Pulmonary embolism treats _'s treatment
Treat
Treat the measure to the ill except oxygen intake, stopping the pain, correcting shock and relaxation bronchus in heart failure,etc., the specific method includes anticoagulatorily and dissolving bolt and surgery treatment.
The anticoagulatory treatment and dissolving the therapeutic method of the bolt to see " Myocardial infarction " . Lower vena cava block skill, suitable for anticoagulatory to treat, have mortality bleed dangerous repeated thromboembolism person, but methods such as ligature or putting with the purpose-built clip or filter,etc.. Lung thrombus excise mortality to be very high, limited to, dissolve bolt or vascular pitressin, it treats shock to be still lasting patient actively only.
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Tuesday, July 31, 2012
Which pulmonary embolism are to behave and how to diagnose? 's symptom
Which pulmonary embolism are to behave and how to diagnose? 's symptom
Which pulmonary embolism are to behave and how to diagnose?
Clinical manifestation
The clinical manifestation of pulmonary embolism can not have from symptom to unexpected death. Common symptom aches for dyspnea and chest, the incidence is more than 80%. Pleura pain is due to neighbouring pleura cellulose inflammation, the persons who took place suddenly often point out the lung and block up. The diaphragm pleura is given much trouble and can be radiated to the shoulder or belly. Pain behind if there is brestbone, are quite like myocardial infarction. The chronic lung can spit blood to block up. Other symptoms are anxious, it may be due to pain or hypoxemia disease. It is often the sign that the lung blocks up to faint.
Common physical sign increases, the wet rale of cyanosis, lung or sound of chirping of heavy breathing fast in order to breathe, lung blood vessel noise, the pleura fricative or thorax accumulates the liquid to solicit. Circulatory system physical sign have tachycardia, and shock or anxious chronic lung worry display while being corresponding. About 40% of the patients have low to medium-sized degree to generate heat, a few patients have hyperpyrexia in early days.
Diagnosis
Clinical symptom and physical sign non- specific often, and change quite big, with other cardiovascular vessel being difficult to distinguish in disease. Though the weight of symptom relates to embolus size, thromboembolism range, might not be directly proportional to, often have close relations with original heart, compensation ability of the lung disease.
(1) Pulmonary embolism of acute large area: The ones that are shown as and broken out suddenly are severe to have difficulty in breathing, myocardium the intersection of infarction and pain under kinds of brestbone, faint, cyanosis, right heart depleted fainting coldly and twitching by shock, profuse sweating, four limbs. The heart stops fighting or the room dies quiverly and rapidly to even happen.
(2) Pulmonary embolism of the medium-sized size: Pain behind often having brestbone and spitting blood. When it is very bad that patient's original heart, lung disease compensate the function, can produce fainting and hypertension.
(3) The little thromboembolism of the lung: Can produce adults and breathe poverty-stricken syndrome.
(4) Infarction of lung: Often have generating heat, slight jaundice.
About 20%- 30% of the patients have not or failed to be diagnosed and treated and died in time, if can diagnose and for the anticoagulatory treatment in time, the case fatality rate can be expected to drop to 8%, so early diagnosis is very important. Should collect the medical history carefully. Serum LDH is raised, the arterial blood PO2 drops, PA-aO2 increases widely. The electrocardiogram has T waves and section ST that change (the similar myocardial infarction figure) , P wave and QRS wave form change (the similar acute lung worry figure) . The X-ray does not reveal spot slice soaking, lung one, diaphragm skin raising, thorax accumulate the liquid, especially regard pleura as the basal convex to move towards the round dense shade (Hamptom hump) in the lung door And the lung artery expanded accompanies and carries the lung line far sparsely (Westermark solicit) ,etc. to diagnosis of pulmonary embolism capital values important. Nuclide lung keep in touch with pour into, scan, diagnose the intersection of pulmonary embolism and there is not creating methodding most sensitive, although the specificity is low, there are typical occuring frequently, segment or Tenneco to pour into defect and keep in touch with normally or increase, it is clinical to combine, diagnose that can establish. Diagnose the most peculiar method of pulmonary embolism in artery radiography of lung, are suitable for the clinic and nuclide to scan suspiciously and needing the case of surgery treatment. It show as blood vessel it last defect, block at artery or " The evidence of prunning branches " . Radiography can't reveal, less than or equal to the intersection of 2mm and the intersection of diameter and small blood vessel, so person who occur frequently light thromboembolism often easy to leak, examine. Magnetic resonance, for having technologying of creating etc. useful that pulmonary embolism diagnose, can see the obvious lung artery and fill defect when the relatively loud thromboembolism.
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Which pulmonary embolism are to behave and how to diagnose?
Clinical manifestation
The clinical manifestation of pulmonary embolism can not have from symptom to unexpected death. Common symptom aches for dyspnea and chest, the incidence is more than 80%. Pleura pain is due to neighbouring pleura cellulose inflammation, the persons who took place suddenly often point out the lung and block up. The diaphragm pleura is given much trouble and can be radiated to the shoulder or belly. Pain behind if there is brestbone, are quite like myocardial infarction. The chronic lung can spit blood to block up. Other symptoms are anxious, it may be due to pain or hypoxemia disease. It is often the sign that the lung blocks up to faint.
Common physical sign increases, the wet rale of cyanosis, lung or sound of chirping of heavy breathing fast in order to breathe, lung blood vessel noise, the pleura fricative or thorax accumulates the liquid to solicit. Circulatory system physical sign have tachycardia, and shock or anxious chronic lung worry display while being corresponding. About 40% of the patients have low to medium-sized degree to generate heat, a few patients have hyperpyrexia in early days.
Diagnosis
Clinical symptom and physical sign non- specific often, and change quite big, with other cardiovascular vessel being difficult to distinguish in disease. Though the weight of symptom relates to embolus size, thromboembolism range, might not be directly proportional to, often have close relations with original heart, compensation ability of the lung disease.
(1) Pulmonary embolism of acute large area: The ones that are shown as and broken out suddenly are severe to have difficulty in breathing, myocardium the intersection of infarction and pain under kinds of brestbone, faint, cyanosis, right heart depleted fainting coldly and twitching by shock, profuse sweating, four limbs. The heart stops fighting or the room dies quiverly and rapidly to even happen.
(2) Pulmonary embolism of the medium-sized size: Pain behind often having brestbone and spitting blood. When it is very bad that patient's original heart, lung disease compensate the function, can produce fainting and hypertension.
(3) The little thromboembolism of the lung: Can produce adults and breathe poverty-stricken syndrome.
(4) Infarction of lung: Often have generating heat, slight jaundice.
About 20%- 30% of the patients have not or failed to be diagnosed and treated and died in time, if can diagnose and for the anticoagulatory treatment in time, the case fatality rate can be expected to drop to 8%, so early diagnosis is very important. Should collect the medical history carefully. Serum LDH is raised, the arterial blood PO2 drops, PA-aO2 increases widely. The electrocardiogram has T waves and section ST that change (the similar myocardial infarction figure) , P wave and QRS wave form change (the similar acute lung worry figure) . The X-ray does not reveal spot slice soaking, lung one, diaphragm skin raising, thorax accumulate the liquid, especially regard pleura as the basal convex to move towards the round dense shade (Hamptom hump) in the lung door And the lung artery expanded accompanies and carries the lung line far sparsely (Westermark solicit) ,etc. to diagnosis of pulmonary embolism capital values important. Nuclide lung keep in touch with pour into, scan, diagnose the intersection of pulmonary embolism and there is not creating methodding most sensitive, although the specificity is low, there are typical occuring frequently, segment or Tenneco to pour into defect and keep in touch with normally or increase, it is clinical to combine, diagnose that can establish. Diagnose the most peculiar method of pulmonary embolism in artery radiography of lung, are suitable for the clinic and nuclide to scan suspiciously and needing the case of surgery treatment. It show as blood vessel it last defect, block at artery or " The evidence of prunning branches " . Radiography can't reveal, less than or equal to the intersection of 2mm and the intersection of diameter and small blood vessel, so person who occur frequently light thromboembolism often easy to leak, examine. Magnetic resonance, for having technologying of creating etc. useful that pulmonary embolism diagnose, can see the obvious lung artery and fill defect when the relatively loud thromboembolism.
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Pulmonary embolism sums up _'s general knowledge
Pulmonary embolism sums up _'s general knowledge
Pulmonary embolism (pulmonary embolism) Mean that inlays and fills in the material and enters lung artery and branch, block pathology and clinical state of organizing blood supplt to cause. Common embolus thrombus, the others for rare new biological cell and fat drip and bubble, intravenous the intersection of medicine and particle even the intersection of conduit and lung blood vessel that head end causes that input block. Because the lung tissue is supported by the bronchus artery and double blood of lung artery, and can also carry on air exchange directly among lung tissue and alveolus, so most pulmonary embolism might not cause the lung to block up.
Foreign morbidity of pulmonary embolism very high, the intersection of U.S.A. and annual about 1/600,000 morbidity, 3 die, accounts for the third of cause of the death. Also report to in recent years as the adult accepts anticoagulatory and therapeutic increase, the morbidity shows a tendency to reduce. Our country does not have precise epidemiology materials yet, but the vascular disease corpse of more than 900 heart and lungs of the report of Fuwai Hospital is examined in the materials, lung the intersection of Section and more than loud persons who stops up thrombus reach 100 ' 11% ) ,Account for the intersection of wind and the intersection of worry and 29% that corpse examine, myocardium 26% of disease, 19%, lung of worry, prove heart and lungs vascular disease erupt pulmonary embolism simultaneously often.
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Pulmonary embolism (pulmonary embolism) Mean that inlays and fills in the material and enters lung artery and branch, block pathology and clinical state of organizing blood supplt to cause. Common embolus thrombus, the others for rare new biological cell and fat drip and bubble, intravenous the intersection of medicine and particle even the intersection of conduit and lung blood vessel that head end causes that input block. Because the lung tissue is supported by the bronchus artery and double blood of lung artery, and can also carry on air exchange directly among lung tissue and alveolus, so most pulmonary embolism might not cause the lung to block up.
Foreign morbidity of pulmonary embolism very high, the intersection of U.S.A. and annual about 1/600,000 morbidity, 3 die, accounts for the third of cause of the death. Also report to in recent years as the adult accepts anticoagulatory and therapeutic increase, the morbidity shows a tendency to reduce. Our country does not have precise epidemiology materials yet, but the vascular disease corpse of more than 900 heart and lungs of the report of Fuwai Hospital is examined in the materials, lung the intersection of Section and more than loud persons who stops up thrombus reach 100 ' 11% ) ,Account for the intersection of wind and the intersection of worry and 29% that corpse examine, myocardium 26% of disease, 19%, lung of worry, prove heart and lungs vascular disease erupt pulmonary embolism simultaneously often.
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Check _'s symptom in diagnosis of lung song mildew
Check _'s symptom in diagnosis of lung song mildew
Diagnose: The definite diagnosis of the acute attacking lung song mildew is difficult. Phlegm sample aspergillus trains the positive rate very low (8%- 34%) ,And the positive result can be to come from the field planting pollution in the upper respiratory tract of a fungus, should combine and consider clinically, if the patient has corresponding basic disease or endangers the factor and has important reference value high. Make a definite diagnosis of and depend on employing antipollution technology to gather the secretion to train or do the living lung to examine the pathology inspection from the lower respiratory tract. But the application of this kind of wound diagnosis technology is often limited by patient's clinical serious condition, its positive rate is influenced by operator's engineering level too. In any case, it is diagnosed in early days and treated in early days that prognosis of this disease depends on to a great extent, so should fetch the positive attitude to wound diagnosis technology. The amynologic method of serum measures its sensitiveness of antibody very low, few using value. Studying and measuring the antigen of aspergillus in order to diagnose a disease at present, it is reported that radiates immune technology to measure serum aspergillus antigenic sensitiveness and specificity and is up to 74% and 90% respectively, worth further investigating and accumulating the experience. Check in the laboratory: Blood routine: The eosinophil rises. IgG precipitates plain more than 90% positively. Serum total IgE obviously rises. Other auxiliary examination: The chest X-ray is shown as the lungs of different shapes are soaked, the most common is bronchus pneumonia. The occuring frequently office cooking stove infiltration is often distributed in the lung around wildly. Some cases display similar pulmonary embolism or infarction. The lung consolidation of big leaf and granulous pathological change of millet are also seen to some extent. Develop with pathological change, often appear in the lung cavity, among them can also form the acute aspergillus ball. Erupt the thorax simultaneously and see the corresponding X-ray sign while accumulating the liquid.
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Diagnose: The definite diagnosis of the acute attacking lung song mildew is difficult. Phlegm sample aspergillus trains the positive rate very low (8%- 34%) ,And the positive result can be to come from the field planting pollution in the upper respiratory tract of a fungus, should combine and consider clinically, if the patient has corresponding basic disease or endangers the factor and has important reference value high. Make a definite diagnosis of and depend on employing antipollution technology to gather the secretion to train or do the living lung to examine the pathology inspection from the lower respiratory tract. But the application of this kind of wound diagnosis technology is often limited by patient's clinical serious condition, its positive rate is influenced by operator's engineering level too. In any case, it is diagnosed in early days and treated in early days that prognosis of this disease depends on to a great extent, so should fetch the positive attitude to wound diagnosis technology. The amynologic method of serum measures its sensitiveness of antibody very low, few using value. Studying and measuring the antigen of aspergillus in order to diagnose a disease at present, it is reported that radiates immune technology to measure serum aspergillus antigenic sensitiveness and specificity and is up to 74% and 90% respectively, worth further investigating and accumulating the experience. Check in the laboratory: Blood routine: The eosinophil rises. IgG precipitates plain more than 90% positively. Serum total IgE obviously rises. Other auxiliary examination: The chest X-ray is shown as the lungs of different shapes are soaked, the most common is bronchus pneumonia. The occuring frequently office cooking stove infiltration is often distributed in the lung around wildly. Some cases display similar pulmonary embolism or infarction. The lung consolidation of big leaf and granulous pathological change of millet are also seen to some extent. Develop with pathological change, often appear in the lung cavity, among them can also form the acute aspergillus ball. Erupt the thorax simultaneously and see the corresponding X-ray sign while accumulating the liquid.
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Song mildew prognosis of lung and preventing _'s prevention and health care
Song mildew prognosis of lung and preventing _'s prevention and health care
Prognosis: It is diagnosed in early days and treated in early days that prognosis of this disease depends on to a great extent, so should fetch the positive attitude to wound diagnosis technology. Prevent: Main measure: 1.The treatment has illness coming on originally, in order to dispel or shorten endangering one high of the patient. 2.Prevent or reduce and exchange the sense patient to contact with aspergillus spore. 3.Preventative administration two sexes mould and plain and B intravenous to give medicine toxicity relatively large, suitable for, regard as prophylactic treatment, one with two sexes mould plain B the intersection of nasal cavity and the intersection of spray and pharmaceutical have, prevent from function while being sure. Other prevention function not obvious of resisting the fungi medicine. It is high to endanger patients and generate heat and very early experience uses the two sexes mould plain B to treat when antibiotic fails to respond to any medical treatment, generally generating heat begins to use medicine in 7 days.
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Prognosis: It is diagnosed in early days and treated in early days that prognosis of this disease depends on to a great extent, so should fetch the positive attitude to wound diagnosis technology. Prevent: Main measure: 1.The treatment has illness coming on originally, in order to dispel or shorten endangering one high of the patient. 2.Prevent or reduce and exchange the sense patient to contact with aspergillus spore. 3.Preventative administration two sexes mould and plain and B intravenous to give medicine toxicity relatively large, suitable for, regard as prophylactic treatment, one with two sexes mould plain B the intersection of nasal cavity and the intersection of spray and pharmaceutical have, prevent from function while being sure. Other prevention function not obvious of resisting the fungi medicine. It is high to endanger patients and generate heat and very early experience uses the two sexes mould plain B to treat when antibiotic fails to respond to any medical treatment, generally generating heat begins to use medicine in 7 days.
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The diagnosis of lung song mildew is according to _'s symptom
The diagnosis of lung song mildew is according to _'s symptom
1.Engaged in the job history apt to be infected with a disease.
2.Clinical dividing type
2.1 Mycosis of anaphylactic song: The onset is urgent, there are asthma, low-heat, swallow itching, cough, coughing brown to stick the phlegm. The lung is heard and sound of chirping of heavy breathing. One pair of lungs presents the leaf, a infiltration focus distributed, present and visit the walking change in X-ray examination. Break away from and keep in touch or after treating, symptom disappears in short term.
2.2 Lung song fungus ball: The song fungus is depended on for a living the original pulmonary tuberculosis, bronchus cyst, bronchiectasis and cavity that lung cancer forms. Symptom is light, there is cough, spit blood repeatedly. There is a round, oval or sausage shape song fungus ball shadow in the original cavity in X-ray examination, change and move with the body posture.
2.3 Lung song fungus disease: Continue more hair at lung chronic disease, employ antibiotic, adrenocortical hormone or immune inhibitor for a long time, the low one of immunological function. There are hyperpyrexia, cough, cough brown to stick the phlegm or suppuration phlegm and spit blood in clinical manifestation. Invade and the pleura can be caused pleurisy or empyema. X-ray examination lung come loose in the intersection of spot and the intersection of slice and soak and multiple the intersection of tubercle and the intersection of form and shadow, companion the intersection of lung and lamination increase.
2.4 Sow the scattered song fungus disease: Song fungus competent to sow scattered to whole body or lung by blood, badly sick, have hyperpyrexia, shiver with cold, cough, have difficulty in breathing,etc.. The lung of X-ray examination presents the limitation or occuring frequently shade of infiltration and tubercle in early days, the focus is expanded and merged into large stretch of consolidation rapidly, or necrosis forms the cavity.
3.Phlegm, secretion slide and training finding the song fungus to make a definite diagnosis of 3 or more times continuously.
4.Serum precipitates and usually tests some patients positively. 5.Live, examine by leather lung through fibrous the intersection of bronchus and mirror, pathology organize finding the intersection of song and fungus to make a definite diagnosis of.
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1.Engaged in the job history apt to be infected with a disease.
2.Clinical dividing type
2.1 Mycosis of anaphylactic song: The onset is urgent, there are asthma, low-heat, swallow itching, cough, coughing brown to stick the phlegm. The lung is heard and sound of chirping of heavy breathing. One pair of lungs presents the leaf, a infiltration focus distributed, present and visit the walking change in X-ray examination. Break away from and keep in touch or after treating, symptom disappears in short term.
2.2 Lung song fungus ball: The song fungus is depended on for a living the original pulmonary tuberculosis, bronchus cyst, bronchiectasis and cavity that lung cancer forms. Symptom is light, there is cough, spit blood repeatedly. There is a round, oval or sausage shape song fungus ball shadow in the original cavity in X-ray examination, change and move with the body posture.
2.3 Lung song fungus disease: Continue more hair at lung chronic disease, employ antibiotic, adrenocortical hormone or immune inhibitor for a long time, the low one of immunological function. There are hyperpyrexia, cough, cough brown to stick the phlegm or suppuration phlegm and spit blood in clinical manifestation. Invade and the pleura can be caused pleurisy or empyema. X-ray examination lung come loose in the intersection of spot and the intersection of slice and soak and multiple the intersection of tubercle and the intersection of form and shadow, companion the intersection of lung and lamination increase.
2.4 Sow the scattered song fungus disease: Song fungus competent to sow scattered to whole body or lung by blood, badly sick, have hyperpyrexia, shiver with cold, cough, have difficulty in breathing,etc.. The lung of X-ray examination presents the limitation or occuring frequently shade of infiltration and tubercle in early days, the focus is expanded and merged into large stretch of consolidation rapidly, or necrosis forms the cavity.
3.Phlegm, secretion slide and training finding the song fungus to make a definite diagnosis of 3 or more times continuously.
4.Serum precipitates and usually tests some patients positively. 5.Live, examine by leather lung through fibrous the intersection of bronchus and mirror, pathology organize finding the intersection of song and fungus to make a definite diagnosis of.
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Pulmonary embolism is very urgent in treatment
Pulmonary embolism is very urgent in treatment
Pulmonary embolism is a common cardiovascular vessel disease The leaking of pulmonary embolism is examined and the misdiagnosing rate is up to 70% The clinical manifestation of pulmonary embolism is varied, widely different The artery radiography of lung is the most accurate and most reliable pulmonary embolism diagnostic method It is modern and therapeutic threads of pulmonary embolism to be anticoagulatory and dissolve the bolt treatment 80% of the pulmonary embolism patients have already had deep phlebothrombosis of lower extremities while going to a doctor The shocking data show: Pulmonary embolism (PE) It is a common cardiovascular vessel disease, especially this disease is more incident in the impatient. It is estimated the intersection of U.S.A. and every year about 600,000 the intersection of example and above the intersection of PE and patient, cause 5- 20 the intersection of patient and death Wan, second only to malignant tumour and coronary heart disease. On clinic, not going on, mortality of PE patient that has treated has been 30%, and probably only 2.5% of mortality of patient accepting modern treatment in time. The death that acute PE causes is often calculated with minute, in all PE death cases, 90% happen in getting up after being ill for 2 hours. Died in all PE in the case, only 1/3 are diagnosed before the death correctly, only 6.5% got the correct treatment. In our country, because the population base is enormous, the morbidity of thrombus diseases such as the deep phlebothrombosis of lower extremities,etc. is relatively high, and anticoagulation not adopted resist bolt intensity often enough, to have illness coming on, count, take far higher than U.S.A. absolutely PE at present. So, must pay attention to the making a diagnosis and giving treatment of PE extraordinarily. The clinical manifestation of PE is various, lacks the specificity, some clinicians lack due vigilance to this disease, in addition rely on the textbook excessively in the course of making a diagnosis and giving treatment " The model behaves " ,But rare again in practice " The peak points to the Tenneco shade of the lung door " Wait, lead to the fact PE makes a diagnosis and gives treatment there are mistaken ideas in the course at present. The lung tissue has double blood supplt, there is strong compensation ability. Under the originally normal situation of heart and lungs, area of section of blood vessel bed of the lung stops up above 50% to just begin to present symptom in machinery, until machinery stop up, 70% can appear serious the intersection of lung and the intersection of artery and high pressure and shock while being above. So, the manifestation of PE is varied: Symptom that the lighter can not be obvious, this often causes the mistaken diagnosis of the patient; The serious one condition is critical, can be shown as and fainted or died suddenly, the ones that cause to this disease leak and examining. In fact, 80% more than the intersection of PE and patient lack typical the intersection of S Q T and the intersection of heart and electric chart now, so-called the intersection of chest and block " whether peak point to the intersection of lung and Tenneco shade of door " More rare, and " round or flaky shade of spot " relatively seen more And often sum " Acute pneumonia " Link together, when the patient toss about in bed in the emergency ward - ward - CT room, nuclear medicine dept. or catheter room, the tragedy may already take place. In all the intersection of PE and the intersection of death and case, 90% take place in getting up 2 hour after being ill, and person who review diagnosis belong to coronary artery cause of the death their often convulsion, coronary artery acute to hard to get. The above-mentioned situations may be to cause the hospitals at all levels of our country to diagnose very rare reason to acute PE for a long time. The manifestation is various The main manifestation of setting up the trap PE is as follows, (1)Have difficulty in breathing: 85% more than patient appear take place suddenly have difficulty in breathing. The lighter breathes hard after presenting the popping excessively taking a breath and activity, the serious one presents continuation and has difficulty in breathing, breathe light fast, can be up to every minute 40- 50 times. (2)The chest aches: See to more than 80% of the patients. There are two kinds of situations: Majority ache for pleura chest, show as, breathe, chest ache aggravate cough, brief on vascular thromboembolism of the lung or lung infarction around the small one; Minority are angina pectoris, the asymmetry presses the sense, can radiate to shoulder blade and shank behind showing as the brestbone, brief on the trunk thromboembolism causes the lung artery to be acute and expands and coronary artery is ischemic. (3)Spit blood: See on 40% about patient, scarlet, turn into getting dark red after the several days, brief lung on infarction. (4)Faint: See the patient about 15%, result from the reason that it causes the brain to be ischemic that heart displacement is reduced sharply, brief on acute thromboembolism of the trunk. (5)Other: Because of having difficulty in breathing, excessively taking a breath and it cause the patient to have the fidgets, terrified, etc that the chest aches etc.. The clinical manifestation of PE is widely different, but some common diseases such as " pneumonia " of blood vessel and respiratory system diligently , " acute coronary artery and syndrome " Wait for going on to explain, it is " trap " existing in the course of clinical diagnosis . Auxiliary examination Help you to diagnose (1)The analysis of vim and vigour: PaO2 drops, (A-a) DO2 increases, PaCO2 is normal or reduces, but the partial pressure of oxygen of more than 20% of the patients can be totally normal, hypoxemia disease is not a prerequisite of dynamics unstable PE of blood flow. (2)Electrocardiogram: Electrocardiogram change into, pass at the PE, it is obvious: Lean towards by lung the intersection of P and wave, electric the intersection of axle and right, right bunch prop up, block and section ST change specificity and the intersection of V1-4T and wave invert with S Q T,etc. changing deeply. S Q T rarely seen on about 20% patient, so have S Q T appear at the electrocardiogram, must not get rid of the diagnosis of PE. (3)The X-ray behaves: Depend on the position of thromboembolism and size of the embolus, can be shown as: Bronchitis kind change, lung blood flow volume reduce, thromboembolism the intersection of position and lung lamination reduce and the luminosity increases completely, the lung lamination of both sides is asymmetric, the thorax accumulates non- specific changes such as the liquid,etc.. So-called " Tenneco shade of the lung door that the bottom links with pleura, the peak points to " I haven't seen you for a long time. Can be seen the intersection of lung and the intersection of artery and section expand under the right, lung artery section outstanding, lung artery beat, strengthen, the right ventricle is expanded, superior vena cava and azygos vein are increased widely etc. and behaved. But some patient chest slices can be totally normal. (4)The nuclide scans: Think lung keep in touch with - pour into, scan, have the sure one to be false and positive, combine clinical manifestation at present, there is higher diagnosis value on PE. Keeping in touch with and pouring into normally can get rid of PE. (5)The interesting Fig. of the supersound: Can observe the left and right ventricle function and estimate and examine the artery pressure of lung real-timely and dynamically, thromboembolism revealing the lung artery backbone and about in the branch directly, can also detect the deep intravenous thrombus of bigger lower extremities. So, the interesting picture of the supersound is the most important, most practical diagnosis and helping to treat the tool of decision under an emergency call situation by the real-time, dynamic bed. (6)CT: It is one of the diagnostic methods with very high sensitiveness that CT strengthens and scans. (7)The artery radiography of lung: Not only the most accurate and most reliable PE diagnostic method, but also can mash, suck the enormous embolus out of directly through the conduit, or pour into and dissolve the bolt medicine to treat through the conduit. (8)Check in the laboratory: PE patient has leucocyte increasing slightly, erythrocyte sedimentation rate to increase fast,etc.. Can simplify the diagnosis course of PE, if D - gather the body two times while carrying on D - two detection which gather the body
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Pulmonary embolism is a common cardiovascular vessel disease The leaking of pulmonary embolism is examined and the misdiagnosing rate is up to 70% The clinical manifestation of pulmonary embolism is varied, widely different The artery radiography of lung is the most accurate and most reliable pulmonary embolism diagnostic method It is modern and therapeutic threads of pulmonary embolism to be anticoagulatory and dissolve the bolt treatment 80% of the pulmonary embolism patients have already had deep phlebothrombosis of lower extremities while going to a doctor The shocking data show: Pulmonary embolism (PE) It is a common cardiovascular vessel disease, especially this disease is more incident in the impatient. It is estimated the intersection of U.S.A. and every year about 600,000 the intersection of example and above the intersection of PE and patient, cause 5- 20 the intersection of patient and death Wan, second only to malignant tumour and coronary heart disease. On clinic, not going on, mortality of PE patient that has treated has been 30%, and probably only 2.5% of mortality of patient accepting modern treatment in time. The death that acute PE causes is often calculated with minute, in all PE death cases, 90% happen in getting up after being ill for 2 hours. Died in all PE in the case, only 1/3 are diagnosed before the death correctly, only 6.5% got the correct treatment. In our country, because the population base is enormous, the morbidity of thrombus diseases such as the deep phlebothrombosis of lower extremities,etc. is relatively high, and anticoagulation not adopted resist bolt intensity often enough, to have illness coming on, count, take far higher than U.S.A. absolutely PE at present. So, must pay attention to the making a diagnosis and giving treatment of PE extraordinarily. The clinical manifestation of PE is various, lacks the specificity, some clinicians lack due vigilance to this disease, in addition rely on the textbook excessively in the course of making a diagnosis and giving treatment " The model behaves " ,But rare again in practice " The peak points to the Tenneco shade of the lung door " Wait, lead to the fact PE makes a diagnosis and gives treatment there are mistaken ideas in the course at present. The lung tissue has double blood supplt, there is strong compensation ability. Under the originally normal situation of heart and lungs, area of section of blood vessel bed of the lung stops up above 50% to just begin to present symptom in machinery, until machinery stop up, 70% can appear serious the intersection of lung and the intersection of artery and high pressure and shock while being above. So, the manifestation of PE is varied: Symptom that the lighter can not be obvious, this often causes the mistaken diagnosis of the patient; The serious one condition is critical, can be shown as and fainted or died suddenly, the ones that cause to this disease leak and examining. In fact, 80% more than the intersection of PE and patient lack typical the intersection of S Q T and the intersection of heart and electric chart now, so-called the intersection of chest and block " whether peak point to the intersection of lung and Tenneco shade of door " More rare, and " round or flaky shade of spot " relatively seen more And often sum " Acute pneumonia " Link together, when the patient toss about in bed in the emergency ward - ward - CT room, nuclear medicine dept. or catheter room, the tragedy may already take place. In all the intersection of PE and the intersection of death and case, 90% take place in getting up 2 hour after being ill, and person who review diagnosis belong to coronary artery cause of the death their often convulsion, coronary artery acute to hard to get. The above-mentioned situations may be to cause the hospitals at all levels of our country to diagnose very rare reason to acute PE for a long time. The manifestation is various The main manifestation of setting up the trap PE is as follows, (1)Have difficulty in breathing: 85% more than patient appear take place suddenly have difficulty in breathing. The lighter breathes hard after presenting the popping excessively taking a breath and activity, the serious one presents continuation and has difficulty in breathing, breathe light fast, can be up to every minute 40- 50 times. (2)The chest aches: See to more than 80% of the patients. There are two kinds of situations: Majority ache for pleura chest, show as, breathe, chest ache aggravate cough, brief on vascular thromboembolism of the lung or lung infarction around the small one; Minority are angina pectoris, the asymmetry presses the sense, can radiate to shoulder blade and shank behind showing as the brestbone, brief on the trunk thromboembolism causes the lung artery to be acute and expands and coronary artery is ischemic. (3)Spit blood: See on 40% about patient, scarlet, turn into getting dark red after the several days, brief lung on infarction. (4)Faint: See the patient about 15%, result from the reason that it causes the brain to be ischemic that heart displacement is reduced sharply, brief on acute thromboembolism of the trunk. (5)Other: Because of having difficulty in breathing, excessively taking a breath and it cause the patient to have the fidgets, terrified, etc that the chest aches etc.. The clinical manifestation of PE is widely different, but some common diseases such as " pneumonia " of blood vessel and respiratory system diligently , " acute coronary artery and syndrome " Wait for going on to explain, it is " trap " existing in the course of clinical diagnosis . Auxiliary examination Help you to diagnose (1)The analysis of vim and vigour: PaO2 drops, (A-a) DO2 increases, PaCO2 is normal or reduces, but the partial pressure of oxygen of more than 20% of the patients can be totally normal, hypoxemia disease is not a prerequisite of dynamics unstable PE of blood flow. (2)Electrocardiogram: Electrocardiogram change into, pass at the PE, it is obvious: Lean towards by lung the intersection of P and wave, electric the intersection of axle and right, right bunch prop up, block and section ST change specificity and the intersection of V1-4T and wave invert with S Q T,etc. changing deeply. S Q T rarely seen on about 20% patient, so have S Q T appear at the electrocardiogram, must not get rid of the diagnosis of PE. (3)The X-ray behaves: Depend on the position of thromboembolism and size of the embolus, can be shown as: Bronchitis kind change, lung blood flow volume reduce, thromboembolism the intersection of position and lung lamination reduce and the luminosity increases completely, the lung lamination of both sides is asymmetric, the thorax accumulates non- specific changes such as the liquid,etc.. So-called " Tenneco shade of the lung door that the bottom links with pleura, the peak points to " I haven't seen you for a long time. Can be seen the intersection of lung and the intersection of artery and section expand under the right, lung artery section outstanding, lung artery beat, strengthen, the right ventricle is expanded, superior vena cava and azygos vein are increased widely etc. and behaved. But some patient chest slices can be totally normal. (4)The nuclide scans: Think lung keep in touch with - pour into, scan, have the sure one to be false and positive, combine clinical manifestation at present, there is higher diagnosis value on PE. Keeping in touch with and pouring into normally can get rid of PE. (5)The interesting Fig. of the supersound: Can observe the left and right ventricle function and estimate and examine the artery pressure of lung real-timely and dynamically, thromboembolism revealing the lung artery backbone and about in the branch directly, can also detect the deep intravenous thrombus of bigger lower extremities. So, the interesting picture of the supersound is the most important, most practical diagnosis and helping to treat the tool of decision under an emergency call situation by the real-time, dynamic bed. (6)CT: It is one of the diagnostic methods with very high sensitiveness that CT strengthens and scans. (7)The artery radiography of lung: Not only the most accurate and most reliable PE diagnostic method, but also can mash, suck the enormous embolus out of directly through the conduit, or pour into and dissolve the bolt medicine to treat through the conduit. (8)Check in the laboratory: PE patient has leucocyte increasing slightly, erythrocyte sedimentation rate to increase fast,etc.. Can simplify the diagnosis course of PE, if D - gather the body two times while carrying on D - two detection which gather the body
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From what reason was pulmonary embolism caused? 's general knowledge
From what reason was pulmonary embolism caused? 's general knowledge
From what reason was pulmonary embolism caused?
1,Thrombus:The most common lung embolus is the thrombus. About 70%-95% because deep intravenous thrombus take off, lag behind with blood circulation entering the intersection of lung and artery and branched one. It is a main fact to send the limb under the position originally deeply and intravenous.
2,Other embolus: Have fat bolt, the intersection of air and bolt, amniotic fluid, bone marrow, parasite, placenta nourish layer, person who shift cancer, the intersection of bacterium and bolt, the intersection of heart and superfluous living beings,etc. can be caused.
3,Condition of phlebothrombosis.
(1) Thrombotic pulmonary embolism is often amalgamation disease of phlebothrombosis. The embolus usually comes from the deep veins of lower extremities and pelvis, cause thromboembolism to the lung artery through circulating. But seldom come from upper limbs, head and shank vein. The blood flow is silted up, it is a thrombotic promotion factor that the blood increases and damages with the intravenous inner cover. So, wound, lie in bed for a long time, variceal intravenous intubate, pelvis and hip operation, fat, diabetes, contraceptive, other blood coagulation of reason mechanism hyperfunction, etc, phlebothrombosis of easy kindling. The early thrombus is crisp, in addition, the fine function of dissolving the system, it is being highest the danger of pulmonary embolism takes place in so thrombotic first several days.
(2) Heart disease is the most common reason of pulmonary embolism of our country, accounts for 40%. Several spreads all over all kinds of heart disease, amalgamate the room quiver, in heart failure and inflammation person's morbidity of membrane in the bacterial heart of subnormal temperature is relatively high. See at most with a of thrombus of right heart, a few also comes from the venous system. Bacterial embolus besides seeing membrane inflammation in the subnormal temperature bacterial heart, also can infect, cause because of pace maker. The former infective embolus come from tricuspid valve mainly, the intersection of bicuspid valve and superfluous living beings, patient of heart, can left heart shunt, enter right heart and reach the intersection of lung and artery by defect since first once in a while.
(3) Tumour is for the sake of second in our country, accounts for 35%, it is high than foreign 6% to be far. Relatively common with lung cancer, digestive system tumour, fine hair cancer, leukemia,etc.. It is the tumour bolt that malignant tumour erupts only about 1/3 of pulmonary embolism simultaneously, the others are the thrombus. By inference there may be kinase of blood coagulation (thromoboplastin) in tumour patient's blood And the other materials such as histone, cathepsin and protein hydrolase,etc. that can activate the blood coagulation system, so tumour patient's pulmonary embolism incidence is high, even can be its symptom now.
(4) Gestation and give birth to pulmonary embolism it several times as much as whom ages mates to be pregnant woman in pregnant woman, postpartum and the postoperative incidence of caesarean birth is the highest. Press, increase with hormone relaxing smooth muscle and basin vein of blood vessel, pigeonholing and can cause the intravenous blood flow slowly in the abdominal cavity when the gestation, change the blood rheology characteristic, aggravate phlebothrombosis. In addition the intersection of companion and the intersection of blood coagulation and factor and blood platelet increase, blood plasma plain and original and the intersection of blood plasma and plain albumen dissolve the systematic activity, lower. But these changes compare without having absolute difference with the pregnant woman without thromboembolism of thrombus. Thromboembolism of amniotic fluid is the serious complication giving birth to one too.
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From what reason was pulmonary embolism caused?
1,Thrombus:The most common lung embolus is the thrombus. About 70%-95% because deep intravenous thrombus take off, lag behind with blood circulation entering the intersection of lung and artery and branched one. It is a main fact to send the limb under the position originally deeply and intravenous.
2,Other embolus: Have fat bolt, the intersection of air and bolt, amniotic fluid, bone marrow, parasite, placenta nourish layer, person who shift cancer, the intersection of bacterium and bolt, the intersection of heart and superfluous living beings,etc. can be caused.
3,Condition of phlebothrombosis.
(1) Thrombotic pulmonary embolism is often amalgamation disease of phlebothrombosis. The embolus usually comes from the deep veins of lower extremities and pelvis, cause thromboembolism to the lung artery through circulating. But seldom come from upper limbs, head and shank vein. The blood flow is silted up, it is a thrombotic promotion factor that the blood increases and damages with the intravenous inner cover. So, wound, lie in bed for a long time, variceal intravenous intubate, pelvis and hip operation, fat, diabetes, contraceptive, other blood coagulation of reason mechanism hyperfunction, etc, phlebothrombosis of easy kindling. The early thrombus is crisp, in addition, the fine function of dissolving the system, it is being highest the danger of pulmonary embolism takes place in so thrombotic first several days.
(2) Heart disease is the most common reason of pulmonary embolism of our country, accounts for 40%. Several spreads all over all kinds of heart disease, amalgamate the room quiver, in heart failure and inflammation person's morbidity of membrane in the bacterial heart of subnormal temperature is relatively high. See at most with a of thrombus of right heart, a few also comes from the venous system. Bacterial embolus besides seeing membrane inflammation in the subnormal temperature bacterial heart, also can infect, cause because of pace maker. The former infective embolus come from tricuspid valve mainly, the intersection of bicuspid valve and superfluous living beings, patient of heart, can left heart shunt, enter right heart and reach the intersection of lung and artery by defect since first once in a while.
(3) Tumour is for the sake of second in our country, accounts for 35%, it is high than foreign 6% to be far. Relatively common with lung cancer, digestive system tumour, fine hair cancer, leukemia,etc.. It is the tumour bolt that malignant tumour erupts only about 1/3 of pulmonary embolism simultaneously, the others are the thrombus. By inference there may be kinase of blood coagulation (thromoboplastin) in tumour patient's blood And the other materials such as histone, cathepsin and protein hydrolase,etc. that can activate the blood coagulation system, so tumour patient's pulmonary embolism incidence is high, even can be its symptom now.
(4) Gestation and give birth to pulmonary embolism it several times as much as whom ages mates to be pregnant woman in pregnant woman, postpartum and the postoperative incidence of caesarean birth is the highest. Press, increase with hormone relaxing smooth muscle and basin vein of blood vessel, pigeonholing and can cause the intravenous blood flow slowly in the abdominal cavity when the gestation, change the blood rheology characteristic, aggravate phlebothrombosis. In addition the intersection of companion and the intersection of blood coagulation and factor and blood platelet increase, blood plasma plain and original and the intersection of blood plasma and plain albumen dissolve the systematic activity, lower. But these changes compare without having absolute difference with the pregnant woman without thromboembolism of thrombus. Thromboembolism of amniotic fluid is the serious complication giving birth to one too.
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What inspections pulmonary embolism should be done and differential diagnosis and preventing _'s symptom
What inspections pulmonary embolism should be done, and differential diagnosis and preventing _'s symptom
What inspections should pulmonary embolism be done?
1,The inspection such as chest stretch, electrocardiogram, blood gas analysis, blood biochemistry of routine test lab is tested, can train etc. fibrous bronchus mirror, phlegm bacterium if necessary.
2,The lung is poured into and shown alikely.
3,Lung the intersection of artery and radiography and nuclear magnetic resonance become like law.
With what diseases to obscure pulmonary embolism is easy?
Disease needing to distinguish with pulmonary embolism is numerous,
The thinking of differential diagnosis is as follows: The characteristics of symptom and physical sign; Symptom and physical sign followed; Suggestion of the relevant medical history; Result about checking in the laboratory. Regarded having difficulty in breathing as the example, the having difficulty in breathing of pulmonary embolism happened suddenly, often ache with the chest, spits blood, shock or fainting. If brief in the medical history on some dangerous factors such as fractures or apply the brake for a long time, check and find the intravenous thrombus of lower extremities in the laboratory, the image learns to reveal the lung artery is solicited under high pressure or the right room expands even finds lung arterial occlusion is solicited, easy and other disease is distinguished.
How should pulmonary embolism be prevented?
Foreign morbidity of pulmonary embolism very high, the intersection of U.S.A. and annual about 1/600,000 morbidity, 3 die, accounts for the third of cause of the death. Also report to in recent years as the adult accepts anticoagulatory and therapeutic increase, the morbidity shows a tendency to reduce. Our country does not have precise epidemiology materials yet, but the vascular disease corpse of more than 900 heart and lungs of the report of Fuwai Hospital is examined in the materials, lung the intersection of Section and more than loud persons who stops up thrombus reach 100 ' 11% ) ,Account for the intersection of wind and the intersection of worry and 29% that corpse examine, myocardium 26% of disease, 19%, lung of worry, prove heart and lungs vascular disease erupt pulmonary embolism simultaneously often.
Prevent the key to pulmonary embolism from lying in preventing having illness coming on originally.
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What inspections should pulmonary embolism be done?
1,The inspection such as chest stretch, electrocardiogram, blood gas analysis, blood biochemistry of routine test lab is tested, can train etc. fibrous bronchus mirror, phlegm bacterium if necessary.
2,The lung is poured into and shown alikely.
3,Lung the intersection of artery and radiography and nuclear magnetic resonance become like law.
With what diseases to obscure pulmonary embolism is easy?
Disease needing to distinguish with pulmonary embolism is numerous,
The thinking of differential diagnosis is as follows: The characteristics of symptom and physical sign; Symptom and physical sign followed; Suggestion of the relevant medical history; Result about checking in the laboratory. Regarded having difficulty in breathing as the example, the having difficulty in breathing of pulmonary embolism happened suddenly, often ache with the chest, spits blood, shock or fainting. If brief in the medical history on some dangerous factors such as fractures or apply the brake for a long time, check and find the intravenous thrombus of lower extremities in the laboratory, the image learns to reveal the lung artery is solicited under high pressure or the right room expands even finds lung arterial occlusion is solicited, easy and other disease is distinguished.
How should pulmonary embolism be prevented?
Foreign morbidity of pulmonary embolism very high, the intersection of U.S.A. and annual about 1/600,000 morbidity, 3 die, accounts for the third of cause of the death. Also report to in recent years as the adult accepts anticoagulatory and therapeutic increase, the morbidity shows a tendency to reduce. Our country does not have precise epidemiology materials yet, but the vascular disease corpse of more than 900 heart and lungs of the report of Fuwai Hospital is examined in the materials, lung the intersection of Section and more than loud persons who stops up thrombus reach 100 ' 11% ) ,Account for the intersection of wind and the intersection of worry and 29% that corpse examine, myocardium 26% of disease, 19%, lung of worry, prove heart and lungs vascular disease erupt pulmonary embolism simultaneously often.
Prevent the key to pulmonary embolism from lying in preventing having illness coming on originally.
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Pulmonary embolism is classified and diagnose _'s symptom
Pulmonary embolism is classified and diagnose _'s symptom
Classify and diagnose
Clinical symptom and physical sign change quite big to distinguish the intersection of symptom and weight relate to all kinds of thromboembolism range of the embolus with other the intersection of cardiovascular vessel and difficult disease often Will certainly be directly proportional to often having close relations with the compensation ability of the original heart and lungs disease
(1) Pulmonary embolism of acute large area: Show as, it breaks out suddenly to be severe to have difficulty in breathing myocardium infarction pain faint the intersection of cyanosis and the intersection of right heart and depleted the intersection of shock and four limbs of profuse sweating faint coldly and twitching even the heart takes place behind the kinds of brestbone Stop fighting or the room dies quiverly and rapidly
(2) Pulmonary embolism of the medium-sized size: Pain behind often having brestbone and spits blood and can produce fainting and hypertension when it is very bad that patient's original heart and lungs disease compensates the functioning
(3) The little thromboembolism of the lung: Can produce adults and breathe poverty-stricken syndrome
(4) Infarction of lung: Have, generate heat slight jaundice often
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Classify and diagnose
Clinical symptom and physical sign change quite big to distinguish the intersection of symptom and weight relate to all kinds of thromboembolism range of the embolus with other the intersection of cardiovascular vessel and difficult disease often Will certainly be directly proportional to often having close relations with the compensation ability of the original heart and lungs disease
(1) Pulmonary embolism of acute large area: Show as, it breaks out suddenly to be severe to have difficulty in breathing myocardium infarction pain faint the intersection of cyanosis and the intersection of right heart and depleted the intersection of shock and four limbs of profuse sweating faint coldly and twitching even the heart takes place behind the kinds of brestbone Stop fighting or the room dies quiverly and rapidly
(2) Pulmonary embolism of the medium-sized size: Pain behind often having brestbone and spits blood and can produce fainting and hypertension when it is very bad that patient's original heart and lungs disease compensates the functioning
(3) The little thromboembolism of the lung: Can produce adults and breathe poverty-stricken syndrome
(4) Infarction of lung: Have, generate heat slight jaundice often
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Monday, July 30, 2012
The principle _ is treated in using medicine of lung song mildew
The principle _ is treated in using medicine of lung song mildew
1.Song coccus oppose fungi generally medicine result good, should strive for the surgery treatment. 2.Allergy the intersection of song and the intersection of fungus and disease should first break away from with the intersection of song and fungus keeping in touch, avoid sucking fungus spore of the song. Can take the relaxation bronchus medicine if necessary ' If aminophylline, easy fairy of breathing heavily) Or glucocorticoid,etc.. 3.Bronchus - pneumonia type the intersection of lung and the intersection of song and the intersection of fungus and disease can unite, spend with 2 nature mould plain B and 5 - Fluorine cytosine with continue person who take place. Can also unite and use with two mould plain B and rifampin. And it is feasible to spray and suck treating. Resist fungi medicine Fluorine health thiazole often invalid to aspergillus dailily.
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1.Song coccus oppose fungi generally medicine result good, should strive for the surgery treatment. 2.Allergy the intersection of song and the intersection of fungus and disease should first break away from with the intersection of song and fungus keeping in touch, avoid sucking fungus spore of the song. Can take the relaxation bronchus medicine if necessary ' If aminophylline, easy fairy of breathing heavily) Or glucocorticoid,etc.. 3.Bronchus - pneumonia type the intersection of lung and the intersection of song and the intersection of fungus and disease can unite, spend with 2 nature mould plain B and 5 - Fluorine cytosine with continue person who take place. Can also unite and use with two mould plain B and rifampin. And it is feasible to spray and suck treating. Resist fungi medicine Fluorine health thiazole often invalid to aspergillus dailily.
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's general knowledge of epidemiology of lung song mildew
's general knowledge of epidemiology of lung song mildew
Acute attacking lung song mildew though takes place and defends the sound one of mechanism in the immunity once in a while, but it nearly always continues and takes place and inhibits a patient in immunity damaging and bone marrow, and the latter seems to be the most dangerous factor. It is 20 times of lymphoma and person who receives organ transplant of entity in a disease incidence of acute leukemia patient. Recently, Sherefz emphasizes the acute attacking lung song mildew of very good hair of bone-marrow transplantation, the ill rate of different case groups is distributed: 1.8% of acute leukemia, 1.1% of renal transplantation, burn 1.8%, it is not the laminar flow room bone-marrow transplantation 19%, but the bone-marrow transplantation patient who inhabits laminar flow room is 0. Except that a cell quantity is reduced, function its obstacle like chronic granulation also often easy to take place acute the intersection of lung and the intersection of song and mildew of attacking etc. in patient in swollen disease. Accept for a long time hormone and immune inhibitor treatment are common dangerous factors of a disease. The statistics show, the crude case fatality rate of aspergillus pneumonia is 95%.
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Acute attacking lung song mildew though takes place and defends the sound one of mechanism in the immunity once in a while, but it nearly always continues and takes place and inhibits a patient in immunity damaging and bone marrow, and the latter seems to be the most dangerous factor. It is 20 times of lymphoma and person who receives organ transplant of entity in a disease incidence of acute leukemia patient. Recently, Sherefz emphasizes the acute attacking lung song mildew of very good hair of bone-marrow transplantation, the ill rate of different case groups is distributed: 1.8% of acute leukemia, 1.1% of renal transplantation, burn 1.8%, it is not the laminar flow room bone-marrow transplantation 19%, but the bone-marrow transplantation patient who inhabits laminar flow room is 0. Except that a cell quantity is reduced, function its obstacle like chronic granulation also often easy to take place acute the intersection of lung and the intersection of song and mildew of attacking etc. in patient in swollen disease. Accept for a long time hormone and immune inhibitor treatment are common dangerous factors of a disease. The statistics show, the crude case fatality rate of aspergillus pneumonia is 95%.
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's general knowledge of aetiology of lung song mildew
's general knowledge of aetiology of lung song mildew
The pathogens of mildew of song are some kinds that aspergillus belong to. It belongs to 89 planting and mutations of 14 groups that Vol. 5 of Chinese fungi will shows aspergillus of our country, among them it is pathogens partly. Aspergillus of cigarette is the most common pathogen, can cause all anaphylaxis and infective song mildew.
, mainly in order to distribute the bag fungus it belongs to etc. the stone seat fungus that belonging to, new Sa asks fungus belonging to, naked shell spore to belong to. Having aspergillus of one can be produced and closed the bag shell, it is a closed thin wall ascus fruit, include ascus and ascus spore.
Aspergillus belongs to the structure with characteristic nature, in order to divide into growing sporular head and foot cell (claim to divide and grow the sporular stem) ,Divide, grow sporular head, include, divide into, give birth to the intersection of spore and stem, carry bag, the intersection of bottle and stem, stem base and divide and grow the sporular chain. The ones that carry the bag in order to divide and grow the top of the sporular stem are very pregnant to expand. Surface bottle stem claims the little one-layer stem only, in order to produce spore's cells. There are bottle stem and stem base that call the double-deck small stem at the same time. Some kinds are one-layer, there are double layers too and even carry and have both at the same time the samely on the bag. The hypha cells that foot cells expanded for the heavy wall that specially melt. One side lengthens upwards and forms dividing and growing the sporular spore stem stem vertically, abbreviated as the stem of the spore stem.
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The pathogens of mildew of song are some kinds that aspergillus belong to. It belongs to 89 planting and mutations of 14 groups that Vol. 5 of Chinese fungi will shows aspergillus of our country, among them it is pathogens partly. Aspergillus of cigarette is the most common pathogen, can cause all anaphylaxis and infective song mildew.
, mainly in order to distribute the bag fungus it belongs to etc. the stone seat fungus that belonging to, new Sa asks fungus belonging to, naked shell spore to belong to. Having aspergillus of one can be produced and closed the bag shell, it is a closed thin wall ascus fruit, include ascus and ascus spore.
Aspergillus belongs to the structure with characteristic nature, in order to divide into growing sporular head and foot cell (claim to divide and grow the sporular stem) ,Divide, grow sporular head, include, divide into, give birth to the intersection of spore and stem, carry bag, the intersection of bottle and stem, stem base and divide and grow the sporular chain. The ones that carry the bag in order to divide and grow the top of the sporular stem are very pregnant to expand. Surface bottle stem claims the little one-layer stem only, in order to produce spore's cells. There are bottle stem and stem base that call the double-deck small stem at the same time. Some kinds are one-layer, there are double layers too and even carry and have both at the same time the samely on the bag. The hypha cells that foot cells expanded for the heavy wall that specially melt. One side lengthens upwards and forms dividing and growing the sporular spore stem stem vertically, abbreviated as the stem of the spore stem.
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Physiological _'s general knowledge of pathology of lung song mildew
Physiological _'s general knowledge of pathology of lung song mildew
Phagocyte as to defend mechanism one of host, its quantity and function in the the intersection of lung and morbidity, song of mildew significant in acute person who attack. It is important too that lymphocytes lie between the cell immunity led. It proves, neutral cells can prevent the forming of the song mould one that the experiment is studied, but the monocyte mainly influences dividing and growing spores. This and recover from illness, send until grains of cell lack and the intersection of cell and immunity it damages patients to be identical originally at being clinical. The function that the humoral immunity has illness coming on at this disease in the mechanism knows. Lack a disease incidence of the function disorder patient and has not increased in gamma globulin, do not brief on the humoral immunity to play a main role. Pathology displays mainly for acute necrosis bleeding pneumonia. Inflammation infiltration, suppurating, and then it is swollen to form the granulation. The hypha proliferates and invades the blood vessel in the lung, cause necrosis vascular inflammation, cause the thrombus or fungus bolt, cause, spit blood and blood competent to sow scattered, internal organs produce aspergillus infect in brain, liver, kidney, heart,etc.. It can also cause the lung to infect the focus inside sometimes that the aspergillus abscess, blood of the fungus bolt are sown competently scatteredly outside the lung.
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Phagocyte as to defend mechanism one of host, its quantity and function in the the intersection of lung and morbidity, song of mildew significant in acute person who attack. It is important too that lymphocytes lie between the cell immunity led. It proves, neutral cells can prevent the forming of the song mould one that the experiment is studied, but the monocyte mainly influences dividing and growing spores. This and recover from illness, send until grains of cell lack and the intersection of cell and immunity it damages patients to be identical originally at being clinical. The function that the humoral immunity has illness coming on at this disease in the mechanism knows. Lack a disease incidence of the function disorder patient and has not increased in gamma globulin, do not brief on the humoral immunity to play a main role. Pathology displays mainly for acute necrosis bleeding pneumonia. Inflammation infiltration, suppurating, and then it is swollen to form the granulation. The hypha proliferates and invades the blood vessel in the lung, cause necrosis vascular inflammation, cause the thrombus or fungus bolt, cause, spit blood and blood competent to sow scattered, internal organs produce aspergillus infect in brain, liver, kidney, heart,etc.. It can also cause the lung to infect the focus inside sometimes that the aspergillus abscess, blood of the fungus bolt are sown competently scatteredly outside the lung.
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Symptom and _'s symptom of physical sign of lung song mildew
Symptom and _'s symptom of physical sign of lung song mildew
Typical case lack or accept wide the intersection of table and antibiotic, immune inhibitor and appear can be explained generate heat in the the intersection of glucocorticoid and course for grains of cell, it is the most common that chest symptom aches with dry cough, chest. Not so common as first two kinds of symptoms to spit blood, it is very important, have briefing on diagnosis value. It is out of breath and breathing to appear when pathological change is extensive in the lung depletedly. In addition, Shang Ke presents stomach enterorrhagia and various central nervous system symptoms. The physical sign of lung depends on property and range of pathological change, can present the pleura and rub the sense or fricative while involving the pleura.
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Typical case lack or accept wide the intersection of table and antibiotic, immune inhibitor and appear can be explained generate heat in the the intersection of glucocorticoid and course for grains of cell, it is the most common that chest symptom aches with dry cough, chest. Not so common as first two kinds of symptoms to spit blood, it is very important, have briefing on diagnosis value. It is out of breath and breathing to appear when pathological change is extensive in the lung depletedly. In addition, Shang Ke presents stomach enterorrhagia and various central nervous system symptoms. The physical sign of lung depends on property and range of pathological change, can present the pleura and rub the sense or fricative while involving the pleura.
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Therapeutic principle _'s treatment of lung song mildew
Therapeutic principle _'s treatment of lung song mildew
1.Resist the fungi treatment: Select the two sexes mould plain B for use to lung song mycosis and other the more seriously ones for the first time, the vein is instilled (adding right amount of Heparin contributes to preventing thrombus phlebitis in the drip) ,Can share with 5 - Fluorine cytosine. can also be taken orally with health thiazole of Iraq song. The course of treatment is fixed because of condition, can use medicine for several months continuously. Other medicines have dog days to set up thiazole of health and moor fragrantly and netly, etc.
2.Surgery treatment: To the lung song mould ball feasible surgery treatment. Can use trachea artery thromboembolism at the loud hemoptysis, for instance, the condition permits that should carry on the surgery treatment.
3.Other treatments: Should strengthen the support treatment to the chronic serious disease patient, it is balanced to correct water electrolyte; Can use cortical hormone and color sweet sour sodium to song mycosis of allergy in right amount.
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1.Resist the fungi treatment: Select the two sexes mould plain B for use to lung song mycosis and other the more seriously ones for the first time, the vein is instilled (adding right amount of Heparin contributes to preventing thrombus phlebitis in the drip) ,Can share with 5 - Fluorine cytosine. can also be taken orally with health thiazole of Iraq song. The course of treatment is fixed because of condition, can use medicine for several months continuously. Other medicines have dog days to set up thiazole of health and moor fragrantly and netly, etc.
2.Surgery treatment: To the lung song mould ball feasible surgery treatment. Can use trachea artery thromboembolism at the loud hemoptysis, for instance, the condition permits that should carry on the surgery treatment.
3.Other treatments: Should strengthen the support treatment to the chronic serious disease patient, it is balanced to correct water electrolyte; Can use cortical hormone and color sweet sour sodium to song mycosis of allergy in right amount.
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Healing solution _'s treatment of lung song mildew
Healing solution _'s treatment of lung song mildew
First-selected two sexes mould plain B, the adult recommends the dosage every day 0.6mg/kg, increase the dosage progressively 2- 3 days later, 1.0mg/kg until every day. The course of treatment has not been fixed. Can reach as high as 4000mg while accumulating the dosage. Highly suspicious but the experiences of persons who have not made a definite diagnosis of should be treated with the two sexes mould plain B, if has not seen on the 7th day curative effect should be inactive to the course of treatment. Fluorine cytosine (5 - Fluorine cytosine) The antibacterial activity to lung song mildew is usually relatively low, but have cooperative effect with the two sexes mould plain B, can jointly use to infect a patient at serious disease. Its bad reaction especially inhibitory activity of bone marrow, employ and is limited. The laboratory materials prove there are rifampin and the two sexes mould plain B on aspergillus in coordination with the antibacterial activity, and its toxicity of liver and immune inhibitory activity have limited its application too. Health thiazole of Iraq song has good antibacterial activity on aspergillus, have had reports succeeding in treating lung song mildew already. It causes serious systematicness to sow routedly scatteredly that the acute lung aspergillus ball is broken sometimes, so should advocate all persons who can be competent at the operation surgery excise. Infuse a cell as assisting treating certain function when a person who lacks cell erupts lung song mildew simultaneously, but there is literature that reports the two sexes mould plain B jointly use increasing lung toxicity to react with infusing a cell, must be very prudent. There are the two sexes mould plain B every day 1.0mg/kg of high dosage of specific report, unite Fluorine cytosine (5 - Fluorine cytosine) Use in order to prevent aspergillus pneumonia from breaking out to succeed before beginning the chemotherapy of anticancer.
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First-selected two sexes mould plain B, the adult recommends the dosage every day 0.6mg/kg, increase the dosage progressively 2- 3 days later, 1.0mg/kg until every day. The course of treatment has not been fixed. Can reach as high as 4000mg while accumulating the dosage. Highly suspicious but the experiences of persons who have not made a definite diagnosis of should be treated with the two sexes mould plain B, if has not seen on the 7th day curative effect should be inactive to the course of treatment. Fluorine cytosine (5 - Fluorine cytosine) The antibacterial activity to lung song mildew is usually relatively low, but have cooperative effect with the two sexes mould plain B, can jointly use to infect a patient at serious disease. Its bad reaction especially inhibitory activity of bone marrow, employ and is limited. The laboratory materials prove there are rifampin and the two sexes mould plain B on aspergillus in coordination with the antibacterial activity, and its toxicity of liver and immune inhibitory activity have limited its application too. Health thiazole of Iraq song has good antibacterial activity on aspergillus, have had reports succeeding in treating lung song mildew already. It causes serious systematicness to sow routedly scatteredly that the acute lung aspergillus ball is broken sometimes, so should advocate all persons who can be competent at the operation surgery excise. Infuse a cell as assisting treating certain function when a person who lacks cell erupts lung song mildew simultaneously, but there is literature that reports the two sexes mould plain B jointly use increasing lung toxicity to react with infusing a cell, must be very prudent. There are the two sexes mould plain B every day 1.0mg/kg of high dosage of specific report, unite Fluorine cytosine (5 - Fluorine cytosine) Use in order to prevent aspergillus pneumonia from breaking out to succeed before beginning the chemotherapy of anticancer.
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Pathologic _'s general knowledge of lung song mildew
Pathologic _'s general knowledge of lung song mildew
Organize pathology to change and generally react for the mixing, suppurative, necrosis inflammation. Because of vascular thromboembolism and function of aspergillus toxin, necrosis is often relatively serious.
Chronic attacking lung song mildew is usually shown as the swollen damage of granulation of limitation, see big and small afterbirth, neutral cells and having a liking for acid cells,etc., there are fibers with the passing of time and aggravate gradually. Person who attack the intersection of lung and the intersection of song and mildew form the intersection of fungi and ball in lung, countless the intersection of song and the intersection of mould and silk interweave song mould group formed together to twine actually, lie in the lung upper part. The hypha of the aspergillus ball seldom invades the organization around, there is irregular having a liking for the acid material in the ball periphery of aspergillus sometimes, namely Splendore-Hoeppli phenomenon.
HE can find several pieces of mould silk to dye, presents and has a liking for acidly occasionally. Hypha color is relatively light in necrosis is organized, difficult to distinguish clearly sometimes, can choose GMS to be dyed.
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Organize pathology to change and generally react for the mixing, suppurative, necrosis inflammation. Because of vascular thromboembolism and function of aspergillus toxin, necrosis is often relatively serious.
Chronic attacking lung song mildew is usually shown as the swollen damage of granulation of limitation, see big and small afterbirth, neutral cells and having a liking for acid cells,etc., there are fibers with the passing of time and aggravate gradually. Person who attack the intersection of lung and the intersection of song and mildew form the intersection of fungi and ball in lung, countless the intersection of song and the intersection of mould and silk interweave song mould group formed together to twine actually, lie in the lung upper part. The hypha of the aspergillus ball seldom invades the organization around, there is irregular having a liking for the acid material in the ball periphery of aspergillus sometimes, namely Splendore-Hoeppli phenomenon.
HE can find several pieces of mould silk to dye, presents and has a liking for acidly occasionally. Hypha color is relatively light in necrosis is organized, difficult to distinguish clearly sometimes, can choose GMS to be dyed.
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Sunday, July 29, 2012
Check _'s symptom in the laboratory of lung song mildew
Check _'s symptom in the laboratory of lung song mildew
1. The direct mirror is examined: Phlegm, earwax, corneal ulcer blow and can see to examine colourlessly, separate to fetch sample direct mirrors such as things,etc., about 7 m presents branched hypha of 45 degrees, the same as finding in pathology is organized.
2. The fungi are trained: The sample is inoculated in sand agar culture medium, train at room temperature, the colony is fast-growing, take the form of hair, it is generally yellowish green. Move kind on aspergillus appraises culture medium of universal standard, can determine to lay the characteristic to plant according to colony shape, color and mirror.
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1. The direct mirror is examined: Phlegm, earwax, corneal ulcer blow and can see to examine colourlessly, separate to fetch sample direct mirrors such as things,etc., about 7 m presents branched hypha of 45 degrees, the same as finding in pathology is organized.
2. The fungi are trained: The sample is inoculated in sand agar culture medium, train at room temperature, the colony is fast-growing, take the form of hair, it is generally yellowish green. Move kind on aspergillus appraises culture medium of universal standard, can determine to lay the characteristic to plant according to colony shape, color and mirror.
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's general knowledge of song mildew of the lung
's general knowledge of song mildew of the lung
Lung the intersection of song and mildew infect, cause by aspergillus by cigarette mainly, a few construct the intersection of nest and aspergillus,etc. for black aspergillus, the intersection of soil and aspergillus, yellow aspergillus. Great majority to use antibiotic and hormone carry on, take place, infect for a long time or on the basis of original lung illness. Four type fen on clinic: (1)Lung aspergillus ball. (2)Song mildew of allergy. (3)Bronchus - pneumonia type mildew of song. (4)Then sending lung song mildew. Mainly shown as coughing, expectoration and spitting blood repeatedly. When numerous deep departments fetch phlegm slides or train the masculine gender, can make a definite diagnosis of to combine clinically. Should pay attention to treating and having illness coming on and strengthening organism immunity originally on treating. And is chosen different healing solutions according to different types and condition. The general prognosis is relatively good.
Symptom behaves: 1. Lung aspergillus ball: There is no obvious whole body symptom generally, but there can be irritation coughing and big repeated hemoptysis. 2.Song mildew of allergy: Fear cold, generating heat, weak, irritation and cough, companion's obvious asthma. Suppurations pale brown phlegm,tape blood sometimes. The sick position can hear doing, wet rale. 3.Bronchus - pneumonia type mildew of song: Cough, expectoration, low-heat, weak failing etc. by appetite. Pathological change attacks the lung essence and presents pneumonia to change, and necrosis suppurates, form lung abscess. There can be consolidation physical sign of lung and wet rale. 4.Then sending lung song mildew: There is behavior of taking place diseasing, and generating heat, coughing, expectoration, spitting blood, chest ache, have difficulty in breathing etc.. One pair of lungs can be done, wet rale.
Diagnose the basis: 1. Lung the intersection of aspergillus and ball continue, take place in the intersection of pulmonary tuberculosis and cavity, the intersection of lung cancer and cavity or bag of bronchiectasis more. The song fungus disease of allergy is happening to the allergic one of aspergillus more, after sucking a large number of aspergillus spores, the song mould silk causes mucomembranous inflammation of the bronchus and pneumonia. Then sending lung song mildew sees more a patient and the low one of organism immunity of serious illness. 2.Cough, expectoration, spitting blood repeatedly. 3.The lung can be heard doing, wet rale. 4.Phlegm slide or training checking and finding song mould silk or spore with histology. 5.Acidophil of blood increases. 6.Song enzyme antigenic skin test and serum precipitate test the masculine gender. 7.The X-ray examination of chest can take the form of spot, tubercle or cloud wadding shade. The typical sign of aspergillus ball is like ball-shaped evenly for the density, there are bright districts of semilune of thin wall above it, the aspergillus ball can be changed and changed with the body posture, take the form of " bell shade " . It is a leaf on a lung to be kind to take place the position.
Treat the principle: 1. Treat and have illness coming on originally actively. 2.The treatment to the ill: Relieve cough, eliminate the phlegm, it is flat to breathe heavily, use antibiotic while continuing the bacterial infection of hair. 3.Resist the medicine application of fungi. 4.Persons who spit blood repeatedly can perform the operation and excise the cause of disease with due to aspergillus game.
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Lung the intersection of song and mildew infect, cause by aspergillus by cigarette mainly, a few construct the intersection of nest and aspergillus,etc. for black aspergillus, the intersection of soil and aspergillus, yellow aspergillus. Great majority to use antibiotic and hormone carry on, take place, infect for a long time or on the basis of original lung illness. Four type fen on clinic: (1)Lung aspergillus ball. (2)Song mildew of allergy. (3)Bronchus - pneumonia type mildew of song. (4)Then sending lung song mildew. Mainly shown as coughing, expectoration and spitting blood repeatedly. When numerous deep departments fetch phlegm slides or train the masculine gender, can make a definite diagnosis of to combine clinically. Should pay attention to treating and having illness coming on and strengthening organism immunity originally on treating. And is chosen different healing solutions according to different types and condition. The general prognosis is relatively good.
Symptom behaves: 1. Lung aspergillus ball: There is no obvious whole body symptom generally, but there can be irritation coughing and big repeated hemoptysis. 2.Song mildew of allergy: Fear cold, generating heat, weak, irritation and cough, companion's obvious asthma. Suppurations pale brown phlegm,tape blood sometimes. The sick position can hear doing, wet rale. 3.Bronchus - pneumonia type mildew of song: Cough, expectoration, low-heat, weak failing etc. by appetite. Pathological change attacks the lung essence and presents pneumonia to change, and necrosis suppurates, form lung abscess. There can be consolidation physical sign of lung and wet rale. 4.Then sending lung song mildew: There is behavior of taking place diseasing, and generating heat, coughing, expectoration, spitting blood, chest ache, have difficulty in breathing etc.. One pair of lungs can be done, wet rale.
Diagnose the basis: 1. Lung the intersection of aspergillus and ball continue, take place in the intersection of pulmonary tuberculosis and cavity, the intersection of lung cancer and cavity or bag of bronchiectasis more. The song fungus disease of allergy is happening to the allergic one of aspergillus more, after sucking a large number of aspergillus spores, the song mould silk causes mucomembranous inflammation of the bronchus and pneumonia. Then sending lung song mildew sees more a patient and the low one of organism immunity of serious illness. 2.Cough, expectoration, spitting blood repeatedly. 3.The lung can be heard doing, wet rale. 4.Phlegm slide or training checking and finding song mould silk or spore with histology. 5.Acidophil of blood increases. 6.Song enzyme antigenic skin test and serum precipitate test the masculine gender. 7.The X-ray examination of chest can take the form of spot, tubercle or cloud wadding shade. The typical sign of aspergillus ball is like ball-shaped evenly for the density, there are bright districts of semilune of thin wall above it, the aspergillus ball can be changed and changed with the body posture, take the form of " bell shade " . It is a leaf on a lung to be kind to take place the position.
Treat the principle: 1. Treat and have illness coming on originally actively. 2.The treatment to the ill: Relieve cough, eliminate the phlegm, it is flat to breathe heavily, use antibiotic while continuing the bacterial infection of hair. 3.Resist the medicine application of fungi. 4.Persons who spit blood repeatedly can perform the operation and excise the cause of disease with due to aspergillus game.
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Clinical characteristic _ symptom of lung song mildew
Clinical characteristic _ symptom of lung song mildew
a The onset is seen more with middle aged men,
b Pathogens belong to the fungi for the mould of the song,
c Primary suppuration and leather disease, a kind of song mycosis of skin involve more backs and waists, in order to form a cluster for the first time collecting or merging pustule, and then soak and is like furuncle or carbuncle, the course of disease is relatively short, have it healing inclination; It is inflammation tubercle at the beginning that the fungus is swollen type, then soften and break routedly, form the occuring frequently sinus, the chronic granulation is swollen type to present tubercle, can be with abscess, ulcer, so that wart hyperplasia,
d Then the cover of sending mycosis of skin song is decreased it is may multiple abscess, it is may tubercle, it is may spot, papule, often there is abscess or form a scab in the central authorities,
e The mould of the song can infringe the lung, eyes, nose, nasal sinus, external auditory canal, mucous membrane, first and whole body all internal organs, often cause the serious consequence, the heavy one can cause death,
f Divided into lung song mildew, skin song mildew, and other position songs mildew,
g The fungi mirror are examined, it is positive to train.
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a The onset is seen more with middle aged men,
b Pathogens belong to the fungi for the mould of the song,
c Primary suppuration and leather disease, a kind of song mycosis of skin involve more backs and waists, in order to form a cluster for the first time collecting or merging pustule, and then soak and is like furuncle or carbuncle, the course of disease is relatively short, have it healing inclination; It is inflammation tubercle at the beginning that the fungus is swollen type, then soften and break routedly, form the occuring frequently sinus, the chronic granulation is swollen type to present tubercle, can be with abscess, ulcer, so that wart hyperplasia,
d Then the cover of sending mycosis of skin song is decreased it is may multiple abscess, it is may tubercle, it is may spot, papule, often there is abscess or form a scab in the central authorities,
e The mould of the song can infringe the lung, eyes, nose, nasal sinus, external auditory canal, mucous membrane, first and whole body all internal organs, often cause the serious consequence, the heavy one can cause death,
f Divided into lung song mildew, skin song mildew, and other position songs mildew,
g The fungi mirror are examined, it is positive to train.
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Lung song mildew li curative effect comments on _'s treatment
Lung song mildew li curative effect comments on _'s treatment
1.Cure: The physical sign of symptom disappears, lung pathological change of X-ray examination is absorbed and dissipated, the phlegm slide is checked and has not unusually found, it is negative to train for 3 times. The aspergillus ball talk surgery is excised, there are no persons who recur. 2.Take a favorable turn: The physical sign of symptom takes a favorable turn, pathological change of X-ray examination of the chest is absorbed and taken a favorable turn, the phlegm slide or training negatively. 3.Have not healed: The physical sign not improvement of symptom, cause of disease of X-ray examination of the chest has not been absorbed, the phlegm slide or training the masculine gender.
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1.Cure: The physical sign of symptom disappears, lung pathological change of X-ray examination is absorbed and dissipated, the phlegm slide is checked and has not unusually found, it is negative to train for 3 times. The aspergillus ball talk surgery is excised, there are no persons who recur. 2.Take a favorable turn: The physical sign of symptom takes a favorable turn, pathological change of X-ray examination of the chest is absorbed and taken a favorable turn, the phlegm slide or training negatively. 3.Have not healed: The physical sign not improvement of symptom, cause of disease of X-ray examination of the chest has not been absorbed, the phlegm slide or training the masculine gender.
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How does lung song mildew treat _'s treatment
How does lung song mildew treat _'s treatment
Lung the intersection of song and mildew infect, cause by aspergillus by cigarette mainly, a few construct the intersection of nest and aspergillus,etc. for black aspergillus, the intersection of soil and aspergillus, yellow aspergillus. The great majority use antibiotic and hormone to carry on and send the infection on the basis of original lung illness or because for a long time. Four type fen on clinic: (1)Lung aspergillus ball. (2)Song mildew of allergy. (3)Bronchus - pneumonia type mildew of song. (4)Then sending lung song mildew. Mainly shown as coughing, expectoration and spitting blood repeatedly. When numerous deep departments fetch phlegm slides or train the masculine gender, can make a definite diagnosis of to combine clinically. Should pay attention to treating and having illness coming on and strengthening organism immunity originally on treating. And is chosen different healing solutions according to different types and condition. The general prognosis is relatively good.
[Treat the principle ]
1.Treat and have illness coming on originally actively.
2.The treatment to the ill: Relieve cough, eliminate the phlegm, it is flat to breathe heavily, use antibiotic while continuing the bacterial infection of hair.
3.Resist the medicine application of fungi.
4.Persons who spit blood repeatedly can perform the operation and excise the cause of disease with due to aspergillus game.
[Principle of using medicine ]
1.Song coccus oppose fungi generally medicine result good, should strive for the surgery treatment.
2.Allergy the intersection of song and the intersection of fungus and disease should first break away from with the intersection of song and fungus keeping in touch, avoid sucking fungus spore of the song. Can take the relaxation bronchus medicine (such as aminophylline, easy fairy of breathing heavily) if necessary Or glucocorticoid,etc..
3.Bronchus - pneumonia type the intersection of lung and the intersection of song and the intersection of fungus and disease can unite, spend with 2 nature mould plain B and 5 - Fluorine cytosine with continue person who take place. Can also unite and use with two mould plain B and rifampin. And it is feasible to spray and suck treating. Resist fungi medicine Fluorine health thiazole often invalid to aspergillus dailily.
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Lung the intersection of song and mildew infect, cause by aspergillus by cigarette mainly, a few construct the intersection of nest and aspergillus,etc. for black aspergillus, the intersection of soil and aspergillus, yellow aspergillus. The great majority use antibiotic and hormone to carry on and send the infection on the basis of original lung illness or because for a long time. Four type fen on clinic: (1)Lung aspergillus ball. (2)Song mildew of allergy. (3)Bronchus - pneumonia type mildew of song. (4)Then sending lung song mildew. Mainly shown as coughing, expectoration and spitting blood repeatedly. When numerous deep departments fetch phlegm slides or train the masculine gender, can make a definite diagnosis of to combine clinically. Should pay attention to treating and having illness coming on and strengthening organism immunity originally on treating. And is chosen different healing solutions according to different types and condition. The general prognosis is relatively good.
[Treat the principle ]
1.Treat and have illness coming on originally actively.
2.The treatment to the ill: Relieve cough, eliminate the phlegm, it is flat to breathe heavily, use antibiotic while continuing the bacterial infection of hair.
3.Resist the medicine application of fungi.
4.Persons who spit blood repeatedly can perform the operation and excise the cause of disease with due to aspergillus game.
[Principle of using medicine ]
1.Song coccus oppose fungi generally medicine result good, should strive for the surgery treatment.
2.Allergy the intersection of song and the intersection of fungus and disease should first break away from with the intersection of song and fungus keeping in touch, avoid sucking fungus spore of the song. Can take the relaxation bronchus medicine (such as aminophylline, easy fairy of breathing heavily) if necessary Or glucocorticoid,etc..
3.Bronchus - pneumonia type the intersection of lung and the intersection of song and the intersection of fungus and disease can unite, spend with 2 nature mould plain B and 5 - Fluorine cytosine with continue person who take place. Can also unite and use with two mould plain B and rifampin. And it is feasible to spray and suck treating. Resist fungi medicine Fluorine health thiazole often invalid to aspergillus dailily.
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The result of lung song mildew comments on _'s prevention and health care
The result of lung song mildew comments on _'s prevention and health care
1.Cure: The physical sign of symptom disappears, lung pathological change of X-ray examination is absorbed and dissipated, the phlegm slide is checked and has not unusually found, it is negative to train for 3 times. The aspergillus ball talk surgery is excised, there are no persons who recur. 2.Take a favorable turn: The physical sign of symptom takes a favorable turn, pathological change of X-ray examination of the chest is absorbed and taken a favorable turn, the phlegm slide or training negatively. 3.Have not healed: The physical sign not improvement of symptom, cause of disease of X-ray examination of the chest has not been absorbed, the phlegm slide or training the masculine gender.
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1.Cure: The physical sign of symptom disappears, lung pathological change of X-ray examination is absorbed and dissipated, the phlegm slide is checked and has not unusually found, it is negative to train for 3 times. The aspergillus ball talk surgery is excised, there are no persons who recur. 2.Take a favorable turn: The physical sign of symptom takes a favorable turn, pathological change of X-ray examination of the chest is absorbed and taken a favorable turn, the phlegm slide or training negatively. 3.Have not healed: The physical sign not improvement of symptom, cause of disease of X-ray examination of the chest has not been absorbed, the phlegm slide or training the masculine gender.
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The health of lung song mildew guides _'s prevention and health care
The health of lung song mildew guides _'s prevention and health care
Lung song mildew, happen to poultryman and relevant personnel more. Aspergillus invades the lung and organizes but happens necrosis bronchus pneumonia, the bronchus which invades the lung cavity or expansion forms the aspergillus ball. This disease makes a definite diagnosis of needing to depend on the aetiology inspection. Lung song mildew of allergy is broken away from and kept in touch with aspergillus, after avoiding sucking aspergillus spore, the condition can be relieved by oneself. The lung aspergillus ball is generally treated by surgery. Bronchus - pneumonia type and continues taking place one of the lung song mildew and awkward song mildew that cures, use and resist fungi medicine and support to have certain results on disease treatment.
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Lung song mildew, happen to poultryman and relevant personnel more. Aspergillus invades the lung and organizes but happens necrosis bronchus pneumonia, the bronchus which invades the lung cavity or expansion forms the aspergillus ball. This disease makes a definite diagnosis of needing to depend on the aetiology inspection. Lung song mildew of allergy is broken away from and kept in touch with aspergillus, after avoiding sucking aspergillus spore, the condition can be relieved by oneself. The lung aspergillus ball is generally treated by surgery. Bronchus - pneumonia type and continues taking place one of the lung song mildew and awkward song mildew that cures, use and resist fungi medicine and support to have certain results on disease treatment.
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's general knowledge of summary of lung song mildew
's general knowledge of summary of lung song mildew
Lung song mycosis (pulmonary aspergillosis) Mainly caused by cigarette song fungus. This fungi often depend on for a living the upper respiratory tract, just present the attacking song fungus disease when chronic disease and patient's immunity are low seriously. The song mildew clinical manifestation of lung is complicated, but from different angles but yes many kinds of dividing methods with the attacking like the primary and continue the sending or anaphylaxis, send planting, called lung aspergillus syndrome. The mould of the song is a terms pathogen, exist in the nature extensively, there is 600 multi-type. Cause human about 40 multi-type of infection, aspergillus,etc. relatively common with the intersection of cigarette and aspergillus, yellow aspergillus, black aspergillus, soil. Have its spores in the air everywhere, in autumn and winter and season overcast and rainy, millet straws stored generates heat while going mouldy more. It is last necrosis not to make song the endotoxins of mould,focus can for soaking, consolidation, cavity, inflammation or millet grain filling the air pathological change around bronchus.
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Lung song mycosis (pulmonary aspergillosis) Mainly caused by cigarette song fungus. This fungi often depend on for a living the upper respiratory tract, just present the attacking song fungus disease when chronic disease and patient's immunity are low seriously. The song mildew clinical manifestation of lung is complicated, but from different angles but yes many kinds of dividing methods with the attacking like the primary and continue the sending or anaphylaxis, send planting, called lung aspergillus syndrome. The mould of the song is a terms pathogen, exist in the nature extensively, there is 600 multi-type. Cause human about 40 multi-type of infection, aspergillus,etc. relatively common with the intersection of cigarette and aspergillus, yellow aspergillus, black aspergillus, soil. Have its spores in the air everywhere, in autumn and winter and season overcast and rainy, millet straws stored generates heat while going mouldy more. It is last necrosis not to make song the endotoxins of mould,focus can for soaking, consolidation, cavity, inflammation or millet grain filling the air pathological change around bronchus.
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Check _'s symptom in curing the skill of lung song mildew
Check _'s symptom in curing the skill of lung song mildew
1.The image learns to check: Three clinical types all have one scene of characteristics of their own X-ray chests.
2.The fibrous bronchus mirror scrubs and lives and examines, the lung, pleura puncture and examine the diagnosis which is favorable to the fungal infection of lung alive.
3.Can be seen the song mould silk in the phlegm, the cigarette song fungus trains the masculine gender.
4.Immunology is measured: Bronchus lung song mycosis serum IgE often> 2500 g/L of allergy, it is often positive to try the mould antigenic cover of song, it is plain and mostly positive that serum resists the antigenic IgG antibody of mould of the song and precipitates.
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1.The image learns to check: Three clinical types all have one scene of characteristics of their own X-ray chests.
2.The fibrous bronchus mirror scrubs and lives and examines, the lung, pleura puncture and examine the diagnosis which is favorable to the fungal infection of lung alive.
3.Can be seen the song mould silk in the phlegm, the cigarette song fungus trains the masculine gender.
4.Immunology is measured: Bronchus lung song mycosis serum IgE often> 2500 g/L of allergy, it is often positive to try the mould antigenic cover of song, it is plain and mostly positive that serum resists the antigenic IgG antibody of mould of the song and precipitates.
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Disease _ general knowledge apt to misdiagnose of song mildew of the lung
Disease _ general knowledge apt to misdiagnose of song mildew of the lung
1.Bacterial pneumonia: Have more hyperpyrexia, cough, expectoration, the intersection of chest and the intersection of aching, shortness of breath,etc. and symptom, lung consolidation physical sign and wet sound, the leucocyte is raised, the X-ray is shown as a stretch of wadding soaks the shade, but aetiology is diagnosed to be relatively difficult, must be from having or isolating pathogens in lower respiratory tract sample, chest liquid or blood of low pollution, combine clinical analysis and can be fixed.
2.Viral pneumonia: Viral pneumonia generally causes upper airway infection first, then it causes lung inflammation to spread downwards. Because the respiratory tract mucous membrane defends the function to damage, often bring out the bacterial infection. Make a definite diagnosis of needing to determine according to swallowing wiping away, phlegm liquid virus separation and specific antibody of serum.
3.Pulmonary tuberculosis: Common to the young patient, there are symptoms such as low-heat, night sweating,etc., it is the stimulating dry cough to be early, and then there is phlegm, the cavity coughs and aggravates after forming, phlegm quantity increases, half the number patient can spit blood. Diagnose that finds tuberculosis fungus or tuberculosis and peculiar venereal disease to pay attention to and change in main foundation chest a inspection and phlegm or other samples.
4.Lung abscess: A lot of diseases are urgent, cough, coughing discredited phlegm of a large amount of suppuration or suppuration blood phlegm that hyperpyrexia, chest ache, blood leucocyte and neutral cells increase. It is the dense large stretch of shade that the development that X-ray examination is up to pathological change is different, early, and then can see the level of liquid.
5.Bronchiectasis: It is between twenty and fifty to see more, there is chronic coughing, a large amount of suppuration phlegm often, suffer from medical history such as measles, whooping cough, bronchus pneumonia more in childhood. X-ray the intersection of chest and stretch can see single side or dual side lung lamination, increase dark or thick and messy and taking the form of shade of curly hair. High-resolution CT and bronchus lipiodol radiography can be made a definite diagnosis of.
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1.Bacterial pneumonia: Have more hyperpyrexia, cough, expectoration, the intersection of chest and the intersection of aching, shortness of breath,etc. and symptom, lung consolidation physical sign and wet sound, the leucocyte is raised, the X-ray is shown as a stretch of wadding soaks the shade, but aetiology is diagnosed to be relatively difficult, must be from having or isolating pathogens in lower respiratory tract sample, chest liquid or blood of low pollution, combine clinical analysis and can be fixed.
2.Viral pneumonia: Viral pneumonia generally causes upper airway infection first, then it causes lung inflammation to spread downwards. Because the respiratory tract mucous membrane defends the function to damage, often bring out the bacterial infection. Make a definite diagnosis of needing to determine according to swallowing wiping away, phlegm liquid virus separation and specific antibody of serum.
3.Pulmonary tuberculosis: Common to the young patient, there are symptoms such as low-heat, night sweating,etc., it is the stimulating dry cough to be early, and then there is phlegm, the cavity coughs and aggravates after forming, phlegm quantity increases, half the number patient can spit blood. Diagnose that finds tuberculosis fungus or tuberculosis and peculiar venereal disease to pay attention to and change in main foundation chest a inspection and phlegm or other samples.
4.Lung abscess: A lot of diseases are urgent, cough, coughing discredited phlegm of a large amount of suppuration or suppuration blood phlegm that hyperpyrexia, chest ache, blood leucocyte and neutral cells increase. It is the dense large stretch of shade that the development that X-ray examination is up to pathological change is different, early, and then can see the level of liquid.
5.Bronchiectasis: It is between twenty and fifty to see more, there is chronic coughing, a large amount of suppuration phlegm often, suffer from medical history such as measles, whooping cough, bronchus pneumonia more in childhood. X-ray the intersection of chest and stretch can see single side or dual side lung lamination, increase dark or thick and messy and taking the form of shade of curly hair. High-resolution CT and bronchus lipiodol radiography can be made a definite diagnosis of.
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Saturday, July 28, 2012
From what reason was the lung song fungus disease caused? 's general knowledge
From what reason was the lung song fungus disease caused? 's general knowledge
From what reason was the lung song fungus disease caused?
The song fungus ball is the most common type. Song fungus depend on for a living on pulmonary tuberculosis, the intersection of bronchus and the intersection of lung and cyst, lung cancer and the intersection of tubercle and disease,etc. in the chronic the intersection of lung and cavity that disease form often. The cavity wall and lung tissue around destroy partly, alveolus internal haemorrhage, a large number of chronic inflammatory cells soak with a lot of small outgrowth arteries, veins, present the tumour kind expanding, generally there is not hypha that is invaded. There are yellowish-brown balls in the hole, relatively crisp, the tangent plane has pigmentation, the ones that includes into a pile separate branched myceliums, mixed with having a liking for acid amorphous material and erythrocyte in a large amount. It is applied with the union of the allergy that ABPA is. The short chain song fungus spore sucked falls into in bigger segment bronchus secretes the mucus, form the mycelium; Antigen with IgE its cause quick to roll over loose cell take place specificity combine, release medium, cause bronchospasm, the penetrating increase of mucous membrane of bronchus, the antigen enters the tissue, cause acidophil in lung and blood to increase. In addition, the fungus antigen of song binds with IgG antibody and forms the immune complex, cause the bronchus and lung around to organize chronic inflammation under the participation of complement, cause bronchus destroying, expand and the lung fiber. Bronchus wall and lung essence are acidophil and monocyte soaking and granulation swollenly and take shape, in charge of there is fungus hypha of songing, but there is not hypha that invade the tissue. IPA sees in chronic consuming disease, fungus one group of lacking proper care, immunological functions reduce a patient. The intersection of song and fungus that depend on for a living in the upper respiratory tract invade the lung to organize, develop into necrosis nature bleeding pneumonia, can cause and suppurate, it is swollen to form multiple abscess or granulation, there is arteriolar thromboembolism on the edge of focus. The song fungus invades the lung blood vessel to lead to the fact the blood walks and sows scatteredly, involves the other internal organs of whole body.
Which lung song fungus disease are to behave and how to diagnose?
Clinical manifestation
The song fungus ball patient does not have obvious whole body symptom, but favorable hemoptysis and coughing. The isolated crescent type ball type cooking stove of bright district in the lung, behave for its typical X type.
ABPA takes place specially in conformity with the physique foundation of the sex generally, takes the form of persons who break out repeatedly and wheezes, generates heat, coughs, expectorates the brown phlegm bolt, spits blood. Two lungs of physical examination are covered with the sound of chirping of heavy breathing, the lung soaks the position there is a thin wet rale. The chest X-ray shows the lobe of the lung, one section of infiltration focuses distributed, often in order to visit the going; The intersection of lung and consolidation, or because the intersection of mucus and the intersection of thromboembolism and bronchus cause the intersection of lung and section or the intersection of lobe of the lung and piece, have, split, shift among the leaf, it can cause bronchiectasis in the centre to break out repeatedly for a long time, the segment or inferior section of bronchuses given much trouble takes the form of the bag to expand, and correct it often far. Shade such as car rail thread kind, parallel, ring-type, banding or toothpaste kind, meaning one set of forms can often also be seen. Acidophil of blood increases. Serum IgE density rises. Song the intersection of fungus and extract make skin, test, can present pairs of phase, react inside: Unless after it test by 15-20 minute, it appear, wind group and blush react,can't disappear about 0.5- 2 hour (type react) ; 4- Observe again 10 hour, it is react Arthus not to last part at cover,it disappear about 24- 36 hour (type react) . The patient includes the fungus -specific sediment of the song plainly, determine with the serum sample concentrated, the positive rate is up to 92%.
IPA patient is badly sick. There is generating heat, cough, coughs suppuration phlegm, chest and aches, spits blood, has difficulty in breathinging, and it is scattered to sow corresponding symptom and physical sign caused to other organs. The physical examination finds the lung there are doing, wet rales. The X-ray is early can present limitation or one pair of lungs occuring frequently infiltration, or tubercle shade, the focus is often expanded and merged to turn into necrosis and form the cavity in fact rapidly; Or the great, Tenneco, base happens to the shade to the pleura suddenly, similar to " The gentle one " The lung blocks up. Minority present the thorax to store up the liquid sign.
Diagnosis
Suck the secretion out of deep department of bronchus, the slide finds the hypha, it is positive to train many times, contribute to diagnosing. Diagnose meanings in X-ray characteristic that the coccus of song is typical. Song the intersection of fungus and antigenic skin test with serum precipitating and testing the masculine gender and diagnosing value inside. The intersection of bronchus and asthma, around the intersection of blood and the intersection of acidophil and increase, serum of breaking out etc. IgE raise and X-ray show the lung soak the cooking stove, prop up the mirror to suck out of the secretion slide and have fungus hypha of song through being fine, or train song fungus and grow, can diagnose as the bronchus lung song fungus disease of allergy. Perspect, down, make a reservation by fine to prop up mirror, make lung, live, examine, make a definite diagnosis of value.
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From what reason was the lung song fungus disease caused?
The song fungus ball is the most common type. Song fungus depend on for a living on pulmonary tuberculosis, the intersection of bronchus and the intersection of lung and cyst, lung cancer and the intersection of tubercle and disease,etc. in the chronic the intersection of lung and cavity that disease form often. The cavity wall and lung tissue around destroy partly, alveolus internal haemorrhage, a large number of chronic inflammatory cells soak with a lot of small outgrowth arteries, veins, present the tumour kind expanding, generally there is not hypha that is invaded. There are yellowish-brown balls in the hole, relatively crisp, the tangent plane has pigmentation, the ones that includes into a pile separate branched myceliums, mixed with having a liking for acid amorphous material and erythrocyte in a large amount. It is applied with the union of the allergy that ABPA is. The short chain song fungus spore sucked falls into in bigger segment bronchus secretes the mucus, form the mycelium; Antigen with IgE its cause quick to roll over loose cell take place specificity combine, release medium, cause bronchospasm, the penetrating increase of mucous membrane of bronchus, the antigen enters the tissue, cause acidophil in lung and blood to increase. In addition, the fungus antigen of song binds with IgG antibody and forms the immune complex, cause the bronchus and lung around to organize chronic inflammation under the participation of complement, cause bronchus destroying, expand and the lung fiber. Bronchus wall and lung essence are acidophil and monocyte soaking and granulation swollenly and take shape, in charge of there is fungus hypha of songing, but there is not hypha that invade the tissue. IPA sees in chronic consuming disease, fungus one group of lacking proper care, immunological functions reduce a patient. The intersection of song and fungus that depend on for a living in the upper respiratory tract invade the lung to organize, develop into necrosis nature bleeding pneumonia, can cause and suppurate, it is swollen to form multiple abscess or granulation, there is arteriolar thromboembolism on the edge of focus. The song fungus invades the lung blood vessel to lead to the fact the blood walks and sows scatteredly, involves the other internal organs of whole body.
Which lung song fungus disease are to behave and how to diagnose?
Clinical manifestation
The song fungus ball patient does not have obvious whole body symptom, but favorable hemoptysis and coughing. The isolated crescent type ball type cooking stove of bright district in the lung, behave for its typical X type.
ABPA takes place specially in conformity with the physique foundation of the sex generally, takes the form of persons who break out repeatedly and wheezes, generates heat, coughs, expectorates the brown phlegm bolt, spits blood. Two lungs of physical examination are covered with the sound of chirping of heavy breathing, the lung soaks the position there is a thin wet rale. The chest X-ray shows the lobe of the lung, one section of infiltration focuses distributed, often in order to visit the going; The intersection of lung and consolidation, or because the intersection of mucus and the intersection of thromboembolism and bronchus cause the intersection of lung and section or the intersection of lobe of the lung and piece, have, split, shift among the leaf, it can cause bronchiectasis in the centre to break out repeatedly for a long time, the segment or inferior section of bronchuses given much trouble takes the form of the bag to expand, and correct it often far. Shade such as car rail thread kind, parallel, ring-type, banding or toothpaste kind, meaning one set of forms can often also be seen. Acidophil of blood increases. Serum IgE density rises. Song the intersection of fungus and extract make skin, test, can present pairs of phase, react inside: Unless after it test by 15-20 minute, it appear, wind group and blush react,can't disappear about 0.5- 2 hour (type react) ; 4- Observe again 10 hour, it is react Arthus not to last part at cover,it disappear about 24- 36 hour (type react) . The patient includes the fungus -specific sediment of the song plainly, determine with the serum sample concentrated, the positive rate is up to 92%.
IPA patient is badly sick. There is generating heat, cough, coughs suppuration phlegm, chest and aches, spits blood, has difficulty in breathinging, and it is scattered to sow corresponding symptom and physical sign caused to other organs. The physical examination finds the lung there are doing, wet rales. The X-ray is early can present limitation or one pair of lungs occuring frequently infiltration, or tubercle shade, the focus is often expanded and merged to turn into necrosis and form the cavity in fact rapidly; Or the great, Tenneco, base happens to the shade to the pleura suddenly, similar to " The gentle one " The lung blocks up. Minority present the thorax to store up the liquid sign.
Diagnosis
Suck the secretion out of deep department of bronchus, the slide finds the hypha, it is positive to train many times, contribute to diagnosing. Diagnose meanings in X-ray characteristic that the coccus of song is typical. Song the intersection of fungus and antigenic skin test with serum precipitating and testing the masculine gender and diagnosing value inside. The intersection of bronchus and asthma, around the intersection of blood and the intersection of acidophil and increase, serum of breaking out etc. IgE raise and X-ray show the lung soak the cooking stove, prop up the mirror to suck out of the secretion slide and have fungus hypha of song through being fine, or train song fungus and grow, can diagnose as the bronchus lung song fungus disease of allergy. Perspect, down, make a reservation by fine to prop up mirror, make lung, live, examine, make a definite diagnosis of value.
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's treatment of emergency processing of family of lung encephalopathy
's treatment of emergency processing of family of lung encephalopathy
Lung encephalopathy means because chronic obstructive lung disease has influenced the lung to keep in touch with the function, thus prominent oxygen deficiency and carbon dioxide retention take place, the diseases of a series of clinical manifestation such as the nerve, spiritual symptom that and appear.
[Cause of disease ]
Because oxygen deficiency and carbon dioxide retention that chronic obstructive lung disease causes.
[Clinical manifestation ]
Clinic show as, have a headache mainly and insomnia, have a liking for, sleep, mind fuzzy having the fidgets, being insane, twitching by the intersection of four limbs and muscle, neural, spiritual symptom of even going into a coma etc..
[Diagnose the main point ]
(1)There is chronic obstructive medical history such as chronic bronchitis, bronchiectasis, pulmonary emphysema of of lung.
(2)Except that there are cyanosis, dyspneal symptom, headache, insomnia, the intersection of nerve and spiritual clinical manifestation of symptom such as being insane.
(3)PaO2 reduces at the time of the analysis of vim and vigour, PaCO2 raises, pH drops.
(4)Except last central nervous system function obstacle others reason.
[Differential diagnosis ]
(1)Infected with poisoning encephalopathy
Infect the sign seriously, there is no obvious manifestation which is short of oxygen and carbon dioxide retention, the vim and vigour is not unusual in analysis.
(2)Cerebral hemorrhage
Often have history of hypertension, the cerebrospinal fluid (CSF) is the courage and uprightness, there are not oxygen deficiency and carbon dioxide retention that behave, the vim and vigour is normal too in analysis.
[Family's emergency processing ]
(1)Stay in bed, keep the indoor air fresh and circulating.
(2)While going into a coma, twitching, attend to the special messenger, remove foreign matter in the nasal cavity, oral cavity, keep the respiratory tract unobstructed.
(3)Send to hospital and rescue rapidly.
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Lung encephalopathy means because chronic obstructive lung disease has influenced the lung to keep in touch with the function, thus prominent oxygen deficiency and carbon dioxide retention take place, the diseases of a series of clinical manifestation such as the nerve, spiritual symptom that and appear.
[Cause of disease ]
Because oxygen deficiency and carbon dioxide retention that chronic obstructive lung disease causes.
[Clinical manifestation ]
Clinic show as, have a headache mainly and insomnia, have a liking for, sleep, mind fuzzy having the fidgets, being insane, twitching by the intersection of four limbs and muscle, neural, spiritual symptom of even going into a coma etc..
[Diagnose the main point ]
(1)There is chronic obstructive medical history such as chronic bronchitis, bronchiectasis, pulmonary emphysema of of lung.
(2)Except that there are cyanosis, dyspneal symptom, headache, insomnia, the intersection of nerve and spiritual clinical manifestation of symptom such as being insane.
(3)PaO2 reduces at the time of the analysis of vim and vigour, PaCO2 raises, pH drops.
(4)Except last central nervous system function obstacle others reason.
[Differential diagnosis ]
(1)Infected with poisoning encephalopathy
Infect the sign seriously, there is no obvious manifestation which is short of oxygen and carbon dioxide retention, the vim and vigour is not unusual in analysis.
(2)Cerebral hemorrhage
Often have history of hypertension, the cerebrospinal fluid (CSF) is the courage and uprightness, there are not oxygen deficiency and carbon dioxide retention that behave, the vim and vigour is normal too in analysis.
[Family's emergency processing ]
(1)Stay in bed, keep the indoor air fresh and circulating.
(2)While going into a coma, twitching, attend to the special messenger, remove foreign matter in the nasal cavity, oral cavity, keep the respiratory tract unobstructed.
(3)Send to hospital and rescue rapidly.
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Diagnosis _'s symptom of the lung song fungus disease
Diagnosis _'s symptom of the lung song fungus disease
Suck the secretion out of deep department of bronchus, the slide finds the hypha, it is positive to train many times, contribute to diagnosing. Diagnose meanings in X-ray characteristic that the coccus of song is typical. Song the intersection of fungus and antigenic skin test with serum precipitating and testing the masculine gender and diagnosing value inside. The intersection of bronchus and asthma, around the intersection of blood and the intersection of acidophil and increase, serum of breaking out etc. IgE raise and X-ray show the lung soak the cooking stove, prop up the mirror to suck out of the secretion slide and have fungus hypha of song through being fine, or train song fungus and grow, can diagnose as the bronchus lung song fungus disease of allergy. Perspect, down, make a reservation by fine to prop up mirror, make lung, live, examine, make a definite diagnosis of value.
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Suck the secretion out of deep department of bronchus, the slide finds the hypha, it is positive to train many times, contribute to diagnosing. Diagnose meanings in X-ray characteristic that the coccus of song is typical. Song the intersection of fungus and antigenic skin test with serum precipitating and testing the masculine gender and diagnosing value inside. The intersection of bronchus and asthma, around the intersection of blood and the intersection of acidophil and increase, serum of breaking out etc. IgE raise and X-ray show the lung soak the cooking stove, prop up the mirror to suck out of the secretion slide and have fungus hypha of song through being fine, or train song fungus and grow, can diagnose as the bronchus lung song fungus disease of allergy. Perspect, down, make a reservation by fine to prop up mirror, make lung, live, examine, make a definite diagnosis of value.
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How should the lung song fungus disease prevent from treating? 's prevention and health care
How should the lung song fungus disease prevent from treating? 's prevention and health care
How should the lung song fungus disease be prevented?
1,Suspected to have the intersection of song and environment work that fungus infect, should finish, protect, work, such as wear, protect the gauze mask so as not to suck a large number of germs. , should notice even more that prevents inletting these germs into the lung.
2,Strengthen the safeguard procedures, such as a lot of place in dust need to wear the gauze mask while working, deal with traumatism of eyes and skin in time, try hard to dispel or reduce the influence of different risk factors, treat chronic disease actively.
How should the lung song fungus disease treat?
Song mushroom ball generally opposes the fungi medicine and fails to respond to any medical treatment, should strive for the surgery treatment.
Bronchus lung song fungus disease patient of allergy, drip entering or atomization and suck two mould plain B,etc. to resist fungi medicine by the trachea, although there is certain curative effect on eliminating the bronchus introversion fungus, it is apt to recur. Think cortex steroids to treat copies of the intersection of disease and most effective medicine, can inhibit allergy, reduce the intersection of phlegm and liquid at present, make the bronchus in charge of and unfavorable to song fungus to plant. General oral prednisone 0.5mg/kg/d, help the lung to soak and absorb. Change into the next day once 2 weeks later, maintain for 3 months at least. Can also unite and should use two mould plain B, atomization sucks curative effect and is relatively satisfied with. Usually add into physiological saline 10ml and atomize sucking with dexamethasone 2.5mg and two mould plain B 5mg, 2 times a day, totally 1 months. Should do the bronchus mirror to wash to obstinate venereal disease person, the viscous secretion of aspiration, keep the angry way unobstructed, in order to improve the curative effect of the medicine.
IPA person mainly adopts and resists the fungi medicine treatment. The two sexes mould plain B are the first-selected medicine, consult " latent coccus disease " in usage and dosage . Can also amalgamate and employ rifampin, 450mg/d, empty stomach takes orally once. Because both jointly employ cooperative effect. Can also employ Fluorine cytosine. Health thiazole (ifraconazole) of Iraq song It is strong to resist the activity of fungi, infect the song fungus and have good curative effect, consumption 200mg/d is chased and increased to 400mg day, divide for 1- 2 times and take. As to obstinate or recuring, invading lung song fungus disease patient, if focus limitation, can make some lungs to excise.
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How should the lung song fungus disease be prevented?
1,Suspected to have the intersection of song and environment work that fungus infect, should finish, protect, work, such as wear, protect the gauze mask so as not to suck a large number of germs. , should notice even more that prevents inletting these germs into the lung.
2,Strengthen the safeguard procedures, such as a lot of place in dust need to wear the gauze mask while working, deal with traumatism of eyes and skin in time, try hard to dispel or reduce the influence of different risk factors, treat chronic disease actively.
How should the lung song fungus disease treat?
Song mushroom ball generally opposes the fungi medicine and fails to respond to any medical treatment, should strive for the surgery treatment.
Bronchus lung song fungus disease patient of allergy, drip entering or atomization and suck two mould plain B,etc. to resist fungi medicine by the trachea, although there is certain curative effect on eliminating the bronchus introversion fungus, it is apt to recur. Think cortex steroids to treat copies of the intersection of disease and most effective medicine, can inhibit allergy, reduce the intersection of phlegm and liquid at present, make the bronchus in charge of and unfavorable to song fungus to plant. General oral prednisone 0.5mg/kg/d, help the lung to soak and absorb. Change into the next day once 2 weeks later, maintain for 3 months at least. Can also unite and should use two mould plain B, atomization sucks curative effect and is relatively satisfied with. Usually add into physiological saline 10ml and atomize sucking with dexamethasone 2.5mg and two mould plain B 5mg, 2 times a day, totally 1 months. Should do the bronchus mirror to wash to obstinate venereal disease person, the viscous secretion of aspiration, keep the angry way unobstructed, in order to improve the curative effect of the medicine.
IPA person mainly adopts and resists the fungi medicine treatment. The two sexes mould plain B are the first-selected medicine, consult " latent coccus disease " in usage and dosage . Can also amalgamate and employ rifampin, 450mg/d, empty stomach takes orally once. Because both jointly employ cooperative effect. Can also employ Fluorine cytosine. Health thiazole (ifraconazole) of Iraq song It is strong to resist the activity of fungi, infect the song fungus and have good curative effect, consumption 200mg/d is chased and increased to 400mg day, divide for 1- 2 times and take. As to obstinate or recuring, invading lung song fungus disease patient, if focus limitation, can make some lungs to excise.
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Lung the intersection of bead and the intersection of fungus and disease diagnoses _'s symptom
Lung the intersection of bead and the intersection of fungus and disease diagnoses _'s symptom
Lung bead fungus disease (pulmonary candidiasis) The etiology is mainly a white bead fungus, secondly it is a bead fungus of tropical bead fungus, high Richter scale bead fungus and star.
First membrane puncture, attract and by fine to prop up mirror through the intersection of antipollution and lower the intersection of respiratory tract and secretion that brush adopt by ring, lung tissue, water of chest, blood, urine or direct slide of cerebrospinal fluid (CSF) or training the bead fungus, can make a definite diagnosis of. Phlegm liquid direct slide or trains the bead fungus and can not diagnose as the fungi diseasing, because nearly can find white bead fungus in 10%- 20% of the normal people's phlegm. If 3% of the hydrogen peroxide solution includes and gargles for 3 times, train the bead fungus of the same bacterium from the phlegm which the deep department expectorates for the 3rd time in succession, diagnose reference value.
Two lung lamination increase deeply, or take the form of filling the air shade of platelet or spot, can partly merge into a large stretch of dense shadow, the edge is fuzzy, the shape is changeable, fast growing. Pathological change mostly lie in the poor lung wildly. Some cases accompany the pleura to change. Chronic pathological change take the form of the intersection of fiber and pieces of the intersection of form and shade and compensating pulmonary emphysema Suo.
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Lung bead fungus disease (pulmonary candidiasis) The etiology is mainly a white bead fungus, secondly it is a bead fungus of tropical bead fungus, high Richter scale bead fungus and star.
First membrane puncture, attract and by fine to prop up mirror through the intersection of antipollution and lower the intersection of respiratory tract and secretion that brush adopt by ring, lung tissue, water of chest, blood, urine or direct slide of cerebrospinal fluid (CSF) or training the bead fungus, can make a definite diagnosis of. Phlegm liquid direct slide or trains the bead fungus and can not diagnose as the fungi diseasing, because nearly can find white bead fungus in 10%- 20% of the normal people's phlegm. If 3% of the hydrogen peroxide solution includes and gargles for 3 times, train the bead fungus of the same bacterium from the phlegm which the deep department expectorates for the 3rd time in succession, diagnose reference value.
Two lung lamination increase deeply, or take the form of filling the air shade of platelet or spot, can partly merge into a large stretch of dense shadow, the edge is fuzzy, the shape is changeable, fast growing. Pathological change mostly lie in the poor lung wildly. Some cases accompany the pleura to change. Chronic pathological change take the form of the intersection of fiber and pieces of the intersection of form and shade and compensating pulmonary emphysema Suo.
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How should the lung song fungus disease treat? 's treatment
How should the lung song fungus disease treat? 's treatment
Song the intersection of fungus and ball confront with each other the drug therapy of fungi, have effect that try the surgery treatment generally.
The bronchus lung song fungus disease patient of allergy drips entering or atomization and sucks two mould plain B,etc. to resist fungi medicine by the trachea, although there is certain curative effect on eliminating the bronchus introversion fungus, it is easy to recur to think steroids of cortex treats the most effective medicine of a disease at present, can inhibit the allergy, reduce the phlegm liquid to make the bronchus in charge of and unfavorable to song fungus to plant. General oral prednisone 0.5mg/kg/d, help the lung to soak and absorb for 2 weeks, change into the next day once, maintain for 3 months at least. Also can unite, should atomize, suck curative effect to be relatively satisfied with two mould plain B. Usually add into physiological saline 10ml and atomize sucking with dexamethasone 2.5mg and two mould plain B 5mg, amounts to one month 2 times a day. Should do the bronchus mirror to wash to obstinate venereal disease person, the viscous secretion of aspiration keeps the angry way unobstructed, in order to improve the curative effect of the medicine.
It is the first-selected medicine that IPA person mainly adopts and resists the fungi medicine to treat the two sexes mould plain B, usage and dosage are consulted " Latent coccus disease " . Can also amalgamate and employ the favourable good fortune flat 450mg/d, empty stomach takes orally once. Because both jointly employ cooperative effect and employ Fluorine cytosine. Health thiazole (ifraconazole) of Iraq song Resist fungi activity strong, infect, have good the intersection of curative effect and consumption 200mg/d chase and increase to the intersection of song and fungus to 400mg day, divide for 1- 2 times and take. As to the obstinate or recuring invasion lung song fungus disease patient, if focus limitation, can make some lungs to excise
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Song the intersection of fungus and ball confront with each other the drug therapy of fungi, have effect that try the surgery treatment generally.
The bronchus lung song fungus disease patient of allergy drips entering or atomization and sucks two mould plain B,etc. to resist fungi medicine by the trachea, although there is certain curative effect on eliminating the bronchus introversion fungus, it is easy to recur to think steroids of cortex treats the most effective medicine of a disease at present, can inhibit the allergy, reduce the phlegm liquid to make the bronchus in charge of and unfavorable to song fungus to plant. General oral prednisone 0.5mg/kg/d, help the lung to soak and absorb for 2 weeks, change into the next day once, maintain for 3 months at least. Also can unite, should atomize, suck curative effect to be relatively satisfied with two mould plain B. Usually add into physiological saline 10ml and atomize sucking with dexamethasone 2.5mg and two mould plain B 5mg, amounts to one month 2 times a day. Should do the bronchus mirror to wash to obstinate venereal disease person, the viscous secretion of aspiration keeps the angry way unobstructed, in order to improve the curative effect of the medicine.
It is the first-selected medicine that IPA person mainly adopts and resists the fungi medicine to treat the two sexes mould plain B, usage and dosage are consulted " Latent coccus disease " . Can also amalgamate and employ the favourable good fortune flat 450mg/d, empty stomach takes orally once. Because both jointly employ cooperative effect and employ Fluorine cytosine. Health thiazole (ifraconazole) of Iraq song Resist fungi activity strong, infect, have good the intersection of curative effect and consumption 200mg/d chase and increase to the intersection of song and fungus to 400mg day, divide for 1- 2 times and take. As to the obstinate or recuring invasion lung song fungus disease patient, if focus limitation, can make some lungs to excise
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Therapeutic measure _'s treatment of the lung song fungus disease
Therapeutic measure _'s treatment of the lung song fungus disease
Song mushroom ball generally opposes the fungi medicine and fails to respond to any medical treatment, should strive for the surgery treatment.
Bronchus lung song fungus disease patient of allergy, drip entering or atomization and suck two mould plain B,etc. to resist fungi medicine by the trachea, although there is certain curative effect on eliminating the bronchus introversion fungus, it is apt to recur. Think cortex steroids to treat copies of the intersection of disease and most effective medicine, can inhibit allergy, reduce the intersection of phlegm and liquid at present, make the bronchus in charge of and unfavorable to song fungus to plant. General oral prednisone 0.5mg/kg/d, help the lung to soak and absorb. Change into the next day once 2 weeks later, maintain for 3 months at least. Can also unite and should use two mould plain B, atomization sucks curative effect and is relatively satisfied with. Usually add into physiological saline 10ml and atomize sucking with dexamethasone 2.5mg and two mould plain B 5mg, 2 times a day, totally 1 months. Should do the bronchus mirror to wash to obstinate venereal disease person, the viscous secretion of aspiration, keep the angry way unobstructed, in order to improve the curative effect of the medicine.
IPA person mainly adopts and resists the fungi medicine treatment. The two sexes mould plain B are the first-selected medicine, consult " latent coccus disease " in usage and dosage . Can also amalgamate and employ rifampin, 450mg/d, empty stomach takes orally once. Because both jointly employ cooperative effect. Can also employ Fluorine cytosine. Health thiazole (ifraconazole) of Iraq song It is strong to resist the activity of fungi, infect the song fungus and have good curative effect, consumption 200mg/d is chased and increased to 400mg day, divide for 1- 2 times and take. As to obstinate or recuring, invading lung song fungus disease patient, if focus limitation, can make some lungs to excise.
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Song mushroom ball generally opposes the fungi medicine and fails to respond to any medical treatment, should strive for the surgery treatment.
Bronchus lung song fungus disease patient of allergy, drip entering or atomization and suck two mould plain B,etc. to resist fungi medicine by the trachea, although there is certain curative effect on eliminating the bronchus introversion fungus, it is apt to recur. Think cortex steroids to treat copies of the intersection of disease and most effective medicine, can inhibit allergy, reduce the intersection of phlegm and liquid at present, make the bronchus in charge of and unfavorable to song fungus to plant. General oral prednisone 0.5mg/kg/d, help the lung to soak and absorb. Change into the next day once 2 weeks later, maintain for 3 months at least. Can also unite and should use two mould plain B, atomization sucks curative effect and is relatively satisfied with. Usually add into physiological saline 10ml and atomize sucking with dexamethasone 2.5mg and two mould plain B 5mg, 2 times a day, totally 1 months. Should do the bronchus mirror to wash to obstinate venereal disease person, the viscous secretion of aspiration, keep the angry way unobstructed, in order to improve the curative effect of the medicine.
IPA person mainly adopts and resists the fungi medicine treatment. The two sexes mould plain B are the first-selected medicine, consult " latent coccus disease " in usage and dosage . Can also amalgamate and employ rifampin, 450mg/d, empty stomach takes orally once. Because both jointly employ cooperative effect. Can also employ Fluorine cytosine. Health thiazole (ifraconazole) of Iraq song It is strong to resist the activity of fungi, infect the song fungus and have good curative effect, consumption 200mg/d is chased and increased to 400mg day, divide for 1- 2 times and take. As to obstinate or recuring, invading lung song fungus disease patient, if focus limitation, can make some lungs to excise.
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How should the lung song fungus disease be prevented? 's prevention and health care
How should the lung song fungus disease be prevented? 's prevention and health care
Lung song fungus disease (pulmonary aspergillosis) Pathogen. The respiratory tract song fungus that our country had reported successively by the end of 1988 since 1949 infects more than 300, but the total number before 1972 was only 47. Lung song fungus disease most for continue, take place, infect, person who send originally extremely rare. Generally divide this disease into the song fungus ball, allergy bronchus lung song fungus disease (ABPA) on clinic With the invading lung song fungus disease (IPA) Wait for three kinds of types.
The precautionary measures are as follows,
1, when suspected to have environment work that song mushrooms are being infected, should do a god job in and protect the job, such as wear, protect gauze mask so as not to suck, go on the intersection of cigarette and the intersection of song and fungus in the fungi laboratory by a large number of germs, should notice even more that prevents inletting these germs into the lung at the time of the operation of funguses such as yellow song fungus, black song fungus,etc..
2 strengthen safeguard procedures, such as need, wear gauze mask work, in the intersection of dust and many place, deal with traumatism of eyes and skin and try hard to dispel or reduce the influence of different risk factors in time, treat chronic disease actively.
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Lung song fungus disease (pulmonary aspergillosis) Pathogen. The respiratory tract song fungus that our country had reported successively by the end of 1988 since 1949 infects more than 300, but the total number before 1972 was only 47. Lung song fungus disease most for continue, take place, infect, person who send originally extremely rare. Generally divide this disease into the song fungus ball, allergy bronchus lung song fungus disease (ABPA) on clinic With the invading lung song fungus disease (IPA) Wait for three kinds of types.
The precautionary measures are as follows,
1, when suspected to have environment work that song mushrooms are being infected, should do a god job in and protect the job, such as wear, protect gauze mask so as not to suck, go on the intersection of cigarette and the intersection of song and fungus in the fungi laboratory by a large number of germs, should notice even more that prevents inletting these germs into the lung at the time of the operation of funguses such as yellow song fungus, black song fungus,etc..
2 strengthen safeguard procedures, such as need, wear gauze mask work, in the intersection of dust and many place, deal with traumatism of eyes and skin and try hard to dispel or reduce the influence of different risk factors in time, treat chronic disease actively.
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Clinical manifestation _ symptom of the lung song fungus disease
Clinical manifestation _ symptom of the lung song fungus disease
The song fungus ball patient does not have obvious whole body symptom, but favorable hemoptysis and coughing. The isolated crescent type ball type cooking stove of bright district in the lung, behave for its typical X type.
ABPA takes place specially in conformity with the physique foundation of the sex generally, takes the form of persons who break out repeatedly and wheezes, generates heat, coughs, expectorates the brown phlegm bolt, spits blood. Two lungs of physical examination are covered with the sound of chirping of heavy breathing, the lung soaks the position there is a thin wet rale. The chest X-ray shows the lobe of the lung, one section of infiltration focuses distributed, often in order to visit the going; The intersection of lung and consolidation, or because the intersection of mucus and the intersection of thromboembolism and bronchus cause the intersection of lung and section or the intersection of lobe of the lung and piece, have, split, shift among the leaf, it can cause bronchiectasis in the centre to break out repeatedly for a long time, the segment or inferior section of bronchuses given much trouble takes the form of the bag to expand, and correct it often far. Shade such as car rail thread kind, parallel, ring-type, banding or toothpaste kind, meaning one set of forms can often also be seen. Acidophil of blood increases. Serum IgE density rises. Song the intersection of fungus and extract make skin, test, can present pairs of phase, react inside: 15- 20 minute when it test later, it appear, wind group and blush react,it disappear about 0.5- 2 hour (type react) ; 4- Unless observe again 10 hour, it is react Arthus not to last part at cover,it disappear about 24- 36 hour (type react) . The patient includes the fungus -specific sediment of the song plainly, determine with the serum sample concentrated, the positive rate is up to 92%.
IPA patient is badly sick. There is generating heat, cough, coughs suppuration phlegm, chest and aches, spits blood, has difficulty in breathinging, and it is scattered to sow corresponding symptom and physical sign caused to other organs. The physical examination finds the lung there are doing, wet rales. The X-ray is early can present limitation or one pair of lungs occuring frequently infiltration, or tubercle shade, the focus is often expanded and merged to turn into necrosis and form the cavity in fact rapidly; Or the great, Tenneco, base happens to the shade to the pleura suddenly, similar to " The gentle one " The lung blocks up. Minority present the thorax to store up the liquid sign.
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The song fungus ball patient does not have obvious whole body symptom, but favorable hemoptysis and coughing. The isolated crescent type ball type cooking stove of bright district in the lung, behave for its typical X type.
ABPA takes place specially in conformity with the physique foundation of the sex generally, takes the form of persons who break out repeatedly and wheezes, generates heat, coughs, expectorates the brown phlegm bolt, spits blood. Two lungs of physical examination are covered with the sound of chirping of heavy breathing, the lung soaks the position there is a thin wet rale. The chest X-ray shows the lobe of the lung, one section of infiltration focuses distributed, often in order to visit the going; The intersection of lung and consolidation, or because the intersection of mucus and the intersection of thromboembolism and bronchus cause the intersection of lung and section or the intersection of lobe of the lung and piece, have, split, shift among the leaf, it can cause bronchiectasis in the centre to break out repeatedly for a long time, the segment or inferior section of bronchuses given much trouble takes the form of the bag to expand, and correct it often far. Shade such as car rail thread kind, parallel, ring-type, banding or toothpaste kind, meaning one set of forms can often also be seen. Acidophil of blood increases. Serum IgE density rises. Song the intersection of fungus and extract make skin, test, can present pairs of phase, react inside: 15- 20 minute when it test later, it appear, wind group and blush react,it disappear about 0.5- 2 hour (type react) ; 4- Unless observe again 10 hour, it is react Arthus not to last part at cover,it disappear about 24- 36 hour (type react) . The patient includes the fungus -specific sediment of the song plainly, determine with the serum sample concentrated, the positive rate is up to 92%.
IPA patient is badly sick. There is generating heat, cough, coughs suppuration phlegm, chest and aches, spits blood, has difficulty in breathinging, and it is scattered to sow corresponding symptom and physical sign caused to other organs. The physical examination finds the lung there are doing, wet rales. The X-ray is early can present limitation or one pair of lungs occuring frequently infiltration, or tubercle shade, the focus is often expanded and merged to turn into necrosis and form the cavity in fact rapidly; Or the great, Tenneco, base happens to the shade to the pleura suddenly, similar to " The gentle one " The lung blocks up. Minority present the thorax to store up the liquid sign.
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's general knowledge of disease pathogenesis of song fungus of the lung
's general knowledge of disease pathogenesis of song fungus of the lung
The song fungus ball is the most common type. Song fungus depend on for a living on pulmonary tuberculosis, the intersection of bronchus and the intersection of lung and cyst, lung cancer and the intersection of tubercle and disease,etc. in the chronic the intersection of lung and cavity that disease form often. The cavity wall and lung tissue around destroy partly, alveolus internal haemorrhage, a large number of chronic inflammatory cells soak with a lot of small outgrowth arteries, veins, present the tumour kind expanding, generally there is not hypha that is invaded. There are yellowish-brown balls in the hole, relatively crisp, the tangent plane has pigmentation, the ones that includes into a pile separate branched myceliums, mixed with having a liking for acid amorphous material and erythrocyte in a large amount. It is applied with the union of the allergy that ABPA is. The short chain song fungus spore sucked falls into in bigger segment bronchus secretes the mucus, form the mycelium; Antigen with IgE its cause quick to roll over loose cell take place specificity combine, release medium, cause bronchospasm, the penetrating increase of mucous membrane of bronchus, the antigen enters the tissue, cause acidophil in lung and blood to increase. In addition, the fungus antigen of song binds with IgG antibody and forms the immune complex, cause the bronchus and lung around to organize chronic inflammation under the participation of complement, cause bronchus destroying, expand and the lung fiber. Bronchus wall and lung essence are acidophil and monocyte soaking and granulation swollenly and take shape, in charge of there is fungus hypha of songing, but there is not hypha that invade the tissue. IPA sees in chronic consuming disease, fungus one group of lacking proper care, immunological functions reduce a patient. The intersection of song and fungus that depend on for a living in the upper respiratory tract invade the lung to organize, develop into necrosis nature bleeding pneumonia, can cause and suppurate, it is swollen to form multiple abscess or granulation, there is arteriolar thromboembolism on the edge of focus. The song fungus invades the lung blood vessel to lead to the fact the blood walks and sows scatteredly, involves the other internal organs of whole body.
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The song fungus ball is the most common type. Song fungus depend on for a living on pulmonary tuberculosis, the intersection of bronchus and the intersection of lung and cyst, lung cancer and the intersection of tubercle and disease,etc. in the chronic the intersection of lung and cavity that disease form often. The cavity wall and lung tissue around destroy partly, alveolus internal haemorrhage, a large number of chronic inflammatory cells soak with a lot of small outgrowth arteries, veins, present the tumour kind expanding, generally there is not hypha that is invaded. There are yellowish-brown balls in the hole, relatively crisp, the tangent plane has pigmentation, the ones that includes into a pile separate branched myceliums, mixed with having a liking for acid amorphous material and erythrocyte in a large amount. It is applied with the union of the allergy that ABPA is. The short chain song fungus spore sucked falls into in bigger segment bronchus secretes the mucus, form the mycelium; Antigen with IgE its cause quick to roll over loose cell take place specificity combine, release medium, cause bronchospasm, the penetrating increase of mucous membrane of bronchus, the antigen enters the tissue, cause acidophil in lung and blood to increase. In addition, the fungus antigen of song binds with IgG antibody and forms the immune complex, cause the bronchus and lung around to organize chronic inflammation under the participation of complement, cause bronchus destroying, expand and the lung fiber. Bronchus wall and lung essence are acidophil and monocyte soaking and granulation swollenly and take shape, in charge of there is fungus hypha of songing, but there is not hypha that invade the tissue. IPA sees in chronic consuming disease, fungus one group of lacking proper care, immunological functions reduce a patient. The intersection of song and fungus that depend on for a living in the upper respiratory tract invade the lung to organize, develop into necrosis nature bleeding pneumonia, can cause and suppurate, it is swollen to form multiple abscess or granulation, there is arteriolar thromboembolism on the edge of focus. The song fungus invades the lung blood vessel to lead to the fact the blood walks and sows scatteredly, involves the other internal organs of whole body.
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Friday, July 27, 2012
Diagnosis _'s treatment of the lung bead fungus disease
Diagnosis _'s treatment of the lung bead fungus disease
Lung bead fungus disease (pulmonary candidiasis) The etiology is mainly a white bead fungus, secondly it is a bead fungus of tropical bead fungus, high Richter scale bead fungus and star.
First membrane puncture, attract and by fine to prop up mirror through the intersection of antipollution and lower the intersection of respiratory tract and secretion that brush adopt by ring, lung tissue, water of chest, blood, urine or direct slide of cerebrospinal fluid (CSF) or training the bead fungus, can make a definite diagnosis of. Phlegm liquid direct slide or trains the bead fungus and can not diagnose as the fungi diseasing, because nearly can find white bead fungus in 10%- 20% of the normal people's phlegm. If 3% of the hydrogen peroxide solution includes and gargles for 3 times, train the bead fungus of the same bacterium from the phlegm which the deep department expectorates for the 3rd time in succession, diagnose reference value.
Two lung lamination increase deeply, or take the form of filling the air shade of platelet or spot, can partly merge into a large stretch of dense shadow, the edge is fuzzy, the shape is changeable, fast growing. Pathological change mostly lie in the poor lung wildly. Some cases accompany the pleura to change. Chronic pathological change take the form of the intersection of fiber and pieces of the intersection of form and shade and compensating pulmonary emphysema Suo.
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Lung bead fungus disease (pulmonary candidiasis) The etiology is mainly a white bead fungus, secondly it is a bead fungus of tropical bead fungus, high Richter scale bead fungus and star.
First membrane puncture, attract and by fine to prop up mirror through the intersection of antipollution and lower the intersection of respiratory tract and secretion that brush adopt by ring, lung tissue, water of chest, blood, urine or direct slide of cerebrospinal fluid (CSF) or training the bead fungus, can make a definite diagnosis of. Phlegm liquid direct slide or trains the bead fungus and can not diagnose as the fungi diseasing, because nearly can find white bead fungus in 10%- 20% of the normal people's phlegm. If 3% of the hydrogen peroxide solution includes and gargles for 3 times, train the bead fungus of the same bacterium from the phlegm which the deep department expectorates for the 3rd time in succession, diagnose reference value.
Two lung lamination increase deeply, or take the form of filling the air shade of platelet or spot, can partly merge into a large stretch of dense shadow, the edge is fuzzy, the shape is changeable, fast growing. Pathological change mostly lie in the poor lung wildly. Some cases accompany the pleura to change. Chronic pathological change take the form of the intersection of fiber and pieces of the intersection of form and shade and compensating pulmonary emphysema Suo.
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's prevention and health care of general knowledge of prevention of the lung bead fungus disease
's prevention and health care of general knowledge of prevention of the lung bead fungus disease
1.Don't abuse antibiotic of wide table!
2.Employ antibiotic, glucocorticoid and person who inhibits medicine of immunity for a long time, should check excrement, urine, phlegm,etc. regularly, and do the physical examination carefully. Make the X-ray examination of chest regularly if necessary.
3.To must employ antibiotic and glucocorticoid person for a long time, can the intermittence resists the fungi medicine preventatively, such as nystatin, ketone health thiazole, Fluorine health thiazole. 4.The medical personnel should wash hands before and after contacting patients, avoid cross infection.
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1.Don't abuse antibiotic of wide table!
2.Employ antibiotic, glucocorticoid and person who inhibits medicine of immunity for a long time, should check excrement, urine, phlegm,etc. regularly, and do the physical examination carefully. Make the X-ray examination of chest regularly if necessary.
3.To must employ antibiotic and glucocorticoid person for a long time, can the intermittence resists the fungi medicine preventatively, such as nystatin, ketone health thiazole, Fluorine health thiazole. 4.The medical personnel should wash hands before and after contacting patients, avoid cross infection.
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's prevention and health care of prevention of the lung bead fungus disease
's prevention and health care of prevention of the lung bead fungus disease
When present the following situations, the ones that should consider having lung bead fungus disease are possible:
(1)There is medical history of pneumonia but not develop typically, not good enough through using the curative effect of antibiotic correctly.
(2)Senior or weak patients, especially the lung produced after employing the antibiotic, glucocorticoid or malicious medicine of cell in a large amount is infected.
(3)The X-ray reveals the flaky shade of two poor lung spots, has not seen that absorb taking a favorable turn through treating.
(4)It is like freezing the glue is it milky white and or ashen, viscous and transparent to present typical thrush, phlegming, should notice the lung bead fungus infecting. The treatment should remove the inducement and treats and have illness coming on originally, strengthen the organism immunological function at first. Select for use and resist the fungi medicine at the same time. The obstinate case can be complemented with immune treatment such as vaccine injecting, or anticlockwise imidazole and shifting the factor.
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When present the following situations, the ones that should consider having lung bead fungus disease are possible:
(1)There is medical history of pneumonia but not develop typically, not good enough through using the curative effect of antibiotic correctly.
(2)Senior or weak patients, especially the lung produced after employing the antibiotic, glucocorticoid or malicious medicine of cell in a large amount is infected.
(3)The X-ray reveals the flaky shade of two poor lung spots, has not seen that absorb taking a favorable turn through treating.
(4)It is like freezing the glue is it milky white and or ashen, viscous and transparent to present typical thrush, phlegming, should notice the lung bead fungus infecting. The treatment should remove the inducement and treats and have illness coming on originally, strengthen the organism immunological function at first. Select for use and resist the fungi medicine at the same time. The obstinate case can be complemented with immune treatment such as vaccine injecting, or anticlockwise imidazole and shifting the factor.
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The manifestation of the lung bead fungus disease and _'s treatment of the diagnosis
The manifestation of the lung bead fungus disease and _'s treatment of the diagnosis
Clinical manifestation
(1) Bronchitis type
Whole body is in sound condition, symptom is slight, seldom generate heat. Mainly display the drama to cough, cough the white phlegm of mucus or suppuration phlegm of small quantity. Check and find the oral cavity, swallowing department and is covered scatteredly in point-like white membrane on the bronchus mucous membrane, doing rale that the chest hears once in a while.
(2) Pneumonia type
Mostly see to immunity inhibiting or extremely weak patient of whole body situation. Present acute pneumonia or septicaemia and behave, fear cold, generate heat, cough, coughing white mucus jelly a kind of phlegm or suppuration phlegm, often there is blood silk or necrosis that is organized, present the yeast stink and even spit blood, have difficulty in breathing etc.. The lung can be heard and doing, wet rale.
Diagnosis
First membrane puncture, attract and by fine to prop up mirror through the intersection of antipollution and lower the intersection of respiratory tract and secretion that brush adopt by ring, lung tissue, water of chest, blood, urine or direct slide of cerebrospinal fluid (CSF) or training the bead fungus, can make a definite diagnosis of. Phlegm liquid direct slide or trains the bead fungus and can not diagnose as the fungi diseasing, because nearly can find white bead fungus in 10%- 20% of the normal people's phlegm. If 3% of the hydrogen peroxide solution includes and gargles for 3 times, train the bead fungus of the same bacterium from the phlegm which the deep department expectorates for the 3rd time in succession, diagnose reference value.
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Clinical manifestation
(1) Bronchitis type
Whole body is in sound condition, symptom is slight, seldom generate heat. Mainly display the drama to cough, cough the white phlegm of mucus or suppuration phlegm of small quantity. Check and find the oral cavity, swallowing department and is covered scatteredly in point-like white membrane on the bronchus mucous membrane, doing rale that the chest hears once in a while.
(2) Pneumonia type
Mostly see to immunity inhibiting or extremely weak patient of whole body situation. Present acute pneumonia or septicaemia and behave, fear cold, generate heat, cough, coughing white mucus jelly a kind of phlegm or suppuration phlegm, often there is blood silk or necrosis that is organized, present the yeast stink and even spit blood, have difficulty in breathing etc.. The lung can be heard and doing, wet rale.
Diagnosis
First membrane puncture, attract and by fine to prop up mirror through the intersection of antipollution and lower the intersection of respiratory tract and secretion that brush adopt by ring, lung tissue, water of chest, blood, urine or direct slide of cerebrospinal fluid (CSF) or training the bead fungus, can make a definite diagnosis of. Phlegm liquid direct slide or trains the bead fungus and can not diagnose as the fungi diseasing, because nearly can find white bead fungus in 10%- 20% of the normal people's phlegm. If 3% of the hydrogen peroxide solution includes and gargles for 3 times, train the bead fungus of the same bacterium from the phlegm which the deep department expectorates for the 3rd time in succession, diagnose reference value.
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Healing solution _'s treatment of the lung bead fungus disease
Healing solution _'s treatment of the lung bead fungus disease
Treat, have illness coming on originally, strengthen immunity, remove apt to suffer from behind the factor, light the intersection of disease and patient can take a favorable turn while being natural; Persons who inhibit of immunity from can add distilled water 10ml atomization to suck for the two sexes mould plain B 5- 10mg, 2-3 times a day; Or oral ketone health thiazole 0.2- 0.4 d. The more seriously one of condition uses health of Fluorine thiazole 200mg/d, the vein is instilled, the course of treatment or depends on condition in 2- 4 weeks. To amalgamate bacteremia, is suspected to have blood sources to sow scatteredlying, first-selected two sexes mould plain B every day 0.4mg/kg, the vein is instilled, total amount 1- 1.5g. The condition is critical or has shock should strengthen the dosage as soon as possible, in order to reach and tolerate the dosage the most largely, and share Fluorine cytosine (5 - Fluorine cytosine) Every day 50- 100mg/kg, in order to improve curative effect, it is able to bear medicines to produce to slow down. The intersection of Fluorine and the intersection of health and thiazole, have satisfactory curative effect too in accordance with the intersection of song and the intersection of health and thiazole, used in unable to tolerate two sexes mould plain B or treat loser often. Maintain to long-term grains of low cell recently or bone marrow inhibit patient employ the intersection of Fluorine and the intersection of health and the intersection of thiazole and 400mg/d or two sexes mould plain B 0.5mg/kg, 2 times week, can prevent from sowing the scattered bead fungus disease effectively.
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Treat, have illness coming on originally, strengthen immunity, remove apt to suffer from behind the factor, light the intersection of disease and patient can take a favorable turn while being natural; Persons who inhibit of immunity from can add distilled water 10ml atomization to suck for the two sexes mould plain B 5- 10mg, 2-3 times a day; Or oral ketone health thiazole 0.2- 0.4 d. The more seriously one of condition uses health of Fluorine thiazole 200mg/d, the vein is instilled, the course of treatment or depends on condition in 2- 4 weeks. To amalgamate bacteremia, is suspected to have blood sources to sow scatteredlying, first-selected two sexes mould plain B every day 0.4mg/kg, the vein is instilled, total amount 1- 1.5g. The condition is critical or has shock should strengthen the dosage as soon as possible, in order to reach and tolerate the dosage the most largely, and share Fluorine cytosine (5 - Fluorine cytosine) Every day 50- 100mg/kg, in order to improve curative effect, it is able to bear medicines to produce to slow down. The intersection of Fluorine and the intersection of health and thiazole, have satisfactory curative effect too in accordance with the intersection of song and the intersection of health and thiazole, used in unable to tolerate two sexes mould plain B or treat loser often. Maintain to long-term grains of low cell recently or bone marrow inhibit patient employ the intersection of Fluorine and the intersection of health and the intersection of thiazole and 400mg/d or two sexes mould plain B 0.5mg/kg, 2 times week, can prevent from sowing the scattered bead fungus disease effectively.
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Which laboratories is lung bead fungus disease made to check _'s treatment
Which laboratories is lung bead fungus disease made to check _'s treatment
1.Aetiology is checked
(1)Swallow the swab, phlegm liquid, bronchus alveolus and irritate lotion, thorax and accumulate direct slide mirrors such as the liquid, blood,etc. to examine or do the leather blue dyeing, Iemsa dyeing or PAS to dye, find in the sample the bud grows spore, false hypha and hypha and diagnoses value.
(2)Because normal the intersection of people and throat department can carry disease germs, it has certain diagnosis meanings that the phlegm is trained positively 3 or more times.
(3)Prop up the protective brush (PSB) of mirror through being fine It is comparatively reliable to sample and train. It is short because of the duration of bacteremia, so the blood trains the positive rate relatively low.
2.Organize pathology to check Fine to prop up mirror, live, examine or live, examine by leather lung, organize pathology check, have fungus hypha of bead may confirm and diagnose to invade the evidence.
3.Immunology is checked It is unsatisfactory that immunology measures and resists the sweet dew to gather candy antibody, sensitiveness and specificity, serious disease patient, immunological function defect person often appear falsely and negatively. Find bead the intersection of fungus and antigen have sweet dew gather the intersection of candy and antigen, the intersection of 47KD and antigen, hot unstable antigen mainly, but the intersection of bead and fungus belong to different kind, have common antigen, and people some the intersection of protein and composition and the intersection of bead and antigen of fungus have similar antigen to determine to form a cluster in the serum, so the problem exists in purification and standard of the antigen. Remain to further improve sensitiveness and specificity.
Other auxiliary examination:The bronchus pneumonia type chest X-ray reveals two lung poor lung wild filling the air spot, platelet shade. The pneumonia type X-ray is shown as the slice, tubercle are soaked, can involve the whole lobe of the lung, there can be lung door or mediastinal enlargement of lymph nodes, can also present the lung edema and behave, the shade is changed bigger in short term. The blood source is shown as the occuring frequently unclear granulous tubercle shadow of millet of edge more, up to condition progress, the granulous focus of the millet can be merged into small tubercle of uniform size.
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1.Aetiology is checked
(1)Swallow the swab, phlegm liquid, bronchus alveolus and irritate lotion, thorax and accumulate direct slide mirrors such as the liquid, blood,etc. to examine or do the leather blue dyeing, Iemsa dyeing or PAS to dye, find in the sample the bud grows spore, false hypha and hypha and diagnoses value.
(2)Because normal the intersection of people and throat department can carry disease germs, it has certain diagnosis meanings that the phlegm is trained positively 3 or more times.
(3)Prop up the protective brush (PSB) of mirror through being fine It is comparatively reliable to sample and train. It is short because of the duration of bacteremia, so the blood trains the positive rate relatively low.
2.Organize pathology to check Fine to prop up mirror, live, examine or live, examine by leather lung, organize pathology check, have fungus hypha of bead may confirm and diagnose to invade the evidence.
3.Immunology is checked It is unsatisfactory that immunology measures and resists the sweet dew to gather candy antibody, sensitiveness and specificity, serious disease patient, immunological function defect person often appear falsely and negatively. Find bead the intersection of fungus and antigen have sweet dew gather the intersection of candy and antigen, the intersection of 47KD and antigen, hot unstable antigen mainly, but the intersection of bead and fungus belong to different kind, have common antigen, and people some the intersection of protein and composition and the intersection of bead and antigen of fungus have similar antigen to determine to form a cluster in the serum, so the problem exists in purification and standard of the antigen. Remain to further improve sensitiveness and specificity.
Other auxiliary examination:The bronchus pneumonia type chest X-ray reveals two lung poor lung wild filling the air spot, platelet shade. The pneumonia type X-ray is shown as the slice, tubercle are soaked, can involve the whole lobe of the lung, there can be lung door or mediastinal enlargement of lymph nodes, can also present the lung edema and behave, the shade is changed bigger in short term. The blood source is shown as the occuring frequently unclear granulous tubercle shadow of millet of edge more, up to condition progress, the granulous focus of the millet can be merged into small tubercle of uniform size.
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The diagnosis of the lung bead fungus disease is according to _'s symptom
The diagnosis of the lung bead fungus disease is according to _'s symptom
1.Cough, cough the white phlegm of mucus or suppuration phlegm, spit blood, out of breath, etc. 2.Check oral cavity and person who swallow can see, cover point-like white membrane, lung can hear be, getting wet rale. 3.The chest one can be seen shade of platelet or spot, can partly merge. 4.The phlegm trains the same bacterium bead fungus or direct mirror and examines and finds a large amount of false hypha or hypha and gemma in groups for the 3rd time in succession. 5.The membrane of ring first punctures and attracts or fine propping up the mirror to take down the secretion of respiratory tract, lung tissue, water of chest or cerebrospinal fluid (CSF),etc. train and read the coccus or direct slide to find a large number of gemma and false seedling silk (or hypha) .
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1.Cough, cough the white phlegm of mucus or suppuration phlegm, spit blood, out of breath, etc. 2.Check oral cavity and person who swallow can see, cover point-like white membrane, lung can hear be, getting wet rale. 3.The chest one can be seen shade of platelet or spot, can partly merge. 4.The phlegm trains the same bacterium bead fungus or direct mirror and examines and finds a large amount of false hypha or hypha and gemma in groups for the 3rd time in succession. 5.The membrane of ring first punctures and attracts or fine propping up the mirror to take down the secretion of respiratory tract, lung tissue, water of chest or cerebrospinal fluid (CSF),etc. train and read the coccus or direct slide to find a large number of gemma and false seedling silk (or hypha) .
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Symptom and _ symptom of the lung bead fungus disease
Symptom and _ symptom of the lung bead fungus disease
(1) Bronchitis type: Whole body in sound condition symptom slight to generate heat, it displays dramas to be getting white to cough small quantity the intersection of mucus and phlegm or the intersection of suppuration and phlegm check, find medical department who swallows oral cavity and at the bronchus mucous membrane naturally mainly seldom Doing rale that it is heard on point-like white membrane chest once in a while that it is scattered to be covered (2) Pneumonia type: See situation weak system patient present acute pneumonia and septicaemia display present, fear cold to generate heat, cough, cough pale mucus jelly kind extremely on immune the intersection of Shanghai and inhibit from or whole body mostly Phlegm or the intersection of suppuration and phlegm have the intersection of blood and silk or necrosis present the intersection of yeast and stink have, spit blood lung of having difficulty in breathing etc. can hear and be wet rale even through organization often
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(1) Bronchitis type: Whole body in sound condition symptom slight to generate heat, it displays dramas to be getting white to cough small quantity the intersection of mucus and phlegm or the intersection of suppuration and phlegm check, find medical department who swallows oral cavity and at the bronchus mucous membrane naturally mainly seldom Doing rale that it is heard on point-like white membrane chest once in a while that it is scattered to be covered (2) Pneumonia type: See situation weak system patient present acute pneumonia and septicaemia display present, fear cold to generate heat, cough, cough pale mucus jelly kind extremely on immune the intersection of Shanghai and inhibit from or whole body mostly Phlegm or the intersection of suppuration and phlegm have the intersection of blood and silk or necrosis present the intersection of yeast and stink have, spit blood lung of having difficulty in breathing etc. can hear and be wet rale even through organization often
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Therapeutic _'s treatment of the lung bead fungus disease
Therapeutic _'s treatment of the lung bead fungus disease
Treat and have illness coming on and remove the risk factor originally at first, for instance inactive antibiotic, hormone and immune inhibitor. Strengthen the support treatment, strengthen the organism immunological function. Should try hard to remove the inducement related to the fact that a disease happen, for instance: Employ antibiotic of wide table, cortex steroid hormone or patient of immune inhibitor in a large amount for a long time, must consider stopping medicine or decrement; If there are complications such as diabetes and malignant tumour,etc., should give corresponding treatment; Keep the affected part dry, clean.
1, nystatin
Product this can inhibit getting white the intersection of bead and fungus, but difficult to absorb from gastrointestinal tract, suitable for digestive tract infect or suck, treat the respiratory system, infect as atomization only. Take each times 500,000- 100 U Wan inside, one day 3, use together 1-2 weeks.
2, the two sexes mould plain B and ball erythromycin
It has certain results to treat the viscera bead fungus disease to drip that the two are quiet, but toxicity is relatively large, must pay attention to observing. Domestic Mount Lushan mould to have similar curative effect with the two sexes mould plain B while being plain.
3, one gram of mould thiazole
Adult's daily dosage 2- 3g, divide into for 3 times and take orally, uses for 2 weeks continuously.
4, ketone health thiazole
The quantity 200mg of the adult, 1 times a day. Somebody proposes this product 200mgs, it is the same to take once as result once a day on the next day.
5, garlic parenteral solution
20- 40ml, adds the liquid of glucose quietly to drip, once a day, curative effect is relatively satisfied with, toxicity is also little.
6th, shift the factor
Skin note, or take first cyanogen miaow guanidine 300mg orally once on the next day, 4 times a day, can improve the organism cell immunological function, there are benefits on promoting patients and recovering.
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Treat and have illness coming on and remove the risk factor originally at first, for instance inactive antibiotic, hormone and immune inhibitor. Strengthen the support treatment, strengthen the organism immunological function. Should try hard to remove the inducement related to the fact that a disease happen, for instance: Employ antibiotic of wide table, cortex steroid hormone or patient of immune inhibitor in a large amount for a long time, must consider stopping medicine or decrement; If there are complications such as diabetes and malignant tumour,etc., should give corresponding treatment; Keep the affected part dry, clean.
1, nystatin
Product this can inhibit getting white the intersection of bead and fungus, but difficult to absorb from gastrointestinal tract, suitable for digestive tract infect or suck, treat the respiratory system, infect as atomization only. Take each times 500,000- 100 U Wan inside, one day 3, use together 1-2 weeks.
2, the two sexes mould plain B and ball erythromycin
It has certain results to treat the viscera bead fungus disease to drip that the two are quiet, but toxicity is relatively large, must pay attention to observing. Domestic Mount Lushan mould to have similar curative effect with the two sexes mould plain B while being plain.
3, one gram of mould thiazole
Adult's daily dosage 2- 3g, divide into for 3 times and take orally, uses for 2 weeks continuously.
4, ketone health thiazole
The quantity 200mg of the adult, 1 times a day. Somebody proposes this product 200mgs, it is the same to take once as result once a day on the next day.
5, garlic parenteral solution
20- 40ml, adds the liquid of glucose quietly to drip, once a day, curative effect is relatively satisfied with, toxicity is also little.
6th, shift the factor
Skin note, or take first cyanogen miaow guanidine 300mg orally once on the next day, 4 times a day, can improve the organism cell immunological function, there are benefits on promoting patients and recovering.
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Mechanism's _ general knowledge of cause of disease and having illness coming on of the lung bead fungus disease
Mechanism's _ general knowledge of cause of disease and having illness coming on of the lung bead fungus disease
First, pathogenic factor
Up until now, have already found that there are more than 270 kinds of bead funguses, among them cause mankind's pathogenic bead fungus to mainly have white bead funguses (C.albicans) , tropical bead fungus (C.tropical) , false tropical bead fungus (C.pseudotropicalis) , near smooth bead fungus (C.parapsilosis) , one gram of gentle bead funguses(C.kruseii) , star-shaped bead fungus (C.stellatoidea) , smooth bead fungus (C.glabrata) , the bead fungus (C.guilliermondii) in it is high ,It is a condition pathogen, among them have the strongest virulence with white bead fungus, the most common too. The intersection of bead and fungus grows at ordinary culture medium very fast, grow cells for the ellipse bud, form the hypha on special culture medium. The differentiation of the bacterium needs to rely on biochemistry to test.
Pathogenic strength and fungus bodily form attitude and sticking ability relevantly of the bead fungus, the yeast type seldom causes a disease, the hypha type is pathogenic. It is also strong to stick the pathogenic strength of bead fungus with strong strength. Some bead funguses can secrete toxin and hydrolase, destroy the tissue.
Normal people's skin, oral cavity, gastrointestinal tract,etc. have bead funguses to depend on for a living, do not cause a disease under the normal situation, defend function, drop as human immunity, send bone can invade the respiratory tract, cause the getting endogenous infection on oral cavity, the intersection of bead and fungus of upper respiratory tract. The diet is not clean, cross infection can cause the other source infection in the courtyard. Hold conduit, mucous membrane ulcer,etc. and destroy the integrality of mucous membrane, can also make the bead fungus invade in the body. The lung can be the primary infection, can also sow a part of the scattered bead fungus for the blood source.
Second, have illness coming on in the mechanism
The intersection of bronchus and the intersection of lung and the intersection of bead and the intersection of infection and mainly for suck route, fungus of disease ,Namely field planting sucks in the bead fungus of oral cavity and the upper respiratory tract due to lower respiratory tracts and alveoluses when the organism defends the mechanism to weaken. The bead fungus is transferred to a hypha type after invading and organizing, breed in a large amount, the hypha bead fungus resists and engulfs ability, cause the leucocyte to soak reflecting, form ulcer, occuring frequently small abscess and organize necrosis for the acute inflammation of the main fact. Chronic and infects and organizes hyperplasia with swollen pathological change of the granulation and fiber. It is the hypha that the blood source is sown scatteredly type and yeast is invaded in the blood vessel, cause one pair of lungs filling the air damage for being main, the model is shown as the lung of necrosis bleeding tubercle that the bead mushroom organized and bred in a large amount makes up.
The cell immunological function is low, use antibiotic of wide table in a large amount for a long time, employ glucocorticoid and immune inhibitor, it is risk factors to put intravenous intubate and viscera conduit for a long time.
A cell reduces, organ transplant, employing cortical hormone, diabetic's blood source incident to sow scatteredly for a long time.
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First, pathogenic factor
Up until now, have already found that there are more than 270 kinds of bead funguses, among them cause mankind's pathogenic bead fungus to mainly have white bead funguses (C.albicans) , tropical bead fungus (C.tropical) , false tropical bead fungus (C.pseudotropicalis) , near smooth bead fungus (C.parapsilosis) , one gram of gentle bead funguses(C.kruseii) , star-shaped bead fungus (C.stellatoidea) , smooth bead fungus (C.glabrata) , the bead fungus (C.guilliermondii) in it is high ,It is a condition pathogen, among them have the strongest virulence with white bead fungus, the most common too. The intersection of bead and fungus grows at ordinary culture medium very fast, grow cells for the ellipse bud, form the hypha on special culture medium. The differentiation of the bacterium needs to rely on biochemistry to test.
Pathogenic strength and fungus bodily form attitude and sticking ability relevantly of the bead fungus, the yeast type seldom causes a disease, the hypha type is pathogenic. It is also strong to stick the pathogenic strength of bead fungus with strong strength. Some bead funguses can secrete toxin and hydrolase, destroy the tissue.
Normal people's skin, oral cavity, gastrointestinal tract,etc. have bead funguses to depend on for a living, do not cause a disease under the normal situation, defend function, drop as human immunity, send bone can invade the respiratory tract, cause the getting endogenous infection on oral cavity, the intersection of bead and fungus of upper respiratory tract. The diet is not clean, cross infection can cause the other source infection in the courtyard. Hold conduit, mucous membrane ulcer,etc. and destroy the integrality of mucous membrane, can also make the bead fungus invade in the body. The lung can be the primary infection, can also sow a part of the scattered bead fungus for the blood source.
Second, have illness coming on in the mechanism
The intersection of bronchus and the intersection of lung and the intersection of bead and the intersection of infection and mainly for suck route, fungus of disease ,Namely field planting sucks in the bead fungus of oral cavity and the upper respiratory tract due to lower respiratory tracts and alveoluses when the organism defends the mechanism to weaken. The bead fungus is transferred to a hypha type after invading and organizing, breed in a large amount, the hypha bead fungus resists and engulfs ability, cause the leucocyte to soak reflecting, form ulcer, occuring frequently small abscess and organize necrosis for the acute inflammation of the main fact. Chronic and infects and organizes hyperplasia with swollen pathological change of the granulation and fiber. It is the hypha that the blood source is sown scatteredly type and yeast is invaded in the blood vessel, cause one pair of lungs filling the air damage for being main, the model is shown as the lung of necrosis bleeding tubercle that the bead mushroom organized and bred in a large amount makes up.
The cell immunological function is low, use antibiotic of wide table in a large amount for a long time, employ glucocorticoid and immune inhibitor, it is risk factors to put intravenous intubate and viscera conduit for a long time.
A cell reduces, organ transplant, employing cortical hormone, diabetic's blood source incident to sow scatteredly for a long time.
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Thursday, July 26, 2012
Check _'s treatment in the laboratory of the lung bead fungus disease
Check _'s treatment in the laboratory of the lung bead fungus disease
1.Aetiology is checked
(1)Swallow the swab, phlegm liquid, bronchus alveolus and irritate lotion, thorax and accumulate direct slide mirrors such as the liquid, blood,etc. to examine or do the leather blue dyeing, Iemsa dyeing or PAS to dye, find in the sample the bud grows spore, false hypha and hypha and diagnoses value.
(2)Because normal the intersection of people and throat department can carry disease germs, it has certain diagnosis meanings that the phlegm is trained positively 3 or more times.
(3)Prop up the protective brush (PSB) of mirror through being fine It is comparatively reliable to sample and train. It is short because of the duration of bacteremia, so the blood trains the positive rate relatively low.
2.Organize pathology check fine to prop up mirror live, examine or live, examine by leather lung, organize pathology to check bead fungus fungus The silk can be confirmed and diagnosed while invading the evidence.
3.Immunology check immunology measure, resist sweet dew gather candy antibody, sensitiveness and specificity unsatisfactory, serious disease patient, immunological function defect person often appear falsely and negatively. Find bead the intersection of fungus and antigen have sweet dew gather the intersection of candy and antigen, the intersection of 47KD and antigen, hot unstable antigen mainly, but the intersection of bead and fungus belong to different kind, have common antigen, and people some the intersection of protein and composition and the intersection of bead and antigen of fungus have similar antigen to determine to form a cluster in the serum, so the problem exists in purification and standard of the antigen. Remain to further improve sensitiveness and specificity.
Other auxiliary examination: The bronchus pneumonia type chest X-ray reveals two lung poor lung wild filling the air spot, platelet shade. The pneumonia type X-ray is shown as the slice, tubercle are soaked, can involve the whole lobe of the lung, there can be lung door or mediastinal enlargement of lymph nodes, can also present the lung edema and behave, the shade is changed bigger in short term. The blood source is shown as the occuring frequently unclear granulous tubercle shadow of millet of edge more, up to condition progress, the granulous focus of the millet can be merged into small tubercle of uniform size.
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1.Aetiology is checked
(1)Swallow the swab, phlegm liquid, bronchus alveolus and irritate lotion, thorax and accumulate direct slide mirrors such as the liquid, blood,etc. to examine or do the leather blue dyeing, Iemsa dyeing or PAS to dye, find in the sample the bud grows spore, false hypha and hypha and diagnoses value.
(2)Because normal the intersection of people and throat department can carry disease germs, it has certain diagnosis meanings that the phlegm is trained positively 3 or more times.
(3)Prop up the protective brush (PSB) of mirror through being fine It is comparatively reliable to sample and train. It is short because of the duration of bacteremia, so the blood trains the positive rate relatively low.
2.Organize pathology check fine to prop up mirror live, examine or live, examine by leather lung, organize pathology to check bead fungus fungus The silk can be confirmed and diagnosed while invading the evidence.
3.Immunology check immunology measure, resist sweet dew gather candy antibody, sensitiveness and specificity unsatisfactory, serious disease patient, immunological function defect person often appear falsely and negatively. Find bead the intersection of fungus and antigen have sweet dew gather the intersection of candy and antigen, the intersection of 47KD and antigen, hot unstable antigen mainly, but the intersection of bead and fungus belong to different kind, have common antigen, and people some the intersection of protein and composition and the intersection of bead and antigen of fungus have similar antigen to determine to form a cluster in the serum, so the problem exists in purification and standard of the antigen. Remain to further improve sensitiveness and specificity.
Other auxiliary examination: The bronchus pneumonia type chest X-ray reveals two lung poor lung wild filling the air spot, platelet shade. The pneumonia type X-ray is shown as the slice, tubercle are soaked, can involve the whole lobe of the lung, there can be lung door or mediastinal enlargement of lymph nodes, can also present the lung edema and behave, the shade is changed bigger in short term. The blood source is shown as the occuring frequently unclear granulous tubercle shadow of millet of edge more, up to condition progress, the granulous focus of the millet can be merged into small tubercle of uniform size.
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Pathologic _'s general knowledge of ill cause of disease of bead fungus of the lung
Pathologic _'s general knowledge of ill cause of disease of bead fungus of the lung
The intersection of bead and fungus send bone oral cavity, throat, upper respiratory tract, vagina and intestinal mucous membrane in people, seldom cause a disease. When suffer from serious chronic disease, or employ antibiotic of wide table, hormone or immune inhibitor,etc. to cause organism resistance to reduce for a long timing, pathogen invade bronchus or lung cause disease, so copies of disease to continue the taking place infection. Getting white bead fungus to grow, breed in a large amount in the respiratory tract, produce toxicity and cause inflammation to react to cell, the mycelium can increase because the focus becomes more and more chronic. Urgent and slow and different that the pathologic change is up to the course of disease. Initial pathological change relies mainly on accompanying abscess to take shape in acute suppurative inflammation, the naked eye is observed as large stretch of consolidation, the centre is for the ashen solidifying; Presenting large stretch of cheese necrosis accompanies abscess to take shape under the mirror, there is hypha and phagocyte and soak around the focus. Present a kind of necrosis of cheese on later stage, the cavity is formed, fiber and the granulation is swollen.
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The intersection of bead and fungus send bone oral cavity, throat, upper respiratory tract, vagina and intestinal mucous membrane in people, seldom cause a disease. When suffer from serious chronic disease, or employ antibiotic of wide table, hormone or immune inhibitor,etc. to cause organism resistance to reduce for a long timing, pathogen invade bronchus or lung cause disease, so copies of disease to continue the taking place infection. Getting white bead fungus to grow, breed in a large amount in the respiratory tract, produce toxicity and cause inflammation to react to cell, the mycelium can increase because the focus becomes more and more chronic. Urgent and slow and different that the pathologic change is up to the course of disease. Initial pathological change relies mainly on accompanying abscess to take shape in acute suppurative inflammation, the naked eye is observed as large stretch of consolidation, the centre is for the ashen solidifying; Presenting large stretch of cheese necrosis accompanies abscess to take shape under the mirror, there is hypha and phagocyte and soak around the focus. Present a kind of necrosis of cheese on later stage, the cavity is formed, fiber and the granulation is swollen.
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Lung the intersection of bead and the intersection of fungus and disease cure skill check _'s symptom
Lung the intersection of bead and the intersection of fungus and disease cure skill check _'s symptom
1.X-ray examination: Reveal two lung lamination increases, or take the form of filling the air shade of platelet or spot, can partly merge into a large stretch of dense shadow, the edge is fuzzy, the shape is changeable, fast growing. Pathological change mostly lie in the poor lung wildly, the lung is sharp and less likely to be given much trouble.
2.The fungi are checked: The phlegm liquid slide direct mirror can check to examine that see the bead fungus; The fungi train and examine and appraise bacteria according to growth of colony and mirror. This kind of method must combine other respect situations, could consider diagnosing whether to establish.
3.Pathologic histology is checked: The fibrous bronchus mirror scrubs slides and lives and examine, the lung, pleura puncture and examine the diagnosis which is favorable to the fungal infection of lung alive.
4.Immunology is measured: The skin of fungi is tested: Bead the intersection of fungus and plain skin try on, infect and diagnose to the intersection of bead and fungus that there is reference value, the masculine gender appears in the general test, but infect the case and can also present the negative reaction seriously; The fluorogenic antibody is tested: Slice pathogens and measure and appraise value to direct the intersection of slide and sample, colony and pathologic the intersection of histology and organization that check that fungi train; The technology of molecular biology: Use for, measure the intersection of fungi and aetiology, difficult to regard distinguishing it as the intersection of field planting and fungus or it infects funguses to be shortcoming their result its already in recent years.
5.Fungus supersession product detection of bead and polymerase chain reaction: Can determine the fungus gene sequence of the bead, make it possible to diagnose in early days, but some methods are lab - full, await to further study.
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1.X-ray examination: Reveal two lung lamination increases, or take the form of filling the air shade of platelet or spot, can partly merge into a large stretch of dense shadow, the edge is fuzzy, the shape is changeable, fast growing. Pathological change mostly lie in the poor lung wildly, the lung is sharp and less likely to be given much trouble.
2.The fungi are checked: The phlegm liquid slide direct mirror can check to examine that see the bead fungus; The fungi train and examine and appraise bacteria according to growth of colony and mirror. This kind of method must combine other respect situations, could consider diagnosing whether to establish.
3.Pathologic histology is checked: The fibrous bronchus mirror scrubs slides and lives and examine, the lung, pleura puncture and examine the diagnosis which is favorable to the fungal infection of lung alive.
4.Immunology is measured: The skin of fungi is tested: Bead the intersection of fungus and plain skin try on, infect and diagnose to the intersection of bead and fungus that there is reference value, the masculine gender appears in the general test, but infect the case and can also present the negative reaction seriously; The fluorogenic antibody is tested: Slice pathogens and measure and appraise value to direct the intersection of slide and sample, colony and pathologic the intersection of histology and organization that check that fungi train; The technology of molecular biology: Use for, measure the intersection of fungi and aetiology, difficult to regard distinguishing it as the intersection of field planting and fungus or it infects funguses to be shortcoming their result its already in recent years.
5.Fungus supersession product detection of bead and polymerase chain reaction: Can determine the fungus gene sequence of the bead, make it possible to diagnose in early days, but some methods are lab - full, await to further study.
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