medical road high rise

Chapter 448 Find something wrong

Chapter 450 Find something wrong

Qin Feng and the liver transplant doctor grabbed the recipient's wife and the donor's mother respectively.

"Doctor, look at this man's face. My daughter wanted to use her organs to help others before she died. How did she end up like this? And why did your hospital agree to give it to such a poor family?"

The pain of losing her daughter had already caused this mother a lot of pain, but now her daughter's kindness is not only not rewarded and appreciated, but is questioned and insulted. One can imagine the mood of this mother.

Qin Feng sighed, and when he was about to explain, the hospital manager rushed in from the hall with several doctors.

"Brother Qin, the autopsy report is out."

Qin Feng looked at the documents in the hands of the hospital chief. As for whether it was the donor's liver problem or the recipient's own problem, it was all in this autopsy report.

The family members on both sides also settled down and looked at the hospital manager.

Qin Feng took the autopsy report and glanced at it.

The cause of the patient's death was acute liver failure. Qin Feng frowned when he saw the report, but there was no other description.

It should be known that the recipient had cerebral edema before his death. Hepatic encephalopathy cannot be explained by acute liver failure, but it can be related to brain diseases.

"No." Qin Feng shook his head, "How do you know it's acute liver failure?"

"The patient showed intermittent hyperammonemia toxicity." The hospital said.

"not enough."

Although this manifestation is one of the characteristics of acute liver failure, it is also one of the manifestations of other diseases.

Moreover, the inspection time was too short. From the time of death to the present, it probably took less than half an hour for the autopsy results to come out. Even if all the inspections were done, it would take more than half an hour.

Obviously the autopsy doctor was lazy. Under the pressure of the family members, he had to give a result as soon as possible. The hospital also hoped to end this incident as soon as possible.

Qin Feng looked through the autopsy report again, and found that the liver cells of the deceased patient experienced rapid necrosis in a short period of time, and multiple organs were affected, resulting in multiple organ dysfunction syndrome.

The most important death of the patient is a bit bizarre. Logically speaking, the donor's liver should be fine, and there should be no liver function problems or diseases.

A healthy liver was transferred to the body of the needy, and died of liver disease without any rejection, the more I thought about it, the more outrageous it became.

"Li Ling's family, I want to say a few words to you alone." Qin Feng said.

"Doctor, do you want to check my daughter?" asked the donor's mother.

"Ah."

'I don't agree, my daughter is already short of liver and lungs, I will not allow you to move her body any more. ’ The donor mother shook her head.

Qin Feng was silent. He was also very embarrassed by this situation, mainly because the autopsy report in his hand was really not convincing.

But if he didn't check the donor's body, Qin Feng would not be able to confirm whether there was an undiscovered hidden disease in her body, and whether it would affect the lung transplant patient he was in charge of and cause another death.

Seeing the expression of the donor's mother, Qin Feng could only turn his head to look at the liver transplant doctor, "Can I perform an autopsy on the deceased?"

"Doctor Qin, it's not for me to make a decision." The liver transplant doctor hesitated.

Qin Feng sighed, he couldn't interfere with the corpses on both sides, how can he confirm the cause of death?

No way, Qin Feng could only make a phone call to Zhao Guoping, Zhao Guoping asked Qin Feng to go directly to the anatomy building, and he would settle the rest.

If Qin Feng handles this by himself, Qin Feng's head can be divided into two.

Entering the anatomy building, the whole building looks a little gloomy, the air is filled with the smell of formalin, and there are some unpleasant smells.

Before entering the dissecting room, Qin Feng put on the dissecting equipment, otherwise, Qin Feng's body would be full of corpse smell, and he would not be able to wash it clean in the shower, and if he didn't wear goggles, his eyes would be covered by Faure within a minute. Marin couldn't open it.

Qin Feng counted the autopsy instruments, and then saw the body of the liver transplant recipient, but the face was covered.

This is also a habit and a rule. After all, when dissecting a corpse, fingers and arms are fine. If some timid medical students have just finished dissecting and have not recovered from their fear, they can die on the spot when they look up and see a pale face.

Qin Feng opened the chest and abdomen of the patient. What he wants to know now is what kind of disease caused the two people to die one after another. The girl's autopsy report is still unclear, and the cause of death is still unknown.

However, the only thing that can be known is that the girl's lungs and liver are in a healthy state.

Qin Feng picked up the rib cutter, removed the entire front of the chest, and then checked the abdomen.

The abdominal examination starts from the intestinal tract, and uses a scalpel or scissors to move along the attached tissue.

The autopsy doctor had already prepared the passage, Qin Feng just conducted a simple verification and found that there was jaundice in the patient's body, which is also a complication of most patients with acute liver failure.

Qin Feng also found that the patient had multiple subcutaneous bleeding points, including oral mucosa, nasal mucosa, and multiple digestive tracts. Blood stains could also be clearly seen in the intestinal contents of the deceased.

This is related to the disorder of coagulation factor synthesis and abnormal platelet quality after liver failure.

As the autopsy progressed, Qin Feng found that there was no intracranial hemorrhage in the patient's brain, which meant that the patient did not die of hepatic encephalopathy.

Then the brain disease caused by liver disease that Qin Feng guessed before is not established.

So where is the problem?

Qin Feng always felt that it was not that simple, but several facts were here, and many signs of the patient were consistent with death from acute liver failure.

Looking at the liver next to the corpse, Qin Feng suddenly looked over curiously, then took off his mask, fanned his hands and sniffed it, and found that there was no smell.

Qin Feng quickly put on his mask and became energetic.

It should be known that in patients with acute liver failure, because the mercaptans decomposed from sulfur-containing amino acids cannot be metabolized by the liver, after being eliminated by the lungs, liver odor will appear.

Especially for patients who died of acute liver failure, the liver will shrink rapidly and lose its function, so the liver odor is very strong.

However, when Qin Feng sniffed it just now, there was no smell except for the smell of formalin.

Qin Feng recalled the patient's autopsy report again. The patient's MRI showed that the bilateral cortex and brain parenchyma were involved, especially the bilateral cingulate gyrus and bilateral insula were seriously involved, while the deep gray matter, white matter around the ventricle and cerebellum were very severe. normal.

In addition, there is diffuse cortical swelling.

"Could it be a metabolic and toxic disease?"

(End of this chapter)