Since 1981 Health School

"Squeak~~~squeak~~~ka~~~ka~~~"

Chen Qi coughed a few times, and suddenly put down the chainsaw. Professor Bradley next to him was 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~~~"

When a chainsaw cuts bones, like a carpenter cuts wood, flying chips fly all over the sky.

Especially since the dissecting room was closed, the ashes could not get out as they flew around, and they were all sucked into the lungs of the people inside, which was unlucky to think about.

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 an operation on a living person. It's not that particular. Put on the bone forceps!"

Bone pliers, similar to vise, are large and small, and can break bones and even metal with a single press.

The reason why surgery or orthopedics are nicknamed "masons" is because when they work, they use all kinds of hammers, saws, pliers, and then they beat, beat, and saw, and it is completely impossible to see that they are doing surgery.

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, which were the same size as the branches trimmed by a gardener, and then pinched the bones. With both hands, the ribs broke.

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

The five forensic doctors didn't object either. They 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 pinched off all the bones one by one along the armpit line, and then lifted off the breastbone 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.

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 routine corpses, samples and body fluids, such as gastric juice, intestinal juice, etc., should be taken first. In addition, if necessary, some internal organ samples should be taken for testing to prevent any poisoning or other diseases.

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

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

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

If 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, the person will die 4 to 6 hours after the meal.

If the stomach contents are meat or greasy and heavy indigestible 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 investigating and solving the case.

It can also infer the approximate time from the last time the deceased ate to death based on the degree of digestion and emptying of the food in the stomach, providing a scientific basis for inferring the time of death and the range of activities of the deceased.

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

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

Don't some netizens like to say: "Has the whole body been hollowed out?"

When 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 on, come on, you guys, from four angles, the camera is aimed at the heart, and there must be no blind spots, so as to avoid someone not acknowledging 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 you saw was a large number of clotted black blood clots. When Chen Qi started to move his heart, he could see that there were blood clots in the gaps between the internal organs.

An experienced forensic doctor can tell at a glance that this is a large internal organ bleeding.

There was only the sound of cameras clicking and 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 with 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 call out:

"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 five judges were also very conscientious, and all of them put on gloves and checked the aortic rupture by themselves.

Only then did an older forensic doctor solemnly say to the camera: "The rupture of the 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:

"What I'm most afraid of is this kind of hidden time bomb. I don't know when it will explode. Even if we at Sid-Sinai Medical Center encounter such a patient, we can only accept 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.

It's just that you discover aortic dissection in advance during your daily visits or physical examinations, and then let the patient be hospitalized quickly.

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 more than 90%, or even 100%.

Aortic root rupture and hemorrhage 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 wondering if he should plagiarize the operation of this later generation, Mr. Sun?

Sun's surgery, invented by Professor Sun himself, is 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 was in a good mood after finding out the cause of death, but since it was an autopsy, he couldn't find out just one cause, a comprehensive examination was needed.

The autopsy continues.

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

Because you can't 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.

That's why the fossils of Yuanmou Man, BJ Man and other ancient ape man often only have the skull and gums left.

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

When fighting, don't hit here, sometimes if you punch two, people may burp.

At that time, one will be beaten to death and the other will be shot, and both of them will have to 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 bone sutures between the skull and the skull, and it is relatively easy to open the skull along the bone sutures.

But this is only relatively easy.

Chen Qi didn't have the time and patience. What he had to do now was to make a quick decision. The fastest way was 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~~kakaka~~~ and started 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.

It took Chen Qi 20 minutes to saw around the skull.

However, although the outer part of the skull was opened, some inner plates were connected inside, and the skull could not be completely removed. At this time, the T-shaped chisel and hammer in Bradley's hand came in handy.

I saw the Caucasian 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 cap 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 immediately cut off twelve pairs of cranial nerves and the brainstem with a scalpel, removed the brain flower, put it in a container to observe the appearance, and separated it into several pieces along the brain groove with a scalpel.

Professor Bradley was assisting while taking notes.

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

The pig brain is much smaller, generally only between 80-180 grams, and the weight of an 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 got rid of 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 five forensic doctors were also polite, and they carried out the test in person wearing gloves. Anyway, it was very easy to identify whether there was a cerebral infarction or hemorrhage at a glance.

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

This officially rules 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 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 more or less related.

Because of the 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 suspect that "doctors and doctors care for each other" between doctors when they file medical lawsuits. In fact, there is still some reason.

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