Chapter 1629

I came to boss Zheng to see his exquisite anatomical skills.

But who would have thought that boss Zheng did not play cards according to the routine and did not find the location of intracerebral hemorrhage, but directly found internal carotid artery thrombosis through anatomy.

"Zheng... Boss, what do you mean?" Li Zhaosen doesn't speak neatly.

"The deceased himself suffered from carotid atherosclerosis and poor vascular elasticity. During the process of avoiding and fighting, the neck had severe exercises such as excessive extension or lateral bending.

Instantly and violently pull the carotid artery, causing carotid intimal tear, leading to thrombosis and occlusion of the lumen.

Cerebral tissue embolism of intracranial branches due to vascular occlusion or partial shedding of thrombus, resulting in acute cerebral ischemia and multiple large-scale necrosis. "

Zheng Ren patted the knife in front of Li Zhaosen and directly took off his gloves. He said with a smile.

"..." everyone was stunned.

"Boss, carotid artery intima avulsion, the incidence rate is very low, how to think of?" Su Yun frowned and asked.

"The development of the disease is very strange. For no reason, it is incontinence. The disease under consideration is mainly carotid intimal avulsion syndrome." Zheng Ren said casually.

"How do you know?" Su Yun is concerned about this.

"Before you went to the emergency room, there was a similar patient in the observation room. Later, you were sent to Medical University." Zheng Renshun said nonsense. Anyway, Su Yun came to the emergency department a few days later than himself. What he said is what he said.

Having the ability to go back to Haicheng to find a medical record, Zheng Ren believes Su Yun is not so free.

Su Yun just asked casually. He didn't think about what Zheng Ren said.

Very clear logical chain. If you have the opportunity to do anatomy, you must look at the of the carotid artery. In this regard, Su Yun will not question the IQ of his boss.

That product, EQ is very low, but IQ is definitely not low. Only a little lower than himself, Su Yun thought to himself.

"Boss Zheng, you......" Li Zhaosen is stupid and doesn't know what to say.

"Huh?" Zheng Ren looked at him, smiled and said, "what's the matter?"

"Traumatic carotid artery occlusion and cerebral infarction are completely different from the court's judgment. The forensic medicine must be careful. Are you... Sure?" Li Zhaosen whispered.

Zheng Ren looked at his expression carefully and felt that he was not defending the other party, but asked himself to be more cautious.

Perhaps in Li Zhaosen's opinion, his judgment is a little far fetched, but in his opinion, it is an obvious thing.

In fact, how can we find top domestic experts in diagnosis and surgery to do autopsy?

A top surgeon costs tens of thousands to take an operation. It's better to fly a knife if you have this time. Who pays for the autopsy?

It's a coincidence this time. I'd better teach Li Zhaosen something.

The man's anatomy is very skilled, but the autopsy can't be done by autopsy alone.

The corresponding clinical knowledge and the development of the disease will provide a lot of clues.

Looking at his attitude towards medical records, Zheng Ren can guess one or two.

"That's right." Zheng Ren turned and took off his white clothes and said, "traumatic carotid artery occlusion refers to blunt or sharp injury of the neck, excessive extension and lateral bending of the neck, or skull fracture involving the petrous part of the temporal bone, resulting in tearing and rupture of the intima of the internal carotid artery, and even complete thrombotic occlusion."

"This disease is divided into open and closed, and its patients... The situation of the dead is quite different."

"Well... Mr. Li, anatomy alone is not enough. If the deceased comes from the hospital, we should look at the medical records. There are some descriptions in the medical records, which can infer a lot." Zheng Rendao.

"..." Li Zhaosen looked at Zheng Ren silently with a look of grievance. But there is no unconvinced, more confused.

After the ESD dissection that day, Li Zhaosen's attitude towards Zheng Ren has skipped the insipid, friendly, respect and reverence, and went directly to worship.

Zheng Ren thought Li Zhaosen was very interesting and was willing to say something to him. While washing his hands, he said: "it's like clinical differential diagnosis, forensic medicine must have it. It's all cerebral infarction, and there are differences between traumatic and pathological."

"What's the difference?" Li Zhaosen immediately asked like a student.

"First, there is a clear history of head and neck trauma; the part affected by external force is easy to cause excessive extension or lateral bending of the neck.

Second, there is an incubation period between injury and onset. The patient just had an incubation period of 2-3 days. During the incubation period, the patient is completely fine. This is also the basis for my main judgment that the patient is carotid intimal avulsion syndrome.

Third, mild hemiplegia, hemisensory impairment and aphasia may occur after the onset, and some may be accompanied by Horner's syndrome. This is not obvious in the medical records, because it is difficult for district and county-level hospitals to make targeted judgments.

Fourth, brain CT showed multiple large-scale encephalomalacia on one or both sides, which was inconsistent with the prone site of the latter

Fifth, autopsy showed carotid intimal rupture and thrombosis. "

Zheng Ren is a standard science student. Li Zhaosen was directly confused by the idea of "one, two, three, four, five".

What the hell is this?

Although I didn't understand it, the feeling of Mingli echoed in my heart. Boss Zheng is really professional. Li Zhaosen has incomparable emotion in his heart.

Although he was a doctor, he was crushed directly during the autopsy.

"Zheng... Boss, please speak slowly and I'll write it down." Li Zhaosen had a look of admiration on his face.

Unlike the old Jianghu like Liu zewei, Li Zhaosen belongs to a person with one mind. He writes everything on his face instead of hiding it in his heart.

Zheng Ren thinks Li Zhaosen is a little crazy about technology. He is also a good person.

He spoke slowly bit by bit. When Li Zhaosen recorded it, Zheng Rendao finally thought that wechat voice could be used.

"Boss Zheng, I have brought the teacher's specimen." Zhou Chunyong answered a phone call and said.

Hearing the teacher's four words, Li Zhaosen's ears stood up.

"OK." Zheng Renhe and Li Zhaosen said, "Teacher Li, let's first..."

Just now, Zheng Ren's cell phone rang.

[they said to write a love song quickly, both refined and popular...]

Zheng Ren answered the phone, "Dean, I..."

"Well, I'm in Medical University." Zheng Ren's expression was immediately awed. When Zhou Chunyong saw it, his heart trembled.

An ominous premonition rose rapidly in his heart.

"OK, I'll be there right away!" Zheng Ren said seriously.

"Boss, what's the matter?" Su Yun asked.

"An overseas employee was injured and shot. He was sent home after simple treatment. It has been 8 days, but he couldn't find a bullet. Vice president yuan asked me for consultation to see if he could find anything." Zheng Ren said and hurried away.

"Boss Zheng..." Zhou Chunyong's voice was very small, getting smaller and smaller.