Chapter 1735 Myocardial Contraction Zone - Necrosis! (Leader Albinism Hacker Plus 5)

"What kind of patients are usually sent to you for an autopsy?" Zheng Ren asked.

"Most of the people who died in the hospital are sent here, and there are a small number of deceased people who fought and fought. I can't touch the really big and important cases." Li Zhaosen said: "Even if technical assistance is needed, I will go to the Municipal Bureau. ." Li Zhaosen said.

"Just yourself, are you afraid?" Zheng Ren glanced at the deceased, his chest and abdomen had already been dissected, and he had probably seen them all.

Su Yun put on his clothes and gloves, and began to dissect.

"It's all dead, there's nothing to be afraid of, but the living are scary." Li Zhaosen said.

In conjunction with the gloomy atmosphere here, his words are quite powerful. And the corpse, like a comment, silently agreed with Li Zhaosen's words.

Su Yun walked directly to the deceased's side, putting the knife aside, he picked it up directly, held out the heart, and began to dissect.

"There is no problem with the general structure of the heart." Su Yun said, "There is no organic disease other than congenital heart disease and myocardial infarction."

Zheng Ren didn't chat, he stood behind Su Yun and watched Su Yun's dissection.

He knew where Su Yun was tangled.

If the deceased suffered from a heart attack, it would mean that Da Liu, who had a dispute with the deceased at that time, was jointly and severally liable. At least part of the responsibility is inescapable.

But if it was not the death of myocardial infarction, but the rupture of the myocardium, the medical staff who did the cardiac compression at that time would have to have a certain responsibility.

A dilemma.

There was a smell of viscera in the room, and the exhaust fan was not turned on. Zheng Ren frowned, really not used to the smell, and said, "Mr. Li, don't you usually turn on the exhaust?"

"What are you doing with that thing? If I hadn't waited for Boss Zheng to come, I would have done an autopsy in 20 minutes." Li Zhaosen said, "The smell hasn't dissipated yet."

Zheng Ren really didn't know how to describe Li Zhaosen.

"Moreover, the dead body at the autopsy smells much better than the teacher of the body. Especially the teacher of the body, who has just been fished out of the pool, has the smell of formalin. After the autopsy, it looks like a lovelorn."

"Do you have a girlfriend?" Zheng Ren asked casually, staring at Su Yun's dissection of his heart.

"No, I work, who wants to marry me." Li Zhaosen didn't care and replied casually.

"Heart rupture occurred in the posterior wall of the left ventricle near the apex, and there was an acute large-area myocardial infarction in the rupture area. The rupture was irregular, about 1.2 × 0.8 cm." Su Yun continued to observe.

"The scope of myocardial infarction is relatively large, and myocardial necrosis..."

Saying that, he hesitated.

"Boss, do you find anything weird?" Su Yun asked.

"Open the three coronary arteries and see, are you sure? Don't cut your hands." Zheng Ren said.

"Cut!" Su Yun said, "I have done 122 coronary bypass surgeries."

"Just be careful." Zheng Ren said, "The extent of myocardial necrosis is too large, and the whole heart seems to be broken, like a rotten peach."

"This kind of situation is rare. When I did the autopsy, I also felt strange." Li Zhaosen said, "I have done the autopsy of patients with myocardial infarction, and the situation of the elderly in their seventies and eighties is not as serious as his."

Su Yun did not directly dissect the coronary arteries as Zheng Ren said, and he began to examine the heart.

"What do you think?" Zheng Ren asked.

"It smells bad." Su Yun said, "It's like rust. Is it caused by some chemical poisoning?"

"The liver has been dissected, and there is no major problem. At most, it is a little alcoholic liver, and it is not very heavy." Li Zhaosen said.

"Strange." Su Yun turned his heart in a different direction.

"Leave the coronary artery first, and dissect the left heart. The heart is too large as a whole, and the ventricle is hypertrophic, especially the left ventricle." Zheng Ren suddenly said loudly.

The heart of an adult is about the size of my fist. A fist the size of a sandbag is just an adjective. Generally speaking, the heart is not that big.

Especially since most of them were in Su Yun's hands, it was difficult for Zheng Ren to see the size.

"I'll just say what's wrong!" Su Yun said, "It was the first time I did an autopsy, but I forgot such a big thing."

With that, he began to dissect the heart.

Su Yun's use of a scalpel is different from Zheng Ren's. His technique is more exaggerated, or rather dazzling.

"The whole heart is enlarged, and the volume is about 10% larger than normal. The left ventricle is the main point. The left ventricle is dilated and hypertrophied. Considering the death of the deceased, it is accompanied by left heart failure. There is bleeding in the myocardium, and a large number of myocardial fibrosis!" Su Yun explained while dissecting.

"Myocardial contraction zone..." Soon, his words stopped.

"Necrosis?" Zheng Ren's eyes narrowed.

"I just got a call from you, Boss Zheng." Li Zhaosen also saw this at the same time, and he explained immediately.

Necrosis of the myocardial systolic zone means a very big thing - basically only methamphetamine abusers have this physiological change.

Not occasional use, but abuse, long-term, large amount!

"MD!" Su Yun scolded excitedly, "Boss, I know what this weird smell is!"

Zheng Ren also wanted to understand what it tasted like.

People who smoke methamphetamine have a smack odor on their bodies.

There is a huge gap between Zheng Ren and Su Yun's social circle and this kind of person, and they rarely see such a person, so they didn't react immediately.

Li Zhaosen is also in the same situation.

What you see in the book are just boring words, not a substitute for the smell of your nose. Li Zhaosen hurriedly ran to turn on the exhaust fan, until he heard the humming sound, he seemed to be better.

"The mechanism of cardiomyopathy is multifactorial, including catecholamine excess, coronary spasm and ischemia, increased reactive oxygen species, mitochondrial damage, changes in myocardial metabolism, and direct toxic effects."

Su Yun nagged while dissecting. Zheng Ren knew that he was thinking.

Things have turned around, even reversed.

"Chronic poisoning can cause changes such as myocardial inflammatory cell infiltration, myocardial hypertrophy, myocardial fibrosis, dilated cardiomyopathy, accelerated atherosclerosis, aortic dissection and even heart rupture." Su Yundao, "It can almost be determined that it is methyl methacrylate. Heart rupture caused by amphetamine poisoning has nothing to do with trauma."

"You are too subjective." Zheng Ren said calmly, "The court will not believe your subjective opinion."

"Then find objective evidence." Su Yun turned back and smiled, the six relatives with black hair floating on his forehead did not recognize him.

"Take the subadventitial tissue and send it for pathological biopsy." Zheng Rendao, "Focal lymphocyte infiltration in the subepicardium, coronary artery and aorta, myocardial myolytic necrosis, inflammatory cell infiltration and fibrous tissue hyperplasia. It is the most objective, The strongest evidence."

The room was deserted, Zheng Ren's words were like stones, hitting the surrounding walls and making a humming sound.

"Okay!" Su Yun replied with certainty.