Rebirth in the medical world

Chapter 115 Myocardial Amyloidosis
When the body was carried onto the stretcher cart and slowly pushed into the operating room by two nurses, the woman who had been crying without any strength let out a shrill cry, and then passed out on the cold ground!
This heavy picture was suddenly frozen in Ouyang Chenhui's mind, forming a permanent imprint. He suddenly realized that as a doctor, sometimes he really changed a lot!It can change the fate of a person, the fate of a family, and even the fate of a group of people!
If he goes into business, he can earn hundreds of billions, and if he becomes an official, he can become a high-ranking official. These are all possible, but if he becomes a doctor, he can save many lives and many people. family!
Therefore, he must find out the cause of the deceased's death. Only when he knows the cause will he let the deceased die in peace, comfort the living relatives, and relieve his miserable wife spiritually!At the same time, as a doctor, only by knowing the reason can he save lives as much as possible and avoid such tragedies!

When the deceased was still lying on the stretcher, Ouyang Chenhui quickly had a general scan of his internal organs. According to the doctor in the emergency department, this person went to the clinic to see a doctor because of nausea and vomiting. So, he first looked at his digestive system, gastrointestinal tract, liver, gallbladder, and everything was fine.The lungs and trachea are also fine.However, when his eyes fell on the heart, he was stunned for a moment. It stands to reason that a man in his thirties is in the prime of his life when his body functions are most vigorous. But it is obviously overwhelmed, the heart muscle is hypertrophic, and the heart is enlarged!Everything indicates that his death is necessarily related to his overwhelmed heart!Obviously, this person died of heart failure, but what caused the heart failure?
While he was thinking about it, the corpse was carried onto the operating table for autopsy, shadowless lamp, surgical gown, and surgical instruments. Everything was ready. Ouyang Chenhui and Liu Zhendong, director of the autopsy department, were separated from each other and got on the operating table!
"Director Hu told you, right? We also have requirements for the autopsy here. The incision should be as small as possible and not spread everywhere. This is also respect for the deceased and the family members of the deceased. Therefore, the patient's medical records must be thoroughly studied. Let's cut it!" As soon as he came to the stage, Liu Zhendong gave Ouyang Chenhui a blow!
Ouyang Chenhui didn't speak, but a contemptuous smile flashed on the corner of his mouth, thinking, medical records?It's only been ten minutes since I came here, have you shown me the medical records?

"Director Liu, in your opinion, where should we start with this patient?" Ouyang Chenhui stopped. What he never understood was why since there is an autopsy department in the hospital, and there is also a director, why should there be one? During the mission, we must go to the University of Medical Sciences to rescue soldiers!I guess this Liu Zhendong is also a freelancer, right?

"He went to the doctor for symptoms of the digestive system. Of course, he started with the digestive system!" Liu Zhendong didn't think so. Quite confident!He said it on his lips, but he was slandering in his heart: When I started mummifying the director of the department, I guess you were still playing with mud, right?
"Then what disease in the digestive system can cause sudden death? This deceased did not smoke or drink, had no hemorrhage, and had no medical history!" Ouyang Chenhui laughed secretly at his Yelang's arrogance!
"It's also possible that the doctor in the clinic misdiagnosed it!" After Ouyang Chenhui asked such a question, Liu Zhendong lost most of his confidence. To be honest, he still doesn't understand how many organs there are in the digestive system!
If it wasn't for the old dean who fell into the river when he was drunk and fell into the river when he passed by and saved his life, he would still be a pig butcher in the slaughterhouse now!

Therefore, any system or the like is just a cloud to him!It's just that I have stayed in the hospital for a long time, and I have learned a lot of technical terms, so it is more than enough to go out and fool those ignorant citizens!

But once he meets a real medical expert, he will quit!Regardless of his young age, this young man seems to know more medical terms than him!Thinking of this, Liu Zhendong didn't dare to say anything casually!

Ouyang Chenhui shook his head, ignoring the butcher in the coat of an anatomy doctor, he just found the right entry point, and started to cut.Although this is also a corpse, but because it died not long ago, the feeling in the hands finally feels like an operation!
Like in an anatomy laboratory, he quickly cut open the chest cavity, and quickly cut open the heart under Liu Zhendong's questioning eyes!
The whole process took only ten minutes, and even the nursing care was not so fast, and he performed the operation cleanly, without muddling at all, and the surgical incision was relatively smooth!It doesn't look like an autopsy but more like a thoracic surgery!
But Ouyang Chenhui is not in the mood to enjoy Liu Zhendong's worshipful gaze at this moment, he must find out the cause of death!
The heart was freed first, and then cut in the sagittal plane. At this time, the internal structure of the entire heart was clearly visible in front of him.

I saw that the heart cavity had been obviously thickened, and there were white amyloid-like things attached to it!
This discovery makes Ouyang Chenhui a little strange, he is not very good at cardiology, he only stayed in the cardiology department for a few months during the department rotation, but what he has seen are common diseases such as hypertension and coronary heart disease!

Therefore, he still felt a little powerless about this strange heart pathological change!But what he can be sure of is: the cause of death of the deceased is definitely from the heart!

As an anatomy doctor, Ouyang Chenhui's task has actually been completed, and the next thing is the matter of the pathology department. After two or three days, when the pathology report comes out, the cause of death of the deceased will be revealed!

However, at this time, Ouyang Chenhui didn't feel relaxed, he was very curious, what kind of heart attack was this, Huiran, a young and middle-aged man, died suddenly without warning!
At the same time, he was also thinking about Al's illness. He remembered that in his previous life, after Al's death, the cause of death reported by his classmates was hidden heart disease, but this is a general concept!There are many hidden heart diseases, and former US President Clinton is also a patient with hidden heart disease! In September 07, he underwent heart bypass surgery. Even if you are the president and have a professional health doctor, you can't detect the disease early. It can be seen that Al's condition should not be taken lightly!
While he was thinking, Hu Li had already arrived. As soon as he entered the door of the dissecting room, he saw Ouyang Chenhui sitting on the stool in a daze, and the corpse on the dissecting table had already been disembowelled. That's it, just send pathology specimens!He felt relieved, it seemed that his vision was right, he could really be on his own!

"I'm really sorry, Old Liu, I really have something urgent today!" Hu Li then apologized to Liu Zhendong frequently!
Liu Zhendong didn't mind either. After all, the assistant he sent was a bit stronger than Hu Li, so what else could he say!
"Old Hu, blue is better than blue, you are not a bad apprentice!" Liu Zhendong smiled and gave Ouyang Chenhui a thumbs up!

Hu Li stepped forward and patted Ouyang Chenhui on the shoulder: "Thank you for your hard work, thank you!"

Ouyang Chenhui smiled calmly, this matter is really a trivial matter to him!He is more concerned about the results of the autopsy now!And the cause of the death!

"Director Hu, look at this heart, how could it be so young? And it is said that the patient had no obvious symptoms before!" Ouyang Chenhui touched the heart in front of Hu Li.

Hu Li looked at it for a while, then leaned forward and looked at it for a long time before shaking his head: "This is obvious myocardial amyloidosis! This kind of case is extremely rare, and even if it can be diagnosed in the early stage, there is no special effect. The treatment method can only be symptomatic treatment to delay life! It’s a pity to be so young!”

Cardiac amyloidosis?
Ouyang Chenhui's heart moved, this term sounded familiar, but he had no idea of ​​the specific etiology, pathology and clinical manifestations!In his previous life, when he was assigned to the obstetrics and gynecology department, he completely lost his fighting spirit, so he didn't go deep into the professional knowledge other than obstetrics and gynecology!

Fortunately, he still has a chance. This time, he must thoroughly understand the nine major systems of his body. With ten years of life experience and a pair of clairvoyant eyes, he is confident that he can become a truly outstanding doctor. !

Back at school, the first thing Ouyang Chenhui did was to open the textbook of internal medicine, and turned to the chapter on the circulatory system, only to find that the explanation of myocardial amyloidosis in the textbook was only a few short sentences: amyloidosis It is a systemic disease in which insoluble fibrous protein precipitates outside the cells of tissues and organs of the body and causes damage to its metabolism, structure and function. It is named after the protein stained as amyloid amorphous matrix under the microscope !The clinical manifestations of patients with amyloid cardiomyopathy are complex, lack of specificity, and some even have no obvious clinical symptoms. At present, there is no specific treatment. The patients have a short course of disease, poor prognosis, and often die in a short period of time!
It is another disease that has no specific treatment method. After so many years of development of modern medicine, it is still powerless to deal with many diseases, such as cancer, AIDS, rabies... etc. Inexplicable diseases are devouring tens of thousands of people every day. If you contract these diseases, no matter how much wealth you have or your power position, it can be said that everyone is really equal in front of these diseases!

As a doctor, maybe the way of the future is to overcome these medical problems one after another?
Suddenly, Ouyang Chenhui became very interested in this forced anatomy assistant!

　Can I continue to ask for monthly tickets?With the support of a monthly pass!Thank you very much!
　　
　
(End of this chapter)