Su Yun was thinking.
He had seen 24-year-old patients with coronary heart disease. Not just 24-year-old patients, he had even seen patients with coronary heart disease under the age of 20.
Although it was rare, it was not unbelievable to encounter it in the hospital.
He just felt that it was too strange to slap a person until their heart ruptured.
The surgery was finally over. The success was expected.
Zheng Ren stood up and turned around to see that Su Yun was still thinking. He said in a deep voice, "Direct violence caused a temporary deformation of the thoracic cage. The front and back diameter of the thoracic cage shortened. The ribs in the precordial area and the cushioning effect of the spine caused a heart contusion. The sternum or rib fracture can directly pierce the heart."
"Are you telling me that this is the responsibility of the neurosurgery medical staff?" Su Yun asked.
"No, it's just a normal deduction of the condition," Zheng Ren said calmly. "Don't think about evading responsibility for now. Let's think about normal things. For example, what caused the deceased to have a myocardial infarction at the age of 24."
He paused for a moment, then smiled and said, "I think this will convince you, or me."
Su Yun shrugged, obviously disdainful of Zheng Ren's words.
"Another possibility is that when the precordial area is hit by a blunt force or when the abdomen and lower limbs are violently compressed, blood from other parts of the body rapidly flows to 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 his head.
"Obviously, the two most common situations do not match the course of the deceased's disease. He was just slapped. According to your description, he took Big Liu's hand and slapped himself to start provoking him, "Zheng Ren said." Change your clothes and go to the anatomy teaching and research room to take a look. "
"What are you thinking about?"
"Aging syndrome? Severe fatty liver causes abnormal blood lipids, coagulation function, or other rare diseases, "Zheng Ren said. "But there is still too little information. Since we can directly dissect it and use it as evidence, why not try it?"
"Boss, have you been interacting with Massachusetts General Hospital a lot lately? Why can't you speak properly? "Su Yun said disdainfully.
"Translation accent? Reading those translated documents every day will always be infected, "Zheng Ren said with a smile.
"The fifth edition of surgery is translated?"
"Maybe the fourth edition."
Zheng Ren told Xie Yiren that he was going to Imperial Capital Medical University and did not wait for him for lunch.
Then, while thinking, he walked to the changing room to change his clothes.
"According to Li Zhaosen, the patient shouldn't have any problems with heart malformations or stents. The biggest problem is that the patient is 24 years old this year. " Zheng Ren said, "At this age, it's not like he works night shifts all year round. How could his heart rupture?"
"Yes, that's what I thought. I've done thousands of compressions and dissections. From human bodies to rabbits and white mice. I am more familiar with the heart than anyone else. "Su Yun said:" It is very difficult for the heart to rupture. Do you know how strong the heart muscle is? "
Zheng Ren glanced at Su Yun. It was hard to believe that this guy would say in front of him that he was the most familiar with the heart.
Did he really not know what was going on?
"Could it be an aortic dissection?" Su Yun suddenly said.
"No," Zheng Ren said. "A torn aorta and a torn heart are two different things."
"But the tear has spread to the left ventricle, especially …" Su Yun could not convince himself, and his voice gradually became softer.
"It's rare for the heart to rupture spontaneously. I wouldn't be surprised if this happened to Chunu Anse in Nanyang, "Zheng Ren said." But if it's an ordinary person, it's too fantastical. "
"It's definitely not caused by 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 guy did not need comfort at all.
"It might be another disease of the heart muscle. Go and do an autopsy. This time, you do the autopsy. I'll be in charge of recording," Zheng Ren said.
"Haven't you finished the autopsy?" Su Yun asked.
"Clinical anatomy teachers don't have a deep understanding of some rare diseases. Do you still have an impression of the patient with carotid endometrial avulsion syndrome that I encountered last time? "Zheng Ren said." They're better at diagnosing murders and trauma.
And the death caused by diseases is their shortcoming. "
"Are you saying that the patient's injury was caused by the disease?" Su Yun suddenly felt hopeful.
"No," Zheng Ren said. "You're the one who said it. I just want to try my best to find the reason."
Su Yun was silent. He took a car and came to the anatomy teaching and research room of the Imperial Capital Medical University Affiliated Hospital.
The autopsy room was at the innermost part. It was cold and damp. When the door was opened, a gust of cold air greeted him.
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 squatted on the ground and smoked. When he saw Zheng Ren coming over, he immediately stood up and greeted him enthusiastically.
"Yes, I'll see how it goes," Zheng Ren said.
"Here's your white coat." Li Zhaosen quickly put out his cigarette, took a prepared white coat from the clothes rack, and handed it to Zheng Ren with both hands.
"Today's autopsy will be done by Doctor Su," Zheng Ren said.
Li Zhaosen was a little unhappy. He glanced at Su Yun with disdain.
Su Yun was not in the mood to bicker with him.
Now, his mind was filled with what kind of rare disease had caused a 24-year-old young man to suffer from a heart attack and then be killed with a slap.
What the f * ck. Su Yun kept cursing in his heart.
How could such a damned thing happen? It would have been fine if it was other diseases, but Su Yun had a thorough understanding of diseases related to the heart. He thought about it many times, but he did not know how to explain it.
"Boss Zheng, the body surface damage suffered by the deceased was minor and not enough to cause death. Moreover, it was not distributed to the anterior cardiac region, so it does not support the cause of death," Li Zhaosen said.
"Didn't the deceased's family say that it was caused by external chest compressions?"
"The location is wrong. External chest compressions will at most cause the ribs and sternum to break and puncture the heart. The current evidence cannot confirm this, "Li Zhaosen said.
"Can't it be denied?" Su Yun asked.
"Yes." Although Li Zhaosen did not pay much attention to Su Yun, he was after all brought by Boss Zheng. It was not good to roll his eyes too much.
After reluctantly agreeing, Li Zhaosen followed Zheng Ren into the autopsy room.
This time, there was no one there. The assistants had been driven away by Li Zhaosen.
The room was cold and gloomy. The air conditioner was turned on all year round. A corpse was placed on the autopsy table. Its chest had been cut open.
A faint smell of blood and internal organs filled the room.
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