Chapter 1797: with translation of chapter title

Su Yun was thinking.

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

Although rare, encountering such cases in the hospital is not something hard to believe.

He merely felt that a slap causing someone's heart to rupture and die was simply too strange.

The surgery finally ended completely, success was as expected.

Zheng Ren stood up, turned his head and saw Su Yun still thinking, then he said in a low voice: "Direct violence causes temporary deformation of the thoracic cavity, shortening the anteroposterior diameter of the thoracic cavity, compression of the ribs in the precordial area and the cushioning effect of the spine cause cardiac contusion, and the fractured ends of the sternum or ribs can directly pierce the heart."

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

"No, just a normal inference of the condition." Zheng Ren said calmly: "First, don't think about evading responsibility or such things; let's consider what is normal, for example, what caused the deceased to suffer a myocardial infarction at the age of 24."

He paused, smiled, and said: "I think doing this would be more persuasive to you, or to me."

Su Yun shrugged his shoulders, obviously dismissing Zheng Ren's words.

"Another possibility is that when the precordial area suffers blunt violence or violent compression of the abdomen and lower limbs, blood from other parts of the body rushes into the chest, and the rapidly rising intracardiac pressure causes the heart to rupture." Zheng Ren said while pondering.

Su Yun shook his head.

"It is quite obvious that the two most common scenarios do not match the deceased's medical history. Just being slapped once, according to your description, or him using Da Liu's hand to slap himself, began to provoke." Zheng Ren said: "Change clothes, go to the dissection teaching and research room to have a look."

"What are you considering?"

"Aging syndrome? Severe fatty liver causing lipid and coagulation dysfunction or some other rare disease?" Zheng Ren said: "But the current data are still too scarce; since we can directly dissect, as evidence, why not give it a try?"

"Boss, you've been communicating a lot with Massachusetts General Hospital lately? Why can't you speak properly?" Su Yun said contemptuously.

"Translation tone? Constantly reading translated literature, one inevitably gets infected." Zheng Ren laughed.

"Is the fifth edition of surgery translated?"

"Maybe the fourth edition is."

Zheng Ren greeted Xie Yiren, saying he was going to Capital Medical University, don't wait for him for lunch.

Afterwards he walked to the changing room while thinking, and began to change clothes.

"According to Li Zhaosen's account, the patient should have no cardiac malformation or have undergone stent placement etc. In short, the patient is 24 years old this year, which is the biggest problem." Zheng Ren said: "At this age, not someone who regularly stays up all night working night shifts, how could a heart rupture occur?"

"Yes, I think the same. I have performed over a thousand cardiac compressions and dissections at school, from human bodies to rabbits and white mice. My familiarity with the heart exceeds anyone's." Su Yun said: "Heart rupture is hard to occur. Do you know how strong the myocardium is?"

Zheng Ren glanced at Su Yun, really finding it hard to believe that this guy would say to his face that he is the person most familiar with the heart.

Does he really have no idea in his heart?

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

"No." Zheng Ren said: "Aortic dissection and cardiac rupture are two different things."

"But the tear extending to the left ventricle, especially..." Su Yun himself could not convince himself, his voice gradually fading.

"Spontaneous heart rupture is very rare. If it happened to the Chu Nu Ang Sai encountered in Nanyang, I would not be surprised at all." Zheng Ren said: "But if it were an ordinary person, saying that would be too fantastical."

"It definitely would not be caused by external cardiac compression." Su Yun said.

Zheng Ren knew that this was what he had been insisting on, so he did not go to comfort Su Yun; that guy fundamentally does not need comfort.

"It is possible that the myocardium has some other disease; let's do an autopsy to see. This time you will perform the autopsy, I will be responsible for recording." Zheng Ren said.

"Haven't we already finished the autopsy?" Su Yun asked.

"The clinical autopsy teacher does not have a deep understanding of some rare diseases. Do you still remember the patient with carotid intimal dissection syndrome we encountered last time?" Zheng Ren said: "As for the prognosis of diseases, they are more skilled at diagnosing homicide and trauma."

"And death caused by disease is their shortcoming."

"Are you saying the patient's injury was caused by disease?" Su Yun suddenly felt hopeful.

"No." Zheng Ren said: "It's what you said; I just want to try to find the cause as much as possible."

Su Yun remained silent, hailed a taxi, and came to the dissection teaching and research room of the Capital Medical University Affiliated Hospital.

The autopsy room is at the innermost part, cold and damp; opening the door, a blast of cold air greets you.

Along with the cold air comes a smell of smoke, mixed with a hint of inner organ odor, quite strange.

"Zheng Lao Ban, you've come." Li Zhaosen was squatting on the ground smoking; seeing Zheng Ren approach, he immediately stood up and warmly greeted him.

"Hmm, let's check the situation." Zheng Ren said.

"Here is your white coat." Li Zhaosen hastily stubbed out his cigarette, took a prepared white coat from the rack, and handed it to Zheng Ren with both hands.

"Today's autopsy will be performed by Doctor Su." Zheng Ren said.

Li Zhaosen was somewhat displeased, glanced at Su Yun, full of contempt.

Su Yun had no interest in arguing with him.

Now his mind is filled with what rare disease caused a 24-year-old young man to suffer a myocardial infarction and then be killed by a slap.

Damn it, Su Yun kept cursing in his heart.

Such a ghostly thing, how could it happen? If it were another disease, it would be fine, but Su Yun understands cardiac diseases thoroughly. He has thought it over many times, yet still does not know how to explain this.

"Zheng Lao Ban, the deceased's superficial injuries are minor, insufficient to cause death, and not distributed in the precordial area, thus we do not support this factor participating in the cause of death." Li Zhaosen said.

"Didn't the deceased's family say it was caused by external cardiac compression?"

"The location is wrong, and external cardiac compression at most causes rib or sternum fractures, piercing the heart. The existing evidence cannot confirm this." Li Zhaosen said.

"Could it also not be ruled out?" Su Yun asked.

"Hmm." Li Zhaosen, although not paying much attention to Su Yun, but since he is someone brought by Zheng Lao Ban, he also couldn't give him too much of a cold stare.

He gave a reluctant reply, and Li Zhaosen followed Zheng Ren into the autopsy room.

This time there were hardly any people; assistants and such were all driven away by Li Zhaosen.

The room was cold and cold, with the air conditioning running year-round; a corpse lay on the autopsy table, its chest already opened.

A faint smell of blood and a hint of inner organ odor permeated the surroundings.

……

……

Note: Regarding the autopsy procedure issue, the ones I have come into contact with are all old almanacs from several decades ago; I'll first say hello to this part.