medical road high rise

Chapter 322 Examining the Cause of Death

Chapter 323 Checking the Cause of Death

"Operation begins."

Qin Feng and Li Xuewen placed the patient in a prone position, and then performed general anesthesia with endotracheal intubation.

After the preparations were over, Qin Feng picked up the scalpel and started.

Qin Feng made a diamond-shaped incision from the sacrum of the patient's buttocks to the midline of the coccyx, and then dissected the flap from the midline to the left and right sides until the starting point of the gluteus maximus muscle fiber at the sacrum was palpable.

Then along the starting point, the patient's gluteus maximus muscle fibers were cut open, and the musculature was cut downward to expose the ligament caudal to the patient, and it was cut horizontally.

Then the nearby aorta was blocked, and the nerve roots and a large number of free lesions were separated at the same time, and some tumor-related tissues were resected.

Time passed little by little, and the equipment nurse wiped Qin Feng's sweat once.

"Surgical forceps!"

Qin Feng took the surgical forceps and bluntly dissected the anterior space of the coccyx to separate it from the anterior sacral rectum.

Pick up the scalpel again, and cut the sacrotuberous ligament and sacrospinous ligament attached to the lateral border of the sacrum sharply from behind.

Continuing with the presacral dissection, blunt dissection continues in front of the sacrum, pushing the rectum directly forward.

The soft tissue was dissected behind the sacrum to expose the proximal end of the sacrum, and the lamina and spinous process of the sacrum were excised at a posterior sacral foramen on the upper border of the tumor with a lamina rongeur, so that the spinal canal was fully exposed.

After three full hours, Qin Feng finally came to the most critical step of the operation, the removal of the sacrum.

Qin Feng took a deep breath, picked up the scalpel and cut the sacrum at the upper boundary of the tumor, placed the scalpel on the outside of the patient's thigh, put his hands into the incision, and removed the tumor and coccyx from the incision.

After placing them on a clean tray, Qin Feng checked the patient's back wall of the rectum again, and after confirming that there was no damage, he continued to insert the prosthesis.

Qin Feng put on a clean sterile glove again, and compared the prosthesis with the taken out sacrum. At the same time, various data of Li Xuewen's original sacrum were also measured.

According to the data, Qin Feng carefully polished the prosthesis and the original sacrum successfully, inserted it into the original sacrum, and anastomosed it with the upper vertebra and the lower coccyx.

The clip presents an inverted "V" shape for internal fixation to ensure the stability of the upper body.

After solving the problem of empty windows, Qin Feng continued to suture the ligaments and nerves.

This is also a relatively boring part, because the diseased ligaments and nerves have been removed, and a part is missing. If you want to suture, you need to use artificial materials for anastomosis.

After spending nearly an hour, Qin Feng finished suturing, and the whole operation was declared complete.

It took a full seven hours, and at the moment Qin Feng announced the end of the operation, Li Xuewen felt that his waist could hardly stand upright.

Orthopedic conference room.

The director of orthopedics took the lead in applauding.

"The surgery was done well."

Everyone applauded.

"To be honest, Dr. Qin's ideas are very inspiring to me."

"Yeah, whether it's the incision or the technique of cutting nerves and ligaments, it has benefited a lot!"

The orthopedic surgeons fell in love with Qin Feng's admiration. As for the resentment caused by the director canceling their vacation and calling them back, the resentment disappeared.

At seven o'clock in the evening, Qin Feng gave Director Dong's nephew a round of tests. The test results were not bad, and the operation was considered a success.

In a flash, it was time to get off work again. When Qin Feng was packing his things, he received a call from the emergency department.

Doctors from nearby villages and towns hurried over with a patient and his family members in a 120 ambulance.

"Hello, the Emergency Department of Ruijin Hospital..."

"Okay, I see."

The nurse who answered the phone quickly dialed the number of the head of the emergency department, and the head of the emergency department contacted Qin Feng after receiving the news.

"Around eight o'clock in the evening, there is a patient with respiratory failure? The symptoms are strange?" Qin Feng agreed after receiving the call.

After going out to eat a fast food, Qin Feng returned to the hospital and waited for a while, and the ambulance rushed over.

As soon as we got off the bus, the inpatient department of the emergency department opened the first aid channel, and the patient was sent to the emergency room with the green light all the way.

Outside the rescue room, the patient's mother slumped on a chair, weeping uncontrollably.

The patient's father stood beside the chair, walking back and forth.

Qin Feng entered the emergency room, and when Qin Feng was about to rescue, a straight line appeared on the electrocardiogram.

"A shot of adrenaline."

Adrenaline was sent into the patient's body, and the patient's heart rate still did not fluctuate.

He tried several other methods, but they all failed. Before Qin Feng could make a diagnosis, the patient died on the emergency bed.

"Doctor Qin, I'll go and tell the patient's family." Hospitalization in the emergency department is always very difficult.

"I'll go with you." Qin Feng said.

This is also to avoid accidents. After all, the patient is dead, and the family members of the patient may really overreact. Two people are better than one.

"Doctor, how is my son?" the patient's mother asked impatiently.

"I'm sorry, we tried our best." The chief resident of the emergency department lowered his head, and Qin Feng stood behind the chief resident.

The patient's parents suddenly became disordered in their steps, but they didn't get violent, they just cried helplessly.

Qin Feng went to the emergency room with the hospital manager, and Qin Feng suddenly found that there were obvious traces of vomiting and blood around the emergency bed, but it was too late to pay attention to the rescue just now, it should be vomiting continuously before death.

This made Qin Feng a little curious about the cause of the patient's death. Although Qin Feng is not a forensic doctor, the hospital is obliged to help check the cause of death if the patient's family members request it.

Qin Feng went back and asked the wishes of the patient's family members. The patient's family members agreed and signed the consent form.

This is to avoid disputes over the corpse, black and white is the best choice.

"My son has always been in good health and has never been seriously ill. Why did he leave suddenly!" the patient's mother said unwillingly.

A person with white hair giving a person with black hair is an extremely painful thing for everyone.

But the words of the patient's family also made Qin Feng take it seriously.

How did a healthy person die suddenly, and what was the cause?

Because the inspection process was somewhat bloody, the patient's family members could not participate in it.

At the same time, the medical office and Zhao Guoping rushed over.

In my country, autopsy is a very serious matter. In the hospital, after the death of a patient, the doctor and the family members of the patient are not sure about the cause of death or have objections to the cause of death, and the autopsy can only be performed within 48 hours after death.

After making arrangements for the patient's family, Qin Feng began to examine the patient.

Hospital anatomy is somewhat different from forensic medicine. Forensic medicine's anatomy is limited to judicial organs, and its main purpose is to find out the cause of death and the nature of death.

The anatomy of the hospital is a pathological anatomy, which is used for medical school teaching, scientific research, and pathological analysis in medical institutions.

When encountering some patients who died strangely, the hospital will discuss with the family members to conduct an autopsy, so as to effectively preserve the pathological objects and contribute to medical research.

(End of this chapter)