Chapter 1734 24-Year-Old Myocardial Infarction Complicated by Heart Rupture

Su Yun was thinking.

24-year-old coronary heart disease patient, he has seen. Not only 24 years old, he has even seen coronary heart disease patients under 20 years old.

Although rare, it is not unbelievable to encounter it in a hospital.

He just thought it was so weird that a slap broke someone's heart and died.

The surgery was finally over, and success was to be expected.

Zheng Ren stood up, and when he looked back and saw that Su Yun was still thinking, he said in a deep voice, "Direct violence caused temporary deformation of the thorax, shortening the anteroposterior diameter of the thorax, and the compression of the ribs in the precordial area and the cushioning of the spine caused the heart to be damaged. Contusions, fractures of the sternum or ribs can pierce the heart directly."

"Are you telling me that it is the responsibility of the neurosurgery medical staff?" Su Yun asked.

"No, it's just a normal inference." Zheng Ren said calmly: "Don't think about things like avoiding responsibility, let's think about normal things, such as what caused the deceased to be at the age of 24. Myocardial infarction."

He paused, smiled, and said, "I think doing this will convince you, or convince me."

Su Yun shrugged, obviously dismissive of Zheng Ren's words.

"Another type is that when the precordial area is subjected to a blunt violent blow or violent compression of the abdomen and lower extremities, blood is rapidly perfused from other parts of the body to the chest, and the rapidly rising intracardiac pressure causes the heart to rupture." Zheng Ren While thinking about it, he said.

Su Yun shook his head.

"Obviously, the two most common cases do not match the course of the deceased's disease. He was just slapped. Using your description, he held Da Liu's hand and slapped his face and started provocation." Zheng Ren said: "Change clothes and go to the anatomy teaching and research room."

"What are you thinking about?"

"Aging syndrome? Severe fatty liver causes abnormal blood lipids, coagulation function, or other rare diseases." Zheng Ren said: "But there is still too little information. Since it can be directly dissected as evidence, why not try it?"

"Boss, how have you communicated with Massachusetts General Hospital recently? Why can't you speak well?" Su Yun said contemptuously.

"Translation accent? If you read those translated documents every day, you will always be infected." Zheng Ren laughed.

"Is the fifth edition of Surgery translated?"

"Maybe the fourth edition is."

Zheng Ren and Xie Yiren greeted and said that they were going to the Imperial Medical College, and don't wait for themselves for lunch.

Then, while thinking, he walked to the locker room and started changing.

"According to Li Zhaosen's statement, the patient should have no problems such as heart deformity or stent placement. In conclusion, the patient is 24 years old this year, which is the biggest problem." Zheng Ren said: "At this age, it's not like staying up all night and working night shifts all the year round. How could a heart rupture?"

"Yes, I think so too. I have done thousands of cardiac compressions and cardiac anatomy in school. From humans to rabbits and mice. I am more familiar with the heart than anyone else." Su Yun said: "It is very difficult to rupture a heart. Appear. Do you know how strong the heart muscle is?"

Zheng Ren glanced at Su Yun, it was really hard to believe that this guy would say in front of himself that he was the one who was most familiar with his heart.

Is he really out of touch?

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

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

"But the torn end spreads to the left ventricle, especially..." Su Yun couldn't convince himself, and his voice gradually became quieter.

"Heart rupture, spontaneous cases are rare. If this happens to Chu Nuangsai I met in Nanyang, I would not be surprised at all." Zheng Ren said: "But if it is an ordinary person, it is too fantastic to say that."

"It's definitely not caused by chest compression." Su Yun said.

Zheng Ren knew that this was what he had been insisting on, so he didn't go to comfort Su Yun, that guy didn't need comfort at all.

"It's possible that there are other diseases in the heart muscle. Let's go to the autopsy. This time you come to the autopsy, and I will be responsible for the record." Zheng Ren said.

"Isn't the autopsy done?" Su Yun asked.

"Clinical anatomy teachers don't have a deep understanding of some rare diseases. The last time I met a patient with carotid endarterial avulsion syndrome, I'm still impressed." Zheng Ren said: "What is the prognosis of the disease, they compare Good at homicide, trauma diagnosis.

And death due to disease is a shortcoming for them. "

"You mean the patient is the injury caused by the disease?" Su Yun suddenly ignited 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 Office of the Affiliated Hospital of Imperial Medical University.

The room for the autopsy was in the innermost, cold and damp, and when the door was opened, a gust of cold air rushed towards him.

There is also the smell of smoke, mixed with the smell of internal organs, which is very strange.

"Boss Zheng, you're here." Li Zhaosen squatted on the ground smoking a cigarette, and when he saw Zheng Ren coming, he immediately stood up and greeted enthusiastically.

"Well, let's see the situation." Zheng Ren said.

"A white suit for you." Li Zhaosen quickly put out the cigarette, took a prepared white suit from the hanger, and handed it to Zheng Ren with both hands.

"Today's autopsy will be done by Dr. Su." Zheng Ren said.

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

Su Yun had no interest in bickering with him.

Now he's thinking about the rare disease that caused a 24-year-old to have a heart attack and be slapped to death.

What a special thing, Su Yun kept scolding in his heart.

How could something like this happen? If it is other diseases, it doesn't matter, Su Yun understands the heart disease very well. He thought about it many times, but he didn't know how to explain it.

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

"Didn't the family of the deceased say it was caused by chest compressions?"

"The position is wrong, and external chest compression will at most cause the ribs and sternum to break, puncturing the heart. The existing evidence does not confirm this." Li Zhaosen said.

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

"Yeah." Although Li Zhaosen didn't pay much attention to Su Yun, but after all, he was brought by Boss Zheng, so it's not good to be too dismissive.

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

No one was there this time, and Li Zhaosen drove away his assistants.

The room was gloomy and cold, with the air conditioner running all the year round. A corpse was placed on the autopsy table, with its chest already cut open.

The faint smell of blood and the smell of viscera diffused around.

...

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Note: Regarding the issue of autopsy procedures, all I have been in contact with are old yellow calendars from decades ago. Let me say hello first.