Since 1981 Health School

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

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

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

This is not a good thing. Postoperative fever is most likely to be wound infection or inflammation of internal organs and tissues.

Piette's phone call caught Chen Qi's attention. There is no way, he has given 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 another off-road vehicle owned by Adem's family to Freetown National Hospital.

Sitting in the car, Chen Qi looked curiously 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.

In the dust like this, 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, and 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.

But after all, 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 called "the rare set meal" by the people in the world, dare not try it.

For example, when he was in a traffic jam just now, he saw a black aunt directly stirring a bucket of porridge-like food with both hands, scratching her butt 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 stick out, just like ugly mice.

While stroking his hair, Uncle Hei waved at Chen Qi, 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 interpreter in the back seat said:

"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 clay."

"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 your health?"

Well, Chen Qi was speechless. He looked out the window silently, thinking that the villagers by the sea would be happier and able to eat seafood.

But this Huaguo doctor who came from afar did not know that in the seaside fishing village, only the poor would eat lobster and abalone, and the rich would 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 your temperature now?"

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

"39.8°C?" Chen Qi stopped.

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

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

There were many people around, and besides family members, most of them were related experts from Freetown National Hospital, and 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 to myself that my mother gave you 20,000 dollars, how much gold would she have to sell, and in the end, she got a high fever that never came back? What shit doctor?

So the tone was a little 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 surgery."

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

The characteristics of the political situation in African countries are serious nepotism, state power and economy are basically controlled by a few families, and wealth is also in the hands of a very small number of 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, alone owns 50% of the country's wealth, and his personal assets have reached more than 30 billion US dollars.

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

At that time, the wages of 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.

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

In the same way, when Adam 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, the power gap left by him will soon be filled by others.

At that time, the interests will belong to others, and it will be a question of whether the Adham family can keep their wealth, unless they run away immediately and go to European and American countries for refuge.

So Mrs. Adham has to worry 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 kit, and Chen Qi quickly put on his gloves and opened the wrapped dressing.

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

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

Piet himself is a surgeon, and he knew that this meant that the incision was fine, and his sister had wronged Dr. Chen.

"Piet, you should immediately arrange for bacterial culture and peritoneal drainage fluid culture, as well as blood routine, urine routine, and chest X-ray. These places are most likely to cause infection."

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

Only then did Piet come 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?" Chen Qishou rested his chin and began to think.

My brain was spinning rapidly, because according to the chapter on fever in "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 the reason among so many reasons like looking for a needle in a haystack.

"Pieter, let's do it this way. For now, let's treat it according to the infection first. Use the best antibiotics in your hospital. In addition, you will do a complete biochemical set."

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

How can a poor, backward and war-torn public hospital have the money to buy medical equipment worth hundreds of thousands of dollars?

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

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

Piet 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 the friendship between China and Serbia, please bear with it.

The flying knife fee is not so easy to get, Chen Qi encountered it when he was with 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, 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 the handling of this matter, the refund of the flying knife fee received by the doctor, and the internal criticism of the hospital where the instructor works (actually, it is a kind 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 is the loser in the end?

It was the later patients who suffered the loss. Originally, the best experts could be operated on their doorstep, but they had to go to the provincial capital, and 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.

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

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

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

Piet was also a little anxious at this time: "Doctor Chen, the best antibiotics are still ineffective, 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. Now you can ask him if there is any pain in his body? Especially the bones and joints."

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

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

Piet 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."

Adem 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.

Medicines were poured out bottle after 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 asking anxiously while pushing his body:

"Brother-in-law, brother-in-law, is there any part of your body that is particularly painful?"

Adam closed his eyes, murmured and moaned:

"It hurts, 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.

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

"This brother must not 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 my death? It seems that I have to find someone to kill him before I die, so as 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."

Adem gritted his teeth, thinking that your kid 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 treated properly, my brother-in-law will recover immediately."

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

"Really? Do you really know the reason?"

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

"What's the cause?"

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