Chapter 1736: Myocardial contraction band - necrosis!

"Generally what patients are sent to let you dissect?" Zheng Ren asked.
"Most of the deaths of the hospitals are sent to this side, and there are a few people who fight and fight. The real big case and the case, I can't touch it." Li Zhaosen said: "Even if technical assistance is needed, I go to the city bureau." Li Zhaosen said.
"On your own, afraid not afraid?" Zheng Ren took a look at the deceased, the chest and abdomen have been dissected, probably have seen it.
Su Yun put on his clothes, put on his gloves, and began to dissect.
"It's all dead, there is nothing to be afraid of, and the living talents are terrible." Li Zhaosen said.
With this gloomy atmosphere, his words are quite powerful. The corpse is like an annotation, silently agreeing with Li Zhaosen.
Su Yun went straight to the side of the deceased, and the knife was set aside. He took it directly, lifted the heart out and began to dissect.
"There is no problem with the general structure of the heart." Su Yundao, "There is no organic disease other than congenital heart disease and myocardial infarction."
Zheng Ren did not chat, he stood behind Su Yun and looked at Su Yun's anatomy.
He knows where the place where Su Yun is entangled.
If the deceased is infarcted, it means that Liu, who had a dispute with the deceased at the time, has certain joint responsibility. At the very least, there is part of the responsibility, which is unavoidable.
But if the heart attack is death, but the heart muscle is broken, the medical staff who do heart compression at that time must have certain responsibilities.
One thing that is difficult.
There was a smell of internal organs in the room, and the exhaust fan did not open. Zheng Ren frowned, really not used to this taste, said: "Mr. Li, do you usually do not open the wind?"
"Open the thing to dry up, if you don't wait for Zheng Boss to come, an autopsy, I will get it in twenty minutes." Li Zhaosen said: "The taste has not yet spread."
Zheng Renzhen does not know how to describe Li Zhaosen.
"And the dead person at the autopsy is much better than the general teacher. Especially the general teacher who just got out of the pool, the taste of the formalin, finished the anatomy, and just lost love."
"Do you have a girlfriend?" Zheng Ren stared at Su Yun to dissect the heart and asked casually.
"No, I work, who is willing to marry me." Li Zhaosen did not care, replied casually.
"The rupture of the heart occurs in the posterior apex of the left ventricle near the apex. There is an acute large-area myocardial infarction in the ruptured area. The rupture is irregular, about 1208." Su Yun continued to observe.
"The range of myocardial infarction is relatively large, myocardial necrosis..."
Said, he hesitated.
"Boss, do you think it is weird?" Su Yun asked.
"Open the three crowns to see, are you sure? Don't cut your hands." Zheng Rendao.
"Cut!" Su Yundao: "The coronary artery bypass surgery, I have done 122 cases."
"Be careful." Zheng Rendao, "The range of myocardial necrosis is too big, and the whole heart seems to be broken, like a rotten peach."
"This kind of situation is rare. When I dissect, I feel strange." Li Zhaosen said, "I have done the anatomy of a patient with a myocardial infarction. The elderly in the 70s and 80s are not as serious as him."
Su Yun did not directly dissect the coronary artery according to Zheng Ren's statement. He began to look at the heart.
"What do you want?" Zheng Ren asked.
"The smell is unpleasant." Su Yundao, "Like rust, what is the chemical poisoning caused?"
"The liver is dissected, there are not too many problems, at most a bit of alcoholic liver, not very heavy." Li Zhaosen said.
"Strange." Su Yun changed his heart in one direction.
"Do not move the coronary artery first, dissect the left heart. The whole heart is too large, the ventricular hypertrophy, especially the left ventricle." Zheng Ren suddenly said loudly.
The heart of an adult is about the size of my fist. The sandbag big fist is just an adjective. Generally speaking, the heart is not big.
Especially a large part is in the hands of Su Yun, Zheng Ren is difficult to see the size.
"I said what is wrong!" Su Yundao, "The first time I did an autopsy, I forgot such a big thing."
Said, he began to dissect the heart.
Su Yun is not the same as Zheng Ren with his scalpel. His technique is more exaggerated, or more dazzling.
"The whole heart is enlarged, the volume is about 10 more than normal. With the left ventricle as the left ventricle, the left ventricle is dilated and hypertrophied. Considering the death of the deceased is accompanied by left heart failure. Myocardium has hemorrhage and a lot of myocardium appears fibrosis!" The cloud is dissected while stating.
"Myocardial contraction..." Soon, his words stopped.
"Necrosis?" Zheng Ren's eyes picked up.
"I just wanted to see this and I received your call from Zheng Bo." Li Zhaosen also saw this at the same time, he explained immediately.
Necrosis of the myocardial contraction means that a very important thing is that only the amphetamine abuser will have this physiological change.
Not used occasionally, but abused, long-term, large amount!
"!" Su Yun excitedly sighed, "Boss, this strange smell, I know what it is!"
Zheng Ren also wants to understand what it is.
People who smoke methamphetamine have a taste on their bodies.
Zheng Ren and Su Yun’s social circle and this kind of person have a huge gap, and they are rarely seen in peacetime, so they did not react in the first place.
Li Zhaosen is also the same situation ~ EbookFREE.me ~ see in the book, just boring text, can not replace the taste of the nose. Li Zhaosen quickly ran to open the exhaust fan until he heard the humming sound, and he seemed to be better.
"The mechanism of myocardial disease is multifactorial, including catecholamine excess, coronary spasm and ischemia, increased reactive oxygen species, mitochondrial damage, changes in myocardial metabolism, and direct toxic effects."
Su Yun dissected while squatting. Zheng Ren knows that he is thinking.
Things have changed, even reversed.
"Chronic poisoning can cause myocardial inflammatory cell infiltration, cardiac hypertrophy, myocardial fibrosis, dilated cardiomyopathy, and accelerate changes in atherosclerosis, aortic dissection, and even heart rupture." Su Yundao, "Now it has been judged that it is methyl. Heart rupture caused by amphetamine poisoning has nothing to do with trauma."
"You are too subjective." Zheng Ren said calmly: "The court will not believe your subjective opinion."
"Then find objective evidence." Su Yun smiled back and smiled.
"Under the subdural tissue, sent a pathological biopsy." Zheng Rendao, "Subcardiac, coronary artery and aortic focal lymphocytic infiltration, myocardial muscle necrosis, inflammatory cell infiltration and fibrous tissue hyperplasia. Is the most objective, The most powerful evidence."
The room was cold and clear, and Zheng Ren’s words were like stones, hitting the surrounding walls and creaking.
"Good!" Su Yun replied with certainty.