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.
|