Chapter 1628: Inexplicable dead
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Live Surgical Broadcast
- 真熊初墨
- 1306 characters
- 2021-03-01 09:02:27
Zheng Ren Yue is more strange.
The medical record describes that the patient was beaten with a bottle of wine. The two sides confronted each other. The deceased had blood flow at the time, but there was no subsequent physical contact. Later, he was taken to a nearby hospital for treatment.
There was no problem with the first CT, and images of subarachnoid hemorrhage and subdural hematoma were not mentioned in the report.
However, the medical record states that the patient is awake at this time, and there is no problem in behavior and behavior.
The head CT that was sent to the hospital for examination was also normal, but the patient requested hospitalization observation, which was then admitted to the hospital.
This point is mentioned by the doctor in the original medical record.
Generally, in this case, the doctor will write a letter, and the patient strongly requests hospitalization observation and the like. Although there is no fart, there is always something missing without writing.
After the rounds were normal, Zheng Ren could see obvious signs of copying and pasting from the medical records.
Only the lightest patient, the doctor will copy and paste the medical record casually.
However, in the early morning of the third day, the situation turned sharply.
The deceased before going to bed, but also in the middle of the night, but soon there will be incontinence.
This is the strangest point.
Because the first hospital was a township hospital in the suburbs of the city, it was found that the problem was wrong and the doctor was directly paralyzed.
A good person, hospitalized for 2 or 3 days, suddenly fell asleep and fell asleep?
The local doctors are also awkward, so it is recommended that the family members of the patients take the time to go to the higher level hospital.
Because of the involvement of the perpetrators and the cost, the result was delayed for a few hours before being transferred to the Emperor Medical University Affiliated Hospital.
However, after delivery, the patient's bilateral pupils have been enlarged, the light reflection has almost disappeared, and a series of symptoms such as incontinence and incontinence have not been improved.
Magnetic resonance imaging shows the symptoms of large areas of cerebral infarction.
Finally, the family members of the patient refused to conduct further examinations and diagnosed for economic reasons, and put their energy into the court of the other party.
This patient died for 1 week under the maintenance of sugar brine and finally passed away.
The CT report just read is done by the Affiliated Hospital of Emperor Medical University.
"Zheng boss, are you coming?" Li Zhaosen saw Zheng Ren after reading the report and handed the white suit to Zheng Ren, eager to say.
"I don't know the rules, you come first, let me see." Zheng Ren's speech rate is a bit slow, Su Yun knows that this product is definitely thinking about the condition, not speaking, just back half a step.
Several teachers in the anatomy department whispered that they were more trusting of Li Zhaosen. After all, the time of cooperation is very long, and the basic skills of Li Zhaosen's anatomy are the most solid.
"Then I am welcome." Li Zhaosen said: "Zheng boss, I am not doing what you are doing, you just say!"
Zheng Ren glanced at him and saw that his tone of speech was very serious, not like the kind of joke or falsehood.
When I was associated with the anatomy teaching at the Imperial Medical University, the last person named Li Zhaosen sat in front of him. After separating the muscle layer and the outer membrane, he rushed up and stroked the general specimen with his hand.
It is indeed the most standard technical staff. In his eyes, if there are hundreds of general teachers, it is heaven, and there are not many virgins at all.
Li Zhaosen cut the skin of the deceased's head and described the injury to the ankle.
He then skillfully opened the skull with a chainsaw.
The left humeral cap-shaped membrane and left iliac muscle were flaky hemorrhage, brain tissue congestion and edema, and there were several early softening lesions of different sizes in the inner capsule and basal ganglia.
As the skull is opened, a scent of scent is dispersed throughout the anatomy room.
"Without intracranial hemorrhage, consider a luminal infarction." Li Zhaosen said with certainty, "I have to dissect the chest and abdomen to rule out other diseases."
"You wait." Zheng Ren suddenly said.
"Hmm?" Li Zhaosen stunned.
Very typical anatomical structure, brain tissue congestion, edema, bilateral softening lesions of different sizes in the inner capsule and basal ganglia.
What are you waiting for?
Su Yun’s eyes are bright. Although he didn’t understand, this is the field of neurosurgery. If he doesn’t understand, he doesn’t understand. He doesn’t care.
Zhou Chunyong covered his mouth and nose and stepped back a few steps with the teacher in the anatomy room next door.
"No." Zheng Ren said, began to wear gloves.
Li Zhaosen prepared for Zheng Ren the kind of sterile gloves for clinical use, and he wore ordinary latex gloves.
Zheng Ren did not know that he did not pay attention to it. After putting on his gloves, he reached out.
The hands are empty.
"Knife." Zheng Ren Shen channel.
"Oh." Li Zhaosen responded twice, and handed the knife to Zheng Ren.
In particular, the cooperation was not tacit, and Li Zhaosen’s knife pointed at Zheng Ren, instead of shooting the handle in the hands of Zheng Ren like a nurse.
Zheng Ren almost didn't get scratched by the knife.
Fortunately, at the end of the day, Zheng Ren flashed away under Su Yun’s reminder.
This is the difference between clinical and forensic.
A little bit stunned, Zheng Ren did not pay too much attention, he picked up the knife and began to dissect the neck of the deceased.
A knife went down, and Su Yun’s eyelids jumped twice.
"Dr. Su, how does Zheng Boss look like a young forensic doctor?" Zhou Chunyong felt that Zheng Ren’s anatomy was somewhat eccentric, and he whispered to Su Yun.
The difference between a doctor and a forensic doctor is still very obvious.
This action of Zheng Boss is definitely not the action on the operating table. Look at the posture of the gods who are blocking the killing of God. Absolutely fierce and evil, do not know how many dead people have been dissected.
Su Yun shook his head and his eyes bounced.
He had already seen that Zheng Ren’s technique was very unrestrained, which was definitely not practiced on the operating table.
Zheng Ren is like a knife in the operating room of the system. The anatomical structure of his hand is clear~EbookFREE.me~ goes straight to the common carotid artery.
Cut and dissociate and find the common carotid artery. Zheng Ren cut it open.
There are a large number of atherosclerotic plaques in the common carotid artery.
"Zheng boss, what are you?" Li Zhaosen was a bit confused.
Zheng Ren did not speak and continued to dissociate and dissect.
Soon, free to the beginning of the right internal carotid artery. After opening, it was found to have thrombosis, extending to the distal end, 1.5 cm long, completely occluding the lumen.
Li Zhaosen was silent.
Not the cerebral infarction judged by yourself, but the internal carotid artery occlusion!
This is also a coincidence, Li Zhaosen is somewhat puzzled, but he is obviously more confident than Su Yun to Zheng Ren, quietly watching Zheng Ren's anatomy.
"In the future, it is necessary to look at the medical records." Zheng Ren stopped his hand and was very satisfied with his judgment. "The brain tissue is sent for biopsy. Under the microscope, you can see the brain softening and some of the brain blood vessels V-R. There is a little focal bleeding in the cavity.
The cerebral pyramidal cells are swollen, the cytoplasm is eosinophilic, the nucleus is dissolved, and the neurites are shortened or disappeared. Some glial cells also see nuclear lysis or nuclear contours.
Li Zhaosen is like a duck listening to thunder, and his face is forced.
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