Chapter 236: Consent to autopsy
"Dead? Is it the groom Li Yiguo who has just finished his honeymoon? Zhang Jianzhong, director of the Department of Neurology, hurriedly asked.
"It's not Li Yiguo, it's Li Jianzhu, who was just hospitalized last night, an old man in his sixties, the one who had symptoms of vomiting blood when he was admitted to the hospital, he suddenly suffered from heavy bleeding in the lungs just now, and he was not rescued, and now his family is making trouble outside." The young doctor who broke into the conference room replied.
There was a problem with the patient in the neurology ward, and Zhang Jianzhong, the director of the neurology department, as the attending doctor and the director of the entire ward, immediately stood up and prepared to deal with it.
The doctor who presided over the expert consultation left, the consultation ended temporarily, and several doctors followed Zhang Jianzhong to the neurology ward.
In the corridor outside the neurological ward, the family of the deceased Li Jianzhu is clashing with the nurse on duty.
The family members were emotional, "What's going on in your hospital?" It's okay for someone to send it, but it's only been a few hours and it's been dead? Your hospital has to give us an explanation! ”
The nurse on duty explained that the family members did not listen at all and began to smash things in the corridor of the ward.
Seeing that the scene was out of control, Gu Jiashu called the police and called the security guards of the hospital at the same time.
It was only when the nearby police arrived that the scene was brought under control.
The momentum of the son of Li Jianzhu, a family member of the patient, did not weaken in the slightest, and he questioned Zhang Jianzhong, the director of the neurology department who was standing at the front, in front of the mediation police, "My dad can't just die without understanding, your hospital has to give an explanation to our family!" Is it because your hospital didn't treat it well? Or did my dad really have some strange disease that couldn't be cured? Our family members don't want to blackmail your hospital's money, we just want the truth! ”
Zhang Jianzhong explained, "Recently, the hospital has admitted a number of patients with similar symptoms, and the condition of other patients is quite stable, Li Jianzhu's condition suddenly deteriorated is not our expectation, in order to find out the cause, our hospital needs to conduct an autopsy on the deceased, which requires the consent of the family." ”
When the son of the deceased Li Jianzhu heard that his father was going to be autopsied, he immediately became angry, stepped forward and grabbed Zhang Jianzhong's white coat collar, and roared angrily: "My father is dead, you still want to dissect him?!" What do you doctors eat, people are dead and don't know the cause? ”
At the same time, the family members of other patients also stepped forward to persuade, "Now there are more and more people suffering from strange diseases, and the doctor also said that the autopsy is to find out the cause, so you can agree, you can not only get the truth, but also help treat other patients." ”
Li Jianzhu's son hesitated and looked at the other family members.
One of the old men with bloodshot eyes and a haggard face approached him, "Nephew, your cousin Yiguo was also sent to the hospital last night, and now he is screaming in pain, he just got married and came back from his honeymoon, he can't just die like this, I'm just such a son......"
The old man couldn't stop crying.
From the conversations with the families, Gu Jiashu analyzed their relationship with the deceased.
The deceased patient Li Jianzhu was the elder brother of the old man who was emotional and talking at this time, and it was the son of the deceased who made the trouble, and the son of the old man, Li Yiguo, who was also the cousin of the troublemaker, was now sick and admitted to the hospital.
The troublemaker finally relented, "Okay, I agree to the autopsy." ”
——
The First People's Hospital of Lianhai City, autopsy room.
The body of the deceased patient, Li Jianzhu, was laid flat on the central table of the autopsy room.
The chief surgeon of the forensic medicine department, assisted by Gu Jiashu and several other doctors who participated in the expert consultation, and a medical lawyer appointed by the family participated in the autopsy process.
The autopsy began, and the whole process was videotaped.
Following the usual autopsy procedure, a general examination is followed by an autopsy of the body cavity.
When the deceased's chest cavity was opened, the sharp-eyed Gu Jiashu noticed that the deceased's pulmonary artery, which was close to the heart, was beating.
The person must have died, why do the pulmonary arteries still pulsate?
Gu Jiashu said casually, "There is something in the deceased's pulmonary artery. ”
The chief of the forensic department, who was in charge of the surgery, also noticed an abnormality in the pulmonary artery and cut the pulmonary artery with a scalpel.
A black-brown thread-like mass gushed out of the veins.
The thread-like object entered the deceased's chest cavity and was still wriggling.
The black-brown thread-like bugs are still alive!
The doctors and lawyers who watched the autopsy process stood on end, and this scene was too terrifying!
Although the doctors have seen many scenes of surgery and autopsies, the picture in front of them is still shocking.
The cause of death of the deceased was a parasitic infection.
The parasite destroys the blood vessels in the lungs, causing a massive cough of blood, the alveoli are soaked in blood, and the lungs are suffocated and die of respiratory failure.
The chief of the forensic department who was in charge of the surgeon used tweezers to remove the insects from the deceased's blood vessels one by one and put them into the medical tray on the side.
The doctors who participated in the autopsy looked around and talked about the bugs that were taken out.
"It's a nematode, right?"
"It looks like it."
"There are many types of nematodes, hookworms, pinworms, roundworms, heartworms, trichinellas...... What exactly is a nematode? ”
"Caenorhabditis elegans?"
"No, Caenorhabditis elegans aren't that big."
"Nematodes that live in blood vessels...... Angiostrongyloides? ”
"Possibly, let the laboratory department take a look."
"As for the young people who just came to the laboratory department of our hospital, they have been asked to check for parasites before, but nothing has been found."
"It may be that there is a problem with the specimen given to the laboratory department, and the person who sent the worm to the Parasite Control Institute of the CDC, they should be able to distinguish it very clearly."
"Now that the autopsy results are out, other patients with strange diseases may also be the reason, first use conventional anthelmintic drugs, and then change the treatment plan after the identification results come out."
——
Saturday morning.
The small courtyard of Uncle Ge's house.
Gu Yanan went to the flower and bird market with Nan Hanfei according to the previous agreement, and selected a red-billed firefinch to give to Uncle Ge.
Uncle Ge was very happy and planned to leave the two of them at home for lunch.
Nan Hanfei happily agreed, and Gu Yanan was hesitating when his mobile phone rang.
Caller ID brother Gu Yoshiki.
"Little sister, the strange disease I mentioned to you before, the cause has been found just now, it is a parasitic infection, a patient died suddenly this morning, and an autopsy found that a large number of nematodes were parasitic in his pulmonary artery blood vessels, although the other dozen patients have not been tested for related parasites, but the cause is likely to be the same. The problem now is that although the parasite is found, the identification of the parasite type needs the help of your disease control, and this strange disease belongs to the onset of group parasitic infection, which needs to be reported to the epidemic network, and there are still some problems that need to be communicated with your disease control before reporting. ”
Another outbreak of the epidemic!
And it's a massive parasitic infection.
Gu Yanan immediately responded, "Brother, I know, I'll bring someone over now." ”
As soon as there is an outbreak, the disease control emergency team will be dispatched at any time, first going to the hospital to take samples of patients, and then conducting investigations.
Today is Saturday, and the members of the emergency team are resting, and they are not in the emergency office, so they have to call on their mobile phones to gather people.
Considering the large number of cases, sampling and later flow investigation require a lot of effort, Gu Yanan called Lu Li first.
Lu Li was playing a new video game at home, and when he saw Gu Yanan calling, his first reaction was that there was another epidemic and he had to work overtime.