1736 Myocardial Contractile Band - Necrosis! (Leader Albinism Hacker 5)
"What kind of patients usually send you an autopsy?" Zheng Ren asked.
"Most of the people who died in the hospital were sent here, and there were a small number of dead people who fought. I couldn't encounter real big cases, big cases," said Li Zhaosen: "Even if I need technical assistance, I will go to the municipal bureau." Li Zhaosen said.
"You are just yourself, are you afraid?" Zheng Ren glanced at the deceased, his chest and abdomen had been dissected, and he probably had seen it.
Su Yun put on her clothes, gloves, and began to dissection.
"It's all dead people. What's there to be afraid of? Only living people are scary." Li Zhaosen said.
Combined with the gloomy atmosphere here, his words were quite powerful. And the corpse was like an annotation, silently agreeing with Li Zhaosen's words.
Su Yun walked directly to the deceased, put the knife aside, he picked it up, lifted his heart, and began to dissect it.
"There is no problem with the general structure of the heart." Su Yun said, "There are no congenital heart disease and organic lesions other than myocardial infarction."
Zheng Ren didn't chat, he stood behind Su Yun and watched Su Yun's dissection.
He knew where Su Yun was tangled.
If the deceased had a heart attack, it means that Liu, who had a dispute with the deceased, had certain joint and several liability. At least part of the responsibility is in shirkable.
But if it was not death from myocardial infarction, but myocardial rupture, the medical staff who were undergoing heart compression at that time would have to have certain responsibilities.
A dilemma.
The room was filled with the smell of internal organs, and the exhaust fan was not turned on. Zheng Ren frowned. He was really not used to this smell and said, "Teacher Li, do you usually don't turn on the exhaust air?"
"What are you doing with that thing? If you didn't wait for Boss Zheng, you can have an autopsy, I'll get it done in twenty minutes." Li Zhaosen said: "The smell hasn't even spread yet."
Zheng Ren really doesn't know how to describe Li Zhaosen.
"And the dead people who were autopsy smell much better than those of the Dabi. Especially the Dabi who just caught out of the pond, the formalin smell was done after the autopsy, and it was like the broken heart just now."
"Do you have a girlfriend?" Zheng Ren stared at Su Yun's heart dissecting and asked casually.
"No, who would marry me for my job?" Li Zhaosen didn't care and replied casually.
"Cardous rupture occurs near the apical point of the posterior wall of the left ventricle. There is acute large-area myocardial infarction in the rupture area. The rupture is irregular, about 1208." Su Yun continued to observe.
"Mystolic infarction is relatively large, myocardial necrosis..."
As he said that, he hesitated for a moment.
"Boss, do you think there is something strange?" Su Yun asked.
"Open the three coronary arteries and see, are you sure? Don't get the cut." Zheng Ren said.
"Take it!" Su Yun said: "I have done 122 cases of coronary artery bypass surgery."
"Just be careful." Zheng Ren said, "The range of myocardial necrosis is too large, and the whole heart seems to be broken, like a rotten peach."
"This kind of situation is rare, and I also find it strange when I dissect it." Li Zhaosen said, "I have had an autopsy of a patient with myocardial infarction. The elderly in their seventies and eighties are not as serious as his."
Su Yun did not directly dissect the coronary artery according to Zheng Ren's statement, and he began to look at the heart.
"What are you thinking?" Zheng Ren asked.
"The smell is bad." Su Yun said, "Is it caused by rust or something like that?"
"The liver has been dissected, and there is no big problem. At most, there is a little alcoholic liver, which is not very heavy." Li Zhaosen said.
"Strange." Su Yun changed his heart in another direction.
"Don't move the coronary artery first, and dissect the left heart. The heart is overall larger and the ventricle is hypertrophic, especially the left ventricle." Zheng Ren suddenly said loudly.
The heart of an adult is about the same size as his own fist. The fist with a sandbag is just an adjective, and generally speaking, the heart is not very big.
Especially since a large part of it is in Su Yun's hands, it is difficult for Zheng Ren to see the size clearly.
"I just said something wrong!" Su Yun said, "I forgot such a big thing for the first time when I had an autopsy."
As he said that, he began to dissect the heart.
Su Yun's use of a scalpel is different from Zheng Ren. His techniques are exaggerated or rather dazzling.
"The whole heart is enlarged, and the volume is approximately larger than normal. 10. The left ventricle is dilated and hypertrophy. Considering the death of the deceased, there is left heart failure. Myocardial bleeding and a large number of myocardial fibrosis!" Su Yun stated while dissecting.
"Mynaecological contraction belt..." Soon, his words stopped.
"Neutral?" Zheng Ren's eyes narrowed.
"I just got a call from you when I received your call." Li Zhaosen also saw this at the same time, and he immediately explained.
Necrosis of myocardial contraction band means that a very important thing is basically only those who abuse methamphetamine will have such physiological changes.
Not used occasionally, but abused for a long time, in large quantities!
"!" Su Yun cursed excitedly, "Boss, I know what this strange smell is!"
Zheng Ren also wanted to understand what that smelled.
People who smoke methamphetamine have a scent.
Zheng Ren and Su Yun’s social circles have a huge gap with such people. They can’t see such people at ordinary times, so they didn’t react immediately.
The same is true for Li Zhaosen.
What I saw in the book was just boring words, which could not replace the smell of my nose. Li Zhaosen hurriedly ran to turn on the exhaust fan, until he heard the buzzing sound, and he seemed to be a little better.
"The mechanism of cardiomyopathy is multifactorial, including catecholamine excess, coronary spasm and ischemia, increased reactive oxygen species, mitochondrial damage, myocardial metabolism changes, and direct toxic effects."
Su Yun was nagging while dissecting it. Zheng Ren knew that he was thinking.
Things have turned around, or even reversed.
"Chronic poisoning can cause myocardial inflammatory cell infiltration, myocardial hypertrophy, myocardial fibrosis, dilated cardiomyopathy, accelerated atherosclerosis, aortic dissection and even heart rupture." Su Yun said, "It can be almost determined that the heart rupture caused by methamphetamine poisoning has nothing to do with trauma."
"You are too subjective." Zheng Ren said calmly: "The court will not believe your subjective opinions."
"Then find objective evidence." Su Yun turned around and smiled, his relatives with black hair floating on his forehead refused to recognize him.
"Take the subepithelial tissue and send it to a pathological biopsy." Zheng Ren said, "The focal lymphocyte infiltration of the coronary artery and aorta, myolytic necrosis, inflammatory cell infiltration and fibrous tissue hyperplasia are the most objective and strong evidence."
The room was deserted, and Zheng Ren's words hit the surrounding walls like stones, buzzing.
Chapter completed!