Chapter 3397 【3397】Two Different Things

What the classmates and bosses around me want to ask most is whether Xie has made any new discoveries.

I saw that student Xie suddenly looked at a pathological slide again and again.

"Yingying, what did you see?" Student Li Qi'an couldn't hold back anymore, he poked his head down and asked her.

Teacher Yuan Fang walked over, and under the premise of not disturbing her observation, she checked the serial number in the slide box and roughly deduced which pathological slide she was looking at.

Several other bosses followed, visited, and asked Teacher Yuan: How, what is it?

"It's a pathological section of a patient with myocardial infarction." Teacher Yuan Fang said.

Myocardial infarction patients are not a rare case in clinical practice today. There are a lot of pathological slices like this, so why is she clinging to this one.

Cao Dong directly asked the person involved: "Do you have any questions?"

Hearing the sound, Xie Wanying took her eyes off the eyepiece and turned her head with a look of surprise on her face.

Cao Dongfang realized that she hadn't known he was coming.

Yijin's name is too worthy of the name.

"Teacher Cao Dong." Xie Wanying politely called out to the boss of the capital.

After understanding the question just asked by the boss, Xie Wanying did not hide anything, and replied: "I am thinking about the pathological section of this myocardial infarction patient, and I may need to combine the specific patient's medical records and general specimens."

For the pathological observation of myocardial infarction, if possible, the first thing to do is to observe the gross specimen, that is, to observe the entire outline of the infarcted heart. Basically, the infarction lesion will appear grayish-yellow soft edema in the early stage, and in the later stage it will turn grayish white, dull and dull, and the surface will sink like a ground depression. From the soft side to the hard side, it is the formation of scar tissue.

Corresponding histopathological observation of pathological sections showed that necrotic cardiomyocyte nuclei fragmentation disappeared, inflammatory cells were seen nearby, granulation tissue was formed, and finally replaced by fibrous scar.

Therefore, if we observe the pathological slices, we can roughly infer from these evolutionary processes that the patient's myocardial slices were taken from which stage of the patient's myocardial infarction development.

The meaning of Xie’s words needs to be understood in this way. Just looking at this slice, it is not typical. It seems that the slice belongs to which stage of the case’s development.

In other words, whether this case is a slice of myocardial infarction may require a little question mark.

Teacher Yuan Fang and Cao Dong met each other. Without further ado, Cao Dong moved down the microscope on the operating table and pointed it in his direction, then stood and bent down to look at the eyepiece, wanting to confirm with his own eyes what she said.

Everyone waited for a while, and you can see that Cao Dong's eyes are almost glued to the eyepiece, which shows that the problem that Xie said is real.

Teacher Yuan Fang became a little nervous, and asked, "How is it, Doctor Cao Dong?"

"I think she's right. This is a slice of myocardial necrosis. If it's a myocardial infarction patient, you need to check the medical records again." Cao Dong said.

Myocardial necrosis and myocardial infarction are two different things.

Myocardial infarction, as the name suggests, is myocardial necrosis caused by coronary artery ischemia and hypoxia obstruction. In the case of myocardial necrosis, the cause is not limited to myocardial infarction.

If it is very unlucky, the patient died suddenly before the hospital or died too soon after being sent to the hospital. The family and friends of the patient can't explain why the patient's condition before his death caused the patient to get sick, such as the situation of her grandfather. Now it seems that if only relying on pathological scrutiny, there must be similar data that can withstand reverse deduction.

Maybe this not-so-typical slice could give her some ideas.