Chapter 1735

Su Yun is thinking.

He met a 24-year-old patient with coronary heart disease. He is not only 24 years old, but also has seen patients with coronary heart disease under the age of 20.

Although rare, it is not hard to believe that you can encounter it in the hospital.

He just thought it was strange that a slap broke a man's heart and died.

The operation was finally over, and the success was expected.

Zheng Ren stood up and saw that Su Yun was still thinking, so he said in a deep voice: "direct violence leads to temporary deformation of the thorax, shortening the anterior and posterior diameter of the thorax, compression of the ribs in the precordial area and the cushion effect of the spine, resulting in heart contusion, and the broken end of the sternum or ribs can directly pierce the heart."

"Are you telling me it's the responsibility of Neurosurgery staff?" 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 what's normal. For example, what causes the dead to have myocardial infarction at the age of 24."

He paused, smiled and said, "I think it's better to convince you or me."

Su Yun shrugged, apparently dismissing Zheng Ren's words.

"Another kind is that when the precordial area is blunt hit or violently oppressed the abdomen and lower limbs, the blood is rapidly poured into the chest from other parts of the body, and the rapidly rising intracardiac pressure ruptures the heart." Zheng Ren said as he pondered.

Su Yun shook his head.

"Obviously, the two most common situations are not consistent with the course of the deceased. He was just slapped. With your description, he patted his company with big Liu's hand and began to provoke." Zheng Ren said, "change your clothes and go to the anatomy teaching and research room."

"What are you thinking?"

"Aging syndrome? Severe fatty liver leads to abnormal blood lipid, coagulation function or other rare diseases." Zheng Ren said, "but there is still too little information. Since you can dissect it directly as evidence, why not try it?"

"Boss, how much have you communicated with Massachusetts General Hospital recently? You don't talk well?" Su Yun said contemptuously.

"Translation cavity? Reading those translated documents every day will always be infected." Zheng Ren smiled.

"Is the fifth edition of surgery translated?"

"Maybe the fourth edition is."

Zheng Ren and Xie Yi said hello and said that they were going to the imperial Medical University. Don't wait for themselves for lunch.

Then, thinking, he went to the dressing room and began to change.

"According to Li Zhaosen, the patient should have no problems such as heart malformation or stenting. To sum up, the patient is 24 years old, which is the biggest problem." Zheng Ren said, "at this age, I don't stay up late all year round. How can I have a heart rupture?"

"Yes, I think so too. I have done thousands of heart compressions and heart anatomy. From human body to rabbit and mouse, I know more about heart than everyone else." Su Yun said, "heart rupture is hard to appear. Do you know how powerful the heart muscle is?"

Zheng Ren glanced at Su Yun. It's hard to believe that the goods would say to his face that he is the person who is most familiar with the heart.

Is he really not a little forced to count?

"Could it be an aortic dissection aneurysm?" Su Yun suddenly said.

"No." Zheng Ren said: "aortic tear and heart tear are two different things."

"But the tear end spread to the left ventricle, especially..." Su Yun couldn't convince himself, and his voice gradually decreased.

"There are few spontaneous cases of heart rupture. I wouldn't be surprised if this happened to chunuanse in Nanyang." Zheng Ren said, "but if you are an ordinary person, it would be too mysterious."

"It certainly won't be caused by extrathoracic cardiac compression." Su yundao.

Zheng Ren knew that he had been insisting on this, so he didn't comfort Su Yun. The goods didn't need comfort at all.

"Maybe it's the heart muscle. Maybe there are other diseases. Go and have an anatomy. This time you'll dissect and I'll be responsible for recording." Zheng Rendao.

"Aren't they all dissected?" Su Yun asked.

"The clinical anatomy teacher doesn't have a deep understanding of some rare diseases. I was still impressed by the patient with carotid intimal avulsion syndrome last time." Zheng Ren said, "what is the outcome of the disease? They are better at the diagnosis of murder and trauma.

The death caused by disease is a short board for them. "

"You mean the patient is the damage caused by the disease?" Su Yun suddenly lit up hope.

"No." Zheng Ren said, "you said it. I just want to try my best to find the reason."

Su Yun was silent, dropped a car and came to the anatomy teaching and research room of the Affiliated Hospital of imperial Medical University.

The autopsy room was in the innermost part, cold and humid. When the door was opened, a cold air rushed forward.

And the smell of smoke, mixed with the smell of viscera, is very strange.

"Boss Zheng, here you are." Li Zhaosen squatted on the ground to smoke. Seeing Zheng Ren coming, he immediately stood up and greeted him enthusiastically.

"Well, look at the situation." Zheng Rendao.

"Here's your white dress." Li Zhaosen quickly put out the cigarette, took a prepared white suit from the hanger and handed it to Zheng Ren.

"Today's anatomy was done by Dr. su." Zheng Rendao.

Li Zhaosen was a little unhappy. He glanced at Su Yun and was full of contempt.

Su Yun was not interested in fighting with him.

Now his mind is full of what rare disease caused a 24-year-old man to suffer from myocardial infarction and be beaten to death by a slap.

Really, Su Yun kept scolding in his heart.

How can such a thing happen? If there were other diseases, Su Yun knew heart diseases very well. He thought many times and didn't know how to explain it.

"Boss Zheng, the body surface damage suffered by the deceased was minor, not enough to die, and was not distributed in the precordial area, so it does not support this factor to participate in the cause of death." Li Zhaosen said.

"Didn't the family of the deceased say it was caused by extrathoracic cardiac compression?"

"The position is wrong, and extrathoracic cardiac compression will at most lead to broken ribs and sternum and puncture the heart. The existing evidence is not sure about this." Li Zhaosen said.

"Can't you deny it?" Su Yun asked.

"Yes." Although Li Zhaosen doesn't pay much attention to Su Yun, after all, he is the man brought by boss Zheng, and it's not good to be seen too much.

Reluctantly, Li Zhaosen followed Zheng Ren into the autopsy room.

No one was here this time. Li Zhaosen kicked out his assistants and everything.

The room was cold and cold. The air conditioner was on all year round. A body was placed on the autopsy table, and its chest had been cut open.

A faint smell of blood and a smell of viscera spread around.