Shi Jinyu sighed and said, "This is not good enough. There is no way to diagnose these things without professional testing."
Guan Zheng had an idea and said: "This is easy to handle. Before the onset of induced psychosis, a close relative who had been with each other for a long time had psychosis with delusional symptoms, and then the patient developed psychosis with similar delusions; the patient lived in a relatively closed state. In the family, there is little communication with the outside world. The induced patient has ideological and emotional resonance with the original person, the induced person is in an authoritative position, and the induced person has personality characteristics such as tame and dependence; delusion is the main clinical state, these can be used as The basis for our judgment."
Shi Jinyu nodded and said: "You are right, but don't forget, Wei Qiang's wife is dead, and we cannot judge whether Wei Qiang's confession is credible, so this is a very difficult thing to do. Wei Qiang's interrogation is a very difficult process. This time Xu Jiuyan was lucky and guided Wei Qiang to give a confession, but what about next time? I'm afraid I won't be so lucky next time, right?"
Guan Zheng understood that Shi Jinyu meant that he wanted to join the task force, and said, "Teacher, don't worry, Xu Jiuyan has not come in vain in recent years. She can do this well."
Shi Jinyu nodded and said: "Since you have said so, what else can I say? And you, I advise you to take a rest, and don't get tired of doing things for others."
Guan Zheng said, "I see."
Guan Zheng’s fingers were still flying around on the keyboard. In the documents sent by Brother Chuan, Guan Zheng had written his ideas one by one. For a whole day, Guan Zheng annotated seven working documents, forensic reports, trace identification reports, and Wei The strong confession, all kinds of information of the person involved, and a lot of messy things, Guan Zheng has read in detail.
The wounds of Guanzheng became more and more painful, and his whole body was hot, and even his eyes felt dim, which was really shaky. Guan Zheng shook his head and continued to crackle and edit the text. This was the greatest help to Xu Jiuyan, and he definitely couldn't give up so easily.
When Shi Jinyu listened, there was a sudden "clang!" Shi Jinyu helped Guan Zheng up in a panic, and asked nervously, "Is it okay? Is it broken?"
Guan Zheng shook his head and said, "It's okay, but I feel a little bit of trouble. I can't breathe, I'm fine with the sequelae of heart surgery."
Regardless of any sequelae, Shi Jinyu has to consult a doctor when he is sick. Shi Jinyu turned around to take Guan Zheng to the hospital. Guan Zheng stubbornly said, "No, let me finish editing this text."
"Even the important text should be put behind, and go to the hospital." Shi Jinyu pulled Guan Zheng out without saying a word.
Guan Zheng's fingers were still moving across the keyboard, and Shi Jinyu knew that Guan Zheng was under heavy pressure, so he had to let go. Guan Zheng smiled and said, "Don't worry, I will finish writing this point, and I will go to rest." Shi Jinyu nodded.
Guan Zheng finally clicked the right mouse button to confirm the sending, and finally heaved a sigh of relief. Knowing that Shi Jinyu was nervous, Guan Zheng said, "Teacher, I am an adult, and I know my own body."
"Do you know that you have a fever?" Shi Jinyu said coldly.
Guan Zheng nodded and said, "I know, I have taken medicine."
"But you didn't reduce the fever, do you know?" Shi Jinyu continued to ask.
Guan Zheng nodded again and said, "I know. The main causes of non-infectious fever are long operation time, extensive tissue damage, intraoperative blood transfusion, drug allergy, liver poisoning caused by anesthetics, etc. The risk factors for infectious fever include disease. Weak human body, advanced age, poor nutritional status, diabetes, smoking, obesity, use of immunosuppressive drugs or pre-existing infectious lesions. Surgical factors include improper hemostasis, residual dead space, tissue trauma, etc. The proposed preventive antibiotics are ignored It is also one of the factors. In addition to wounds and other deep tissue infections, other common causes of fever include pulmonary insufficiency, pneumonia, urinary tract infection, chemical or non-chemical phlebitis, etc. So postoperative fever is normal. ."
"Don't fool me, an old man, fever is normal within three days after surgery. How many days have it been now? It's been a week, do you know what's going on?" Shi Jinyu almost patted the table.
Guan Zheng asked mischievously: "Do you want to hear the real or the fake?"
"Bullshit!" Shi Jinyu said irritably.
Seki said: "I suspect infective endocarditis. Inflammation of the heart valve or ventricular wall caused by direct infection of bacteria, fungi, and other microorganisms is different from rheumatic fever, rheumatoid, systemic erythema. Non-infectious endocarditis caused by lupus. The typical clinical manifestations of infective endocarditis include fever, murmur, anemia, embolism, skin lesions, splenomegaly, and positive blood cultures."
Shi Jinyu nodded and said, "That's right, I am a high-achieving student. Except for not undergoing an examination, everything else is exactly the same as your symptoms. But what I care about is the cause and harm of this disease."
Seki said: "There are many causes, because postoperative bacteremia, indwelling various intubation, chest surgery wounds, pericardiotomy syndrome, post-perfusion syndrome, and anticoagulation therapy can all cause fever, bleeding points, Hematuria and other manifestations. Long-term use of intravenous fluids, indwelling of blood vessels and intracardiac catheters, the extensive development of open heart surgery, and the increase in intravenous anesthetic drug addicts in some countries, and the gradual increase in the incidence of fungal endocarditis, Half of it happened after heart surgery."
Shi Jinyu said coldly and warmly: "The head is right, you go on!"
"The onset of fungal endocarditis is relatively insidious, and the incidence of embolism is very high. It occurs in the right side endocarditis and can cause fungal pulmonary embolism. If a huge neoplasm blocks the valve opening and forms a valve opening, it can be severe. Hemodynamic disorders. Fungal endocarditis can cause skin damage, such as subcutaneous ulcers in patients with histoplasma infection, and damage to the mucous membranes of the mouth and nose. Histological examination often has important diagnostic value. Aspergillus infection can still cause diffuse intravascular coagulation.
Contaminated artificial valves, suture materials, instruments and hands are important causes of artificial valve endocarditis. Pathogens enter the body from infected chest wounds, urinary tract and various arteriovenous catheters, tracheotomy, postoperative pneumonia, etc. to form bacteremia. At the same time, the phagocytosis of blood is destroyed after the cardiopulmonary bypass, which weakens the body’s resistance to pathogens. The cleaning ability is also one of the reasons. "(End of this chapter)