Chapter 103 Potassium in the blood is in the abnormal range

Hyperkalemia, myoglobinuria, and acute kidney injury, even if there is no squeezing, some people will continue to maintain a posture due to certain conditions, which will lead to swelling of the limbs, which has a certain common reason with abnormal asphyxia. ”

"I see." Xiao Dong immediately recorded it and filled in the corresponding information in the form.

I recalled, seeing the information on the report, I kept thinking in my mind that crush syndrome is not limited to hyperkalemia, acute renal failure, metabolic acidosis, etc., and Huang Mao's blood potassium content was as high as 9.44, which was very wrong.

Clinically, a level of 8.5 in the blood potassium basically proves that the person is dead, and high blood potassium will lead to paradoxical alkalosis, in which case the pH of the urine will probably be above 7.5.

The uric acidity and pH of yellow hair is only 5.2!

I said solemnly about some of the information in the report: "Could it be because he had taken some kind of acidic substance secreted in the urine before the accident, but the results of our previous physical and chemical experiments showed that Huang Mao ...... There are also no signs of poisoning in the blue-haired ones, only a little drunkenness, but this level is not high and will not affect the driving ...... Go ask Li Zhiliang about the situation of the red hair. ”

I said, Su Yaxin and Xiao Dong Jaw first continued to review the body, I called Li Zhiliang, he should have been busy, and he was connected quickly, and before I could ask a question, he said directly: "Hongmao has entered the ICU, and he is not out of danger, he has more scars on his body, there are signs of comminuted fractures in the hip bone, sacrum, cervical vertebrae, humerus and radius, and the phenomenon of closed hemopneumothorax is serious. ”

"Then did he check that the blood potassium situation was wrong?"

"Oh? How do you know? Looks like you've found this in the corpses you've verified, huh? ”

"Yes, but there are no blue hairs, only yellow and red hairs, right?"

"It is true that the potassium level in Hongmao's body is excessive, but this situation is only because he took an acidic drug excreted in the urine in the prototype before his death, and I tested it, and it was tranexamic acid, which is used to treat melasma."

I asked, "Then why do you get this disease?" ”

"Melasma is mainly a disease caused by a disorder in the secretion of hormone levels in the body. This type of melasma is also called liver spots. Mainly after a large amount of estrogen is secreted, there will be some patchy yellow changes on the face. Melanin metabolism disorders and local inflammatory reactions are the main mechanisms of this disease. ”

"Melanin metabolism? Local inflammation? Could it have something to do with their usual private lives? ”

"In this case, I will continue to analyze and investigate, hoping to unearth more information."

"Thank you, Shira, I hope to save the life of the red hair, and when he comes to his senses, we will have to consult something."

Li Zhiliang didn't answer, now he himself probably can't be sure if the red hair can wake up, and I don't want to ask more, everything depends on the luck of the red hair.

After hanging up the phone, I told He Sheng and them the conclusion of the autopsy, and He Sheng agreed in the group, and soon Su Yaxin and I left the forensic department and were also arranged to visit and investigate.

Even if he doesn't say it, we don't want to stay in the Public Security Bureau this time, after all, we can sometimes visit the corpse outside and breathe, and it's a good thing to breathe.

We are going to the hospital to find the parents of the red hair, Hong Jinming is the father of the red dragon, knowing that we are the police, Hong Jinming said: "My son likes drag racing, I know this, but he will not fall out of control, someone must have interfered with him at that time, two police comrades, this must be a murder is not an accident, you must investigate the truth for my son!" My son doesn't even know if he can wake up now, and the doctor said his GCS score was very low, only 7.0. ”

The GCS score, also known as the Glasgow Coma Scale, is a medical method for assessing the degree of coma in patients. The degree of coma is assessed by the sum of the three scores, the higher the score, the better the state of consciousness, the Glasgow Coma Scale (GCS) to judge the patient's consciousness, is more objective.

The Glasgow Coma Scale has a maximum score of 15, indicating clear consciousness; 13-15 is classified as mild impairment of consciousness; 9-12 are classified as moderate impairment of consciousness; A score of less than 8 is coma; 13~15 is light, 9~12 is medium, and 3-8 is heavy. The lower the score, the greater the impairment of consciousness. The best response to the judging is scored. Note that the left and right sides of the exercise score may be different, and the higher score is used. The modified GCS score should record the best response/worst response and left/right motor scores.

If the score is less than 8, the situation is very serious, so Hong Jinming will say that he doesn't know if his son can wake up, and after Su Yaxin and I comforted him, I asked: "Before the accident, did Hong Dalong behave abnormally, or did he say anything special to you?" ”

"We are usually very busy, the red dragon has nothing else, just likes drag racing, usually he can help us in the company, but he will go to play during the holidays, unlike the blue hair and the yellow hair, they know to play, our children are already the best among them."

"We have checked the situation of Hong Dalong, he was arrested by the traffic police before, and you found a way to get him out."

Su Yaxin took out some information and handed it to Hong Jinming, but the father did not feel ashamed and needed to be responsible at all, on the contrary, he said with a natural face: "My son is still very talented in drag racing, and I also plan to let him become a professional racing driver." ”

"Heh, then don't wander around on the road, he is also responsible for causing him to do this situation." Su Yaxin said.

"I understand, but he doesn't usually have an accident, someone must have harmed him!" Hong Jinming's wife interjected.

I looked at her face, "How are you so sure?" Our police are still investigating at the moment, and we saw some videos at that time, which were sent to us by the traffic police, and they had a period of loss of control before the accident, as if they had encountered some harassment in the car. ”

"That must be murder, the murderer doesn't know how to take control of their car!" Hong Jinming used his imagination to help us analyze, Su Yaxin shook his head: "Don't rush to conclusions, don't speculate, now the three sports cars are in the hands of the trace inspection team, if you find a problem, you will be the first to feedback, since you don't know about the red dragon, then let me ask another question, do you know what enemies he has?" ”