Chapter 621 Autopsy begins

As soon as the door of the dissection room was closed, Professor Bradley slapped Chen Qi with a smile:

"Hey, Chen, is it a surprise or a surprise that we meet again and become competitors, hahaha."

Chen Qi was also very surprised:

"Bradley, I was really surprised. Why did you come to the United States? How did they hire you, a great expert?"

Professor Bradley shrugged:

"No way, although my endoscopic skills are nothing in front of you, but I am considered the top expert in the United States, so the family members found it and gave me a check for 1 million dollars. I can only say that it is too much."

Chen Qi pretended to be upset when he heard this:

"Damn, this is so unfair, you know I presided over this autopsy, how much did they pay me in Shenzhen? There is only a business trip subsidy of 20 yuan a day, or RMB, and it does not exceed 5 yuan in US dollars. This gap~~~"

Chen Qi is famous for asking for money. He gets 5 yuan while others get 1 million. The gap is indeed too big.

"No, since you got so much, I must treat you to the bar tonight."

Professor Bradley is also very generous: "OK, no problem, the rice wine I drank at your house last time is very delicious, we will not go home without getting drunk~~~"

Chen Qi thought to himself: Who would drink rice wine when going to a bar?

Professor Bradley, last time he personally visited Yuezhong for the illness of the Hollywood tycoon, and personally participated in an endoscopic operation, although this operation eventually caused the patient to perforate.

When Chen Qi was elected as the director of the World Society of Gastroenterology last time, Professor Bradley cheered for him, and the relationship between the two parties is very good.

Of course, only a few people know this. After all, doctors are not celebrities, and few people pay attention to personal relationships in private.

So Angelia had an oolong, and the top medical expert specially recruited from the United States, thinking that she could overwhelm the doctor in China and the professor who could take care of her, the two turned out to be good friends.

If Angelia knew about the relationship between the two parties, she would definitely scold black, really **** black.

After finishing the chores, Professor Bradley also entered the working state:

"Chen, I heard that you made the previous medical appraisal, and I also read the detailed report. Do you really think it is possible to have aortic dissection? I think the possibility of suffocation and cardiovascular and cerebrovascular stroke still exists."

After hearing this, Chen Qi found the CT film of the deceased from a pile of documents:

"Look here, the left ventricle comes out, can you see a bulging shadow at the root of the aorta, I suspect that this is a dissecting aneurysm, and then during the endoscopic operation, it happened that the aneurysm ruptured and bleeds, and finally died of massive hemorrhage."

Professor Bradley may not believe it if others say it, but he still admires Chen Qi's medical skills.

"OK, I'll cooperate with you in the autopsy later on, but don't expect me to release the water. After all, there are two cameras working at the same time at the scene, and there are five forensic doctors from all over the world to supervise the whole process. I hope your guess is right, otherwise you will be in trouble."

Although Angelia has **** and no brains, she can't hold back the dog legs behind her.

She also knew that this autopsy was related to who is more suitable to inherit Dakai toys, so she also made two-handed preparations.

For example, more than a hundred reporters from all over the world came, and these reporters were all waiting in Ziguang Hospital, waiting for the autopsy report to be released.

For Chen Qi, the only thing that can "clear the grievances" for Ziguang Hospital is to prove that Chapman Webster died of aortic dissection.

And the mother and son of Beata want to win Dakai toys, and this is the only possibility.

All the remaining options, that is, all other causes of death except aortic dissection, are all in favor of Angelia.

This is also one of the important reasons why Angelia finally let go of the autopsy, because she felt that she had the greatest possibility of winning.

Otherwise, if she was killed, she would not perform an autopsy on her husband. She would rather procrastinate and sue the hospital, the ex-wife, mother and son, and finally use the huge and complicated judicial system in the United States to prolong the lawsuit and muddy the water.

Is Chen Qi under pressure?

What pressure does he have? A reborn person like him is no stranger to aortic dissection. When working in a hospital, especially in the emergency department, he often saw it in rotation.

Chen Qi has absolute confidence in his own judgment, not to mention that both the clinical manifestations and auxiliary examinations of the deceased support his judgment.

More importantly, what if the judgment is wrong?

He was only here to help, at worst it would be embarrassing, the doctor's misjudgment is not a capital crime, and besides, he is not the one to pay for the loss, the pressure is all on the Shenzhen side.

So Chen Qi didn't feel burdened at all, instead he smiled and greeted 5 forensic doctors from various countries.

Although there is a big difference between forensic medicine and clinical medicine, one deals with the dead and the other deals with the living, but both sides are "students from the same school" at any rate, and at least they share a passion, so they are quite friendly with each other.

Everyone is using money to do things. This is just a job. How could there be a brainless face-slapping session?

Show disdain to a double director of the International Medical Association. These forensic doctors are not pigs. They know the weight of a double director and will never underestimate Chen Qi because of his age.

The corpse has been taken out of the freezer and "thawed" in advance.

Generally speaking, it is best to conduct autopsy within 48 hours, and it can be extended to a week under freezing conditions.

The body will stink out later, and if the body rots, many characteristic manifestations will be inaccurate, which will affect the conclusion of the autopsy.

Mr. Chapman Webster, the rich man in the United States is now lying quietly on the dissection table. No matter how glorious he was during his lifetime, he will become a lamb waiting to be slaughtered after death.

Life is short, and enjoyment in time is the truth.

Chen Qi paid respects to Chapman Webster's corpse while everyone was busy preparing for work.

"Chapman Webster, we are wronged and owed debts. We can only blame you for your bad luck. You have aortic dissection, and that quack doctor Li Huacheng prescribes a gastroenteroscopy for you, which causes the pressure in your blood vessels to suddenly increase and cause the aneurysm to explode.

So if you feel that you have died unjustly in the underworld, you must tell King Yama that the quack doctor who killed you is Li Huacheng, and I am here to avenge you. To announce the cause of your death is a good man. You should not report the wrong person in the middle of the night, Amen. "

Li Huacheng is actually responsible. If he had a higher level and saw the possibility of aortic dissection on the CT list, he would not let the patient go for gastrointestinal endoscopy.

Without this gastrointestinal endoscopy, the patient may still have hope of being rescued.

Even if you can't be rescued in the end, as long as you don't die in Ziguang Hospital, your family members will not lose their minds and bring such a big trouble to your unit and the country.

So Chen Qi asked Chapman Webster to find Li Huacheng in the middle of the night.

Professor Bradley put on the surgical gown and came over. It was strange to see Chen Qi muttering words while saying goodbye:

"Chen, why don't you change your clothes? Is this praying to Mr. Chapman Webster?"

Chen Qi twitched his face and nodded quickly:

"Yes, I am using our unique method in Huaguo. I hope that our great Taishang Laojun and the Jade Emperor can forgive Chapman Webster's crimes during his lifetime, and his soul can go to the Western Paradise to enjoy the blessings after death, Amen."

Westerners still attach great importance to faith, and Professor Bradley quickly drew a sign of the cross: "May the Lord bless him."

The five forensic doctors also crossed themselves one after another.

Then all the staff on Huaguo's side suppressed their laughter and turned their heads away.

After Chen Qi put on the surgical gown and gloves and came over, everyone was ready.

"Are the units ready?"

"Ready!"

"OK no problem!"

The deceased, Chapman Webster, had been stripped of all his clothes and pants, and lay there face up.

Chen Qi picked up the scalpel and looked at the snow-white corpse in front of him. What came to his mind was how he made extra money by making corpse specimens with Teacher Li Baotian in the medical school.

In those countless nights, he was alone dissecting the corpse while checking whether the coal stove for cooking the bones had gone out? Has the water run out?

Thinking about it now, life at that time was quite difficult, and the key point was that I couldn't get enough to eat.

In a flash, Chen Qi has traveled for almost 10 years.

Seeing that Chen Qi just picked up the scalpel and was in a daze over there, Professor Bradley thought that Chen Qi couldn't figure out where to cut the knife, so he kindly reminded:

"Chen, what cut are you going to make?"

There are generally three types of incisions in an autopsy.

Huaguo forensic doctors like to use the "one-line incision method", that is, the scalpel starts from the midline of the lower edge of the mandible, and cuts the skin and subcutaneous tissue along the neck, chest and abdomen midline around the left side of the navel to the upper edge of the pubic symphysis.

Let's describe it this way, it starts from your chin, and cuts down to your penis.

The biggest advantage of this anatomical cutting method is that it is easy and fast, and can handle most autopsies.

But there is a very bad thing. After the dissection is completed, even if the suture is good, because the clothes cannot cover the neck, the sutures located in the front of the neck will often be exposed, which is lacking in aesthetics.

Of course, in a certain country, there is no need to pay attention to this detail. Anyway, after the autopsy, there is no stitching, and the pieces are sent directly to the cremation furnace. The family members get only the ashes of "suspected" relatives.

Foreign forensic doctors prefer the "Y-shaped incision method".

The tangent lines are from the left and right mastoids down to the shoulders, and then cut anteriorly and medially to meet at the sternal notch. The thoracoabdominal incision is the same as above. The submandibular and chest skin is peeled off, and the skin flap is turned up on the face to expose the anterior neck organs.

It is to cut obliquely from the protruding bones behind your ears, merge at the sternum, and cut down in a straight line to the end.

This kind of dissection can better preserve the damage on the body surface when there are wounds or injuries on the neck. In China, the "Y-shaped incision method" is generally used when there are many and obvious neck injuries.

Y-shaped incision method has less damage to the skin of the neck. When the deceased wears clothes with a slightly higher collar, the sutures can be covered, and the body can be more beautiful in appearance.

So the effects of the two incision methods are the same, that is, the "one-shape" is more barbaric, and the "Y-shape" is more civilized.

Chen Qi took a look at this rich man, and decided to make him more respectable:

"Let's make a Y-shaped incision."

"OK!"

Chen Qi found the mastoid process behind the left ear of the deceased. From here, he cut the knife directly from the back of the ear to the middle of the sternum.

Then switch to the right side and the same knife came.

Because the deceased has been dead for a week, there is no blood flowing out at this time. If it is a fresh corpse, it will start to slip and bleed at this time.

After making oblique incisions on both sides, Chen Qi pointed at the middle line again, and made a sharp stroke with his right hand, making a stroke to the end.

At this time, the corpse has actually been disembowelled, but what you see is not internal organs, but yellow fat.

Especially the deceased was a big fat white man, the fat layer was quite thick, it would be a waste of energy to separate it.

Fortunately, it has been frozen. If the corpse is found in the wild on a hot day, autopsy and dissection will kill people at that time, because the fat is greasy and not slippery when grasped, plus the smell of corpse...

You taste, you taste carefully!

Chen Qi and Professor Bradley worked hard for a long time, and finally separated the fat and muscle layers of the deceased, exposing the abdominal omentum, which was considered as the completion of the first step.

"Oh my god, you Americans are so good at eating. With so much fat, you are almost exhausted."

"Yeah, so body management is the most important thing, otherwise you will be rejected by the forensic doctor after death."

While chatting, Chen Qi and Bradley lifted the peritoneum with tweezers and made a small incision, and carefully cut open the lifted abdominal omentum with a knife.

During this operation, it is necessary to lift the abdominal wall with vascular forceps to avoid cutting and damaging the organs in the abdominal cavity, and then cut off the muscles connected to the lower edge of the chest wall along the costal arch to expand the abdominal cavity.

At this time, one of the three abdominal cavities is opened, exposing the internal organs of the stomach.

Even if it was frozen, after all it had been dead for a week, the corpse still had a peculiar smell, especially the intestinal smell, and many onlookers took a few steps back.

The staff in charge of the camera pulled in the camera lens, first took a picture of the inside of the abdominal cavity, and took a preliminary look at the intestines and stomach, whether there was any damage or discoloration, they were all superficial things.

The staff of the two countries who were in charge of taking pictures also stepped forward, and began to shoot from multiple angles.

Instead, the five forensic doctors just glanced at it, and didn't look at it too much. With old experience, they can tell if there is any problem at a glance. Then continue to sit and wait beside, because the opening of the abdominal cavity is only the first step.

The simplest autopsy involves opening the "three cavities", which are the abdominal cavity, chest cavity, and brain cavity.

Like the liver, lungs, and most of the stomach in your imagination, these organs need to be opened to see clearly.

It's like the little juggling girl in front of Yuezhong Hospital who swallowed live snakes. If traditional surgery is to be performed, the chest cavity must be opened to operate on the stomach.

But opening the chest cavity is not just talking. This difficulty is much more difficult than cutting the stomach, because the ribs and sternum protect the chest cavity.

Therefore, to open the chest cavity, you must first remove the bones. The bones are very hard, and a scalpel is useless.

At this time, there are different approaches at home and abroad.

China prefers to cut directly from the junction of ribs and costal cartilage one by one, and then remove the ribs and sternum to expose the chest cavity.

The advantage is that the cartilage is easy to cut and the operation is simple.

But the disadvantage is that the exposure range of the chest cavity is small, and the field of view in situ in the chest cavity is small.

Forensic doctors abroad like to use rib scissors directly to cut off the axillary ribs on both sides in sequence, so as to fully expose the chest cavity.

The advantage is that the in-situ observation of the thoracic internal organs has a large field of view, and the disadvantage is that the axillary ribs are hard and laborious to cut.

Bradley looked at Chen Qi again: "Chen, what tool do you want to cut the bone?"

"Bring me a chainsaw..."

Comrades, I'm still in Qingdao, playing like crazy every day, and I don't have time to type, uh, forgive me.

(end of this chapter)