Patient: Doctor, hello, I have the following question: My father is 76 years old and has been in a coma since he was injured on the left side of his skull in a car accident and his skull was opened on the left side. But for a month, he has had a high fever of 38 degrees every day, and must use anal pessary cooling medicine to bring down his body temperature, other parts of his body have abnormalities: 1. two small pus blisters the size of green beans have broken in the buttocks because of prolonged bed rest, and is being sterilized with iodine and then paste the affected area with raw egg shell inner skin, is there any problem with this treatment? 2. There is phlegm in the lungs, and I often pat my back sideways and can cough up the phlegm, but when I find that I have difficulty breathing, my body temperature rises rapidly to more than 38 degrees, or even 39 degrees. After a month of hospitalization after the craniotomy, I knew how to swallow the soup in my mouth and recovered well from the head wound, so I went home and was hooked up to antibiotics, energy combination and mannitol and calf serum drops, and after a week, I stopped hanging the above drops because I often had a high fever of more than 39 degrees, and the scalp area where the skull was removed had been raised after surgery and was now concave. I don’t know why my body temperature rises so fast (within 10 minutes)? How can I control my temperature? 2. Is there anything wrong with using iodine to sterilize a small pustule on my hip and then applying raw egg shells to the affected area? If not, can you suggest what to do? Laboratory and examination results: 1. Blood test: anemia. Note: 800ml of blood was supplemented during the surgery. 2. CT showed that the intracranial mass had become much smaller when he was discharged from the hospital, but there was a large focal area in the left side of the injured brain. Qingdao Hai Ci Hospital Western Neurosurgery Yu Guangjie: This condition is common when the patient cannot eat by himself, or cannot chew and can only eat thin porridge-like meals, due to the family feeding too fast, or posture is not quite appropriate, resulting in choking and coughing when the patient eats, that is, swallowing food into the trachea by mistake, resulting in tracheal and lung infection. Correction: When feeding, let the patient sit in a semi-sitting or lateral position, and do not pour the food directly into the deep part of the patient’s mouth, but put it into the side of the mouth or on the tongue, and let the patient swallow it slowly by himself. If there is fever and yellow sputum, antibiotic treatment is usually required. Patient: Doctor, I’ve uploaded my father’s CT. According to the CT images, I wonder if my father is still conscious? He is still in a coma and has been for two months. Thank you for your reply. Patient: The CT film was taken on the day he was discharged from the hospital. Qingdao Hai Ci Hospital Western Neurosurgery Department Yu Guangjie: The prognosis of a patient needs to be judged based on the patient’s preoperative status, preoperative CT, intraoperative observations and postoperative treatment. It is impossible to make a judgment based on a CT alone. However, according to foreign research data, 80% of the functional rehabilitation of traumatic brain injury patients is completed within 1.5 years after the injury. In other words, if a patient is still not awake within 1.5 years after the injury, or if a certain function such as hemiplegia or speech impairment has not been recovered, the chance of recovery after 1.5 years is only 20%.