Someone has a crush on Forensic Gu

The family members of the deceased refused to give in, and they were bound to fight to the end. A group of people blocked the entrance of the hospital, and they had to ask the hospital to give an explanation.

Such a big commotion quickly alarmed the leaders of the hospital, and the director of the department and the client Luo You were called to the office for questioning.

But Luo You couldn't explain this matter clearly, because he didn't know why the patient died suddenly.

"It seems that we can only dissect the corpse!"

The leadership of the hospital unanimously decided to contact a third-party organization to dissect the corpse, but later public opinion gradually fermented. Some netizens uploaded a video of the medical disturbance, which attracted the attention of millions of netizens. quite appropriate.

At first, the patient's family members did not agree to the autopsy, but later the incident became more and more troublesome. Chen Jian's son also realized the seriousness of the matter and had to agree to the autopsy.

The dissection room of the funeral parlor is relatively spacious, and it can accommodate a few more dissection tables. The deceased is lying in the middle, with a white cloth covering the body and head.

There were many people standing in the autopsy room, and there was a circle of people outside the window. After the family members of the deceased brought Luo You over, there were even more people.

After putting on the dissecting suit, Gu Yuan bowed deeply to the corpse, the atmosphere suddenly became serious, the people who had been discussing in low voices also shut up, and quietly looked at the forensic doctor in front of him.

Gu Yuan lifted the white cloth covering the corpse, and the skin of the corpse in front of him was grayish gray. It is no exaggeration to say that it is a dead corpse, because apart from the skin, only the skeleton remained.

At this time, most of the people were invited out of the room by the criminal police. They stood outside the door with their feet on their feet, and stretched their necks to look in. Mo Lin and Wen Zihan had said hello in advance, and they wanted to stay in the dissection room to cheer up Gu Yuan.

Gu Yuan observed Chen Jian's corpse. This 65-year-old male corpse looked too thin!

The tumor itself is a consumptive disease, so it is normal for the deceased to have a thin body, but Chen Jian's subcutaneous fat was almost non-existent, and he was completely skinny. Seeing the shape of ribs, the joints of the elbows and knees are exaggeratedly swollen because there is no fat wrapping.

Even through the skin and muscles, the outline of the skeleton under the skin can be seen at a glance.

The entire abdomen is sunken downward, showing a "scaphoid abdomen", the anterior superior iliac spine protrudes high, and the position of the pubic symphysis is also very obvious.

At this time, rigor had spread all over the body, and there was no sign of rigor relief. After death, the deceased remained in a supine position. After the blood stopped flowing, it filled in the direction of gravity, forming a large area of ​​plaque on the lower part of the corpse.

It is now November and the temperature is not high, so the time of death should be between 3 pm and 6 pm yesterday, which coincides with the time of death announced by the doctor.

Chen Jian's lips and nails were obviously bluish-purple, and he looked like he died of hypoxia, but because the deceased had lung cancer and had large-scale metastases in the lungs, hypoxia is also very serious in the case of pulmonary insufficiency. normal.

There were needle holes left by the infusion on the left and right forearms of the corpse, and no fatal injuries were found in the rest of the body.

After ruling out the possibility of mechanical trauma, Gu Yuan opened the mouth of the deceased with a gag. Most of the teeth of the deceased were lost, but the gums healed well, no dentures were found, and the oral mucosa was also intact without bleeding points, so it can be ruled out. Possibility of asphyxia due to violent compression of mouth and nose.

There is no congestion and strangle marks on the neck, and mechanical asphyxia caused by external force can also be ruled out.

Gu Yuan took out a scalpel from the tray and cut open the skin on the midline of the deceased's jaw.

The "one"-shaped incision was pulled down from the lower jaw, and the skin of the neck and chest wall was easily cut open. His technique seemed smooth, and the force was well controlled. The incision gracefully circled around the navel. Half round, the cut is beautiful.

After the scalpel bypasses the navel, it continues to pull down, cuts the skin of the lower abdomen below the navel, and finally stops above the pubic symphysis.

The way Gu Yuan cut up the corpse was like a tailor cutting fabric, from beginning to end in one go, without even blinking.

The skin and muscles of the abdomen were peeled off, and the skin and muscles on both sides were turned to the sides, and a unique smell of internal organs came out.

There is also a strong smell of western medicine in this taste.

Chen Jian's body was full of chemotherapy drugs, and these drugs were deposited in every corner of his body.

There is no special abnormality in the abdomen, there is very little food in the intestine, the intestinal wall is slightly distended, and the entire stomach is shrunk together.

Gu Yuan could almost imagine Chen Jian's state after chemotherapy: severe digestive tract reaction, severe nausea and vomiting, no appetite for eating, even the water in his stomach was vomited up.

But these will not lead to death. Doctors usually infuse some nutrient solution and electrolytes according to the patient's physical condition to relieve the side effects of chemotherapy.

Gu Yuan planned to focus on checking the situation in the chest cavity and the chest wall corresponding to the puncture site.

He found the lowest rib, cut off each costal cartilage with a scalpel, and finally clamped the sternoclavicular joint with forceps, and the entire manubrium was separated from the rib.

Lifting the entire manubrium exposes the lungs and heart.

The condition of the lungs of the deceased looked very bad. The cancer had invaded the edge of the lungs, and there was a bunch of extra growths on the edge, bloody and bloody, soaked in a large area of ​​yellow exudate.

Through the visceral pleura on the surface of the lungs, one can vaguely see the mess in the lungs.

It can be said responsibly that the lungs in this state may face a strike at any time.

In addition, there was a large amount of effusion in the deceased's pleural cavity, at least more than 1000ml. In this case, puncture and drainage were indeed required, and the doctor's decision was correct.

He checked the puncture positioning point on the back of the deceased. The positioning point was in the eighth intercostal space on the back, and there was no problem with the positioning point.

Just a puncture, how could it lead to Chen Jian's sudden death?

Gu Yuan could only boldly guess that the cause of death was probably the lungs.

So he did a detailed local dissection of the trachea and lungs. After cutting the trachea, he found something tricky.

There was profuse clotted blood in the trachea, and a lump of fleshy material was found in the right main bronchus.

Gu Yuan guessed that the blockage was probably a tumor embolus (cancer cell mass) that had come off from the lungs of the deceased, because cancer embolus is a common complication of tumors. He had read many articles and pictures about cancer embolus before, so he didn’t feel that so surprised.

Wen Zihan was originally a doctor in the oncology department, so his first reaction was that it was a cancer embolus, and the two of them suddenly looked at each other, tacit understanding.

Before lowering his head, Gu Yuan glanced over Mo Lin, and found that Mo Lin's brows moved slightly, and then the corners of his mouth slightly curled up, looking at him with strange eyes.

Gu Yuan ignored him and continued with the autopsy.

Without the support of the pathology report, this mass can only be a mass of unknowns, and too many guesses are meaningless.

He only looks at the results of the pathology report, which is the gold standard.

Gu Yuan picked up the mass with tweezers, soaked it in the saline solution prepared in advance, and sent it to the laboratory for examination as quickly as possible.

Although it is not yet clear what substance this blockage is, the cause of death is already clear.

It was indeed suffocation, the suffocation caused by the blockage and the blood.

Dr. Luo You and his students happened to encounter this situation during treatment.

Although there was no direct reason for the death and puncture of the deceased, it was still a mistake not to sign before the operation.

Gu Yuan freed the entire lung and trachea and placed them on a tray, then carefully checked the puncture point for abnormalities.

He found that the chest wall and pleura at the puncture site were intact, and no signs of invasive manipulation were found around.

In other words, the injection needle never broke through the chest wall, let alone penetrated into the pleural cavity.

It seemed that the student was too nervous during the operation and did not dare to wear it inside, so the deceased fainted before breaking through the chest wall.

If the student's hand was faster and pierced the pleural layer, it would have really become an invasive operation.

In this case, the needle only penetrates the muscle layer, which is similar to an injection.

Of course, it is impossible to directly cause the death of the patient.

While waiting for the laboratory pathology results, Gu Yuan dissected the deceased's cranial cavity, but found no special place.

The laboratory called and said that the lump of flesh was indeed a tumor thrombus.

Immediately afterwards, he sent the pathology report to Xiao Ze's phone.

Gu Yuan glanced at the report, and after confirming that there was nothing wrong, he issued an autopsy report and signed his name.

This incident is not a medical malpractice, because the tumor embolus fell off, combined with massive intrapulmonary hemorrhage, resulting in tracheal blockage and suffocation.

The matter was finally clarified, and Gu Yuan sewed up the corpse again, trying to make the deceased look more decent.

The family members standing outside the autopsy room turned green when they heard the news, so they changed their rhetoric and focused on the issue of not signing.

The leaders of the hospital basically knew it well. As long as the death was not caused by the doctor's mistake, the rest would be easy to talk about.

Luo You was picked up by the people in the hospital. His body was in a mess, he was hit hard, and he was still in a trance.

Wen Zihan kept looking at Luo You, not knowing what he was thinking, until the other party got into the car and left, his eyes still stayed in the direction the car was driving away.

The patient's family put away the white banner, and most of the relatives and friends of the deceased also dispersed. The hospital leaders calmed down Chen Jian's son's emotions and began to deal with the aftermath.

When Gu Yuan walked out of the funeral home, the sky was gray and the city was a bit smoggy.

Wen Zihan looked at the sky: "The sky in China looks different...but it seems to be full of unknown challenges."

Sometimes Wen Zihan would suddenly feel sad and say something that Gu Yuan could not understand.

"What are we going to do later?" Wen Zihan immediately changed the subject after expressing his emotions.

"Go back and take a shower."

Gu Yuan carried the investigation box into the police car, Mo Lin threw the car keys to Wen Zihan, and followed Gu Yuan into the police car.

Only then did Wen Zihan realize what Mo Lin meant when he said that he would borrow a car to drive himself before he came to the funeral parlor. This guy must have already thought about the next thing!

Wen Zihan looked at the car keys in his hand, and suddenly wanted to curse...

The author has something to say: here we come~