"Squeak~~~squeak~~~click~~~click~~~"

Chen Qi coughed a few times and suddenly put down the chainsaw. Professor Bradley next to him was a little strange:

"Chen, why don't you continue?"

Chen Qi waved the "dust" in front of his eyes and said angrily:

"Forget it, forget it, no need for the electric saw. Look at how much dust flies out when the electric saw cuts the bones. These are all ashes. The surgical masks we are wearing can't protect you from it at all, cough cough cough~~

~”

When a chainsaw cuts bones, it's like a carpenter cutting wood. There are flying shavings everywhere.

Especially since the anatomy room was closed, the ashes were flying around and couldn't be dispersed. They were all inhaled into the lungs of the people inside. It was still unlucky to think about it.

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

"How long will the saw last? The family members and reporters outside are all waiting for the results. Anyway, this is an autopsy, not a surgery on a living person. It's not that particular. Please put the rongeur on me!"

Rongeurs, similar to vise, can be large or small. They can clamp bones and press hard to break bones or even metal.

The reason why surgery or orthopedics are jokingly called "masons" is because when they work, they use hammers, saws, pliers, and then they knock, beat, and saw. It is completely invisible.

Undergoing surgery.

Surgery is not as elegant as ordinary operations such as gastrointestinal surgery. It is completely manual work, so there are very few female doctors in surgery and orthopedics.

Chen Qi chose the largest rongeur, which was the same size as a gardener pruning branches, and then clamped it at the bone. When he exerted force with both hands, the ribs were broken.

This is a corpse. If you perform surgery like this, you will have to be beaten to death.

The five medical examiners didn't object. As for the autopsy, they used all kinds of unconventional methods. The corpse couldn't talk anyway, and there were no medical lawsuits. They could do whatever they wanted.

Chen Qi pinched off all the bones 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 also started working. This is original first-hand information that must be carefully observed.

The patient's lungs, liver, heart, and intestines were all exposed to the field of vision.

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

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

"Chen, which step should we start with?"

For conventional corpses, specimens and body fluids, such as gastric juice, intestinal juice, etc., should be collected first. In addition, if necessary, some internal organ specimens will be collected for testing to prevent poisoning or other pathological changes.

Then the internal organs are removed one by one, including the heart, liver, spleen, lungs, kidneys, stomach, pancreas, gallbladder, etc., and then weighed.

At this point, the corpse needs to be cut open to see what's inside.

For example, stomach contents.

If the shape of rice grains and vegetables is relatively complete, the chyle is reduced, and only a small amount of food enters the duodenum, death should generally occur within 1 to 2 hours after the meal.

If all the food in the stomach is in the form of chyle, with only a few rice grains and vegetable residues, and the food has entered the large intestine, death will occur about 4 hours after the meal.

If the food in the stomach has been completely emptied, or only hard vegetable skins such as cabbage heads, coarse skin fibers, and kelp skins remain, death will occur 4 to 6 hours after a meal.

If the stomach contents are meat or greasy, heavy and difficult-to-digest food, the estimated time from eating to death should be extended accordingly.

Forensic doctors can also infer the eating area, living habits and economic status of the deceased based on the type and composition of the food in the stomach, providing clues for investigating and solving cases.

It can also be used to infer the approximate time from the last time the deceased ate to death based on the degree of digestion and emptying of food in the stomach, providing a scientific basis for inferring the time of death and the range of activities of the deceased during his lifetime.

Therefore, the more powerful Qin Ming forensic doctors are really more amazing than Mr. Di Renjie. They don't even need to ask Yuan Fang, they only need to ask the corpse.

After all inspections are completed, the internal organs will be placed individually in embalming fluid for storage for later review.

Don’t some netizens like to say: “My whole body was hollowed out?”

When it comes, the corpse will take out all your organs. No one will be left, and you will be an empty corpse without a soul.

Chen Qi shook his head, pointed at the heart of the deceased and said:

"Please note, gentlemen of the forensic medicine department, Professor Bradley, I previously speculated that the cause of death was aortic dissection, and the CT scan showed abnormal bulging of the aortic root, so our first step is to identify the most likely cause of death.

The cause of death has been ruled out."

The five forensic doctors discussed it and said: "Okay, Chen, follow your ideas."

Chen Qi said to several staff members:

"Come on, come on, you guys will focus on the heart from 4 angles. Don't have any blind spots, otherwise someone will not admit the autopsy results."

"Okay Dr. Chen!"

The five forensic doctors also spread out and stood on both sides of the body. Everyone wanted to see if this Chinese doctor was so magical.

Chen Qi was not polite and cut open the cardiac capsule with a scalpel, exposing the heart and great blood vessels.

When everything was opened, the first thing you saw was a large amount of black blood clots that had coagulated. When Chen Qi started to move his heart, you could see that the gaps between the internal organs were all filled with blood clots.

An experienced forensic doctor can tell at a glance which internal organ is suffering from massive bleeding.

There was only the sound of cameras clicking, and everyone was watching Chen Qi's movements intently.

After Chen Qi fully exposed the aorta connected to the heart, he rinsed it with physiological saline over and over again. Then he laughed. Of course he didn't dare to laugh loudly because the cameras were filming it.

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

Professor Bradley was the closest and the first to shout:

"Oh my God, it's really an aortic dissection. I don't know whether I should say that Mr. Chapman Webster is too unlucky or that Ziguang Hospital is too unlucky."

The five judges were also very responsible. They all put on gloves and personally inspected the aortic breach.

An older forensic doctor then solemnly said to the camera: "Aortic dissection rupture can be confirmed!"

Chen Qi breathed a sigh of relief. His mission had been completed, and he had saved the reputation of Ziguang Hospital and the careers of several attending doctors.

Professor Bradley was still sighing:

"The most fearful thing is this hidden time bomb. You don't know when it will explode. Even if we encounter such a patient at Sid Sinai Medical Center, we can only admit defeat. As far as I know, there are currently no papers on aortic dissection.

, almost all specimens are made from corpses.”

Chen Qi also agreed: "There is no way, this disease is too dangerous, and it is estimated that it will be difficult to save it in a few decades, unless it is discovered early and intervened in advance."

Chen Qi is right. Even in 2022, aortic dissection will still be a critical emergency, with a relatively high mortality rate.

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

This is only if you discover aortic dissection in advance during daily medical consultation or physical examination, and then quickly hospitalize the patient.

However, there are still a large number of patients who died suddenly or who did not undergo autopsies. These people are not included in the statistics. Therefore, the total mortality rate of aortic dissection may be as high as 90% or even 100%.

For someone like Chapman Webster, who suffered a ruptured aortic root and suffered massive bleeding, even at the Mayo Clinic, the mortality rate was 100%.

In later generations in China, the best place for aortic dissection surgery was Anzhen Hospital in the capital, and Professor Sun Lizhong was the No. 1, No. 1 brother.

Thinking of this, Chen Qi is still wondering whether he will plagiarize the surgery of this later generation Mr. Sun?

The Sun's surgery invented by Professor Sun himself is to replace the stent-shaped trunk with the aortic arch, which increases the false lumen closure rate after dissection from 30-40% to more than 95%, and reduces the re-operation rate from 30% to less than 10%.

This is not bragging by some domestic experts, but a real international medical expert.

Chen Qi was happy to have found the cause of death, but since it was an autopsy, he couldn't just find out one cause, he needed to do a comprehensive examination.

The autopsy continues.

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

Because you cannot rule out death caused by cerebrovascular stroke, such as cerebral hemorrhage, cerebral infarction, etc., then this falls into the category of "medical accident".

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

To describe it this way, the hardness of the skull should be between 5 and 6. Even if you put a 500 kilogram object on it, it may not be crushed.

This is why the fossils of hominids such as Yuanmou Man and BJ Man often only have skulls and gums left in the end.

Of course, not all skull bones are hard. For example, the temple is the most vulnerable place. This is the dividing point of the skull, which is called the pterion in anatomy.

Don't hit here during a fight. Sometimes if you punch one or two punches, the person may burp.

When the time comes, one will be beaten to death and the other will be shot, and both of them will have to see the King of Hell.

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

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

In fact, craniotomy is tricky because there are bony sutures between the skulls. It is relatively easy to open the skull along the bony sutures.

But this is only relatively easy.

Chen Qi doesn't have the time or patience. What he needs to do now is to make a quick decision. Of course, the fastest way is to use a chainsaw and an electric drill.

Fortunately, this is a hospital in the Special Administrative Region. If we were in the Vietnam-China Hospital, we wouldn't be able to get this electric saw.

Bradley shrugged after hearing this: "Okay, I should have used the electric saw a long time ago."

After saying that, the two people put on three surgical masks and started to open the skull together. Chen Qi made a mark on the skull, and then the electric saw started to work again.

Medical chainsaws are very small. They are not like the big murderous chainsaws in the horror movie "Saw". The kind of chainsaws that pull the engine cord and have a perverted smile are full of horror.
To be continued...