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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