemorrhage, but directly found the internal carotid artery thrombosis through autopsy.
"Boss … Zheng, what do you mean?" Li Zhaosen could not speak clearly.
"The deceased suffered from carotid atherosclerosis, and the elasticity of the blood vessels was poor. In the process of avoiding and fighting, the neck produced violent movements such as hyperextension or lateral curvature.
In an instant, the carotid artery was violently pulled, causing the carotid artery intima to tear, leading to thrombosis and occlusion of the lumen.
The brain tissue was embolized by the blood vessel occlusion or partial thrombosis, causing acute cerebral ischemia and multiple large-scale necrosis. "
Zheng Ren slapped the knife in front of Li Zhaosen, took off his gloves, and said nimbly.
"…" Everyone was stunned.
"Boss, the incidence of carotid artery intima avulsion is very low. How did you think of it?" Su Yun asked with a frown.
"The development of the disease is very strange. He inexplicably urinated and fecal incontinence. The disease under consideration is mainly carotid artery intima 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. Later, he was sent to the hospital," Zheng Ren said casually. Anyway, Su Yun arrived at the emergency department a few days later than him. Whatever he said was true.
If he had the ability to go back to Sea City to find a medical case, Zheng Ren believed that Su Yun would not be so free.
Su Yun was just asking casually. He did not think about what Zheng Ren said.
It was a very clear logical chain. If there was a chance to do an autopsy, he would definitely look at the carotid artery. Su Yun would not question his boss's IQ.
That guy's EQ was very low, but his IQ was definitely not low. It was only a little lower than his, Su Yun thought to himself.
"Boss Zheng, you …" Li Zhaosen was stupid and did not know what to say.
"Huh?" Zheng Ren tilted his head to look at him, smiled, and said, "What's wrong?"
"The court's verdict for traumatic carotid artery occlusion and cerebral infarction is completely different. The forensic doctor must be cautious. Are you … sure? "Li Zhaosen said softly.
Zheng Ren studied his expression carefully and felt that he was not defending the other party. He was just asking him to be more cautious.
Perhaps in Li Zhaosen's opinion, his judgment was a little far-fetched, but in Zheng Ren's opinion, it was obvious.
In fact, it made sense. How could they find the top diagnostic and surgical experts in the country to do something like an autopsy?
Top surgeons charged tens of thousands of yuan for one surgery. If he had the time, he might as well go for freelance surgery. Who will pay for the autopsy?
This was a coincidence, so he decided to teach Li Zhaosen something.
This person was very skilled in dissecting, but an autopsy was definitely not something that could be done just by dissecting.
The corresponding clinical knowledge and the development of the disease would provide a lot of clues.
Judging by his attitude toward the medical records, Zheng Ren could guess a thing or two.
"It's like this." Zheng Ren turned around and took off his white coat. "Traumatic carotid artery occlusion refers to a blunt or sharp instrument injury to the neck, excessive extension and curvature of the neck, or a skull fracture involving the petrous part of the temporal bone, which leads to the tear and rupture of the internal carotid artery, resulting in complete thrombotic occlusion."
"This disease is divided into two types: open and closed. The patient's … the deceased's condition is relatively easy to differentiate."
"That … Teacher Li, it's not enough to just do an autopsy. If it's a deceased from the hospital, you should read more medical records. There are some descriptions in the medical records that can infer a lot of things, "Zheng Ren said.
"…" Li Zhaosen looked at Zheng Ren silently with a wronged expression. However, he was not unconvinced, but more confused.
After the ESD autopsy that day, Li Zhaosen's attitude toward Zheng Ren had skipped from indifference, friendliness, respect, and reverence to worship.
Zheng Ren found Li Zhaosen quite interesting and was willing to talk to him. As he washed his hands, he said, "Just like the differential diagnosis in the clinic, the forensic doctor will definitely have it too. They're both cerebral infarctions. There's still a difference between traumatic and pathological. "
"What's the difference?" Li Zhaosen asked immediately like a student.
"First, there's a clear history of head and neck trauma. The external force can easily cause the neck to hyperextend or curvature.
Second, there's an incubation period between the injury and the onset of the disease. The patient just now has an incubation period of two to three days. During the incubation period, the patient is completely fine. This is also the main basis for my judgment that the patient has carotid artery avulsion syndrome.
Third, after the onset of the disease, there may be mild hemiplegia, hemiplegia, and aphasia.
Some may be accompanied by Horner's syndrome. This is not obvious in the medical record because it's difficult for the district and county hospitals to make targeted judgments.
Fourth, the brain CT examination showed multiple large-scale encephalomalacia on one or both sides, which is not consistent with the latter's predilection.
Fifth, the autopsy showed carotid artery intima rupture and thrombosis. "
Zheng Ren had the standard thinking of a science student. His words confused Li Zhaosen.
What the hell was this?
Although he did not understand, the feeling of unawareness echoed in his heart. Boss Zheng was really professional. Li Zhaosen was extremely emotional.
Although he was a doctor, he directly crushed him in the autopsy.
"Boss … Zheng, please speak slowly. I'll write it down." Li Zhaosen had a look of admiration on his face.
Unlike Liu Zewei, who was an experienced person, Li Zhaosen was the kind of person who had a one-track mind. Everything he had was written on his face and not hidden in his heart.
Zheng Ren felt that Li Zhaosen was a little crazy. He was obsessed with technology, but he was a good person.
He spoke slowly and waited for Li Zhaosen to record it. In the end, Zheng Ren thought that he could use WeChat voice.
"Boss Zheng, the specimen of the cadaver is here," Zhou Chunyong answered a phone call and said.
Li Zhaosen's ears perked up when he heard the word 'cadaver'.
"Okay." Zheng Ren said to Li Zhaosen, "Teacher Li, then let's …"
Just as he said this, Zheng Ren's phone rang.
[They said to quickly write a love song that can be appreciated by both refined and popular people …]
Zheng Ren picked up the phone. "Director, I …"
"Yes, I'm at the Medical University." Zheng Ren's expression immediately became solemn. When Zhou Chunyong saw this, his heart trembled.
An ominous premonition quickly rose in his heart.
"Okay, I'll rush over immediately!" Zheng Ren said with a serious expression.
"Boss, what's wrong?" Su Yun asked.
"An employee who works overseas was injured locally. It was a gunshot wound. After simple treatment, he was sent back to China. It's been eight days and he can't find any bullets. Deputy Director Yuan asked me to go for a consultation to see if I can find anything. "After Zheng Ren said that, he left in a hurry.
"Boss Zheng …" Zhou Chunyong's voice was very soft and getting softer and softer.
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