Since 1981 Health School Chapter 622

  Chen Qi coughed a few times, and suddenly put down the chainsaw. Professor Bradley next to him was still a little strange:

   "Chen, why don't you continue?"

  Chen Qi waved the "dust" in front of him with his hand, and said annoyedly:

   "Forget it, forget it, don't use the chainsaw anymore, look at the so much ash flying out when the chainsaw cuts bones, it's all ashes, the surgical masks we wear can't prevent it at all, cough cough cough~~~"

  Electric saws cut bones, just like carpenters cut wood, there are flying chips flying all over the sky.

  Especially because the dissecting room is closed, the ashes can't get out after flying around, and they are all sucked into the lungs by the people inside, which is still unlucky.

  A staff member next to him asked: "Dean Chen, do you want to use the saw?"

   "When will the saw last? The family members and reporters outside are all waiting for the results. Anyway, this is an autopsy, not a surgery on a living person. It's not that particular. Put on the bone forceps!"

  Bone pliers, similar to vise, are big and small. When you hold a bone and press it hard, you can break the bone or even the metal.

  The reason why surgery and orthopedics are nicknamed "masons" is because they use hammers, saws, pliers, and pliers when they work, and then they knock, beat, and saw, and they don't seem to be doing surgery at all.

  Surgery is not as elegant as common operations such as gastrointestinal surgery. It is completely manual work, so there are very few female doctors in surgery and orthopedics.

  Chen Qi chose the largest pair of bone pliers, the same size as the branches trimmed by a gardener, and then aimed at the bone to clamp it. As soon as he used both hands, the rib broke.

   This is a corpse, and you must be beaten to death if you do this in surgery.

  The five forensic doctors did not object either. They have used all kinds of unconventional methods for autopsy. Anyway, the corpse can't speak, and there are no medical lawsuits, so they can do whatever they want.

  Chen Qi pinches off all the bones along the armpit line, and then lifts off the sternum and ribs like a pot lid.

   At this time, the five forensic doctors also stood up, and the video cameras and cameras also started to work. This is the original first-hand information that must be carefully observed.

  The patient's lungs, liver, heart, and intestines have all been exposed to the field of vision.

  Chen Qi knew the cause of death, and knew that the real "lethal point" was not on these organs, but on the aorta next to the heart between the two lungs.

  The chest and abdomen were opened, and after everyone finished recording, Professor Bradley asked again:

   "Chen, which step should we start with?"

  For conventional corpses, samples and body fluids should be taken first, such as gastric juice, intestinal juice, etc., and if necessary, some internal organ samples should be taken for testing to prevent any poisoning or other pathological changes.

  Then the internal organs are removed one by one, and the heart, liver, spleen, lung, kidney, stomach, pancreas, and gallbladder must be removed separately, and then weighed.

  At this point, the corpse will start to dissect the internal organs, and see what's inside?

  For example, stomach contents.

  If the shape of the rice grains and vegetables is relatively complete, the chyle is reduced, and only a small amount of food enters the duodenum, it should generally die within 1 to 2 hours after the meal.

  If the food in the stomach is all in the form of chylus, with only a few rice grains and vegetable residues, and the food has entered the large intestine, the person died about 4 hours after the meal.

  The food in the stomach has been completely emptied, or only hard vegetable skins such as green cabbage head rough fiber and kelp skin remain, and the person will die 4 to 6 hours after the meal.

   If the gastric contents are meat or heavy, non-digestible food, the inference of the time from eating to death should be extended accordingly.

  Forensic doctors can also infer the eating area, living habits and economic status of the deceased based on the type and composition of the food in the stomach, and provide clues for the investigation and solution of the case.

   According to the degree of digestion and emptying of the food in the stomach, the approximate time from the last time the deceased ate to death can be inferred, providing a scientific basis for inferring the time of death and the range of activities of the deceased.

  So the powerful Qin Ming forensic doctors, they are really more miraculous than Master Di Renjie, there is no need to ask Yuan Fang, just ask the corpse.

  After all inspections are completed, the internal organs will be placed in the antiseptic solution one by one and stored for later review.

   Some netizens like to say: "Has the whole body been hollowed out?"

  Here it comes, the corpse is to take out all your internal organs, if there is no one left, you are an empty corpse without a soul.

  Chen Qi shook his head, pointed to the heart of the deceased and said:

   "Attention everyone, gentlemen of forensic medicine, Professor Bradley, I speculated that the cause of death was aortic dissection, and the CT film showed that the aortic root was abnormally bulging, so our first step is to rule out the most likely cause of death."

  The five forensic doctors discussed it: "Yes, Chen, follow your way of thinking."

  Chen Qi said to several staff members:

   "Come, come, you guys, from 4 angles, the camera is aimed at the heart, and there must be no blind spots, so as to save someone from denying the autopsy results."

   "Good Doctor Chen!"

  The five forensic doctors also dispersed and stood on both sides of the corpse. Everyone wanted to see if this Chinese doctor was so amazing.

  Chen Qi was also polite, and directly cut open the heart capsule with a scalpel, exposing the heart and great blood vessels.

   As a result, when everything was opened, the first thing I saw was a large number of clotted black blood clots. When Chen Qi started to move his heart, he could see that there were all blood clots in the gaps between the internal organs.

  An experienced forensic doctor could tell at a glance which internal organ was bleeding profusely.

  There was only the sound of the camera clicking, and everyone was watching Chen Qi's movements intently.

   After Chen Qi fully exposed the aorta connected to the heart, he rinsed it with normal saline over and over again, and then he laughed. Of course he didn't dare to laugh out loud, the camera was filming it.

  At the junction where the aorta connects to the heart, a breach in the blood vessel can be clearly seen, and the entire aorta is abnormally thick.

  Professor Bradley was the closest and the first to shout:

   "My God, it's really aortic dissection. I don't know whether to say Mr. Chapman Webster is too unlucky, or Ziguang Hospital is too unlucky."

  The 5 judges were also very conscientious. All of them put on gloves and checked the aortic rupture with their own hands.

  An older forensic doctor solemnly said to the camera: "The rupture of aortic dissection can be confirmed!"

  Chen Qi breathed a sigh of relief. His mission was completed, and the reputation of Ziguang Hospital and the careers of several attending doctors were preserved.

  Professor Bradley still sighed over there:

   "The most fearful thing is this kind of hidden time bomb. You don't know when it will explode. Even if we at Sid-Sinai Medical Center encounter such a patient, we can only admit it. As far as I know, the current papers on aortic dissection are almost all specimens from corpses."

  Chen Qi also agreed: "There is no way, this disease is too dangerous, and it is estimated that it will be difficult to rescue it in a few decades, unless it is discovered early and intervened in advance."

  Chen Qi is right. Even by 2022, aortic dissection will still be treated as a critical emergency with a relatively high mortality rate.

   Even if aortic dissection is actively discovered, the mortality rate is 37%-50% within two days, and 60%-70% of patients die within one week.

   This is just that you discover aortic dissection in advance during your daily visits or physical examinations, and then let the patient be hospitalized immediately.

  However, there are still a large number of sudden death patients, or patients who have not undergone autopsy. These people are not included in the statistics, so the total mortality rate of aortic dissection may be as high as 90%, or even 100%.

  Aortic root rupture and massive bleeding like Chapman Webster, even in the Mayo Clinic, the mortality rate is 100%.

   In later generations in China, Anzhen Hospital in the capital is the best place for aortic dissection surgery. Professor Sun Lizhong is the No. 1 brother.

  Thinking of this, Chen Qi is still thinking whether to plagiarize the operation of this later generation, Mr. Sun?

  Professor Sun's own invention, Sun's surgery, uses aortic arch replacement + stent elephant trunk surgery, which increases the false lumen closure rate after dissection from 30-40% to more than 95%, and reduces the reoperation rate from 30% to less than 10%.

   This is not some domestic experts bragging, but a real international medical expert.

   Chen Qi, who found the cause of death, was in a happy mood, but since it was an autopsy, it was not possible to find out only one cause, but a comprehensive examination was required.

   Autopsy continues.

   After checking the chest cavity and abdominal cavity, the next step is the brain cavity.

  Because you cannot rule out the death caused by cerebrovascular stroke, such as cerebral hemorrhage, cerebral infarction, etc., then this belongs to the level of "medical malpractice".

  But there is a problem with craniotomy, that is, the skull is too hard, like a stone, and it is too difficult to open.

   Let's put it this way, the hardness value of the skull should be between 5 and 6, and it may not be crushed if you press it with 500 kilograms.

  So those ancient ape-man fossils such as Yuanmou Man and BJ Man often only have the skull and gums left in the end.

   Of course, not all skulls are hard. For example, the temple is the most vulnerable place. This is the demarcation point of the skull, which is anatomically called the pterion.

   When you are fighting, don't hit here. Sometimes you may burp with one or two punches.

  When the time comes, one will be beaten to death and the other will be shot, and both will see Hades.

  When Chen Qi was cutting and separating the scalp, Professor Bradley was already waiting with a saw in his left hand and a hammer in his right.

  Chen Qi coughed lightly: "Bradley, now we have to use a chainsaw."

  In fact, craniotomy is skillful, because there are bony sutures between the skulls, and it is relatively easy to open the skull along the bony sutures.

   But this is only relatively easy.

  Chen Qi doesn't have the time and patience. What he needs to do now is to make a quick decision. The fastest way is of course a chainsaw and an electric drill.

  Fortunately, this is a special zone hospital. If it were in Yuezhong Hospital, this set of chainsaws would not be available.

   Bradley shrugged: "Okay, a chainsaw should have been used long ago."

   After finishing speaking, the two of them wore three surgical masks and began to cooperate with the craniotomy. Chen Qi made a mark on the skull, and then the chainsaw creaked~~咔咔咔~~~ and began to work.

  Medical chainsaws are all very small, not like the big murderous chainsaws in the horror movie "Chain Saw". The kind of chainsaw whose engine line is pulled, coupled with a perverted smile, is terrifying to Glamour.

  The small chainsaw is a small disc with a diameter of 3 cm. It is very troublesome to turn, and the power is not used at all.

   Chen Qi had to saw around the skull, and it took 20 minutes to finish it.

  But although the periphery of the skull was opened, there were still some inner plates connected to it, and the skull could not be completely removed. At this time, the thong chisel and hammer in Bradley's hand came in handy.

  I saw the white professor turned into a carpenter at this time, with a chisel in one hand and a hammer in the other hand, eighty, eighty, and a hammer struck the connected inner plate bone to separate it.

  Finally, with a pry with a bone rake, the skull cover was finally lifted off smoothly.

  Everyone breathed a sigh of relief, but they didn't dare to breathe hard. There were still a lot of ashes floating in the air. Not to mention Chen Qi was shocked, so were foreigners.

  Chen Qi cut off twelve pairs of cranial nerves and brainstem with a scalpel, took off the brain, put it in a container to observe the appearance, and separated it into several pieces along the brain groove with a scalpel.

  Professor Bradley is assisting and taking notes.

  From the appearance, the human brain and the pig brain are very similar. They both have multiple brain gyri, and the outer cortex has many gyri.

  It means that the pig brain is much smaller, generally only between 80-180 grams, and the weight of the adult brain is about 1300-1400 grams.

   I just don't know if it tastes good... (Mr. Huang Chao and Mr. Zhang Xianzhong will answer this question)

  Chen Qi shook his head, quickly eliminated some unhealthy thoughts, and then reported to the five forensic doctors next to him:

   "Several forensic doctors, judging from the brain and flesh contents of the deceased, found no cerebral hemorrhage or cerebral infarction, and preliminarily ruled out a cerebrovascular accident."

  The 5 forensic doctors were not too polite, and they conducted the test in person wearing gloves. Anyway, it was clear at a glance whether there was a cerebral infarction or hemorrhage, which was very easy to identify.

   All three chambers were opened. Except for the lesion in the aortic root, all other organs were normal. Even perforation, a common side effect of gastroscopic surgery, was not seen.

   This can be regarded as officially ruling out the possibility that Chapman Webster died of murder or medical malpractice.

  As for the rupture of the aortic dissection, there is no causal relationship with the diagnosis and treatment at the Ziguang Hospital. It can only be said that both parties have bad luck.

  In fact, Chen Qi knew in his heart that the relationship was somehow related.

  Due to a gastroscopy, the sudden increase in blood vessel pressure led to the rupture of the dissecting aneurysm, and Ziguang Hospital did not consider this disease in advance, and there was a misjudgment.

  But now it is a medical appraisal, of course it is impossible for Chen Qi to say such a thing.

   And Bradley knew it in his heart, but before he came to China, Professor Grace told him to listen to Chen Qi, as long as it had nothing to do with endoscopic surgery, no matter what the other reasons were, he should not say anything.

  Therefore, many family members doubt the "medical care" between doctors and doctors when they file medical lawsuits. In fact, there is still some reason.

  In this magical country, the spirit of rule of law and contract is too lacking...

Chapter end