Most large C code bases aren’t really written in C. They’re written in an almost-C that includes certain extensions and undefined behavior. In this case, it uses inline assembly (an extension) and manipulating pointers as integers (undefined behavior).
While I’m always thankful when people give the broad perspective and context in a discussion, which your comment does. The specifics of this particular project’s usage of almost-C is not something I could have quickly figured out, so thanks. For such a large program, an to be as old as Qt is at this point, I find it impressive and slightly amazing that it has in some sense self-limited its divergence from standard C. It would be interesting to see what something like SQLite includes in its almost-C.