1735 24-year-old myocardial infarction complicated by heart rupture
Su Yun is thinking.
He has seen a 24-year-old patient with coronary heart disease. He has seen more than 24 years old, even a 20-year-old patient with coronary heart disease.
Although rare, it is not something that can be encountered in hospitals.
He just felt that it was so strange that a slap broke the heart and died.
The operation was finally over, and success was expected.
Zheng Ren stood up and saw Su Yun still thinking, so he said in a deep voice: "Direct violence causes temporary deformation of the chest, shortening the anterior and posterior diameter of the chest, squeezing of the ribs in the anterior and cardiac area and the padding of the spine cause heart contusion, and the fracture end of the sternum or rib can directly pierce the heart."
"Are you telling me that it is the responsibility of a neurosurgeon?" Su Yun asked.
"No, it's just a normal inference." Zheng Ren said calmly: "Don't think about evading responsibility first. Let's think about normal things, such as what causes the deceased to have myocardial infarction at the age of 24."
He paused, smiled, and said, "I think doing this will convince you or me."
Su Yun shrugged, obviously disdainful of Zheng Ren's words.
"There is another type. When the precordial area is hit by a blunt blow or violently compresses the abdomen and lower limbs, blood is rapidly injected from other parts of the body into the chest. The rapidly increasing pressure in the heart cavity causes the heart to rupture." Zheng Ren said while thinking.
Su Yun shook his head.
"Obviously, the two longest conditions did not match the course of the deceased. I was just slapped. Using your description, he took Liu's hand and began to provoke." Zheng Ren said: "Change clothes and go to the anatomy and research department to take a look."
"What are you thinking about?"
"Aging syndrome? Severe fatty liver causes blood lipids, abnormal coagulation function or other rare diseases." Zheng Ren said: "But there is too little information now. Since it can be directly dissected, why not try it as evidence?"
"Boss, how much have you communicated with Massachusetts General Hospital recently? You don't even say anything?" Su Yun said contemptuously.
"Translation accent? Reading translated documents every day will always be contagious." Zheng Ren smiled.
βIs the fifth edition of the surgery translated?β
"Maybe the fourth edition is."
Zheng Ren and Xie Yiren greeted him and said that they were going to the Imperial Capital Medical University and should not wait for themselves for lunch.
Then he thought, walked to the locker room and started changing clothes.
"Li Zhaosen said, the patient should have no problems such as heart malformation or stenting. In summary, the patient is 24 years old this year, which is the biggest problem." Zheng Ren said: "At this age, I don't stay up late and work all year round, how can my heart rupture occur?"
"Yes, I think so too. I have done thousands of heart compressions and heart anatomy. From humans to rabbits and mice, I am more familiar with the heart than everyone else." Su Yun said: "It is difficult to have a broken heart. Do you know how powerful myocardium 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 person who was most familiar with the heart.
Did he really not know anything about it?
"Can it be an aortic dissection aneurysm?" Su Yun suddenly said.
"No." Zheng Ren said: "Aortic tear is different from heart tear."
"But the tearing end spread to the left ventricle, especially..." Su Yun himself could not convince himself, and his voice gradually became smaller.
"The heart ruptures, and spontaneous situations are rare. If this happens to Chunu Anse in Nanyang, I will not be surprised at all." Zheng Ren said: "But if you are an ordinary person, it would be too fantasy to say this."
"It's definitely not caused by external heart compression." Su Yun said.
Zheng Ren knew that this was what he had been insisting on, so he didn't comfort Su Yun, and that guy didn't need comfort at all.
"It may be that there are other diseases of the myocardium. Let's go for an anatomy. This time you will be an anatomy and I will be responsible for recording it." Zheng Ren said.
"Aren't all the dissections?" Su Yun asked.
"The clinical anatomy teacher does not have a deep understanding of some rare diseases. I still have an impression of the patients with carotid endarterial avulsion syndrome that I encountered last time." Zheng Ren said: "Why is the result of the disease? They are better at diagnosing murder and trauma.
And the death caused by the disease is a shortcoming for them.β
"You mean the patient is caused by the disease?" Su Yun suddenly ignited hope.
"No." Zheng Ren said: "It was you who said it, I just wanted to try my best to find the reason."
Su Yun was silent, dripped a car and came to the Anatomy Teaching and Research Department of the Affiliated Hospital of the Imperial Capital Medical University.
The room for the autopsy was in the innermost part, cold and wet. When the door was opened, a cold air rushed towards me.
The smell of smoke from the cold air was blowing over, and the smell of internal organs was very strange.
"Boss Zheng, you are here." Li Zhaosen squatted on the ground and smoked. When he saw Zheng Ren coming, he immediately stood up and greeted him enthusiastically.
"Well, see what the situation is." Zheng Ren said.
"The white clothes for you." Li Zhaosen quickly stened out the cigarette, took a prepared white clothes from the hanger, and handed them to Zheng Ren with both hands.
"Today's anatomy was done by Dr. Su," said Zheng Ren.
Li Zhaosen was a little unhappy and glanced at Su Yun, full of contempt.
Su Yun had no interest in quarreling with him.
Now his mind is full of what kind of rare disease is that it caused a 24-year-old young man to suffer from a heart attack and then be beaten to death with a slap.
It's so fucking, Su Yun kept cursing in his heart.
How could this kind of thing happen if you see a ghost? It would be fine if it was another disease. Su Yun had a thorough understanding of heart disease. He thought about it many times but didn't know how to explain it.
"Boss Zheng, the surface damage suffered by the deceased was minor and not enough to cause death, and it was not distributed in the precordial area, so this factor does not support the participation in the cause of death." Li Zhaosen said.
"Didn't the deceased's family say that the heart is compressed outside the chest?"
"The position is wrong, and external chest heart compression will at most cause ribs and sternum to break and puncture the heart. The existing evidence cannot be confirmed." Li Zhaosen said.
"Can't you deny it?" Su Yun asked.
"Yes." Although Li Zhaosen ignored Su Yun very much, he was brought by Boss Zheng after all, so it was not easy to show it too much.
After barely responding, Li Zhaosen followed Zheng Ren into the autopsy room.
There was no one there this time, and Li Zhaosen drove away his assistants and other things.
The room was cold and cold, and the air conditioning was on all year round. A body was placed on the autopsy table and the chest had been cut open.
A faint smell of blood and a smell of internal organs spread around.
Chapter completed!