Shi Jinyu sighed and said, "It's not good to say this, these things have not been professionally tested, and there is no way to diagnose them." ”

Guan Zheng had an idea and said, "This is easy to do." The onset of inductive psychosis preceded by a long-term close relative suffering from delusional symptoms, and then the patient developed psychosis with similar delusions; The patient lives in a relatively closed family with little contact with the outside world. The induced patient has ideological and emotional resonance with the primary patient, the sensitizer is in an authoritative position, and the induced person has personality characteristics such as tame and dependence. With delusions as the main clinical state, these can be used as the basis for our judgment. ”

Shi Jinyu nodded and said, "You're right, but don't forget, Wei Qiang's wife is dead, and we can't judge whether Wei Qiang's confession is credible, so this is a difficult thing to do." And Wei Qiang's interrogation is a very difficult process, this time it was Xu Jiuyan's luck to guide Wei Qiang to confess, 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, so he said: "Teacher, you can rest assured, Xu Jiuyan has not come in vain in the past few years, she can do this well." ”

Shi Jinyu had no choice but to nod and say, "Since you said so, what else can I say?" And you, I advise you to go and take a break, don't be busy with other people's business and wear yourself out. ”

Guan Zheng said: "I know. ”

Guan Zheng's fingers were still flying around on the keyboard, in the documents sent by Brother Chuan, Guan Zheng had already written his thoughts one by one, and for a whole day, Guan Zheng annotated seven working documents, forensic reports, trace identification reports, Wei Qiang's confession, all kinds of information about the people involved, and many messy things, Guan Zheng had read them in detail.

Guan Zheng's wound became more and more painful, his whole body was burning, and even his eyes felt dizzy, and he was really a little shaky. Guan Zheng shook his head and continued to edit the text cracklingly, this is the greatest help to Xu Jiuyan, and he must not give up so easily.

Shi Jinyu listened, and suddenly "clanged!" in the room! As soon as he heard that, he hurriedly ran in and saw Guan Zheng fall to the ground. Shi Jinyu helped Guan Zheng up in a panic and asked nervously, "Are you okay?" Did you break it? ”

Guan Zheng shook his head and said, "It's okay, I just think it's a little, I can't get angry, the sequelae of heart surgery, it's okay." ”

Shi Jinyu doesn't care about the sequelae, he has to find a doctor when he is sick. Shi Jinyu turned around to take Guan Zheng to the hospital, Guan Zheng said stubbornly: "No need, let me finish editing this text." ”

"Even the most important text should be put on the back and go to the hospital quickly." Shi Jinyu pulled Guan Zheng out without saying a word.

Guan Zheng's fingers were still shuttling on the keyboard, and Shi Jinyu knew that the pressure in Guan Zheng's heart was particularly high, so he had to let go. Guan Zheng smiled slightly and said, "Don't worry, I'll go to rest after I finish writing this." Shi Jinyu had no choice but to nod.

Guan Zheng finally clicked the right mouse button to confirm the sending, and finally breathed a sigh of relief. Guan Zheng knew that Shi Jinyu was nervous, so he said: "Teacher, I am an adult, and I have my own body." ”

"Do you know you have a fever?" Shi Jinyu said with a cold face.

Guan Zheng nodded and said, "I know, I've taken medicine." ”

"But you didn't have a fever, did 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, and hepatotoxicity caused by anesthetics. Risk factors for infectious fever include frailty, advanced age, poor nutritional status, diabetes, smoking, obesity, use of immunosuppressive drugs, or pre-existing infectious lesions. Surgical factors include poor hemostasis, residual dead space, tissue trauma, etc. The neglect of proposed prophylactic antibiotics is also a factor. In addition to wounds and other deep tissue infections, other common causes of fever include pulmonary insufficiency, pneumonia, urinary tract infection, and conduit or non-congenital phlebitis. Therefore, it is normal to have a fever after surgery. ”

"Don't fool me an old man, it's normal to have a fever after surgery for three days, and now it's a few days? It's been a week, do you know what's going on? Shi Jinyu almost slapped the table.

Guan Zheng asked mischievously: "Do you want to hear it true or false?" ”

"!" Shi Jinyu said angrily.

Guan Zheng said: "I suspect infective endocarditis. Inflammation of the heart valves or the lining of the ventricular wall due to direct infection by bacteria, fungi, and other microorganisms is different from noninfectious endocarditis due to rheumatic fever, rheumatoid, systemic lupus erythematosus, etc. 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, it's really a top student, except that you haven't done an examination, the rest of your symptoms are completely consistent." But I am concerned about the causes and harms of this disease. ”

Guan Zheng said: "There are many causes, because postoperative bacteremia, indwelling intubation, chest surgery wounds, pericardiotomy syndrome, postperfusion syndrome and anticoagulation therapy can cause fever, bleeding spots, hematuria and other manifestations. The incidence of fungal endocarditis is gradually increasing due to the long-term use of intravenous fluids, the indwelling of blood vessels and intracardiac catheters, the widespread development of open-heart surgery, and the increase in addiction to intravenous anesthetic drugs in some countries, half of which occurs after cardiac surgery. ”

Shi Jinyu said lukewarmly: "The head is the Tao, you go on!" ”

"Fungal endocarditis has an insidious onset and a high incidence of embolism. Right-sided endocarditis can cause fungal pulmonary embolism. Significant growths that block the valvular orifice, resulting in valve orifice, can cause severe hemodynamic impairing. Fungal endocarditis can present with skin lesions, such as subcutaneous ulcers in patients with histoplasma infection, and damage to the mucous membranes of the mouth and nose, which are often important for diagnosis if histologic examination is performed. Aspergillus infections can still cause intravascular disseminated coagulation.

Contaminated prosthetic valves, suture materials, instruments, and hands are important causes of endocarditis in prosthetic valves. Pathogens enter the body from infected chest wounds, urinary tract, various arteriovenous intubation, tracheotomy, postoperative pneumonia, etc., and at the same time, the phagocytosis of blood is destroyed after extracorporeal circulation and circulation, which weakens the body's ability to eliminate pathogens. ”