"Squeak~~~Squeak~~~Click~~~Click~~~"

Chen Qi coughed lightly, and suddenly put down the chainsaw, and Professor Bradley next to him was still a little strange:

"Chen, why don't you continue?"

Chen Qi waved the "dust" in front of him with his hand, and said with annoyance:

"Forget it, don't use the chainsaw, you see so much ash foam flying out when this chainsaw cuts bones, these are all ashes, the surgical mask we wear can't prevent it at all, cough cough cough cough ~~~"

Chainsaws cut bones, like carpenters cut wood, and it's all flying debris.

Especially the dissection room is closed, and the ashes can't be scattered when they fly around, and they are all sucked into the lungs by the people inside, and it's still unlucky to think about it.

A staff member next to him asked, "Dean Chen, do you want to get on the saw?" ”

"When will the saw have to be sawed, the family members and reporters outside are waiting for the results, anyway, this is an autopsy, not a live operation, not so particular, give me bone forceps!"

Bone forceps, similar to vises, are large and small, and can be pinched and broken by pressing the bone, and even the metal.

The reason why surgery or orthopedics are nicknamed "masons" is because when they work, they have to use all the hammers, saws, pliers, and then the ping-pong is knocking and beating and sawing, and it is completely impossible to see that they are performing surgery.

Surgery is not at all as elegant as ordinary surgeries such as gastrointestinal surgery, and it is entirely individual, so there are very few female doctors in surgery and orthopedics.

Chen Qi chose the largest bone forceps, the same size as a gardener pruning a branch, and then aimed at the bones with a clamp, and as soon as the two hands were forced, the ribs were broken.

This is also the corpse, and it must be killed in such a surgical operation.

The 5 forensic doctors did not object, the autopsy, they had used all kinds of unconventional means, anyway, the corpse could not speak, and there was no medical lawsuit, so they could do whatever they wanted.

Chen Qi pinched off all the bones in turn along the armpit line, and then lifted off the sternum and ribs like a pot lid.

At this time, the five forensic doctors also stood up, and the cameras and cameras began to work, which was the original first-hand information and had to be carefully observed.

The patient's lungs, liver, heart, intestines, and everything have been exposed to the field of vision.

Chen Qi knew the cause of death, and knew that the real "lethal point" was not in these organs, but in the aorta next to the heart between the two lungs.

The chest and abdomen were opened, and when everyone had finished recording, Professor Bradley asked again:

"Chen, where do you start next?"

For conventional corpses, specimens and body fluids should be taken first, such as gastric juice, intestinal fluid, etc., and some visceral specimens should be taken for testing if necessary to prevent any poisoning or other lesions.

Then the internal organs are taken off one by one, and the heart, liver, spleen, lungs, kidneys, stomach, pancreas, gallbladder, etc. must be taken off separately and weighed.

At this point, the corpse will begin to dissect all the internal organs, and see what is inside?

For example, stomach contents.

If the appearance of rice grains and vegetables is relatively intact, chyle is reduced, and only a small amount of food enters the duodenum, it should generally die within 1~2 hours after meals.

If all the food in the stomach is chyle-like, with only a few rice grains and vegetable residues, and the food has entered the large intestine, it will die about 4 hours after eating.

If the stomach is completely emptied, or only hard vegetable skins such as coarse skin fibers and kelp skin remain, they will die 4~6 hours after eating.

If the stomach contents are meat or greasy, heavy and indigestible food, the presumption of time from eating to death should be extended accordingly.

Forensic doctors can also infer the deceased's eating area, living habits and economic status based on the type and composition of the food in the stomach, so as to provide clues for the investigation and solving the case.

According to the degree of digestion and emptying of the food in the stomach, the approximate time from the last time the deceased ate to death can also be inferred, which provides a scientific basis for inferring the time of death and the range of activities of the deceased before his death.

Therefore, the more powerful Qin Ming forensic doctors, they are really more magical than Master Di Renjie, they don't need to ask Yuan Fang at all, just ask the corpse.

After all the inspections are done, the internal organs will be stored separately in the embalming solution for later review.

Aren't some netizens like to say: "Isn't the whole body hollowed out? ”

When it comes, the corpse is to take out all your organs, and if there is no one left, you are an empty corpse without a soul.

Chen Qi shook his head, pointed to the deceased's heart and said:

"Everyone, please pay attention, several medical examiners, Professor Bradley, I previously speculated that the cause of death was aortic dissection, and the CT film showed that the aortic root was abnormally distended, so our first step is to rule out the most likely cause of death."

The five forensic doctors discussed: "Yes, Chen, follow your train of thought." ”

Chen Qi said to several staff members:

"Come on, come on, a few of you from 4 angles, the camera is aimed at the heart, don't have blind spots, save when someone doesn't recognize the autopsy results."

"Okay Dr. Chen!"

The five forensic doctors also dispersed and stood on both sides of the body, everyone wanted to see if the Chinese doctor was so magical.

Chen Qi was not polite, and directly cut the heart capsule with a scalpel, exposing the heart and large blood vessels.

As a result, the first thing he saw was a large number of black blood clots that had coagulated, and when Chen Qi began to move his heart, he could see that the gaps between the internal organs were all blood clots.

An experienced forensic doctor can tell at a glance which internal organs are bleeding.

There was only the sound of the camera clicking at the scene, and everyone was very attentive to Chen Qi's movements.

After Chen Qi fully exposed the aorta connecting the heart, he rinsed it with normal saline over and over again, and then he laughed, of course he didn't dare to laugh out loud, the camera was shooting.

At the junction where the aorta connects to the heart, a break in the blood vessel can be clearly seen, and the entire aorta is abnormally thick.

Professor Bradley was the closest, and was the first to shout:

"Oh my God, it's really an aortic dissection, I don't know if it's Mr. Chapman Webster who is too unlucky, or if the purple hospital is too unlucky."

The five judges were also very conscientious, all of them put on gloves and personally checked for the aortic rupture.

An older forensic doctor solemnly said to the camera: "The rupture of the aortic dissection can be determined!" ”

Chen Qi breathed a long sigh of relief, his task was completed, and he also preserved the reputation of Ziguang Hospital and the careers of several attending doctors.

Professor Bradley is still sighing over there:

"What I am most afraid of is this kind of hidden time bomb, I don't know when it will explode, even if we meet such a patient at the Siedsinai Medical Center, we can only admit it, as far as I know, almost all the papers on aortic dissection are based on corpses."

Chen Qi also agreed: "No way, this disease is too dangerous, and it is estimated that it will be difficult to rescue it in a few decades, unless it is detected early and intervened in advance." ”

Chen Qi is right, even in 2022, aortic dissection is still a critical emergency department, and the mortality rate is relatively high.

Even if aortic dissection is detected actively, the mortality rate is 37%-50% within two days, and 60%-70% of patients die within a week.

And that's just when you find out about aortic dissection in advance during your daily visit or physical examination, and then let the patient be hospitalized immediately.

However, there are still a large number of patients with sudden death, or patients who have not undergone autopsy, which are not included in the statistics, so the overall mortality rate of aortic dissection may be as high as more than 90%, or even 100%.

People like Chapman Webster who have ruptured the aortic root and bleed profusely, even at the Mayo Clinic, have a 100% mortality rate.

In later generations, the best aortic dissection surgery was Anzhen Hospital in the capital, and Professor Sun Lizhong was NO1, the first brother.

Thinking of this, Chen Qi is still wondering if he has plagiarized the operation of this later generation of Sun Daji?

Professor Sun's own invention of Sun's surgery is to replace the aortic arch + stent elephant trunk surgery, which increases the false cavity closure rate after dissection from 30-40% to more than 95%, and the reoperation rate from 30% to less than 10%.

This is not something that some domestic experts brag about, but a real international medical bull.

Chen Qi, who found the cause of death, was in a happy mood, but since it was an autopsy, it was not possible to find out only one cause, and a comprehensive examination was needed.

The autopsy continues.

After examining the chest and abdominal cavity, the next step is the brain cavity.

Because you can't rule out death caused by cerebrovascular stroke, such as cerebral hemorrhage, cerebral infarction, etc., then this belongs to the level of "medical malpractice".

But there is a problem with craniotomy, that is, the skull is too hard, the same as a stone, and it is too difficult to open.

Let's describe it this way, the hardness value of the skull should be between 5~6, and you may not be crushed if you press 500 kilograms of something.

Therefore, the fossils of Australopithecus such as Yuanmou Man and BJ Man often end up with only skulls and gums.

Of course, not all skulls are hard, for example, the most vulnerable place is the temple location, which is the dividing point of the skull, which is anatomically called the wing point.

Don't fight here when you're fighting, sometimes you punch or two, and people can burp.

Then one will be killed, the other will be shot, and both will see Hades.

While Chen Qi was cutting and separating his scalp, Professor Bradley was already holding a saw in his left hand and a hammer in his right hand waiting.

Chen Qi coughed lightly: "Bradri, now we have to use a chainsaw." ”

In fact, craniotomy is skillful, because there are bone sutures between the skull and the skull, and it is relatively easy to open the skull as long as you follow the bone sutures.

But that's just relatively easy.

Chen Qi doesn't have the time and patience, what he has to do now is to make a quick decision, and the fastest way is of course a chainsaw and an electric drill.

Fortunately, this is a hospital in the Special Administrative Region, and if it were in the Viet Chung Hospital, this set of chainsaws would not have been able to be used.

Bradley shrugged when he heard this: "Okay, it's long overdue for a chainsaw." ”

After speaking, the two of them put on three surgical masks and began to cooperate with the craniotomy, Chen Qi made a mark on the skull, and then the chainsaw squeak~~click~~~ began to work.

Medical chainsaws are very small, not like the murderous chainsaw like the horror movie "Chainsaw", the kind of chainsaw engine line pulled, coupled with a perverted smile, is terrifying.

The small chainsaw is a small disc with a diameter of 3 centimeters, which is very troublesome to turn, and the force is simply not used.

Chen Qi had to see around the skull, and it took 20 minutes to get it done.

However, although the periphery of the skull was open, there were still some inner plates connected inside, and it was impossible to remove the skull completely, so the T-chisel and hammer in Bradley's hand came in handy.

I saw that the white professor was now incarnated as a carpenter, chisel in one hand and hammer in the other, and began to eighty, eighty, and hammer hammer to strike the inner plate bones that were connected to each other to separate them.

Finally, with a bone rake, the skull was finally lifted smoothly.

Everyone breathed a sigh of relief, but they didn't dare to breathe hard, there were still a lot of ashes floating in the air, not to mention Chen Qi's diaphragm, and other foreigners also responded.

Chen Qi immediately took a scalpel to cut off twelve pairs of cranial nerves and brainstems, removed the brain, put it in a container to observe the appearance, and then took the scalpel to separate it into several pieces along the sulcus.

Professor Bradley was doing the assistant and taking notes at the same time.

In appearance, the human brain and the pig brain are very similar, and they are both polycerebral gyrus with many gyrations in the outer cortex.

It is that pig brains are much smaller, generally only between 80-180 grams, and the weight of adult brains is about 1300-1400 grams.

I just don't know if it tastes good...... (This question is answered by Mr. Huang Chao and Mr. Zhang Xianzhong)

Chen Qi shook his brain, quickly eliminated some unhealthy thoughts, and then reported to the five forensic doctors next to him:

"Several forensic doctors, judging from the contents of the deceased's brain and flesh, did not find cerebral hemorrhage or cerebral infarction, and preliminarily determined that cerebrovascular accident was ruled out."

The 5 forensic doctors were not polite, wearing gloves and personally conducting the test, anyway, it was clear whether there was a cerebral infarction or hemorrhage, which was very easy to identify.

All three chambers were opened, except for the lesion at the root of the aorta, all other organs were normal, and even the perforation, which is a common side effect of gastroscopic surgery, was not seen.

This is officially a rule out that Chapman Webster died of murder or medical malpractice.

As for the rupture of aortic dissection, there is no causal relationship with the diagnosis and treatment of Ziguang Hospital, it can only be said that both parties are too unlucky, one is to have this hidden critical illness, and the other is to happen to take over this patient.

In fact, Chen Qi knows in his heart that there is a little bit of relationship.

Because of the gastroscopy, the sudden increase in vascular pressure led to the rupture of the dissecting aneurysm, and the Ziguang Hospital did not consider this disease in advance, so there was a misjudgment.

But now it's a medical evaluation, and of course Chen Qi can't say this kind of thing.

And Bradley knew it in his heart, but before he came to Huaguo, Professor Grace told him that everything that listens to Chen Qi should not be silent for any other reason, as long as it has nothing to do with endoscopic surgery.

Therefore, many family members suspect that there is a certain amount of truth in the "medical care" between doctors and doctors when they are fighting medical lawsuits.

In this amazing country, the spirit of the rule of law and the spirit of contract are too lacking......