Chapter 1628

Zheng Renyue looked more and more strange.

According to the medical record, the patient was beaten with a bottle of wine. The two sides scolded each other. The deceased was bleeding at that time, but there was no subsequent physical contact. Later, he was pulled away and sent to a nearby hospital for treatment.

There was no problem with the first CT. There were no images such as subarachnoid hemorrhage and subdural hematoma mentioned in the report.

However, according to the medical record, the patient is sober at this time, and there is no problem in behavior and behavior.

The head CT after being sent to the hospital is also very normal, but the patient asked to be hospitalized for observation, which was included in the hospital.

This is mentioned by the doctor in the original medical record.

Generally, in this case, the doctor will write a pen, and the patient strongly requests hospitalization for observation. Although there is no fart, there is always something missing if you don't write.

The subsequent rounds were also normal. Zheng renneng saw obvious traces of copying and pasting from the medical records.

Only the lightest patients, doctors will casually copy and paste medical records.

However, in the early morning of the third day, the situation deteriorated sharply.

The dead, who were well before going to bed, got up at midnight, but soon had incontinence.

That's the weirdest point.

Because the first hospital was a county and township hospital in the suburb of DIDU, the doctor was stunned when he found that the problem was wrong.

A good person can't fall asleep after being hospitalized for 2 or 3 days?

The local doctors also looked confused, so they suggested that the patient's family members seize the time to go to the superior hospital.

Because it involved the troublemaker and cost, it was delayed for several hours before it was transferred to the Affiliated Hospital of DIDU Medical University.

However, after delivery, the patient's bilateral pupils have dilated, the light reflex has almost disappeared, and a series of symptoms such as urinary incontinence have not improved at all.

MRI showed the symptoms of a large area of cerebral infarction.

Finally, the patient's family refused to conduct further examination and clear diagnosis for economic reasons, and put their energy into filing a lawsuit with the other party.

The patient endured for a week under the maintenance of sugar and salt water, and finally died.

The CT report just read was made by the Affiliated Hospital of imperial Medical University.

"Boss Zheng, are you coming?" Seeing that Zheng Ren had finished reading the report, Li Zhaosen handed Zheng Ren his white clothes and said eagerly.

"I don't know the rules. Come first and let me see." Zheng Ren spoke a little slowly. Su Yun knew that the goods must be thinking about the disease in his mind. He didn't speak, but just stepped back.

Several teachers in the anatomy teaching and research department whispered that they trusted Li Zhaosen. After all, it took a long time to cooperate, and Li Zhaosen's basic skills in anatomy are the most solid.

"You're welcome." Li Zhaosen said, "boss Zheng, just tell me what I did wrong!"

Zheng Ren glanced at him and saw that his tone of voice was very serious, not like joking or hypocritical.

When I was doing anatomy teaching in DIDU Medical University, the last person named Li Zhaosen sat in front and looked at it. After separating the muscularis and adventitia, he rushed up and stroked the gross specimen with his hand.

Indeed, he is the most standard technician. If there are hundreds of general teachers in his eyes, it is heaven. He doesn't need many virgins at all.

Li Zhaosen cut the skin of the deceased's head and described the temporal injury. An assistant came down next to him.

Then he skillfully opened the skull with an electric saw.

There were flake hemorrhage in the left temporal cap like key membrane and left temporal muscle, congestion and edema in brain tissue, and several early softening foci of different sizes in the internal capsule and basal nucleus on both sides.

With the opening of the skull, a rotten smell diffused throughout the anatomy room.

"There is no intracranial hemorrhage. It is considered to be a lumen infarction." Li Zhaosen said with certainty, "we need to dissect the chest and abdomen to rule out other diseases."

"Wait a minute." Zheng Ren suddenly said.

"Huh?" Li Zhaosen was stunned.

It is a typical anatomical structure with hyperemia and edema of brain tissue. There are early softening foci of different sizes in the internal capsule and basal nucleus on both sides.

What can I wait for?

Su Yun's eyes lit up. Although he didn't want to understand, this is the field of neurosurgery. He doesn't care if he doesn't understand.

Zhou Chunyong covered his mouth and nose and stepped back with the teacher in the anatomy teaching and research room next to him.

"No." Zheng Ren said and began to wear gloves.

What Li Zhaosen prepared for Zheng Ren was sterile gloves for clinical use, while what he wore himself was ordinary latex gloves.

Zheng Ren didn't know whether he paid attention or not. After putting on his gloves, he stretched out his hand.

His hands were empty.

"Knife." Zheng Ren said in a deep voice.

"Oh, oh." Li Zhaosen answered twice and handed Zheng Ren the knife in his hand.

The cooperation was not tacit. Li Zhaosen pointed the knife at Zheng Ren instead of patting the handle in Zheng Ren's hand like an instrument nurse.

Zheng Ren was almost scratched by a knife.

Fortunately, at the end, Zheng Ren dodged under Su Yun's reminder.

This is the difference between clinical and forensic medicine.

Zheng Ren didn't pay too much attention. He picked up a knife and began to dissect the dead man's neck.

A knife went down and saw Su Yun's eyelids jump twice.

"Dr. Su, how can boss Zheng look like he has been a forensic doctor for many years?" Zhou Chunyong felt that Zheng Ren was skilled in dissecting the corpse, so he came to Su Yun and asked in a low voice.

The difference between doctors and forensics is still obvious.

Boss Zheng's action is definitely not the action on the operating table. Look at the posture of God blocking the killing God. It's absolutely ferocious. I don't know how many dead have been dissected.

Su Yun shook his head and his eyelids jumped.

He had already seen that Zheng Ren's technique was very unrestrained, which was definitely not practiced on the operating table.

Zheng Ren acted according to his heart as if he were in the system operating room. His anatomical structure was clear and went straight to the common carotid artery.

Cut and free the common carotid artery, and Zheng Ren cut it open.

There are a lot of atherosclerotic plaques in the common carotid artery.

"Boss Zheng, who are you?" Li Zhaosen is a little confused.

Zheng Ren did not speak and continued to dissociate and dissect upward.

Soon, it dissociated to the beginning of the right internal carotid artery. After opening, it was found that there was thrombosis, extending distally, 1.5 cm long, completely occluding the lumen.

Li Zhaosen was silent.

It's not the cerebral infarction judged by yourself, but the internal carotid artery occlusion!

It's a coincidence. Li Zhaosen is a little puzzled, but he obviously has more confidence in Zheng Ren than Su Yun. He quietly watches Zheng Ren dissect.

"If possible in the future, you still have to look at the medical record." Zheng Ren stopped and was very satisfied with his judgment. "The brain tissue was sent for biopsy. Under the microscope, there was a little focal hemorrhage in the V-R cavity of cerebral softening focus and some cerebral household vessels,

The brain pyramidal cells were swollen, the cytoplasm was eosinophilic, the nuclei were dissolved, and the processes were shortened or disappeared Some glial cells also showed nucleolysis or outline of residual nucleus. "

Li Zhaosen looked like a duck listening to thunder.