630. Chapter 630: Carotid sinus syndrome

Long Zihan asked, "So, what was the cause of death of the deceased?"

Wang Xiaoguang said embarrassedly: "Uh...... I would like to know too. Pen Fun Pavilion www.biquge.info"

As he spoke, everyone followed Long Zihan's gaze and looked at Chu Yiren together.

The Chuyi asked, "Are you so sure I know?"

There was no doubt that everyone nodded their heads in unison.

Chu Yiren sighed and said: "The deceased's myocardial fibers are broken, the myocardial fibers are corrugated, the myocardial cells are hypertrophied, and the perinuclear lipofuscin is depositioned. The lumen of the atrial nodule artery of the heart is irregular. A small amount of pale red fluid and a large number of red blood cells were seen in the alveolar cavity, and the blood vessels in the lung interstitium, renal tissue, and hepatic sinusoids were dilated and congested. Hemorrhage in the adrenal envelope on one side. Congestion of spleen tissue and pancreatic tissue. The brain tissue was mildly edematous, and small patches of hemorrhage were seen between the arteries at the bifurcation of the lateral carotid artery and the connective tissue and muscle tissue around the ganglia, and there was no obvious hemorrhage and neuronal degeneration in the ganglia. ”

Long Zihan asked suspiciously, "Is this ......?"

"This is carotid sinus syndrome," Chuyi said. ”

"What do you mean?"

Wang Xiaoguang asked in surprise, "What?"

Chu Yiren looked at Wang Xiaoguang and said: "Carotid sinus syndrome, also known as vasomotor syndrome, is a group of clinical syndromes with spontaneous sudden dizziness, fatigue, tinnitus and even syncope. This symptom was just reported not long ago, and it's normal for you to not know it. ”

Wang Xiaoguang nodded and said reassuringly: "I thought I had neglected the knowledge I had learned!"

Although not as powerful as the Chu Yi people, Wang Xiaoguang is also an excellent forensic doctor.

In the process of work, he has been constantly absorbing experience and knowledge to keep himself moving forward.

In his spare time, he will also repeat the knowledge points he has learned to avoid omissions.

Therefore, when the Chuyi people said about carotid sinus syndrome, Wang Xiaoguang was so surprised.

Chuyi continued: "The carotid sinus is located at the bifurcation of the internal carotid artery, and it is a baroreceptor. If a person with carotid sinus syndrome is affected by violence or squeezing on both sides of the neck and affects the carotid sinus, the blood pressure in the carotid sinus will rise rapidly, causing strong excitement from the baroreceptors and causing a drop in blood pressure, heart rate, and even cardiac arrest through the vagus reflex. ”

Wang Xiaoguang suddenly said: "So, this is suppressing death!"

Chu Yiren nodded and said, "In medicine, this kind of death is indeed called suppressed death. ”

Long Zihan asked suspiciously: "Violence, squeezing, the deceased's neck seems to have only kiss marks, you can't say kiss marks, right?"

"Unfortunately, the deceased was confirmed to have been kissed and killed. But ......"

"But what?"

"After the carotid sinus is compressed, there will be discomfort or fainting for a short time. Generally, after 3 to 5 minutes, there will be a strong feeling of discomfort. ”

Long Zihan nodded and said: "So, not long before he died, the deceased had just had a relationship with someone, and then when he broke up, he walked to the scene of the crime and suddenly fainted, and finally stopped his heartbeat. ”

Chu Yiren nodded and said, "That's true. ”

"The deceased's left thumb suffered from paronychia and was treated for nail removal about a month ago, which may be a way to find out the identity of the deceased," Wang said. ”

Long Zihan instructed: "Liu Yuanheng, Erin, you are responsible for investigating the hospital in Shanghai. Find out if you can find out if you can find the information of the deceased who underwent nail extraction surgery a month ago, so as to find out the identity of the deceased. ”

The two responded in unison: "Yes!"

Since the deceased had undergone nail extraction treatment, there should be relevant information in the hospital.

Let them take the photos of the deceased and go to major hospitals to verify the identity of the deceased, and they should also be able to have some clues.

Long Zihan said again: "Mo Bei and Zhao Xiaohu, with the photos of the deceased, asked me door-to-door in the area where the crime occurred, to see if I could ask a blind date who knew the deceased or had seen the deceased, so as to get clues." ”

"Yes!"

A day passed quickly, however, the identity of the deceased has not been revealed, and there is no other clue to return the scattered "troops".

In desperation, Long Zihan could only end the day's tension and go home for the time being.

When he returned home, Long Zihan was dull.

At the dinner table, the family eats dinner.

The sensitive Yan Xiuzhen noticed that her son had some emotional problems and asked, "There is a new case again?"

Long Zihan nodded and said, "Yes, there is indeed a case. ”

Yan Hao asked with some curiosity, "Cousin, is the case very big?"

Long Zihan sighed and said, "It's not big, it's not big, it's not big." It's just that I don't know the identity of the deceased for the time being, which is a bit troublesome. ”

Yan Xiuzhen put a piece of braised pork in her son's bowl and said, "No matter what, you still have to eat well." Didn't the Yiren say that they should eat ...... What's going on?"

"To put it simply, when eating, the body's blood will temporarily accumulate more in the stomach, waiting for digestion to a certain extent and recover. When eating and thinking, the stomach competes with the brain for blood, which not only leads to insufficient nutrition and slow thinking in the brain, but also affects the health of the stomach. ”

Yan Xiuzhen persuaded: "Yes, you listen to the obedient, don't think so much when you eat." ”

Long Zihan just wanted to nod, but suddenly found that he had a headache.

He rubbed his temples and said helplessly, "I have a little headache!"

Yan Xiuzhen asked worriedly, "Ah, what's wrong, why do you still have a headache?"

Long Baichuan also looked at it, his face full of worry.

Chu Yiren comforted Yan Xiuzhen and said, "Mom, don't worry, he usually uses his brain too much, and he always gets a headache when he doesn't get a good rest." Just get some sleep, you and Dad don't have to worry too much. ”

Hearing Chu Yiren say this, the two were also a lot more relieved.

Long Zihan sighed and said, "I don't want to eat, go up and lie down for a while, you eat slowly, don't worry about me." ”

Yan Xiuzhen said to her son distressedly: "Hey, okay, then you should hurry up and get a good night's sleep!"

"Then I'll go upstairs first. With that, he put down the dishes and chopsticks, stood up, and went upstairs.

Looking at the rice he hadn't eaten a few bites in his bowl, Chu Yiren frowned slightly and said, "Just eat a few bites......

Long Baichuan said: "Yiren, when you go up, bring a cup of milk to Zihan." ”

Chu Yiren nodded and said, "I see." ”

Yan Xiuzhen sighed, and said a little sadly: "It would be great if there was someone who could share some of it for him, if Zhiyi ......"