Chapter 451 Why the postoperative high fever

Surgical heat, also known as surgical heat or absorption heat.

It is the reaction that occurs after the absorption of the decomposition products of the tissue and the local exudate and blood due to the destruction of the surgical operation.

After the operation, the body temperature of the patient may rise slightly, ranging from 0.5 to 1C, and generally not exceeding 38.5C. If it is a high or very high fever, there must be something wrong.

This is not a good thing. The most feared thing for postoperative fever is wound infection or inflammation of internal organs and tissues.

Pieter's phone call caught Chen Qi's attention. There is no way, he gave too much, and the after-sales service must be done well.

Chen Qi looked back at the Friendship Hospital and found that there were no critically ill patients to be treated by him, so he took a private off-road vehicle owned by Adem's family and headed to Freetown National Hospital.

Sitting in the car, Chen Qi curiously looked at the city's street scene and bustling crowd outside the window.

The roads are very narrow and dirty. It is hard to imagine that many roads in the capital of a country are dirt roads, and cars drive by and bring up a lot of dust.

It is in this kind of dust that you can see a large group of black uncles sitting or standing or watching on the side of the road.

The unemployment rate in this country is quite high. Young people can't earn money and have no place to work. This is an important reason for social instability and wars all day long.

However, it is the capital, and there are still many stalls selling snacks on the roadside.

But this kind of clean and hygienic delicacy, Chen Qi, who is known as the "dirty set meal" by people in the world, dare not try it.

For example, when he was stuck in traffic just now, he saw a black aunt directly stirring a bucket of porridge-like food with both hands, scratching her **** from time to time, and Chen Qi almost felt nauseous.

So I quickly turned my head and didn't dare to look at it. Good guy, it's good if I don't turn my head, but I really vomited when I turned my head.

Because on the other side of the road, an African uncle is holding a few bats and grilling them. The bats have their mouths open and their eyeballs protrude out, just like ugly mice.

Uncle Hei waved at Chen Qi while stroking his hair, beckoning him to buy some delicious food?

Chen Qi could only knock on the glass to signal the driver to leave quickly, otherwise he would leave a psychological shadow.

The driver laughed out loud when he saw it, and said something, and the translator said in the back seat:

"The driver said that it would be good if they could fill their stomachs. They had no choice at all. These foods are actually delicious. Many people just eat cakes made of a kind of soil."

"Avalokitesvara soil? Damn, this thing is not healthy, if you eat it, you will get intestinal blockage and die?"

"People are going to starve to death, do you still care about health?"

Okay, Chen Qi was speechless. He looked out the window silently, thinking that the villagers by the sea would be happier anyway, and they could eat seafood.

But this Huaguo doctor who came from afar didn't know that in the fishing village by the sea, only the poor eat lobster and abalone, and the rich eat meat.

The car drove into Freetown National Hospital quickly, and Piet was already waiting at the door.

"Doctor Chen, please make another trip."

"It's okay, let's go, go see your brother-in-law, what's the temperature now?"

"Just before going downstairs, I took a test and it was 39.8C. I was in a bad mood."

"39.8?" Chen Qi stopped.

"This is not right. If it is surgical fever, how can there be such a high body temperature? Let's go, I will check it myself."

In the ward, Adem had already woken up from the anesthesia, and was moaning because of the high fever.

There were many people around. Apart from family members, most of them were related experts from Freetown National Hospital. They were all asked to come for consultation.

When Chen Qi first entered the door, Mrs. Adham's face was a little ugly.

I thought that my old lady gave you 20,000 dollars, so how much gold would she have to sell, and in the end, she got a high fever that never came back? What **** doctor?

So the tone is also a bit cold: "Dr. Chen is here. Look at my husband's current condition. Could it be caused by the enlarged surgical incision last night?"

Chen Qi felt upset when he saw the other party's family members had a bad tone, but he didn't show it:

"Hello, Mrs. Adham, it's hard to say what the specific situation is. I have to check it first. Generally speaking, the possibility of this is very small. I still have confidence in my operation."

"Okay, let's check it." Mrs. Adham was obviously a little anxious because she was anxious.

The political situation of African countries is characterized by serious nepotism, state power and economy are basically controlled by a few families, and wealth is also in the hands of very few people.

It is unimaginable for future generations. The President of the Republic of Zaire, one of the least developed countries in the world announced by the United Nations, owns 50% of the country's wealth, and his personal assets have reached more than 30 billion US dollars.

Remember, that number was over $30 billion in the seventies.

At this time, the wages of domestic workers in our country were only a dozen or twenty dollars a month, and Africans estimated that they were only a few tens of cents a month.

And the African lion KZF, who was later dragged out of the sewer and shot to death by the people, had a personal deposit of more than 80 billion US dollars and hundreds of tons of gold.

From this we can see how big the gap between the rich and the poor is in Africa, and how rich a very small number of Africans are.

But the prerequisite for all this is that you must be on stage, and when you step down, you are finished, wealth may not be kept, and even your life will be lost. For details, refer to a certain lion.

In the same way, when Adem is on stage, he can use his power to obtain huge wealth for himself and his family, which means that a large part of the citizens are working for them for free, so it is no wonder that they do not get rich.

But society is also very realistic. If Adham is dead or disabled, then the power gap left by him will soon be filled by others.

At that time, the interests will belong to others. Whether the Adham family can keep their wealth is a problem, unless they run away immediately and go to European and American countries for refuge.

So Mrs. Adham has to be in a hurry now, her husband can't be in any danger, otherwise the whole family will get a box lunch.

Why does Sierra Lean have an average life expectancy of only 32 years? Didn't the death rate rise straight up after getting a little illness? The locals were really scared.

At this time, Piet immediately brought over a dressing change bag, and Chen Qi quickly put on his gloves and opened the wrapped dressing.

Wound infection is also a cause of fever. It is manifested by increased secretions, wet dressings, pus or special odor, which are easy to identify.

But Adham's wound did not show redness and swelling, and except for a small amount of **** secretions on the gauze, everything else was clean.

Piet is a surgeon himself, knowing that this means that there is no problem with the incision. My sister wronged Dr. Chen.

"Pieter, you should immediately arrange for bacterial culture and peritoneal drainage fluid culture. In addition, blood routine, urine routine, and chest X-ray should be done. These places are most likely to cause infection."

Chen Qi also wondered if the fever was caused by infection, not necessarily the incision, maybe there were other places.

Pieter came back to his senses and hurriedly replied:

"I have done all these checks. Except for the bacterial culture, the other reports are normal, and the inflammatory indicators are not high."

"Not tall?" Chess player Chen rested his chin and began to think.

My brain is spinning rapidly, because according to the fever chapter of "Diagnostics", there are too many reasons for fever.

This includes infectious fever, such as fever caused by the invasion of various pathogens such as bacteria, viruses, mycoplasma pneumoniae, rickettsia, fungi, spirochetes, and parasites.

There is also non-infectious fever, such as aseptic necrotic tissue absorption, hyperthyroidism, poisoning, rheumatic fever, serum sickness, drug fever, connective tissue disease, and certain malignant tumors.

It is really difficult for Chen Qi to find out the reason like looking for a needle in a haystack among so many reasons.

"Piet, how about this, for now, let's treat it according to the infection first, use the best antibiotics in your hospital, and do a complete biochemical set."

Pieter touched his nose, "This, this, we haven't introduced the biochemical instrument yet."

What kind of money do you expect a poor, backward public hospital that is still in the midst of war to buy a medical device worth hundreds of thousands of dollars?

Chen Qi was stunned for a moment, and immediately understood. Fortunately, this time the Huaguo Medical Mission aided Africa, almost bringing all the most advanced equipment, showing the generosity of our great country.

"Well, let the nurse draw a can of blood, I'll take it back now, and contact me anytime if you need anything."

Pieter didn't think that there was a problem with Chen Qi's operation, so he treated him very respectfully. Instead, Mrs. Adham sat beside her husband, pretending not to see, without even getting up.

Chen Qi really has the urge to throw $20,000 in someone's face, but for the sake of ChinSerbia friendship, please bear with it.

Flying knife fee is not so easy to get, Chen Qi encountered it when he followed his mentor in his previous life.

The common people, that is, have a hundred hearts, not everyone respects the spirit of the contract so much.

Even his mentor encountered a situation where after the operation was completed, he just gave you the red envelope on the front foot, and immediately went to the health department to complain.

It is estimated that the family members of the patients felt that they had endured the humiliation and had to sell their principles to give the doctor a red envelope for the family's surgery.

In fact, to put it bluntly, I feel sorry for the money and don't want to spend it.

The consequences of this matter, the doctor received the refund of the flying knife fee, and the internal criticism of the mentor's hospital (actually, it was a good-natured ridicule among colleagues)

But there was another consequence of this matter. The doctors at the provincial hospital refused to go to the area to throw knives or make outpatient visits, and this place was blacklisted.

Who lost in the end?

It was the later patients who suffered the most. Originally, the best experts could be operated on their doorstep, but they had to go to the provincial capital, and then endured the pain while waiting for a bed.

Many people often lose the best time because of untimely rescue.

Chen Qi returned to Friendship Hospital, brought back the patient's blood sample, and instructed the Laboratory Department to issue a report as quickly as possible.

The biochemical analyzers these days are not fully automatic, and some links need to be manually operated, and it is already the next day when the results come out.

Chen Qi got the report and couldn't help snapping his fingers. He knew the reason, and this matter really wronged him.

So he picked up the phone, shook it for a long time, and connected to Piet's office.

"Piet, has your brother-in-law's fever gone today?"

Pieter was also a little anxious at this time: "Doctor Chen, the best antibiotics have no effect, and the body temperature is still high, what should I do?"

Chen Qi felt confident, and his tone became much more relaxed:

"We estimated that during the physical examination, we only focused on the groin. I think your brother-in-law may have other ailments. You can ask him now, is there any pain in his body? Especially the bones and joints."

"Doctor Chen, has the result come out? What is the reason?"

"The uric acid is very high, the blood uric acid is as high as 600 mol/L, how about it, now you know what disease probably caused the fever?"

Pieter was excited when he heard it, hung up the phone and ran to the ward.

"Brother-in-law, do you have any particularly painful areas on your hands and feet? Tell me if you have any, it's very important."

Adum felt like he was dying. He had a headache, pain from the surgical incision, and even his big toe hurt badly. Experts came one after another, from domestic experts to foreign experts.

The medicines were poured out bottle by bottle, and even the best imported antibiotics from Freetown Hospital showed no signs of relief.

Because of the persistent high fever, he seemed to see the grandma who had been dead for decades.

Before Grandma took him away, he heard his brother-in-law pushing his body and asking anxiously:

"Brother-in-law, brother-in-law, is there any pain in your body?"

Adham closed his eyes, murmured and moaned:

"It hurts everywhere, my head hurts, my incision hurts, my toes hurt, Peter, tell me, am I going to die?"

He originally thought that this little brother-in-law would cry bitterly, but who knew that this kid would actually laugh out loud, or laugh out loud.

Adham opened his eyes with difficulty, and there was only one concept in his mind:

"This brother can't stay. He smiled so happily when he heard that I was going to die. Could it be that he wanted to seize my family's property after I died? It seems that I have to find someone to kill him before I die to avoid future troubles."

He looked at his wife again, and found that his wife was beating his younger brother angrily, so he was relieved, otherwise he would kill this woman too.

African uncles deal with family problems so simply and rudely that they don't even need to invite old uncles.

Mrs. Adham was really angry. While beating her younger brother, she cursed:

"You are heartless, your brother-in-law paid for your study abroad expenses, you bought a house and a car in China and married two wives, which one was not helped by your brother-in-law's money, you can still laugh now ? Has your conscience been eaten by jackals?"

"Hey, sister, listen to me, listen to me, I smile because I am happy."

Adham gritted his teeth, thinking that your kid was really exposed.

"I'm happy because the cause of my brother-in-law's high fever has been found. As long as the cause is found and the symptoms are treated, my brother-in-law will recover immediately."

Adham and his wife were taken aback for a moment, and then they were all excited:

"Really? Do you really know why?"

"Thanks to Dr. Chen from Huaguo, sister, your attitude was so cold last night. As a result, when I returned home, I helped my brother-in-law find out the cause."

"What is the cause?"

Adam pulled back the quilt, pointed to the obviously red and swollen big toe and said, "That's the reason."

(end of this chapter)